What's the best procedure to treat blue and bulging veins on my ankle?

What method of vein removal is ideal for the ankle area?

Answers from doctors (18)


Vein 911

Published on Feb 20, 2013

Visual and/or ultrasound-guided sclerotherapy is the treatment of choice for bulging veins around the ankle.

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Answered by Vein 911

Visual and/or ultrasound-guided sclerotherapy is the treatment of choice for bulging veins around the ankle.

Published on Jul 11, 2012


Vein Treatment and Aesthetic Center

Published on Jan 21, 2013

If your ankle area is the only place where the veins are visible, then a phlebectomy is the best treatment. It may be possible for sclerotherapy to correct this as well. A vein specialist will be able to recommend the best treatment.

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Answered by Vein Treatment and Aesthetic Center

If your ankle area is the only place where the veins are visible, then a phlebectomy is the best treatment. It may be possible for sclerotherapy to correct this as well. A vein specialist will be able to recommend the best treatment.

Published on Jul 11, 2012


NE Laser Vein Institute LLC

Published on Jan 20, 2013

Please consult a vein doctor to check the reason for your bulging veins. He or she will then be able to lay out the appropriate treatment.

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Answered by NE Laser Vein Institute LLC

Please consult a vein doctor to check the reason for your bulging veins. He or she will then be able to lay out the appropriate treatment.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Jan 17, 2013

Have an ultrasound to find out if there is a larger source contributing to those bulging veins. If there is no source that is treatable, then ambulatory phlebectomy would be the best option. It would depend on the results of the ultrasound.

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Answered by Intermountain Vein Center

Have an ultrasound to find out if there is a larger source contributing to those bulging veins. If there is no source that is treatable, then ambulatory phlebectomy would be the best option. It would depend on the results of the ultrasound.

Published on Jul 11, 2012


Advanced Vein Center

Published on Jan 16, 2013

First, get an ultrasound of your legs to see why your veins are bulging. This will determine if sclerotherapy, phlebectomy, or endovenous ablation would be best for you.

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Answered by Advanced Vein Center

First, get an ultrasound of your legs to see why your veins are bulging. This will determine if sclerotherapy, phlebectomy, or endovenous ablation would be best for you.

Published on Jul 11, 2012


VeinSolutions - Edina

Published on Jan 16, 2013

The veins in question are most likely reticular veins. They could probably be treated most effectively with sclerotherapy. In certain cases, when the veins are larger, they can be addressed with the microstab phlebectomy procedure.

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Answered by VeinSolutions - Edina

The veins in question are most likely reticular veins. They could probably be treated most effectively with sclerotherapy. In certain cases, when the veins are larger, they can be addressed with the microstab phlebectomy procedure.

Published on Jul 11, 2012


Michael F. Gioscia, MD, FACS, ABVLM

Published on Jan 15, 2013

A combination of carefully applied sclerotherapy and laser will probably provide the best cosmetic result.

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Answered by Michael F. Gioscia, MD, FACS, ABVLM

A combination of carefully applied sclerotherapy and laser will probably provide the best cosmetic result.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Jan 13, 2013

It depends on if there is an underlying vein condition causing the "blue and bulging veins." I would recommend an ultrasound to determine if there is an underlying condition causing these veins.

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Answered by Vein Clinic of North Carolina

It depends on if there is an underlying vein condition causing the "blue and bulging veins." I would recommend an ultrasound to determine if there is an underlying condition causing these veins.

Published on Jul 11, 2012


Ross T. Lyon, MD, FACS

Published on Jan 11, 2013

We recommend a duplex ultrasonography to determine which veins are working and which ones are not. If the large veins are not working properly, you may need an endovenous laser ablation treatment, along with sclerotherapy. If the large veins are fine, then you can be treated with just the sclerotherapy.


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Answered by Ross T. Lyon, MD, FACS

We recommend a duplex ultrasonography to determine which veins are working and which ones are not. If the large veins are not working properly, you may need an endovenous laser ablation treatment, along with sclerotherapy. If the large veins are fine, then you can be treated with just the sclerotherapy.


Published on Jul 11, 2012


Arizona Vein Specialists

Published on Jan 11, 2013

Sclerotherapy is best after you've addressed any sources of venous insufficiency elsewhere in that leg.

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Answered by Arizona Vein Specialists

Sclerotherapy is best after you've addressed any sources of venous insufficiency elsewhere in that leg.

Published on Jul 11, 2012


You need to find out the reason for the bulging blue ankle veins. Many times they are due to a leak in the veins (a varicose vein) much higher up in the leg. Treating the highest leaking vein that feeds the bulging veins is best.

Answered by Columbia Doctors Interventional Radiology (View Profile)

You need to find out the reason for the bulging blue ankle veins. Many times they are due to a leak in the veins (a varicose vein) much higher up in the leg. Treating the highest leaking vein that feeds the bulging veins is best.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Jan 10, 2013

First, you should be fully evaluated by an experienced surgeon who specializes in vein disease. An ultrasound examination would determine if there is any underlying vein insufficiency that is causing the veins in your ankle to bulge. If it is a cosmetic issue, as a surgeon, I would remove this vein under local anesthetic through very small punctures, not incisions. This provides a very cosmetic result with little to no down time. Sclerotherapy would involve multiple treatments; you may develop areas of trapped blood and possible pigmentation over larger veins. Your surgeon should be experienced in this procedure to reduce any complications such as nerve damage.

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Answered by Vein Specialties of St. Louis

First, you should be fully evaluated by an experienced surgeon who specializes in vein disease. An ultrasound examination would determine if there is any underlying vein insufficiency that is causing the veins in your ankle to bulge. If it is a cosmetic issue, as a surgeon, I would remove this vein under local anesthetic through very small punctures, not incisions. This provides a very cosmetic result with little to no down time. Sclerotherapy would involve multiple treatments; you may develop areas of trapped blood and possible pigmentation over larger veins. Your surgeon should be experienced in this procedure to reduce any complications such as nerve damage.

Published on Jul 11, 2012


Vein Specialists

Published on Jan 10, 2013

Investigation of your venous system for insufficiency is the first step in determining the cause and appropriate therapy for your ankle veins. If you have significant superficial venous insufficiency, this should be treated
before considering vein removal or sclerotherapy.

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Answered by Vein Specialists

Investigation of your venous system for insufficiency is the first step in determining the cause and appropriate therapy for your ankle veins. If you have significant superficial venous insufficiency, this should be treated
before considering vein removal or sclerotherapy.

Published on Jul 11, 2012


You need to be evaluated in person before a diagnosis can be made and a treatment plan is formulated.



Answered by Advanced Vein & Laser Centre, Ltd. (View Profile)

You need to be evaluated in person before a diagnosis can be made and a treatment plan is formulated.



Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jan 10, 2013

Blue and bulging veins on the ankle are best treated by either sclerotherapy or localized microphlebectomies.

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Answered by Vanish Vein and Laser Center

Blue and bulging veins on the ankle are best treated by either sclerotherapy or localized microphlebectomies.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Jan 10, 2013

You should have an ultrasound test first in order to determine what's causing the blue and bulging veins on your ankle. After that, you and your doctor can discuss whether sclerotherapy is right for you.


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Answered by Cosmetic Vein Centers of Texas

You should have an ultrasound test first in order to determine what's causing the blue and bulging veins on your ankle. After that, you and your doctor can discuss whether sclerotherapy is right for you.


Published on Jul 11, 2012


Heart and Vein Center

Published on Jan 10, 2013

First you need to eliminate the source of high pressure in the veins that might be coming from reflux in the vein. This reflux usually originates at the level of the groin where the saphenous vein joins the femoral vein. Once that has been eliminated or ruled out, then it is possible to treat those veins with foam sclerotherapy.

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Answered by Heart and Vein Center

First you need to eliminate the source of high pressure in the veins that might be coming from reflux in the vein. This reflux usually originates at the level of the groin where the saphenous vein joins the femoral vein. Once that has been eliminated or ruled out, then it is possible to treat those veins with foam sclerotherapy.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Jan 10, 2013

Depending on the underlying cause of the veins, sometimes sclerotherapy can work. Other times, however, the underlying problem needs to be repaired as well. You should consult with a vein specialist.

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Answered by General Vascular Surgery Group

Depending on the underlying cause of the veins, sometimes sclerotherapy can work. Other times, however, the underlying problem needs to be repaired as well. You should consult with a vein specialist.

Published on Jul 11, 2012


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