If no explanation for your symptoms as described has been given, consider looking for a second opinion. Superficial reflux in your veins is usually diagnosed using a standing ultrasound as it is the easiest test to do quickly in an office setting.

However, there is definitely some 'subjectivity' to it, meaning some ultrasound technicians are better than others at using the machine effectively. That is not specific to veins as the same holds true for other body parts studied using ultrasound.

It is also possible that reflux is more noticeable at certain times of day, certain times of the month (particularly with women and associated with their menstrual cycle), and/or depending on the anatomy of the vein (big veins sometimes have very sluggish, slow flow that is abnormal - but true 'reflux' may be difficult to see).

So, frequent evaluation or seeking a second opinion are both options. Of course, if the vein specialist continues to see nothing despite your symptoms, he or she will hopefully be able to help you find an answer in another way by referring you on or suggesting other treatment options!

Published on Jul 11, 2012

Not all leg symptoms are due to venous insufficiency; there may be another cause of your symptoms. I would recommend repeating the venous ultrasound and see a vein specialist for an evaluation.

Published on Jul 11, 2012