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What is the best treatment to keep all my varicose veins from coming back?

This question was asked in Albert Lea, Minnesota and has 2 answer(s) as of 03/02/2016.
I am a 36 year old male. I had varicose veins in both legs due to 3 DVTs. Doctors said my blood has a tendency to clot and I am on Acitrom 4 mg. I did RFA on both my limbs, but the varicose veins have come back on my legs. A few months after they appeared, some veins also started appearing on my lower right abdomen and I have bulging veins in my pelvic area. Are these related to the leg varicose veins and will treating the leg veins make the abdomen and pelvis ones disappear? What is the best treatment to keep all the veins from coming back?


Doctors Answers (2)

The best way to have successful treatment that is lasting is to have a clear idea of the problem(s) with blood flow in the veins of the legs and, in your case, the pelvis and abdomen. I would recommend an ultrasound duplex study of these veins to evaluate them for both anatomy and function. If significant venous reflux is found (reversed blood flow to the normal direction of flow), then the source of reflux can be determined and from this, a treatment plan can be done. The RFA (radiofrequency alation) or the endovenous laser ablation technique are usually both highly effective in treating varicose veins, but the detailed ultrasound study is needed to be sure that the entire problem has been identified prior to starting treatment.

You should be evaluated by a vascular surgeon or interventional radiologist to assess the cause of your ongoing issues. I do not recommend treating/removing any varicose veins until this is done.

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