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What are the chances that varicose veins will recur?

Can varicose veins recur after treatment? What are the chances? How often is it that continual treatment is necessary?


Doctors Answers (7)

Modern treatment of varicose veins with endovenous ablation either by laser or RF and micro-phlebectomy are highly effective and will permanently close or eliminate the varicose segments of vein, usually a superficial trunk that empties into the deep venous system including the Greater Saphenous vein (GSV) and Small Saphenous Vein (SSV). The closing of damaged connections between these low pressure surface veins and high pressure deep veins that travel through the muscle (due to missing or damaged valves in the connecting vein) are called perforating veins and can be identified by ultrasound exam. Closing these damaged perforating veins will greatly reduce the risk of developing new varicose veins. Treatment may completely stop or slow down the progression of other enlarged and varicose veins by reducing or eliminating venous congestion and reflux (reverse venous blood flow). Follow up ultrasound exams can confirm that the treated vein is fully closed and should not typically require re-treatment. Whether you go on to ever develop new varicose veins depends on your personal genetics (how are the veins in the family, and how old were you when you first noticed the veins?) and also on your level of activity. Walking and exercise will reduce the risk and prolonged standing (often work related) and pregnancies will again increase the chances of developing other new varicose veins. Treating the veins helps to correct the immediate vein problem and will reduce the risk and frequency of developing new problem veins.

Since varicose veins are inherited and cannot be cured, all treatment is palliative. This means treatment may permanently eliminate current veins, but new ones inevitably show up years later. Spider veins usually accumulate continually while varicose veins show up every ten years or so.

The varicose vein that was treated should not come back. You may develop new problematic veins as time goes on. It is best to be seen by your doctor once a year to be evaluated before the veins become worse.

The chances are pretty good that some varicose or spider veins will recur at some point after treatment. However continual treatment is not often necessary.

People with varicose veins and associated venous reflux, even if treated, have a condition known as chronic venous insufficiency. With this inherited condition it may be possible to develop new dilated veins in the future which may require treatment.

Varicose veins, if treated correctly and maintained appropriately after treatment, then you should have long term benefits with just occasional touch ups.

It depends on how they were treated. 99 % success with RFA/ VNUS closure.

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