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When is it not possible to treat varicose veins?

This question was asked in Shallotte, North Carolina and has 8 answer(s) as of 08/19/2013.
Can you always cure varicose veins? Is there anything that would prevent you from doing any sort of varicose treatment such as weight or other health problems?


Doctors Answers (8)

It is possible to treat varicose veins in almost every health condition. Although we can treat all varicose veins, it is impossible to cure vein disease. It is possible that new veins will become diseased over time and they may need to be treated. If you do not treat your varicose veins they can become ulcers that are difficult to heal. It is important to go for regular vein checkups to stay on top of your treatment.

If a patient has a current medical condition that is serious and not well controlled such as an infection, poorly controlled diabetes, elevated blood pressure, etc., the medical condition(s) need to be treated first. Excess weight is very common and not a cause of varicose veins or a reason to not treat the vein problems. Patients who are not pregnant and in stable good health can be treated for varicose veins.

While varicose veins cannot be cured, treatment is almost always available. Extreme clotting problems, non-ambulatory conditions, and allergy to treatment medications might contraindicate modern non-invasive treatments. Obesity would be a potential problem for surgery but not other methods.

The only reasons I can think of are: Immobile patient, i.e. bedridden or unable to ambulate; uncompliant patient (patient that does not follow Doctor's orders); or mental illness.

As a board certified surgeon, there have been very few cases for whom treatment of varicose veins is a contraindication. In some people where there is a syndrome present which precludes closing superficial veins or removing varicose veins. However, this is rare. We are able to treat patients on blood thinnners, people who are obese and diabetic and other health issues. My criteria is that the patient must be able to walk regularly after the procedure and apply the compression hose we prescribe before and after. If there is a concern about other health issues, I work closely with the patient's primary care physician or other specialist to ensure that all treatments provide more benefit than risk.

The major contraindications for treating varicose veins include deep vein thrombosis, active skin infection and pregnancy. Relative contraindication would include inability to walk / ambulate or lay flat. Weight is not an issue in most cases.

There is no cure. Morbid obesity is a problem and should be corrected, preferably before treatment. The long term outcomes are usually better.

The only absolute contraindication to vein surgery is a genetic condition where the blood forms clots too easily and there is previous clots in the leg veins.

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