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Why have varicose veins returned after surgery?

This question was asked in Cedarville, Ohio and has 7 answer(s) as of 08/12/2013.
A family member went to Columbia S.A. for vein treatment. For a month he went to a clinic every day and they would inject a couple of veins. He returned home to USA with pressure stockings. In 2 weeks he removed them and all looked good. It is now 2 yrs later and they are all back and look worse than before. He is overweight, works as a chef long hours 6 days a week. What could have caused the varicose veins to return?


Doctors Answers (7)

Vein disease is a chronic condition. You will develop new veins that show reflux over time because we cannot treat the cause of the disease. You can reduce your risk of varicose veins returning by wearing compression stockings and reducing lifestyle risks. You should be evaluated yearly by a vein specialist.

Treatment of the reticular veins and possibly some smaller varicose veins by sclerotherapy is usually highly effective in closing the problem veins, which are then reabsorbed by the body over time and new veins grow easily as they are needed. If the underlying problem was venous reflux from one of the larger veins such as the Greater Saphenous Vein (along the inner thigh and lower leg), Small saphenous vein (behind the lower leg calf area) or a perforating vein, then elevated venous pressure will continue to form varicose veins from previously normal veins. An ultrasound evaluation can determine the cause and location of his problem veins and the treatment that would be the best choice. Excessive weight does not cause varicose veins directly, but poor mobility and inadequate amount of walking or aerobic exercise can contribute to progression enlarging veins.

Varicose veins is a chronic condition which can be controlled through periodic treatments but never cured. It is normal for patients with varicose veins to continue re-accumulating new veins over time. Treatments by doctors who specialize in venous disorders can yield longer periods of time before new veins appear.

All vein problems can be treated but not cured permanently.

Even when varicose veins have been treated well, other veins eventually will enlarge due to the effects of gravity and new varicosities will appear. Obesity greatly increases the pressures in the veins of the legs since the extra abdominal fat compresses the veins that carry the blood back to the heart. It may also be the case that the frequent sessions of injections was not the best therapy for the particular patient's problem. One needs to chose carefully when selecting a treating physician and lifestyle changes such as weight control, routine exercise, avoidance of prolonged sitting or standing, periodic leg elevation, and routine daily use of elastic compression stockings remain important.

Varicose veins are usually caused by a condition called CHRONIC VENOUS INSUFFICIENCY, (CVI). This is genetic and you must be treated completely and appropriately to obtain the best long term results. You must also have an on going preventive care program for continued best outcomes.

Injection therapy or sclerotherapy has a high failure rate in larger varicose veins. One could surmise that the underlying venous reflux has not yet been effectively treated.

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