Font Size: Increase | Decrease

Will I have to treat both legs for varicose veins?

This question was asked in Irvine, California and has 7 answer(s) as of 02/05/2013.
Will I have to treat both of my legs if I have varicose veins in one of them? Will the treatment be effective? Will blood still be able to circulate back to my heart after the treatment is complete?


Doctors Answers (7)

You can have one or both legs treated if you have varicose veins on both legs. The most symptomatic leg is treated first. If the other leg is not bothersome, you do not have to have it treated. Treatments of varicose veins are over 95% effective. There will be no adverse effect on blood circulating back to the heart after treatment.

If you have varicose vein problems in only one leg then that should be the only one treated , as long as you dont have other issues such as swelling that may be caused by venous insufficiency. the effectiveness varies depending on the treatment, most are very effective. However even after the veins are treated and go away there is always a chance new veins will occur. the net effect of the treatment improves blood circulation.

When people come in for evaluation of leg veins, both legs are evaluated. If one leg is normal, no treatment of the veins in that leg is required. After the veins have been successfully treated, I recommend yearly followup. At the time of the follow up exam, both legs are evaluated for potential changes. If abnormalities develop in the previously normal vein, they can be addressed at that time. Blood previously flowing in veins that been eliminated re-route automatically to normal veins. The blood return to the heart will not be compromised.

You only need to treat the leg which has varicose veins.

Varicose veins, and the underlying condition called venous insufficiency or venous reflux, can occur in one leg or both legs. In the situation where venous insufficiency is present in both legs, then both legs are usually treated. In the situation where there are bulging veins and venous reflux in only one leg, then naturally only one leg is treated. The modern treatment of venous disease, when delivered by a top notch full time vein specialist, is 99% effective. A careful evaluation by a properly trained phlebologist and experienced vascular ultrasound technician will ensure complete and correct treatment. The circulation in the legs consist of arteries which bring fresh blood to the legs, and veins that drain the used blood out of the leg and back to the heart. The veins in the legs consist of two systems: the superficial vein system and the deep vein system. Over 90% of the venous blood travels through the deep vein system. The superficial vein system is not necessary for good leg circulation. Most varicose veins are caused by problems with the superficial system. So the varicose veins and the superficial vein system can be ablated (closed down) or eliminated with no negative effect on the legs. In fact leg circulation improves after treatment because the backward flow of blood is stopped. The deep vein system makes sure that blood will still be able to circulate back to your heart after the treatment is complete.

It is common to only need varicose veins treatment on one leg or even one area. Varicose veins function poorly in returning venous blood to the heart due to high venous pressures that restrict blood flow and damages the normal veins that connect to the varicose vein.. Treating the varicose veins will improve the circulation of the legs. It is important to remember that you will never "run out of:" veins as they can grow easily your entire life just as a tree can grow new branches when needed. Like a tree, we can also develop non-functioning branches that we keep even though they are a burden to circulation. When removing the problem branches circulation improves and any new branches that grow will function normally if not connected to varicose veins.

Common sense would tell you to only treat the leg with varicose veins. Ask your doctor what his experience is regarding longterm results. Blood will continue to circulate normally back to your heart after treatment.

Disclaimer: The information found on this website is intended to be general medical information; it is not a medical diagnosis or medical advice. Specific medical advice can only be given with full knowledge of all of the facts and circumstances of your health situation. You should seek consultation with a doctor familiar with your medical condition. Posting a question on this website does not create a doctor-patient relationship. All questions you post will be available to the public; do not include confidential information in your question.