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Will my blood circulate normally after varicose vein treatment?

This question was asked in San Francisco, California and has 7 answer(s) as of 07/19/2013.
If I get sclerotherapy or some other kind of treatment for my varicose veins, will my blood start to circulate normally? I am wondering if after treatment of the veins, my problem will be solved for the future. I want to get whatever treatment is the best long term solution.

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Doctors Answers (7)

Poorly functioning veins prevent normal blood flow back to the heart and allow abnormal flow patterns such as reflux (reverse of the normal direction of flow), minimal or stagnant flow due to the twisted irregular shape of the veins, and shunting of high pressure venous blood from a deep vein in the muscles through a perforating vein causing excessive superficial venous blood pressure and further vein damage. As a result, blood can not efficiently return to the heart from the legs. By eliminating the problem veins, venous circulation increases and the results should be long lasting. Our veins are similar to the branches of a tree, both in a general physical branching structure and that problem branches are retained. Selective pruning of these defective branches removes this burden and increases circulation. Also, we have an unlimited ability to grow new veins as needed, and if they are not attached to a defective branch can remain normal indefinitely.

If you have superficial vein problems and they close these, then this should fix or help your problem. If you have deep insufficiency in the deep veins as well, then treating the superficial veins may help your problem but not resolve it completely

Periodic vein treatment will improve your venous circulation but there is no cure for this inherited tendency for new veins to appear over time.

The object of treatments for venous insufficiency is to seal shut or to remove veins which leak blood in the wrong direction because of failure of the one-way valves in the veins. The downward leak of blood in these veins overloads the veins which are functioning correctly. As this process gets worse, the high pressures developing in the veins of the lower legs result in pain, tenderness, swelling, and changes in the skin. Sealing shut the abnormal veins relieves some of the extra load from the normal veins and improves circulation of blood out of the legs. Over time, the force of gravity will cause failure of the valves in more veins and varicose veins will develop again, but treating significant problems as they occur will slow down development of new problems. Long term maintenance of a normal body weight, exercise, avoidance of prolonged sitting or standing when feasible, and routine daily use of elastic compression stockings will slow down the effects of time, gravity, and genetics upon your veins.

The most effective treatment for larger varicose veins is microphlebectomy. The bulging veins will be gone, removed through tiny punctures in the skin. For this, you want a surgeon experienced in vein treatment. Sclerotherapy is an alternate procedure but involves multiple visits and possible extra trips to have "trapped blood" removed. As far a long term resolution goes, this is usually an inherited and considered chronic problem. Some people may have little or no development of new veins in the future but others may have ongoing issues.

Each limb has more than 140 veins to take the place of the few varicose veins that will be treated. Varicosities needing treatment are usually limited to less than a dozen veins, quite often less than 6 in each limb (except in extreme cases). When these varicosities are closed by sclerotherapy or surgically removed, the remaining healthy veins will be used to re-route the blood back to your heart, and your symptoms will improve .

Varicose veins are often a problem that is called "Chronic Venous Insufficiency". This is genetic 70% of the time with one parent and 90% if both parents have varicose veins. There is no permanent solution, but this problem can be maintained with a long term plan of care. Symptomatic veins are usually covered under your insurance plan. Please call for an appointment and we can evaluate your situation and get a plan started.

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