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DO VARICOSE VEINS COME BACK?

Don’t give up if you still have varicose veins, even though you had treatment in the past. Many people feel that since “it didn’t work the first time” that it is pointless to try to get rid of a vein that just will come back. Sometimes we hear from patients who have had previous treatments for varicose veins and now years later feel that the treatment did not work because they are seeing similar veins appearing on their legs.

beautiful lots of legs

 

But did the previous treatment fail? Probably not. Although sometimes that can be the case, depending on what treatment was given and who gave it, of course. Always insist on a board certified doctor, who is certified by the American Board of Venous and Lymphatic Medicine. Most of the time, the problem is not old veins coming back, but new veins that have developed venous insufficiency and need to be treated.

Lottie Espinosa (2)

 

There are several reasons that varicose veins can reappear. Our first step to determine the cause is to do an ultrasound evaluation on these patients. Then we can determine the next step.

So why do you still have unsightly veins, even though you have had treatment? d3d66472-3d72-49ed-8a15-75bab12cd76a

There are three basic systems that can cause trouble with varicose veins:

  1. The great saphenous system
  2. The small saphenous system
  3. Perforating veins.

A patient can have one system treated successfully and then have one of the other systems malfunction later on, resulting in new problems. With the use of ultrasound technology, we are able to focus on the areas that are broken and treatment will result in a successful result.

We are also seeing another problem caused by the old vein stripping procedure, done in the hospital in years past. Some patients who had their veins stripped have developed another problem named neovascularity. This is the development of new varicose veins related to the actual stripping procedure. It appears that the actual incisions that were made with the old procedure stimulate new vascular activity which results in varicose veins in 10-20 years. We are not seeing this problem with the new thermal ablation procedures that we are using now. For this reason, we do not recommend going into the hospital for a vein stripping. This outdated procedure does not give a lasting good result and is unnecessarily painful and expensive.

Whatever has been done in the past, we are able to use exciting new techniques to treat these recurrent problems. Varicose vein innovative treatments are quick and non-invasive. And they are now done in the doctor’s office with the patient walking out and returning to normal activities the next day. The end result is that our patients are happy and highly satisfied.

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