Capitol Vein Blog

Friday, September 21, 2012

Best Varicose Veins Treatments: Case Study

One of our patients in the Leesburg, Virginia office came visited us for a second opinion about her varicose veins. As a teacher who spends a great deal of time on her feet, she was experiencing almost daily symptoms that included aching in the veins and leg swelling.

She was concerned that the information she had received from other sources was inaccurate and might lead to unnecessary procedures on her legs. Specifically, she had been told that sclerotherapy would address all of her venous concerns, but she was skeptical.

The best way to assess vein function is with an ultrasound of the legs. Flow normally runs up the leg from the foot, against the force of gravity. When the one-way valves in the vein fail, flow in the vein runs backward, causing surface veins to enlarge.

In this case, the ultrasound revealed that her saphenous vein was not functioning properly, leading to lower leg pressure and causing varicose veins. This condition is optimally treated with the Venefit Procedure (VNUS Closure), a procedure done in the office under local anesthesia and recovery is immediate. Most insurances cover this procedure, as it is typically viewed as medically necessary.

Contrary to the information this patient received elsewhere, sclerotherapy of surface veins in the presence of a poorly functioning saphenous vein is not successful, often leads to repeat procedures.  It can be complicated by skin discoloration, lumpiness and poor healing.

The advantage of seeking advice from a physician who is well trained in all forms of vein care is that patients receive information on all of the available treatment options, with risks and benefits clearly spelled out.

Free vein evaluations are available in any of the Maryland, Virginia or West Virginia vein offices. Dr. Garth Rosenberg or Dr. Paul McNeill will be happy to spend time discussing your condition.

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