Capitol Vein Blog

Friday, January 18, 2013

Why Do New Leg Veins Occur?

One of our Winchester, Virginia varicose vein patients asked Dr. Rosenberg why she developed new spider veins in the leg that was treated five years ago. She was under the impression that once spider veins (which may occur separately from or in connection with varicose veins) were treated with sclerotherapy, new veins would not occur in the same leg.

Both spider and varicose veins may result from hereditary factors. This tendency can even skip a generation, so that parents may have no visible varicose veins, but the veins are seen in the grandparents.

In healthy veins, blood flow begins in the lower leg and travels up against the constant force of gravity. Small valves in the veins propel the blood in the correct direction, but if the vein has weakness within its wall or valve, then gravitational effects are magnified and pressure is exerted in a backwards fashion. When this occurs, we call it venous insufficiency, or reflux, and symptoms like aching and heaviness occur.

Treatment is generally comprised of the Venefit Procedure (VNUS Closure) for varicose veins and sclerotherapy for spider veins. Each treatment is very successful in eliminating the excess pressure in the veins and normalizing the flow. Most insurance companies cover the Venefit procedure, which is considered medically necessary.  Sclerotherapy may not be covered in some cases if spider veins are determined to be cosmetic in nature.

As treatment is so easy and effective, many patients and doctors have decided to rethink varicose vein therapy. Dr. Garth Rosenberg and Dr. Paul McNeill are board certified phlebologists and vascular surgeons with an entire career based on treating vessels in the legs. Either doctor can see patients for evaluation in the Maryland, Virginia or West Virginia offices.


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