The 3 Main Reasons Why Veins Come Back After Treatment - Recurrence after Surgery

[@koolcat2000]

Thanks for your reply. Very happy to of had it done.

[@juneking4512]

Thank you so much for the excellent information! I'm having my viens lasered in two weeks. Blessings, from Canada!

[@christinecoombs708]

Thank you! None of this was explained to me by the vascular doctors that have treated my veins.

[@sssca8505]

I have to say that this video throws much truth to the matter...I have just visited doctors that told me I don't have a vein problem...even I can visualize my reticular veins with normal light...I get it worse and worse when in winter I'm staying in places with high temperatures becos of heater or when in summer i use long trousers instead of shorts or skirts

[@aglaesuarez7258]

Hello! DR.Gajraj. Hopping you doing good. My question is. I had a Venaseal treatment about 2 months ago. But i still have a varicouse vein and a lot spider vein. Te varicouse vein a have is a bolging vein behind knee. It is painful for me sometime , how long do you recommend to do a surgical remove after a patient had a vena closed . Thanks

[@lennoxcrochet9718]

thanks great info

[@gatomio9739]

Thank you so much

[@melveniahearns3133]

I can’t get to a website but I would like to ask when you get the first procedure done on the front of your leg it feels OK and they said that they got to come back and get them to the back you still have the itching and flooring and paint and all of that because there still some in the back does that still happen

[@kimballwiggins3976]

Thank you so much!!! Very great information. I got for sure the bad genetic

[@donranil4613]

Hi doctor, I had done a laser treatment for varicose veins on my right leg ( around calf ) i did it one week ago and still I’m using medical stocking. But after removing bandage I can clearly see the procedure was not being done correctly. My varicose still the same. My question is... is it ok to do laser treatment another time? If its not possible then how long I should be wait ??

[@abhilash4247]

I am 20 yr old , having varicose veins , have procedure (stripping and liaison of perforators 2 yrs ago then reoccurrence , then done microfoming scarleothrapy 6 months ago now starting to develop ulcer ,what is the cause , plz help me out .!

[@gbea070]

Thanks from the philippines

[@johnabad856]

i got my treatment last october but this month of febuary it come a little

[@minaketanmishra3988]

Good morning. Sir. After laser treatment of varicose vein do u advise to wear compression stockings both day and night or only day time. 🙏 guide me

[@flevinamary9828]

Thank you so much doctor for the info... i am 32 year old women with varicose vein on the right leg and a growin just behind my knee joint and tomorrow I am undergoing the procedure here in India. I hope it doesn't come back 😕

[@unnatural6edq]

Age 28, here. Had my procedures done over several months ago. I have genetically inherited varicose veins. I've had problems since I was twelve. I have struggled with my weight for my entire life, but over the past year I've lost a lot of it. I've lost more weight since my procedure (Catheter-assisted procedures using radiofrequency or laser energy.), but I am constantly on my feet due to my job and they've come back just as bad as before. I have hard knots under my skin that itch me constantly. I scratch so much, I bleed, even when I use anti-itch cream. I am miserable at night, my legs still swell up, and can't afford another treatment (even though my insurance covers nearly all of it, the part of it I pay for is draining what little money I have).

[@VeinCareAcademy]

So sorry to hear of your distress. I am very sorry butI cannot advise you about a specific concern. I hope you will understand that I am unable to give a professional opinion in the absence of a consultation and without seeing the detailed results of your duplex ultrasound scan. You need to discuss your concerns with your own healthcare professional.

[@DiamondRubyJewel]

Elise Quackenbush *WHAT PROCEDURE DID YOU GET DONE ELISE?*

[@sharoncourt75]

i think she said lasser

[@RajeshSharma-iy7zk]

I had EVLT procedure 4 months back. Now 2 perforaters have opened up. I have again underwent scloretharepy done. Will that improve my condition

[@jjowhal]

Hello Doc. I just had EVLT of my greater saphenous vein, last week. I’ve followed all post op instructions- I’m very bruised & have new bulging veins - not spider variety pop up horizontally across my shin. Is this normal? Seems odd to me.

[@VeinCareAcademy]

Please forgive us. We cannot offer specific advice for concerns you have after treatment. We suggest you consult your own healthcare professional. We are interested to hear how you get on.

[@abenajones5131]

Hell Doc i got my treatmen three days ago, i had an ultra sound done prior to my treatment and the doctor told me that the spider veins were only affectin my superficial veins but my other veins were in good shape, will the veins return and if they do how long before it occurs

[@zehreenbundhun9526]

My father had just got a surgery for varicose veins...now after 2 to 3 days he is getting hypertension which is 16 and it causing vomit and headache... plzz help...

[@flevinamary9828]

Hello Doctor.. I forgot to post my question..is there a permanent solution to stop varicose to reappear..?? Do cellulites develop because of varicose veins. Please help me understand this?

[@amritchetri7608]

Hello Doc, I had radiovascular surgery 25 days ago and all were normal at follow up but from yesterday I gain swelling on rightankle and surgery was done at Nepal and currently I'm at UAE. Today did some blood test and informed that might be there's some blood clot got vaccine for it. Now tomorrow again had to visit veins specialist please guide what I'll do for good results. Thank you.

[@lucysantiago2067]

Is it good to get your vain treated if is near the eye .. (Eyebrow line vain there)

[@mistukiu5927]

Doc i have lvl 3 varicose vain in my lefy leg ?and it hurt if dameged vain removed will it regrow again after removal surgury?

[@VeinCareAcademy]

Neovascularization is a process in which veins may regrow after the older traditional procedures such as surgical stripping. Until we had ultrasound scans readily available, surgeons didn't believe that veins could regrow after they had been tied and removed. But we now know that this is a particular feature of SURGICAL STRIPPING and veins will regrow the raw ends want to re-grow and rejoin. And this is a very important cause of recurrence. Fortunately, it is not a feature of the newer treatments that we have on offer such as endothermal ablation. You can read more www.theveincarecentre.co.uk/treatments/

[@emilystephens971]

I had surgery on Thursday it’s now Tuesday I have a wet feeling on the putter side of my leg is this normal

[@christinecoombs708]

Are shins that burn on and off, on the front of both legs more as a result of my veins or small fiber neuropathy?

[@victoriagirdler4795]

I have chronic venous insufficiency that went untreated WAY too long for multiple reasons. It cause me to develop chronic edema, lymphedema, lipodermatosclerosis (fibrosis or scarring of deep tissue), as well as a bout of cellulitis. I just got all the procedures for the CVI, & a lymphedema specialist to help md treat that since its life long. Anyways one of my cellulitis symptoms was a burning & digging pain like I had barbed wire pulled tight around my shin bones in both legs. It started on the skin surface, & eventually I could feel it deep in the bone. Every step I took the vibration & impact hurt deep down to the point I was borderline ready to just die. It took a month AFTER I completed antibiotics for the pain to slowly subside. It was a slow process, & one day like 3 months after antibiotics, I realized the pain hadn't returned. It was an off & on pain that I had for 4 months prior to getting cellulitis infection diagnosed. Don't play with it as it can be life threatening, & really can get into the bones! It could be the small fiber neuropathy as well though. Have you been diagnosed with that? Also if the skin is red, warm, & tender to the touch its more likely to be cellulitis. If you run a fever for no other apparent reason, get to the doctor that day, even if you have to go to the ER! Good luck to you, I hope you can get a diagnosis & treatment asap! I understand how awful these pains can be & I'm sorry!

[@Manell90210]

What if I exercices to make my veins stronger will they re appear if through o strengthen my veins ?

[@StartingOverLuv]

Can I marry your English Accent you’re such an awesome doctor I had that procedure and you describe it perfectly

[@danielaionescu8497]

My varicose vein came back after three month after surgery and my legs are swollen then before. How is it possible? I 've had 2 surgery over last 2 yerrs .

[@shawnnij1937]

Damm i hate my veins

[@JohnRelihan]

35 NOW AND HAD VEINS BOTH LEGS REMOVED 5 YEARS AGO AND THEY HAVE COME BACK.. REALLY BAD NOW AND BEEN HONEST I AM AFRAID CAUSE DONT KNOW WHAT TO DO NOW.

[@madhavpandey8282]

Can you Please enlighten the pros and cons of vein stripping and laser surgery ??!!

[@VeinCareAcademy]

Great question. We will cover this in a future video. Thank you.

[@1771332]

Considering the great new treatments, such as endovenous laser ablation (to be specific, using radial laser delivery fibers, not the old linear laser fibers), stripping surgery must be considered obsolete! Why subject the patient to general anesthesia and prolonged post surgery pains, when with endovenous laser ablation , an outpatient procedure, the patient can resume all normal activities right after the treatment. Furthermore, results have been much better that stripping surgery. Surgeon's who are still doing ligation stripping surgeries, may be should either learn the new techniques and inquire the necessary tools, or refer the patients to a clinic that has the new capabilities. Khalil Fattahi, MD RPhS

[@johncollins7637]

I am considering endovenous ablation of saphenous veins in one leg. Reflux was due to DVT years ago. My question is - Do the smaller upstream veins that flowed into the saphenous veins normally redirect them selves "downward" toward" the deep veins since the saphenous pathway is now closed off? Does this occur both during and after the post-surgical healing process?

[@gweflj]

I would also love an answer to this critical question.

[@themysticmuse1111]

Just had this done 4 days ago. Vein taken from crotch to foot. Yes, it's painful,and I'm black and blue,but it's still less painful than when I had a 'bad pain day' with the vein in. This is a walk in the park,compared. A clean pain. I have a high pain tolerance though. I say,go for it! NO FEAR ppl. Good luck all. X

[@sara54501]

You could feel it during the procedure?

[@ShawnS23]

So when you say for certain people veins come Back then why not just stick with sclerotherapy because if veins come back after surgery why even go through the surgery if you’ll have to look for secondary option such as sclerotherapy to re treat them?

[@user-cf9np9cy8q]

yours is the best reply Ive seen Thats right.

[@nafeesfatima3955]

Hello Dr! I had vericose veins remove el surgery of both legs befor 17days .how much chances it Will be regrow and what Will be precision's stop regrowth .

[@VeinCareAcademy]

If you had Endothermal Ablation, the risks of vein regrow are much lower than with surgical stripping. The risks of some recurrent veins is 3-4% per annum.

[@VeinCareAcademy]

Endovenous thermal ablation has a low recurrence rate. Lower than stripping.

[@erandinn8780]

Hi,people with diabetes can they use this method or is there any other treatment for them

[@VeinCareAcademy]

Endovenous non-surgical treatments for leg vein conditions are applicable to patients with diabetes. Special care is required, however as patients with diabetes may have arterial disease and peripheral neuropathy and they are more susceptible to infection.

[@TMVAP]

Please suggest the needful

[@MujahidKhan-tk1rv]

Hello sir. my surgery done varicose veins left leg after surgery any exercise. My surgery done vascular surgeon. Laser treatment. December month 2021. After surgery any exercise you suggest.

[@VeinCareAcademy]

Walking is a very good exercise

[@margaretdillane7824]

im 65 had my veins stripped procedure 22 years ago had ultra scan 6 months ago there painful now very nervous to get done again but being advised to do a day procedure would be asleep

[@VeinCareAcademy]

We understand your concerns. You may wish to watch kzbin.info/www/bejne/q3_OmYKLZc6Bl8k

[@moonyedwards5357]

I do have the Varicose veins problem too I am taking daflon 500 2 time per day now doctor sending me now to do operation on it but I am afraid i am a jamaica I trust them to do it out their

[@binodbahadurchand3979]

Doctor greeting for the day what kind of exercise and precautions we can do after varicose vein treatment at gym what are the do and don't . I had recently varicose vein lesser treatment

[@VeinCareAcademy]

Thank you for your interest in our channel. You may find this helpful kzbin.info/www/bejne/oKW0onSMppdlq9k

[@erandinn8780]

also what about spider veins n diabetes?

[@VeinCareAcademy]

As far as we are aware, there is no convincing association between spider veins on the legs and diabetes in the medical literature. Do you have any evidence?

[@mommykimberlysadventures954]

I had mine a month ago n went back to my ultrasound n three days later to follow up with dr the vains came back n triple more n hurts like heck when worse then before why is this we paid alot of money for nothing "( I'm in so much pain "( stays my sleep the pain wakes me up please help

[@VeinCareAcademy]

We are sorry to hear of your distress. We suggest that you discuss the results of the ultrasound with your specialist and ask him or her these questions.

[@mommykimberlysadventures954]

@@VeinCareAcademy i did he said his nurse did the report wrong so were they lazerd was not were it was to start nor end! Now because of the Dr nurse mistake he wants me us to pay 700 buck again wile he already got 10,000 from our insurance already from a lazer that did work n made it worse ! What can I do in this case ???? It was there mistake not mine im.not the speaclist they are please help ...

[@escarlet5879]

im interested to under go for this

[@escarlet5879]

Sclerotherapy is a medical procedure used to eliminate varicose veins and spider veins. Sclerotherapy involves an injection of a solution (generally a salt solution) directly into the vein. The solution irritates the lining of the blood vessel, causing it to collapse and stick together and the blood to clot. NO HARMFUL SIDE EFFECTS

[@escarlet5879]

it this true that the solution is only contain salt

[@VeinCareAcademy]

Sclerotherapy does have side effects. All medical treatments have benefits and risks and your own healthcare professional can advise you. There are several types of sclerosants emedicine.medscape.com/article/1271091-treatment and you may wish to watch this presentation kzbin.info/www/bejne/gJvbf4tqfq2rpJY

[@raysonvergeldedios5838]

I have it when i was 11 years old and now that i am 20 it got worst. What can i do for it? Is it possible that it is in our genes

[@miamullins673]

Look for vein compression syndromes like may thurner and nutcracker syndrome

[@juanitalaigue]

Hello doctor à week ago i had my veins opérations thru stripping but still aching abd many blues and my opérations still aching when i sit down for 15 mins it hurts me when i am walking so difficukt to wzlk still. Aching

[@VeinCareAcademy]

It is still very early in the healing process.

[@lisawikert4870]

Why isn't there an option for replacement of the veins

[@VeinCareAcademy]

We get asked this a lot. We will cover this in a future video. Thank you for your comment.

[@koolcat2000]

So the varicose veins being in my family I know you said that there is a chance that it will come back but what is the % rate of this if this makes sense

[@VeinCareAcademy]

jason Stern Thank you for this interesting question. The risk of vein progression and recurrence is approximately 3-5% per annum. So after 10 years, there is a 30-50% risk of developing veins. Not inevitable, but that is the risk.

[@IAMGiftbearer]

@@VeinCareAcademy Is this the risk with the thermal procedures or just the old fashioned vein stripping?

[@orthodox1173]

I had this done on spider veins they came back next day

[@1771332]

For sure you did not get proper evaluation. And the treatment was not done correctly. Sclerotherapy is just a word. Like anything else, it must be respected as a complex art & science. As an example, are all painters the same in quality of work? Or are all those who have driver license, drive properly?

[@burniceparry9715]

post op. How painful is this?

[@VeinCareAcademy]

Endovenous Treatments such as laser, Clarivein® and Venaseal® are not painful. Most people after treatment do not require any painkillers.

[@jordanbasha5824]

It's worth it and worth every penny and every sacrifice to get the money to do it its life changing after healed and for me it's not painful at all and some places have package options and you can make payments

[@orthodox1173]

Very painful

[@marcusmorrison3292]

I had my vein stripped 6 days ago and would say its 8/10 pain. After 1 week still in pain but I can walk and drive. My right leg is veyr swollen and I'm not convinced that the vein has gone too be honest. Under the NHS you will be lucky to get the treatment as its being withdrawn.

[@sssca8505]

I'm 41 now, I have reticular veins and some spider veins in both of my legs...since I was 21 I got several sclerotheraphies in different stages of my life...I have vein insufficiency inheritance as my father had varicose veins and got a stripping procedure when he was around 40, now he is 74...his stripping wasn't perfect but wasn't as bad as his legs look much better than 35 years ago...I think doing exercise 3 times a week, not gaining weight and having a balanced diet helps...like very important to eat cherries, grapes, ginger, cranberries and vegetables...I think hormonal disorder in women is a big factor and not moving is a factor too, but Please in Spain is very difficult to find good professionals, there are too many estheticians there injecting polidocanol to spider veins without even proper illumination ...

[@sallyshany826]

Did the sclerotherapy worked for you cause i have alot of varicose and spider veins everywhere in my legs i will start the sclerotherapy treatment next month and i'm very worried if the spider veins will come back more than before

[@haleybrooke887]

Are spider veins genetic?

[@VeinCareAcademy]

Short answer, Yes they can be.Long answer:The underlying aetiology can be classifiedas congenital or acquired. Aetiological factors are identified from a careful clinical history and examination.Genetic and Congenital FactorsVascular nevi• Nevus flammeus• Klippel-Trénaunay syndrome• Nevus araneus• Angioma serpiginosum• Bockenheimer syndromeCongenital neuroangiopathies•Maffucci syndrome• Congenital poikiloderma (Rothmund-Thomson syndrome)• Essential progressive telangiectasia• Cutis marmorata telangiectatica• Diffuse neonatal hemangiomatosis AcquiredComponent of a primary cutaneous diseaseKeratosis lichenoides chronicaNecrobiosis lipoidica diabeticorumCapillaritis (purpura annularis telangiectodes)Malignant atrophic papulosis (Degos disease)Secondary to Venous DiseaseHormonal factorsPregnancyEstrogen therapyTopicalcorticosteroid preparationsPhysical factors Actinic neovascularization and/or vascular dilationTrauma• Contusion• Surgical incision/lacerationInfectionGeneralized essential telangiectasiaProgressive ascending telangiectasiaHuman immunodeficiency virus (HTLV-III)RadiodermatitisErythema ab igne (heat and infraredradiation)The list above is long and at first sight,it looks rather intimidating. In practice, most of the aetiological factors are very rare or they are revealed by the patient’s history. For those who undertake Microsclerotherapy, it is essential to differentiate those patients with telangiectasia secondary to venous disease from those with idiopathic telangiectasia. Further Reading:Sclerotherapy Treatment of Varicose and Telangiectatic Leg Veins; Mitchel P. Goldman; John Bergan; Jean- Jerome Guex. Elselvier 2017

[@miamullins673]

Or, look for root cause like may thurner or nutcracker syndrome

[@VeinCareAcademy]

Yes indeed

[@j.n.4694]

When doctors dont know an answer they always say "genetics" this is a doctors way of saying "I dont know"

[@j.n.4694]

How would a dr know "genetics" without a gene test? These are on a case by case (patient by patient) basis! A doctor cant simply blame "genetics" without doing examination and testing of your genes.

[@bronislavpupkov2500]

He sounds like doctor Lector. No offens

[@witnessmolel3221]

No English