Left medial (inside) knee and lower leg varicose veins
A 21-year-old young and active university student-athlete presented to our clinic with bulgy varicose veins over the medial aspect of his left knee and lower leg. His abnormal veins appeared since his teenage years and gradually got worse. He suffered from a restless leg and felt heavy in his leg during exercise. His symptoms were getting worse with standing for long hours and were improving by rest, leg elevation, and compression stockings which are typical symptoms of varicose veins. He was conscious of the appearance, worried about the health effects of these abnormal veins and also these symptoms started affecting his lifestyle.
On thorough examination, we noticed varices on one side only. Duplex Ultrasound (DU) examination was done during his initial visit with us at Melbourne Varicose Vein clinic to find out the source of these visible bulgy veins. The source of surface varices was a truncal vein called Great Saphenous Vein( GSV). Our approach was to treat the source of surface varices by performing Endovenous Laser Ablation (EVLA) technique under local anesthesia which has a very promising success rate in treating big truncal veins (up to 95% effective if done properly by an experienced hand), it was performed as an outpatient, walk-in walk-out. The patient was required to wear compression stockings for a week ( only during the day) and he resumed work/study/exercise within a few days with minimal discomfort. Following EVLA, Ultrasound Guided Sclerotherapy (UGS) was performed to treat visible and non-visible abnormal branches of refluxing (abnormal) GSV. He tolerated UGS very well with minimum discomfort and/or little downtime.
After the photo was taken 12 weeks post 2 sessions of the treatment cycle. He was extremely satisfied with both aesthetic and medical outcomes as his symptoms disappeared.