Anterior(front) and Medial(inside) right leg varicose veins
A 65-year-old lovely lady presented to our clinic with bulgy varicose veins over the Anterior (front) and medial (inside) right leg. Her abnormal veins appeared when she was around 50 years of age and gradually got worse. She was suffering from night cramps. Her symptoms were getting worse with standing for long hours and were improving by elevation of legs which are the expected symptoms of varicose veins. She was worried about the appearance, symptoms, and possible health effects of these abnormal veins.
On thorough examination, we noticed varices on the right leg. Duplex Ultrasound (DU) examination was done during her initial visit with us to find out the source of these visible bulgy veins. The feeder into her right-sided surface varices was a vein called Great Saphenous Vein (GSV), Her GSV was surprisingly very large inside and was feeding into small varicose on the surface. Our approach was to treat the source of surface varices (GSV) 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 experienced hands), 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 she resumed work within a few days with minimal discomfort. Following EVLA, Ultrasound Guided Sclerotherapy (UGS) and Direct Vision Sclerotherapy (DVS) were performed on her right leg to treat visible and non-visible abnormal branches of refluxing (abnormal) GSV. She tolerated UGS very well with minimum discomfort and no or little downtime.
After the photo was taken 6 weeks post 2 sessions of the treatment cycle. She was extremely satisfied with both aesthetic and medical outcomes as her symptoms disappeared.