Medial (inside) left lower leg varicose veins
A 73-year-old golf player visited our clinic with bulgy varicose veins over the medial aspect of his lower left leg. He noticed these abnormal veins in his 40's and they gradually got worse. He was suffering from heaviness and cramps. His symptoms went worse by standing long hours or hot weather conditions and were improved by rest, leg elevation, and compression stockings which are typical symptoms of varicose veins. He was worried about the appearance and health effects of these abnormal veins and also his symptoms started affecting his golf on hot days.
On thorough examination, we noticed varices on one side only. Duplex Ultrasound (DU) examination was done during his initial visit with us 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 experienced hands), it was performed as an outpatient, walk-in walk-out procedure.
The patient was radvised to wear compression stockings for a week (only during the day) and he resumed work/sport the next day 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.
The photo was taken after 8 weeks post 2 sessions of the treatment cycle. He was extremely satisfied with both aesthetic and medical outcomes as his symptoms disappeared.