Right Medial (inside) and Posterior (behind) lower leg varicose veins
A 19-year-old young and active man visited our clinic with bulgy varicose veins over the medial and posterior aspects of his right leg. His abnormal veins appeared when he was a teenager and gradually got worse. He had heaviness, night cramps, and restless legs and felt heavy while exercising. His symptoms got worse with standing for long hours and improved by rest, elevating the leg, 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 of his leg. 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 experienced hands), it was performed as an outpatient, walk-in walk-out procedure. The patient was adviced to wear compression stockings for a week (only during the day) and he resumed work/study 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.
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.