Do Varicose Veins Come Back Again After Treatment?

Medically reviewed by Mohamed T. Hassan, MD, DABVLM, RPVI, on January 30, 2024

In the blog, Mohamed T. Hassan, MD, DABVLM, RPVI, lead physician at Center for Vein Restoration (CVR) vein clinics in Hoover (Birmingham), Alabama, and Trussville, Alabama, addresses the issue of varicose veins, focusing on modern treatments that can make a real difference for those dealing with leg pain. CVR is at the forefront of these advanced outpatient treatment methods, offering solutions to reduce the chances of new vein problems arising.

At Center for Vein Restoration (CVR), we're all about modern treatments that get results —with less pain, scarring, and recovery time than traditional procedures. Unlike conventional inpatient surgical procedures of the past, our modern outpatient methods boast impressive success rates, and best of all; patients can return to their routine immediately with few restrictions.

Modern Treatment vs. Outdated Methods for Treating Varicose Veins

Outdated inpatient surgical methods for treating varicose veins pose significant drawbacks. Unlike modern alternatives such as Endovenous Laser Ablation (EVLA) or Radiofrequency Ablation (RFA), outdated inpatient surgeries often result in extensive damage, scarring, and alterations to anatomy. This not only complicates recovery but also increases the likelihood of relapses—impacting 40-65 percent of patients within three years. The emergence of new diseased veins after surgery creates challenges for further interventions.

In stark contrast, contemporary techniques performed at CVR leave no scars, maintain original anatomy, and showcase remarkable improvements in recurrence rates, ensuring a more patient-friendly and effective approach to varicose vein treatment. CVR’s modern methods demonstrate a remarkable improvement, with recurrences observed in only 15-58 percent after three years.

What Are the Outpatient Treatments for Varicose Veins?

Modern outpatient treatment methods for varicose veins represent a significant leap forward in enhancing patient experience and effectiveness. They include:

1. Endovenous Laser Ablation (EVLA): Utilizing laser energy to seal off problematic veins, EVLA is a highly effective outpatient treatment for varicose veins. This minimally invasive procedure closes off the affected veins, redirecting blood flow to healthier vessels.
2. Radiofrequency Ablation (RFA): Similar to EVLA, RFA is a modern outpatient technique that employs radiofrequency energy to close varicose veins. This procedure is known for its precision and minimal discomfort, offering patients a quicker recovery compared to traditional surgical methods.
3. Venaseal Closure System: This innovative outpatient approach involves using medical adhesive to seal the diseased vein. Venaseal eliminates the need for anesthesia during the procedure and has a remarkable track record with a low recurrence rate, making it a popular choice for patients seeking efficient and comfortable treatment.
4. Ambulatory Phlebectomy: Ambulatory phlebectomy is a minimally invasive outpatient procedure designed to remove surface varicose veins. During this treatment, small incisions are made near the affected veins, and the veins are removed through these incisions. This technique is particularly effective for visible varicose veins near the skin's surface.
5. Ultrasound-guided Foam Sclerotherapy: Particularly effective for smaller varicose veins and spider veins, micro-foam sclerotherapy is an outpatient treatment that involves injecting a foam solution into the veins. This foam displaces blood within the vein, causing it to collapse and fade over time. The procedure is minimally invasive and often requires no downtime.
6. Venaseal Closure System: This innovative outpatient approach involves using medical adhesive to seal the diseased vein. Venaseal eliminates the need for anesthesia during the procedure and has a remarkable track record with a low recurrence rate, making it a popular choice for patients seeking efficient and comfortable treatment.

These modern outpatient treatments prioritize patient comfort and demonstrate high success rates in reducing recurrence and improving overall vein health. Choosing the right treatment depends on the severity and specific characteristics of the varicose veins, and consultation with a healthcare professional is recommended for personalized diagnosis and customized treatment plan.

Post-Care: After Varicose Vein Treatment

After an outpatient procedure, it is essential to have regular post-procedure vein check-ups to maintain vein health. This preventative approach ensures that patients can avoid the recurrence of varicose veins.

Taking care of your veins after treatment shares some key principles with maintaining good dental hygiene. Both involve prevention, early intervention, and follow-up care—in exchange for the long-term benefit of looking and feeling your best.

Think of vein care after vein treatment like visiting the dentist:

1. Prevention is key: Just like regular dental checkups and brushing/flossing prevent cavities, maintaining good vein health through exercise, weight management, and avoiding high heels can reduce the risk of varicose veins recurring after treatment.
2. Early intervention is crucial: Both vein problems and dental issues worsen if left untreated. Addressing varicose veins early with minimally invasive procedures like sclerotherapy or laser ablation can prevent complications like leg ulcers and chronic pain, similar to how treating cavities early prevents more extensive dental work.
3. Importance of follow-up appointments: Post-treatment monitoring is essential for both veins and teeth. Attending follow-up appointments with your vein specialist or dentist allows them to check for any issues and ensure optimal healing.

So, remember, just like brushing your teeth, taking care of your veins is an investment in your overall health and well-being!

Varicose Veins? Center for Vein Restoration Can Help!

Are you looking for relief from varicose veins or spider veins? America's leading vein clinic is now accepting new patients. To schedule an appointment with Dr. Hassan or any of CVR’s board-certified vein physicians, call 240-965-3915 or schedule your consultation online at a CVR near you today.