Hello Doctor, my mother is having varicose vein issue and after scanning the result is ? verifies veins in lower limbs due to incompetence perforation?. Consulted vascular surgeon and taking tablets now along with class 2 stockings for last 2 weeks but unfortunately no improvement in pain relief and still she is struggling. Please advise for next level treatments.
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Hi, Usually perforators incompetence is treated by Stockings and tablets. Make sure that she uses Stockings regularly through the day time and removes it only in the night. If the symptoms don?t resolve, then other causes of pain like nerve problems need to be looked for. Also there is a possibility of the main draining veins in the abdomen might not be functioning properly. In that case Mr. or CT Venogram os requiredbto rule out any problem at the higher level. Please consult the Vascular Surgeon and follow the advice. Regarding the treatment advice, he or she has been spot on in starting the treatment that they have.
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Next level treatment is a laser or Radio frequency ablation of the veins. That will relieve her pain within 2-3 days time. A Vascular Surgeon is the specialist for this treatment.
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