Varicose Veins: Do You Really Need Surgery?

Varicose veins

Hello Doctor: My symptoms include swelling in both feet, especially in the soles and ankles, which worsens as the day goes on.
Stretching my feet is extremely painful and feels like tearing.
There are dark red patches on the tops of both feet, and each calf has a small area of light red skin.
After sitting for too long during the day, my calves become itchy.
Currently, I elevate my legs while sleeping, and they tend to reduce swelling by the next morning.
Recently, I went to the Cardiothoracic Surgery Department at National Taiwan University Hospital for an ultrasound examination.
When reviewing the report, the doctor quickly informed me that I have mild varicose veins and asked if I wanted to undergo surgery.
When I said I would consider surgery, I felt a bit stunned.
Both consultations felt rushed, and it seemed the doctor didn't have time to thoroughly examine my legs.
I didn't have the chance to ask all my questions before leaving the consultation room.
I would like to ask: 1.
Is surgery necessary for mild varicose veins? If I choose not to have surgery, can elevating my legs, continuing to exercise, and avoiding prolonged sitting improve or resolve my condition? 2.
Could you recommend a good doctor in Taoyuan who specializes in treating varicose veins? Thank you very much for taking the time to answer my questions.

Ariana, 40~49 year old female. Ask Date: 2019/10/29

Dr. Peng Xianwen reply Surgery

Mild varicose veins do not necessarily require surgical treatment, but symptoms can vary from person to person.
It is recommended to consult a physician for evaluation and discussion in an outpatient setting.
In our hospital, the cardiothoracic surgery and varicose vein clinics are available with Dr.
Liu Yin-Tso on Thursday mornings and Dr.
Lai Jin-Hu on Friday afternoons.
Additionally, there are many physicians throughout Taiwan, making it difficult to specifically recommend a doctor in the Taoyuan area.
Thank you for your understanding.

Reply Date: 2019/10/29

More Info

When it comes to managing varicose veins, particularly in cases of mild venous insufficiency, surgery is not always a necessary option. Your symptoms, including swelling in the feet and ankles, pain, and skin discoloration, suggest that you may be experiencing venous stasis, which can be associated with varicose veins. However, the decision to undergo surgery should be carefully considered, especially in cases where the condition is classified as mild.

1. Is Surgery Necessary for Mild Varicose Veins?
Mild varicose veins often do not require surgical intervention. Many patients find relief through conservative management strategies, which can include elevating the legs, engaging in regular exercise, and avoiding prolonged periods of sitting or standing. Compression stockings can also be beneficial in managing symptoms by promoting better blood flow and reducing swelling. These non-invasive methods can significantly improve your quality of life and may even lead to a reduction in symptoms over time.

It's important to note that while surgery can provide a more permanent solution to varicose veins, it is typically reserved for cases where the veins are causing significant pain, discomfort, or complications such as ulcers or bleeding. If your symptoms are manageable and do not interfere with your daily activities, you may choose to delay surgery and focus on lifestyle modifications.

2. Can Lifestyle Changes Help?
Yes, lifestyle changes can have a positive impact on your symptoms. Elevating your legs, especially at night, can help reduce swelling. Regular physical activity, particularly exercises that promote leg strength and circulation, can also be beneficial. Activities such as walking, cycling, or swimming are excellent choices. Additionally, maintaining a healthy weight can alleviate pressure on your veins.

If you find that your symptoms persist or worsen despite these measures, it may be worth seeking a second opinion or further evaluation from a specialist in vascular medicine or a phlebologist, who focuses specifically on vein disorders. They can provide a more comprehensive assessment of your condition and discuss potential treatment options, including minimally invasive procedures if necessary.

3. Finding a Specialist:
For your request regarding a specialist in Taoyuan who handles varicose veins, I recommend looking for a vascular surgeon or a phlebologist. You can start by checking with local hospitals or clinics that specialize in vascular health. Online reviews and patient testimonials can also guide you in finding a reputable physician. It’s essential to choose a doctor who takes the time to listen to your concerns and explains your options thoroughly.

In conclusion, while surgery is an option for varicose veins, it is not always necessary, especially in mild cases. Conservative management strategies can be effective in alleviating symptoms and improving your overall quality of life. If you have further concerns or if your symptoms persist, consider seeking a second opinion from a specialist who can provide personalized advice tailored to your specific situation. Remember, your health and comfort are paramount, and you deserve a treatment plan that aligns with your needs and lifestyle.

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