Recurrent varicose veins

Treatment of recurrent varicose veins

The success of modern treatments is based on the use of ultrasound duplex vein scanning. This equipment enables us to note the location and size of all varicose veins, many of which are under the skin and invisible to the naked eye. Ultrasound duplex scanning is also employed to identify and treat hidden varicose veins, which often cause spider veins. This technique also substantially reduces reoccurrence of the disease.

When treating recurrent varicose veins, similar methods are followed as for those of a newly diagnosed case: sclerotherapy, EVLA, miniflebectomy, or treatment with bioglue. Nevertheless, while the equipment used is the same, the approaches are fundamentally different. This is due to the fact that previous antiquated treatment options generally left scaring with the result being that the venous wall was damaged, making its treatment more difficult. Still modern treatment methods enables us to get rid of recurrent varicose veins in any location.

Two things often mentioned by patients are: “My friend had an operation for varicose veins, but they quickly returned” and “I had the operation, but the treated veins returned, as I was told that my case was difficult and nothing else could be done". Results like this were common when outdated treatments such as open vein removal surgery was employed.

The causes of recurrence varicose veins

Most patients who have recurring varicose veins, previously underwent invasive surgical treatment. In such cases, it is common to find hidden varicose veins that have not been completely removed. The reason is that before (and, unfortunately even today), many doctors do not use ultrasound during surgery or for preoperative marking. Such scanning enables the doctor to see the cause of the disease and where it has proliferated. Its use allows us to remove exactly the affected parts of the venous system.

Another reason for the recurrence of venous disease is the expansion of varicose veins in untreated areas. This is due to the fact that surgery or sclerotherapy eliminates only those veins that have already morphed into varicose veins. There is a tendency for latent varicose veins to remain undetected, and if the patient does not follow the doctor’s prophylactic recommendations, the disease may progress elsewhere.

Treatment of recurrence of varicose veins
Ultrasound guided Sclerotherapy

Despite the fact that a lot of people still hope for the successful treatment of varicose veins at home with folk remedies, evidence-based medicine (in particular phlebology) is rapidly developing and uses an effective sclerotherapy method controlled by duplex ultrasound. It allows permanently to get rid of varicose veins on the legs.

Treatment of perforator veins

It is important to treat the cause, and not simply eliminate the cosmetic manifestations of varicose veins, following this principle permanently eliminates vein diseases. This is approach is what the premier phlebology clinics worldwide employ, as do I, a practicing phlebologist in Kyiv. Incompetent or dilated perforator veins are one of most prevalent causes of varicose veins

Endovenous laser ablation - EVLA

EVLA is a modern method of treating varicose veins with a laser. This treatment of varicose veins makes it possible to get rid not only of visual imperfections, but also the symptoms of varicose veins: heaviness in legs, swelling, cramps; as well as such more serious complications such as thrombophlebitis, varicose eczema, lipodermatosclerosis, and trophic ulcers.


Are you looking for a way to rid yourself of varicose veins once and for all? Then you should consider miniphlebectomy. This minimally invasive surgical procedure using local anesthesia eliminates varicose veins and spider veins in less than half an hour.