Choosing Wisely: Why the Treating Physician Matters in Varicose Vein Outcomes

A patient with a history of 4 prior ablations targeting the major superficial veins presented with continued symptomatic varicose veins. Despite the previous interventions, which included treatment of the bilateral great and small saphenous veins, the patient reported ongoing pain and sought further evaluation.

A thorough ultrasound assessment of her legs revealed extensive residual varicose veins and new anterior accessory great saphenous veins ( AAGSV.) In response, the patient underwent multiple sessions of ultrasound-guided Varithena foam sclerotherapy and ablations of both sides of AAGSV.

At a six-month follow-up examination, the patient reported a complete resolution of pain, and the previously visible varicose veins were no longer visible. The patient expressed satisfaction with the clinical improvement and the aesthetic outcome.

The case illustrates the variability inherent in varicose vein treatment. In a hospital or surgical center setting, often thigh portion of the Great saphenous veins is often treated and varicose veins are left alone. Some clinics offer invasive phlebectomy of the varicose veins requiring significant downtime and multiple incisions.

Different clinics may employ distinct treatment paradigms, and physicians may have differing aims.

The selection of a physician with experience and a commitment to delivering comprehensive care is paramount for achieving successful results. The treating physician’s expertise is a salient factor in the management of venous disease.