Many patients feel deeply anxious when tortuous green veins reappear on their skin, even after undergoing modern medical protocols. In reality, returning varicose veins do not necessarily mean the previous treatment technique failed. Instead, these manifestations often serve as a warning sign of an incomplete initial diagnostic process, unintentionally missing other pathological sources hidden deep within the highly complex lower extremity circulatory network.
The clinical story of Mr. R.R. (64 years old), a German citizen, is a vivid testament to the reputation and professional quality of Dr. Vein. With modern equipment and extensive experience, the clinic has become a trusted destination for resolving difficult cases, especially returning varicose veins, even when patients were previously treated abroad.
Initial Condition: Unpredictable Complications and the Fear of Disease Recurrence
Mr. R. came to Dr. Vein with a rather complex medical record. In the past, he received VenaSeal treatment to address vein dilation in the great saphenous vein system of both legs at a medical facility abroad. After that intervention, he unfortunately faced a highly dangerous thrombosis complication.
Although the thrombosis was later stabilized by doctors, scattered green veins have recently continued to appear on the surface of his calf skin. This was accompanied by an uncomfortable feeling of heaviness and tightness. Disappointed with the previous medical results and carrying a constant anxiety about the risk of returning varicose veins, he decided to seek an alternative solution in Vietnam – the country where he currently lives and works.
In-Depth Diagnosis via Ultrasound: Hunting Down the Missed “Culprit”
To accurately track down the root cause of these returning varicose veins, Dr. Le Kim Cao (MSc, Specialist Level II) directly used a vascular Doppler ultrasound system to create a comprehensive map from the thigh down to the heel.
The ultrasound probe scanned through the blood vessels, and the imaging results revealed a clear medical truth:
1. The previous VenaSeal intervention remained effective
The ultrasound screen confirmed that the great saphenous vein trunks previously treated with bio-glue were effectively sclerosed and their lumens remained tightly closed. The ultrasound machine did not record any reflux flow appearing in this area. This conclusion indicates that the previous technique performed by foreign doctors was accurate, and the pathology in the great saphenous system had been thoroughly addressed.
The core trouble lay in a different location. The ultrasound system detected a series of pathological reflux flows in the small saphenous vein system – an area that the previous diagnosis had overlooked. Specifically, the small saphenous vein network in both legs had fallen into a state of severe valvular insufficiency. The reflux time recorded on the ultrasound lasted for more than 1 second.
Dr. Cao meticulously analyzed based on the anatomical structure: The intervention abroad only managed to isolate half of the problem. Other significant pathological sources hiding in the small saphenous system (running along the back of the calf) were not carefully screened. These very missed reflux flows continued day by day, causing blood circulation stagnation. The pooled blood sought ways to escape into surrounding superficial branches, causing them to over-dilate, leading to the clinical phenomenon of returning varicose veins seen today.
A Thorough Treatment Regimen: Addressing the Remaining Lesions
Clearly understanding the nature of this type of returning varicose veins, Dr. Le Kim Cao designed a new intervention regimen that is gentle yet brings rapid and effective results. The detailed explanation along with a logical medical plan successfully convinced Mr. R.:
Prescribing Superficial Sclerotherapy: This method was prioritized due to its flexibility and high precision. The sclerotherapy technique allows the doctor to intervene simultaneously at multiple blood vessel locations on both legs. The doctor introduces a foam solution directly into the lumen of the dilating superficial branches. The medication immediately triggers an aseptic endothelial inflammatory response, pushing the pooled blood out. The vessel walls then stick together, sclerose into a small scar tissue band, and gradually disappear over time.
Instead of forcing the patient to undergo another heavy surgical dissection, this medical regimen focuses on minimal invasiveness, high precision, and high safety.
Recovery Support Advice
Alongside the modern medical regimen, Dr. Cao advised Mr. R. on the process of changing his lifestyle habits. This is a key factor to support the body’s recovery and block the risk of returning varicose veins in the future:
- Maintain the habit of wearing medical compression stockings whenever forced to stand or sit continuously for too long. The pressure from the stockings will assist the calves, pushing blood back to the heart more gently.
- Limit poor postures that cause localized blood circulation stagnation, such as standing still in one place, sitting for long periods without movement, or maintaining a squatting position. Alternating walking every 45 minutes is an effective way to relieve pressure.
- Increase healthy physical exercises such as brisk walking and cycling. These activities help stimulate the calf muscles to contract rhythmically, acting as a “second heart” to improve circulatory flow.
The case of Mr. R.R. is a valuable lesson in the medical field: The long-term effectiveness of the disease recovery process depends heavily on comprehensive diagnostic results. If you have had medical interventions but still see green veins reappearing, do not give up. Visit Dr. Vein for our team of color Doppler ultrasound experts to find the actual root cause and effectively treat it!
Contact Information
- Address: No. 2, My Toan 2 Residential Area, Tan Phong, District 7, Ho Chi Minh City
- Hotline: 0932.19.28.82
- Website: drvein.vn/en
- Business Hours: Monday – Saturday, 8:00 AM – 5:00 PM
