A multi-year struggle with visible veins and joint fatigue
Ms. Mia Serena visited Dr. Vein Clinic seeking a comprehensive solution for prominent blue veins spreading across both legs over the past 2 to 3 years. Alongside the visible vascular networks, she experienced persistent knee aching and fatigue that worsened during extended periods of standing and walking. The heavy, throbbing sensation around both knees made everyday movement exhausting and created mounting frustration over the visible cosmetic changes in her lower limbs.
Clinical Assessment: Stage C2 Chronic Venous Insufficiency
During the clinical consultation and Doppler ultrasound examination, the vascular specialist identified significant venous reflux in the main saphenous trunks. The diagnosis was confirmed as Chronic Venous Insufficiency – Clinical Stage C2. The backward flow of blood and chronic hypertension within the saphenous system pooled around the popliteal and knee regions. This continuous pressure buildup directly triggered her knee aching and fatigue while forcing superficial branches to dilate into noticeable blue veins.
Comprehensive Treatment Plan: Multi-Modality Precision Care
To close the refluxing main vessels, seal tributary branches, and eliminate surface veins, the medical team executed a minimally invasive, three-step treatment protocol:
- Endovenous Laser Ablation (EVLA): A laser fiber was guided under ultrasound into the diseased saphenous trunks. Thermal energy closed the incompetent veins from within, eliminating the high-pressure reflux at the source and relieving the root cause of her knee aching and fatigue.
- Ultrasound-Guided Foam Sclerotherapy (UGFS): Sclerosant foam was delivered directly into deeper tributary and perforator branches under real-time ultrasound guidance, ensuring complete sealing of collateral reflux pathways.
- Sclerotherapy: Liquid sclerosant was injected into superficial spider and reticular veins across both legs, prompting the blue vessels to collapse and naturally fade over time.
Key Advantages: The outpatient procedures required no surgical incisions, caused minimal discomfort, and allowed Mia to resume light daily activities immediately without downtime.
Results: Refreshed Mobility and Restored Confidence
Following her treatment, Mia Serena experienced remarkable improvement. The knee aching and fatigue that had weighed down her mobility disappeared, leaving her joints and legs feeling light, refreshed, and comfortable. The visible blue veins on both legs cleared significantly, restoring an even, smooth skin texture. The doctor advised Mia to wear gradient compression stockings during long periods of standing and maintain regular walking routines to ensure long-term vascular health.
