Varicose Veins Without Pain: Case Study of Silent Venous Reflux

Real Patient Stories22/01/202622/01/2026No Comments

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Clinical Presentation: The Appearance of Visible Varicose Veins
Professional Assessment via Doppler Ultrasound
Intervention Protocol under Procedural Sedation
Guidance for Post-Care and Maintaining Vascular Health
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In the field of vascular treatment, there are cases where venous structures change silently without any accompanying pain. This often occurs in individuals with a strong physical foundation, as their muscles effectively compensate for the weakening of the vessel walls. The story of Mr. D.J.M. (born in 1962), an international guest from France, serves as a practical example of the importance of screening and timely treatment of venous changes, even when the body has not yet signaled an alarm through pain.

Clinical Presentation: The Appearance of Visible Varicose Veins

Mr. D. visited Dr. Vein in January 2026 during his trip to Vietnam. In his home country of France, he maintains a very active lifestyle with a daily routine of exercise, walking, and cycling. This excellent adaptability to physical activities has helped him remain flexible despite the initial changes in his lower limb venous system.

A notable point is that Mr. D. experienced absolutely no leg heaviness, aching, or cramping. The absence of these common symptoms often leads to subjective oversight. While daily physical activity supports the “muscle pump” in efficiently pushing blood, it cannot prevent the expansion of the vessel walls beneath the skin.

Tình trạng thực tế: Khi các búi tĩnh mạch xuất hiện rõ rệt — Clinical Presentation: The Appearance of Visible Varicose Veins

Professional Assessment via Doppler Ultrasound

At Dr. Vein, Specialist Doctor II Le Kim Cao (MSc) directly performed a Doppler ultrasound to examine the venous system. The results recorded venous reflux in the great saphenous vein of the left leg lasting over 4 seconds. Additionally, multiple dilated vein clusters appeared on the anterolateral aspect of the left lower leg.

Based on clinical findings and ultrasound imaging, the doctor diagnosed him with Grade C2 Chronic Venous Insufficiency. At this stage, the venous valves have weakened, causing blood to flow backward instead of circulating toward the heart. Early intervention helps prevent the condition from progressing to more severe stages, such as leg edema or skin discoloration.

Intervention Protocol under Procedural Sedation

The doctor prescribed a combined protocol for the left leg to address the source of the reflux and the dilated clusters. The entire intervention was performed under procedural sedation. Mr. D. rested in a light sleep throughout the procedure, which eliminated any anxiety or fear of pain.

The intervention techniques applied included:

Endovenous Laser Ablation (EVLA): Utilizing laser thermal energy to seal the diseased great saphenous vein. This technique eliminates venous reflux and reduces pressure on the superficial venous system.
Muller Phlebectomy: The doctor makes micro-incisions in the skin to remove the dilated vein segments. These incisions are extremely small, supporting a rapid healing process and ensuring the aesthetic appearance of the skin surface.

Phác đồ can thiệp dưới tiền mê — Intervention Protocol under Procedural Sedation

Guidance for Post-Care and Maintaining Vascular Health

Following the intervention, Mr. D. received instructions on home care measures. Since he has a strong physical foundation, combining the following habits will help maintain stable results:

Exercise and Training: Continue daily walking and cycling to support the muscle pump in pushing blood toward the heart.
Compression Therapy: Wear Grade 1 medical compression stockings during periods of prolonged standing or sitting.
Lifestyle Adjustments: Avoid postures that obstruct blood circulation, such as squatting or crossing legs.
Nutritional Diet: Prioritize fiber-rich foods from green vegetables and fruits, and maintain a stable weight to reduce the load on the legs.

The case of Mr. D.J.M., an international guest from France, is a clear testament to the importance of seeking an examination as soon as varicose vein clusters appear, even in the absence of pain or leg heaviness. For those who maintain an active lifestyle, clinical symptoms may not be prominent; however, structural changes in the blood vessels beneath the skin still require specialized management. Timely intervention not only protects vascular function but also sustains a lifelong active lifestyle and prevents future complications.