New Jersey Vein Experts Answer the Question: “Why Do Varicose Veins Sometimes Come Back?”

If you have varicose veins and you’ve been “comparison shopping” to find the best vein disease treatment in New Jersey, you’ve probably heard from friends, relatives, and the all-pervasive Internet that “permanent varicose vein removal” isn’t ALWAYS permanent. Sometimes, varicose veins DO reappear after treatment, and sometimes NEW varicose veins appear. In this article, we’ll explain how each of these situations can occur, and how we as New Jersey vein experts work to prevent it.

The first reason that varicose veins “come back” after treatment is that not all of the diseased veins were treated

If you “ask around,” among friends who have had vein treatments from clinics other than Chuback Medical Group, you might find that the doctors in these other clinics didn’t take very long with their diagnoses. Sadly, many clinics still use outmoded 2D grayscale ultrasound, and “diagnosis” consists of a fast superficial scan. This is unfortunate, because the underlying cause of varicose veins is not always in the vein you can see on the surface of the skin. Often this primary vein has become diseased because it is being fed by many smaller hidden veins that have also become diseased.

This is why at our vein treatment center in New Jersey we rely on the “gold standard” of diagnostic technology, Venous Duplex Ultrasound. This advanced form of medical imaging adds color-coding to the Doppler ultrasound images so that the sonographer can see blood flowing through the veins in real time. For example, blood flow can be “color-coded” to appear blue when flowing in a normal direction (“upwards,” towards the heart) and red when it is flowing in a reflux (“downwards,” or “backwards”) direction, back into the veins.

We use only Venous Duplex Ultrasound, because our years of experience have shown us that it provides a more accurate picture of diseased veins that may be hidden deep beneath the surface of the skin and gives us the information we need to prescribe the most effective treatment. By treating ALL of the diseased veins, we lessen the chances that they might “come back.”

The second reason people think varicose veins “come back” is that NEW veins become varicose after the old ones were successfully treated

Often, varicose veins that seem to “reappear” after treatment aren’t the same veins that were previously treated. They’re NEW, a result of “de novo” vein disease progression. To explain this, imagine that we examined 100 people and found no traces of varicose veins, either visible or hidden. Well, if we examined those same 100 people several years later, statistics tell us that 3-5% of them will have developed varicose veins.

Sadly, even after 100% successful vein treatment, this 3-5% “de novo” rate of vein disease progression is still happening, so some people will develop new varicose veins, even after the old ones were removed. Fortunately, there are things that we as the top vein doctors in Bergen County can do to reduce the chances of this happening, by recommending lifestyle changes such as weight loss, smoking cessation, more exercise, and other preventative behaviors.

But, as we’ve pointed out above, choosing the right vein doctor reduces the chance of either recurring varicose veins or the development of new ones. Give us a call at 201-693-4847, and we’ll be happy to answer your questions and assure you that in most cases, removal of your varicose veins and relief from the negative side effects they cause will be permanent and one of the best decisions you’ve ever made.

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