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Venous insufficiency and reflux (backwards flow of blood in veins)
occurs in nearly 50% of adults to some degree and many suffer from pain,
swelling and varicose veins. Complications include permanent darkening
of the skin, bleeding, phlebitis (clots) and formation of non-healing
ulcers and infection.
Fig. 1 shows large varicose veins from valvular reflux and early
skin changes. These are easily treated with sclerotherapy but underlying
problems with reflux must also be addressed, if present, to avoid progression
of disease.
Fig. 2 shows more advanced disease with increased pigmentation,
eczema and swelling. This stage of disease is very likely to progress
if left untreated.
Fig.3 shows one of the worst complications of varicose veins
and valvular reflux if left untreated. This is called a venous stasis
ulcer and typically takes months to heal and is associated with significant
pain and risk for infection.
Insurance companies have recognized saphenous reflux and painful varicose
veins to be medically necessary if you have attempted conservative treatment
for 3-6 months in the past:
 ·compression stockings
·exercise
·weight control
·elevation
Back to Vein Diseases & Treatments
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