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It is our pleasure! We wish you the best possible outcome.

Our pleasure!

Thank you for your comment. Yes, venous insufficiency is usually quite progressive, however, each patient is unique and conservative therapy may be appropriate in some cases.

It's our pleasure!

Thank you for your very nice comment. It is our pleasure to help! Wishing your grandfather the best possible outcome.

We would suggest scheduling a follow up with your doctor if the pain continues further than 2 weeks.

There can be many variables, is the pain from the incision or is it pain in the leg? What procedure did you have? We would suggest if you are having leg pain 2 weeks after the procedure you should call your doctor's office for a follow- up appointment to be evaluated.

We are sorry to hear that. If there is anything we can do to help you, feel free to call us at (203) 418-7386 to schedule a consultation.

​​@@mvitv1693 my stenting procedure had been done here in Italy, Milan. My vascular surgeon also didn't insert a guidewire in my right iliac vein to better understand the position of my vena cava so the stent doesn't go far into the vena cava.

May-Thurner Syndrome is a physical compression of the iliac vein so anti-coagulants will not solve the problem. Stenting is needed to open up the vein and keep it opened.

You are so welcome!

We wish you the best in your procedure!

The risk of clot formation, known as deep vein thrombosis (DVT), after vein recanalization following GSV ablation is generally low but not entirely ruled out. However, the risk depends on various factors, including the extent of recanalization, underlying venous insufficiency, and individual patient characteristics. Studies have shown that vein recanalization after ablation can occur in a small percentage of cases, and it may require additional treatment to address the recurrent symptoms effectively. The recurrence of symptoms such as pain, swelling, or discomfort in the legs may prompt further evaluation to assess the need for additional interventions. It's important for individuals who have undergone GSV ablation and experience recurrent symptoms to consult their healthcare provider for further assessment and management.

Please give us a call at (203) 418-7386 to see how we can help you.

When alternative methods and medications are not enough, intervention may be needed.

We are sorry to hear that. That is the reason why we encourage people to discover and treat it as early as possible.

With this type of leg discomfort, it is a good idea to have your leg circulation checked. At Milford Vascular Institute, we provide free vascular screenings. One of the tests we do is to check the circulation through your legs.

Treatment is really dependent on what symptoms you are having and your physical exam. This is best determined in person by the provider that you are seeing.

@mvitv1693 Thank you for responding back. At the moment my leg turns purple,swollen and extremely painful. Yesterday I pushed myself with house work my leg is still in so much pain. I'm also having these cold spots throughout my leg, making it feel wet, really cold. I am on blood medications but it's getting worse. First it was my foot turning purple now it's my whole leg smh. Hard to tell what's what because of the patella reconstruction surgery, blood clots, blocked artery. They all cause pain and swelling. I see my vascular surgeon on Friday. But I came across your video while I'm doing research. Thank you for your video and responding back.

@@kcbluebutterfly2182 You are welcome. We wish you the best.

@mvitv1693 I just wanted to update, I seen my vascular doctor and I have a blockaged in my iliac artery along with narrowing so we will be going in to put a stent in. However it will be going in from both sides so it can remove all the block. I guess I will be staying overnight so they can watch me, because of my high risk of blood clots. I'm ready to get it done so I can move on with my life lol thank you again for your video, it definitely helps us not be so scared 😊

It would be our pleasure to treat you.

We have nothing like this in Ireland either. You guys should come here for a few months. Free Guinness promised !

:)

Typically for procedures such as these we use a combination of medications through an IV to keep you comfortable. It is termed conscious sedation, so the goal is for you to be conscious and arousable throughout the entire case, but comfortable.

Smaller vessels in the lower leg are typically treated with ballooning rather than stenting due to the size of the vessel. Factors such as genetics, diabetes, elevated cholesterol, smoking, and lifestyle can lead to these vessels re-occluding. It is important to walk/exercise daily, quit smoking if applicable, manage blood sugar and cholesterol levels and take medications as prescribed to try to prevent this. Come visit us, we would be honored to care for you.

Thank you!

Our pleasure!

The long term treatment is based on the intervention performed. Balloon venoplasty will not necessarily require any long term medication. Most stenting requires at least short term antiplatelet therapy, but this will be based on your physician's recommendations

We hope you're doing great now!

Didn’t learn the first time?

She also had an infection set up in the graft that turned septic, it’s just been a mountain of terrible experiences at vascular medicine for us!

We are sorry to hear this and wish you the best. To answer your question, the severity is really determined more from the symptoms and physical exam rather than a percentage of stenosis. A severe stenosis would cause pain both with ambulation and possibly at rest and may be causing discoloration of the skin, wounds or tissue damage. Best Regards.

Sending our best wishes!

Yes, if you have consistent symptoms of pain in the legs every time you walk, then additional testing is important. The ankle brachial index which is the first test they perform can in some instances have falsely normal results. An ultrasound would be a better indicator in this case.

This can vary a bit from patient to patient depending on the extent of the phlebectomy. We always recommend walking post procedure for everyone. This will aid in optimal healing. When sitting the leg should be elevated. It is generally recommended that you avoid hot tubs and hot baths for at least a week post procedure as well as heavy lifting. Your provider will give you specific recommendations before you leave the office.

Depends on how bad ur veins are. My right leg was easy, my left leg, 25 stitches and it's still aching and uncomfortable after 9 days, no picking up on anything heaver than 5 lbs or strenuous activities for at least 3 weeks . My right leg, already back to normal.

Yes walking is encouraged following a phlebectomy procedure. This will keep blood circulating and help with healing. If you are sitting for any extended period of time you should elevate your leg.

@@mvitv1693how many day patients after surgery normal life

This can vary a bit from patient to patient depending on the extent of the phlebectomy. We always recommend walking post procedure for everyone. This will aid in optimal healing. When sitting the leg should be elevated. It is generally recommended that you avoid hot tubs and hot baths for at least a week post procedure as well as heavy lifting. Your provider will give you specific recommendations before you leave the office.

Sending your our best wishes! Thank you for your kind words.

You are welcome, God always bless you guys. And a safe and a happy New Year.

Thank you for your comment Ron! Getting to the root of the issue and improving circulation is crucial when it comes to wound care. Once circulation issues are addressed, using compression and various wound care treatments can help accelerate the healing process. We are happy to know that you are enjoying great results! Best Regards.

Thank you, doctor! It is incredible but most surgeons would hesitate to do any SCLEROTHERAPY with an open ulcer (some would talk about vein stripping or even removing the greater saphenous vein) they would always wait till the ulcer was closed. The only way the ulcer would close is with foam compression therapy. placing firm foam on top of the ulcer and compressing it with a tensor bandage. You too, I wish you the best and urge you to try a little foam :). You may be amazed!@@mvitv1693

Best of luck! We are happy to know that you are getting the care you need to help put an end to your symptoms.

Good go .

We are sorry to hear that you are going through that. We understand how debilitating PAD can be. Fortunately, with the right PAD treatment, you can become pain free again.

Patients are under sedation and usually fall asleep during the procedure.

Yes the great saphenous vein and varicose veins can still be treated which could help to lessen your symptoms. With underlying post-thrombotic syndrome and deep vein reflux, you may always have some degree of discomfort, but the goal would be to ease as much of your symptoms as possible. That being said, with the history of DVT and deep and superficial vein involvement at such a young age, I would also question the possibility of iliac vein compression. It might be worthwhile to have further imaging first, usually by CT scan to better evaluate the outflow tract in the pelvis area.

@@mvitv1693 thank you very much for your reply and input! I really hope I find the suitable treatment because several doctors have told me this is a complicated case but this discomfort and achy heavy pain is unbearable and is affecting my quality of life greatly. My DVT was in the external iliac vein down to common femoral vein to superficial femoral vein but my recent ultrasound showed normal compressibility of distal external iliac and femoral veins with patent lumen but there are remnants of the old DVT showing as 'fine fibrous thread within proximal commit femoral veins'..would I still need further imaging? Also after SSV laser ablation shouldn't it not be compressible? but my report says it's patent and compressible when the surgery was supposedly successful? Can I also please know which vein is causing the deep vein reflux or did you mean due to the DVT or could it be reflux in the sapheno femoral junction even tho nothing was mentioned in the report? And usually would there be complications/danger in the future if I don't treat my refluxes and varicose veins regardless of the pain? Thank you so much in advance.

Thank you!

This is a difficult question to answer without knowing exactly what your ultrasound showed. It may be that the main vein that they mentioned is a deep vein rather than a superficial vein. It is correct that there is no surgical treatment for DEEP vein reflux at this time.

People have gone undiagnosed for years. This procedure is minimally invasive and takes less than an hour to perform. It is important to find vascular specialists who are experienced in the procedure. You are welcome to come see us here at Milford Vascular Institute in Connecticut. We are experts in this procedure, and it would be our pleasure to help you.

I was just diagnosed with May Thurner Syndrome today. I go in 2 weeks to talk with my specialist and schedule for my procedure. I am scared as well.

I was just diagnosed with this last week because I had left hip pain 🫠

@@Reneeerose_ I would love to talk with you bc I have extreme left hip pain and was diagnosed with Chronic Vein insufficiency. Just recently though someone told me that I should look into May Thurner Syndrome.

@@jessicacatherine808 I had a catscan and vein ultrasound done and was diagnosed with may thurner syndrome. I have mild to moderate compression on my vein from the artery. No Dvt was seen in my test so my cardiologist said to keep an eye out for swelling/pain in my leg.

The ankle brachial index is a fairly accurate indicator of arterial disease in the legs. If you have a long standing history of diabetes, that can cause calcification of the arteries and you can get a false elevated/normal result. Your doctor will determine based on your results and your symptoms if further testing such as an ultrasound is necessary.

The procedures to treat venous insufficiency are highly effective at improving symptoms and quality of life. Venous insufficiency is considered a chronic disease process and therefore once you have been fully treated we will continue to follow up with you on a regular basis. The treatment plan and length of time to fully treat the veins varies person to person.

CT scan is a diagnostic tool that we do use to diagnose iliac vein compression. We proceed to venogram only if treatment is needed due to the degree of compression and associated symptoms.

The risk of permanent nerve injury from most varicose vein treatments is minimal to none. Ultrasound guidance is used during most vein procedures to minimize this risk. Feel free to contact the office or make an appointment to discuss specific vein procedures and the associated risk and benefits.

The risk of permanent nerve injury from most varicose vein treatments is minimal to none. Ultrasound guidance is used during most vein procedures to minimize this risk. Feel free to contact the office or make an appointment to discuss specific vein procedures and the associated risk and benefits.

Please contact our office at (203) 418-7386 to discuss your options. Thank you.

We see patients from other states. We would be happy to see you. Please contact our office at (203) 418-7386.

With leg pain, it is a good idea to visit a vascular surgeon who is board certified in vascular surgery to have them check your circulation. The sooner, the better, because vascular problems can be progressive.

Depending on the extent of your venous disease, sometime multiple treatments are needed to successfully treat your problem. The end goal is helping you to feel better and reducing your leg symptoms. It is not a temporary fix, however when you have a history of venous disease you are prone to develop new veins down the road. Venous disease is a chronic disease that requires ongoing management. Once your treatments are complete, we recommend routine follow-up visits where we can catch issues early as they are developing so any future treatment won't be as involved.

@@mvitv1693 ok thank you!!

Thank you so much. You are always welcome to our office in Milford! We will be happy to care for you.

How did it go?

left leg down, all went well, in 3 weeks the right leg@@user-pq8vh7ed8u

Yes this can occur months or even years after an initial procedure, though it is not the norm. When this happens it is often due to a perforator vein in the area. A perforator vein is a connecting vein between the superficial and the deep system. If the perforator vein becomes incompetent it can put a lot of pressure on the closed superficial vein and over time the pressure can cause the vein to recannulize. More often than not however if someone is having retreatment down the road it is not on the same vein that was previously treated. Often it is a new superficial or varicose vein that has developed. When you have a history of venous disease, you are more prone to developing varicose veins. This is why we recommend routine follow-up once your vein treatments have been completed. This way we can catch something early as it is developing and treat it before it becomes a bigger issue.

We are so sorry to hear this. If there is anything we can do to help you, you are always welcome here at Milford Vascular Institute.