Does it recur?

When varicose veins and its treatment come to mind, the first important question is “Do varicose veins recur?”

The two pathologies that are most likely to recur in medicine, “dental caries” and “varicose veins”, were a pessimistic start, right?

Don’t rush now.

Let’s see what we have first.

Let’s say; surgery or radiofrequency, laser, adhesive applied. What could happen? Let’s start over.

• In the 1940s, the recurrence rate of varicose veins was reported as 18% after ligation of the most common vein called VSM in the groin in classical varicose surgery.
• As noted at the time, this rate does not change, no matter how good the early results are.
• Beyond the first year, the second year is more important. The success of this treatment depends on different factors.
• Along with clinical developments, different opinions emerge as the reflection examination allows detailed examinations.
• It is known today that despite the ligation of the vein in classical surgery, reopening of the vein occurs.
• Therefore, the process of removing the vein called “stripping” has come to the fore.
• Thus, reopening of the vein would be avoided.
• When the patients who were operated with this method between 1960-1967 in 2001 were followed up, it was more than 30 years; The recurrence rate was found to be 40%. This is high.
• Along with the positive results about the developed Laser, Radio frequency and Adhesive afterwards. There are a few important points that shake the thought that I will never have varicose veins again after this type of treatment.
• What causes the recurrence of varicose veins? Researchers have listed them.
• If the underlying insufficiency is not treated only after treatments such as foam treatment or laser on the skin, varicose veins can occur anywhere, including in the same region, starting from small and capillary veins. In a study, Doppler reflection is recommended after aesthetic varicose treatment, although patients do not necessarily want it. As a matter of fact, approximately 50% of patients receiving this type of treatment have venous insufficiency in at least one leg.
• If I do not want to have an ultrasound for time or financial reasons then you have to accept the risk of recurrence. At the very least, even if you have this type of treatment, ultrasound imaging should be done immediately after.
• Then it is better to compensate for the underlying cause.
• Gaining weight after varicose veins treatment,
• Occupational risks such as standing for a long time or sitting for a long time cause the recurrence of varicose veins. We understand standing, but why should sitting be a problem; Man was created not to sit, but to stand. Since the muscles in our legs do not work enough when you sit, blood pools in the legs even if you don’t want to. Inactivity is always bad.
• Frequent pregnancy is one of the important reasons. The weight gained during pregnancy is also important, not just pregnancy alone.
• Cellulite is also an important cause. Cellulite, especially on the front and back of the knees of your legs, leads to deterioration in the capillary network, and the capillaries become more visible with the collapse and displacement of the skin.
• Constipation; Due to the increase in intra-abdominal pressure due to straining, the blood in the legs pools. The increase in intra-abdominal pressure causes insufficiency in the valve in the main vein that goes from the abdomen to the leg.
• In summary, recurrence of varicose veins is not uncommon. In addition to treatment planning and appropriate treatment, preventive measures should be taken for the future.
• stay well
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varicose veins recur