The importance of identifying the origin of varicose veins: not all cases are the same

When a patient sees visible varicose veins in their legs, they might think they all come from the same cause. However, the origin of venous insufficiency can be completely different from one person to another, even if the problem looks visually similar. That is why the medical evaluation with Doppler Ultrasound is essential before deciding on any type of varicose vein treatment.

In a recent clinical case, a patient presented varicose veins in the right lower limb, with dilated varicose cords extending from the thigh down to the leg. However, when evaluating venous flow, we see a key reality: the point of origin of venous insufficiency is not the same in all patients.

For example:

• Some patients have insufficiency in the trunk of the anterior accessory vein.
• In others, the problem is located in the great saphenous vein.
• And there are cases where the anterior accessory vein generates varicose veins along the entire leg.

This shows that two patients can have visible varicose veins in the same area, but a completely different origin within the venous system.

Why does the Doppler study completely change the treatment plan?

Venous Doppler is not just an additional test – it is the main and most important exam that allows us to understand exactly which vein is failing. Without this study, treatment could be incomplete or even ineffective, because the source of the insufficiency would not be addressed.

Thanks to Doppler Ultrasound, we can determine:

• which vein to treat
• which technique to use (radiofrequency, CLACS, etc.)
• how much of the venous territory is compromised

Therefore, since each patient has different anatomy and different venous failure, personalized diagnosis is essential before intervening. The key is not only to “remove varicose veins,” but to identify where they originate.

Dr. Paulo Huachalla, Cardiovascular Surgeon, is a venous specialist in Lima and provides the best treatments for varicose veins, such as endovascular ablation for varicose veins and CLaCS. He is considered by many colleagues and patients as the best cardiovascular surgeon in Lima.

If you have varicose veins or symptoms such as heaviness, fatigue or dilated veins, schedule a professional evaluation. The first step toward a good result is always the correct diagnosis. Contact us and learn about the prices of varicose vein surgery or see before-and-after varicose vein photos to learn more about this venous condition.