Varicose Veins: The Importance of Treating the Cause

Varicose veins and visible veins in the legs are not always a superficial problem. In some patients, venous insufficiency may originate in a vein that cannot be seen with the naked eye.

Before choosing among the different varicose vein treatments, it is essential to understand what is causing the problem. An accurate diagnosis makes it possible to select the most appropriate procedure for each patient.

In this case, sclerotherapy can be useful for treating certain visible veins. However, if there is an internal vein with insufficiency, treating only the superficial veins does not address the underlying cause of the varicose veins.

The appearance of varicose veins does not always reveal where the underlying cause is located.

A vascular evaluation should begin by understanding how the venous system works and determining whether there is reflux or insufficiency in any of its veins, which is essential.

[https://www.youtube.com/watch?v=9GRf63O1zME](https://www.youtube.com/watch?v=9GRf63O1zME)

Venous Doppler Ultrasound: The First Step in Identifying the Cause

Venous Doppler Ultrasound makes it possible to evaluate blood flow within the veins and detect abnormalities that cannot be identified simply by looking at the legs. It is the appropriate evaluation to help the specialist determine:

• Whether venous insufficiency is present.
• Which veins are affected.
• Where venous reflux occurs.
• The characteristics of the patient’s venous system.
• Which treatment option may be the most appropriate.

Diagnosis should come before treatment. Not all patients with varicose veins have the same condition or require the same procedure.

An evaluation by a cardiovascular surgeon, who is a varicose vein specialist, makes it possible to assess the diagnosis and determine which option may be appropriate for each case. Depending on the patient’s individual characteristics, different options may be considered, including:

• Sclerotherapy.
• Endovascular laser or radiofrequency ablation.
• Other endovascular procedures.
• Complementary treatments depending on the condition of the veins.

Therefore, before discussing the best treatments for varicose veins, it is necessary to determine what type of venous insufficiency each patient has in order to select the treatment according to their specific condition.

At the Dr. Paulo Huachalla Vascular Center, each patient is individually evaluated before a procedure is recommended. The goal is to identify the underlying cause of venous insufficiency and, based on the diagnosis, determine which of the varicose vein treatments is most appropriate for their condition.

Contact us and receive treatment from a compassionate and responsible physician, considered by many patients and colleagues to be the best cardiovascular surgeon, with the best varicose vein clinic due to its modern equipment and facilities.