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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
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