We’ve discussed how varicose vein treatment should be approached when patients have other conditions like DVT and RLS in the past. Today, let’s look at any other remaining “special circumstances” that might impact your long-term leg health.
Special Circumstance #1: Blood Thinner Medication
Are you on any blood thinning medications like Aspirin, Plavix, Coumadin, or Heparin? If so, you’ve likely noticed that there is a reluctance to treat patients taking these kinds of medications due to possible complications. However, a 2012 paper in the Annals of Vascular Surgery cited an observational study where patients on Coumadin had the same outcomes, side effects, and consequences after ablation as compared to those who were not on Coumadin. This confirms what we’ve seen in our own practice that there is no difference in results between patients who are on blood thinners and those who are not. The fact that a patient is on blood thinners is no reason to withhold treatment.
Special Circumstance #2: At-Risk Quality-of-Life Conditions
Every now and then, we’ll come across patients who have conditions that make them conventionally at-risk for any kind of medical treatment – not just vein treatment. Patients who are suffering from multiple conditions, those who are already immobile, and older patients fit into this category. Our work has shown that instead of undermining their health, vein treatment helps an overwhelming majority improve their leg-related symptoms with little-to-no risk to their overall health. As such, even with patients that have quality-of-life issues, there is no reason withhold treatment.
Special Circumstance #3: Compression Patients
The Society for Vascular Surgery and the American Venous Forum recommends against the use of compression therapy for the primary treatment of varicose veins in patients that are good candidates for ablation. However, this has not stopped doctors from requiring their patients to wear compression stockings as a first measure. Though compression is often recommended for patients with leg ulcers, most patients see their ulcers return within six months of starting this technique. Since ulcers tend to come back, our recommendation is to proceed with ablation even if compression has been suggested as research has shown that there is no compelling reason to wait.
As the leading provider of vein treatments in our region, we are confident in our ability to treat “ugly legs” patients even in the presence of other issues. Given our vast experience, we’re confident treating more complicated cases, delivering the best outcomes with the lowest risk. We’ve been quick to adopt ablations as standard care for vein treatment and we’re committed to continuing to lead the charge as the future of our industry evolves.
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