To really understand the reasons why this could happen, and why it shouldn’t, we must understand a little more about varicose veins. What causes varicose veins? The primary causes are genetics (80%) and hormonal influences/pregnancy (15%). Other contributing factors are obesity, gravity and occupations involving prolonged sitting or standing. We literally have miles of vein network in each leg, so if we developed varicose veins with the genetic and hormonal influences, those influences are still present after your veins have been successfully treated.

Varicose veins are a reflection of a chronic disease state triggered by factors out of our ability to control. One change in varicose vein management involves the recognition of this chronicity. Patients with symptomatic varices should have periodic ultrasound evaluations to identify new disease before it becomes problematic. Compare this to high blood pressure or diabetes; they are similar to managing varicose veins in that one treatment cannot provide sustained control or a cure.

When varicose veins are managed properly, they will not come back. Periodic ultrasound evaluations over years will allow newly diseased veins to become identified before they are able to cause any problems.