HomeAnswersGeneral Surgeryvaricose veinsI am a 37-year-old male with varicose veins in both of my calves. What to do?

What are the treatment options for varicose veins in the calves?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Arvind Guru

Medically reviewed by

iCliniq medical review team

Published At September 6, 2023
Reviewed AtSeptember 6, 2023

Patient's Query

Hi doctor,

I am a 37-year-old male. I do not smoke. I do not drink or use drugs, take no medication, and have no allergies. My body fat is 11 %. My blood pressure is 121/79 mmHg, and my resting heart rate is 48 BPM. I have varicose veins in both of my calves. The veins are not so severe as they cause me no pain or discomfort, merely ugly to look at. I am a keen outdoorsman. I enjoy sports such as cross-fit, running, weight training, mountain biking, snowboarding, and hiking, and the varicose veins do not affect any of these activities. My condition is such that the valves in my groin and in the back of my knees are not working as they should, and my doctor has advised that I wear full compression tights when carrying out these activities, which admittedly, I do not always wear as there is no discomfort or pain. I previously had surgery over ten years ago where I had small incisions in the back of my knees and had the veins stripped out. But since the operation, I have had more varicose veins develop in the same area of my calves, but nothing above the knees that you can see but the ultrasound device detects the blood flow falling in both sides of my groin and behind both knees. I now live abroad and saw a doctor who has booked me in for another operation to strip the varicose veins again. My question is whether this operation is safe to do a second time. I have concerns that it is the valves that are broken in my groin and behind the knees but have been told that the valves are not repairable. Will a second operation to remove more veins from my legs be pointless? Or even dangerous? I presume the problem will persist, and the remaining veins will eventually become varicose when the valves do not close after my heart pumps the blood through. Surely, having fewer veins is not the answer? The main concern I have is that this second operation will affect my sporting abilities, leading me to fatigue faster with less blood flow to my muscle tissues, worrying that my muscles will cease to operate effectively during endurance and load-bearing sports like heavy squats and heavy calf raises in the gym as well as hiking carrying weight. Will the muscles cease to be stimulated and hinder growth with less blood flow when training? In a nutshell, do you recommend I go ahead with this second operation based on it being more of an aesthetic? Or will stripping the veins a second time have no effect on my muscles during extreme sports? Why cannot the valves be repaired with today's medical advancements?

Answered by Dr. Arvind Guru

Hi,

Welcome to icliniq.com.

I thoroughly read your query and understand your concern.

Following are the answers to your questions:

1. In a nutshell, do you recommend I go ahead with this second operation based on it being more of an aesthetic?

These will not decrease on their own and someday will start causing trouble. At that time, it may become difficult to remove them.

2. Will stripping the veins a second time have no effect on my muscles during extreme sports?

It will have no effect on your muscles, as these veins carry blood back from the muscles and not towards the muscles. However, with continued extreme sports, new veins will develop, and smaller ones will dilate. That is how it is, and no one can change that. Though anything extreme is, well, extreme can be avoided anyways.

3. Why cannot the valves be repaired with today's medical advancements?

There is a possibility of some valve repair surgery, but that cannot be done in all cases. Moreover, even if possible, in your case, it might not withstand such bashing as you are prepared to give that repair.

The information provided above is not specific, as for a thorough and specific advice, I need to study your past medical records and your current status as documented by a doctor. So if you can, kindly upload the medical records and picture of your leg veins if you would like to follow up or know more about this condition.

Hope this helps.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Arvind Guru
Dr. Arvind Guru

General Surgery

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

General Surgery

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy