Case Number: SH-01-17-14

Gender: Female      Age: 57

History: Patient complains of progressive bulging varicose veins in her legs for over 10 years. She suffered an episode of phlebitis in her left leg several years ago.

Occupation: Office setting requiring prolonged sitting

Symptoms: Patient reports severe aching leg pain and intolerable itching over the varicosity on her left leg. She also complains of restlessness, swelling, and stiffness. The symptoms are worse on the left side but both legs are affected.

Treatment: Treatment recommendation included an ultrasound of the lower extremities to identify the source of her symptoms. Our findings prompted recommendation for radiofrequency ablation (RFA) of bilateral greater saphenous veins (GSV) and bilateral small saphenous veins (SSV) and an ambulatory microphlebectomy of the painful varicosity of her painful bulging veins in her left upper and medial lower leg.

Care Recommendations: Following our successful procedures, we recommended the patient walk daily and engage in light to moderate exercise.