Recurrent Varicose Veins: Why They Come Back
For many people, treating varicose veins brings a huge sense of relief – lighter legs, less pain and better appearance. So when veins start to reappear months or years later, it can be frustrating and confusing.
If you’re wondering why varicose veins come back even after treatment, you’re not alone. Patients seeking varicose veins treatment in Mumbai often ask this exact question at Surekha Varicose Veins, under the care of Dr. Ashish Dhadas.
Let’s understand why recurrence happens and what can be done to prevent it.
What Are Recurrent Varicose Veins?
Recurrent varicose veins are veins that reappear after treatment, either:
- In the same area
- Near previously treated veins
- In a different part of the leg
This does not always mean the earlier treatment failed. In many cases, it reflects the progressive nature of vein disease.
Why Do Varicose Veins Come Back?
1. Underlying Vein Disease Continues
Varicose veins are caused by weak or damaged valves in the veins (small flaps inside veins that help blood flow upward toward the heart). Even after treating the affected vein, other veins may weaken over time, leading to new varicosities.
2. New Veins Become Problematic
Treatment removes or closes faulty veins, but blood flow is naturally redirected to healthier veins. If those veins weaken later, new varicose veins can develop.
3. Incomplete Initial Evaluation
If all affected veins are not identified during the first treatment, some diseased veins may remain untreated and cause recurrence.
This is why detailed vein mapping with Doppler ultrasound (a painless scan that shows blood flow in the veins) is essential before treatment
4. Venous Edema (Leg Swelling)
Fluid buildup in the legs due to poor vein function causes:
- Tightness
- Heaviness
- Shoe tightness by evening
Swelling that reduces overnight is a strong indicator of vein-related issues.
4. Lifestyle and Risk Factors
Certain factors increase the risk of recurrence:
- Long hours of standing or sitting
- Obesity
- Lack of physical activity
- Pregnancy
- Family history
Without lifestyle modifications, veins may return even after successful treatment.
5. Natural Aging Process
As we age, veins lose elasticity. This natural process can lead to new vein valve failure, even years after treatment.
Does Recurrence Mean Surgery Failed?
Not necessarily.
Modern treatments are highly effective, but varicose vein disease is chronic, not a one-time problem. Recurrence usually means new veins have become affected, not that the previously treated vein has reopened.
At Surekha Varicose Veins, patients are counseled about long-term management, not just one-time procedures.
How Are Recurrent Varicose Veins Treated?
Treatment depends on severity and symptoms and may include:
- Minimally invasive procedures (laser treatment or radiofrequency ablation, which uses heat to close faulty veins)
- Sclerotherapy for smaller veins
- Lifestyle guidance and compression therapy
Patients seeking advanced varicose veins treatment in Mumbai benefit from personalised treatment plans under Dr. Ashish Dhadas, focusing on both symptom relief and prevention.
Can Recurrence Be Prevented?
While recurrence can’t always be completely prevented, risk can be reduced by:
- Maintaining a healthy weight
- Staying physically active
- Avoiding prolonged standing or sitting
- Using compression stockings when advised
- Attending regular follow-ups
Early detection of new vein issues allows for simpler treatment.
Varicose Veins Care at Surekha Varicose Veins
At Surekha Varicose Veins, led by Dr. Ashish Dhadas, care focuses on:
- Accurate diagnosis with vein mapping
- Modern, minimally invasive treatments
- Long-term follow-up and prevention strategies
This comprehensive approach ensures better long-term results for patients.
Final Thoughts
So, why do varicose veins come back?
Because vein disease is progressive but manageable.
With expert care, regular monitoring, and lifestyle changes, recurrence can be minimized and symptoms controlled. If you’re considering or have already undergone varicose veins treatment in Mumbai, timely follow-up with an experienced specialist makes all the difference.