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FAQs about Varicose Veins and Second Opinions

Are Varicose Veins Hereditary?

If so, Can anything be done to help our children avoid the problems with vein disease?
It is apparent that most chronic venous disease does have genetic basis. I have read that at least 17 genes have been identified that are associated with the development of the veins and venous disease.

There are many environmental influences that make vein problems worse, such as impact sports, running on streets or hard surfaces, hormonal influences that cause vein dilation and weaken the vein walls. Obesity, pregnancy, trauma and other factors can directly affect the pressure in the veins and lead to more rapid progression of venous insufficiency. There are some products available to help with symptoms and should be considered for adjunctive treatment to improve patient outcomes and satisfaction.

The Role of Second Opinions

As my career evolved from CardioThoracic and Vascular Surgery to Venous Surgery, I have seen some changes in the practice of medicine that will help to guide the patients in their decisions as to how venous disease should be treated. The practice of Phlebology is at times confusing.

Patients are seen for cosmetic and symptomatic reasons which may not be explained well to the patient. Providing valuable alternatives and more current information to our patients will enable more patients to make decisions that fit their budgets and lifestyles.

SECOND OPINIONS can be very helpful in confirming the need for procedures and also help to evaluate the patients who are relatively asymptomatic and appreciate a review of options.
A second opinion can be an important addition to confirm and help guide your treatment. You should first undergo a physical exam and evaluation with discussion of these choices before embarking on treatment.