I have a varicose vein wrapping around the nerve in the tarsal tunnel. Is vein stripping an option or is TT decompression surgery needed?
MRI and ultrasound show no other varicosities. Compression stockings were not helpful. Pain/numbness going on six years.
Answers from doctors (3)
Answered by Vascular Center and Vein Clinic of Southern Indiana
A venous duplex ultrasound with reflux assessment will help identify venous insufficiency. Then, seek a vascular surgery evaluation.
Published on Jul 11, 2012
Answered by The Sheen Vein Institute
Given that the varicose vein is wrapped around the nerve, vein stripping could permanently damage the nerve. Another technique that can be considered is the use of ultrasound guided foam sclerotherapy. This technique will allow the doc to inject the vein while also avoiding the nerve. Therefore, if your pain and numbness is secondary to the localized inflammation caused by the varicose vein, closing the vein down should eliminate the symptoms.
Published on Jul 11, 2012
Answered by Advanced Vein Center
Stripping is not an option. A venous duplex ultrasound should be of the leg. Sclerotherapy might be an option if it's felt that the vein is the problem, but usually decompression is the treatment.
Published on Jul 11, 2012
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