I went to a well advertised varicose vein clinic regarding this ugly vericose vein that I have running along the inside of my knee (I got this during pregnancy). I was mainly interested in the fact that they offered radiofrequency treatment (as opposed to laser or stripping) due to the fact that it was painless and didnt leave bruising.

The dr. stated that Radiofrequency was "unnecessary" and instead recommended ambulatory phlebectomy (tearing the vein out). This would be an hour long procedure where I would have an IV and be drugged up and be partially out of it.

My question is 1. What does he mean by unnecessary and 2. Why would he be so against using such a less severe treatment versus surgery?
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replied June 29th, 2009
ablation radiofrequency when is it appropriate
RFA is generally used for large, relatively straight veins that have incompetent valves. I suspect that the doctor did not find incompetent valves (or "reflux") in veins amenable to RFA (such as the great or small saphenous vein or a perforating vein). Instead you may have a varicose tributary vein that is too small or too tortuous to pass a larger catheter. In such a case, RFA or endovenous laser, would not be useful, hence not "necessary." Ambulatory phlebectomy or injection sclerotherapy would be appropriate methods for ablating such a vein.
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replied October 28th, 2018
Thank you for asking at Ehealth forum!

I read your question and I understand your concern.
RFA is not feasible in your case.
Ambulatory phlebectomy or injection sclerotherapy will be most helpful for you.
I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care
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