Seniors Don’t Have to Live with Leg Pain, Varicose Veins Can Now be Treated with EVLT

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Adults over age 60 are twice as likely to develop vein disorders, such as varicose veins or deep vein thrombosis. Deep vein thrombosis has a higher prevalence in older adults who have untreated varicose veins after undergoing hip replacement surgery, according to a recent study. Vein Specialist Dr. Maged Mikhail of the Los Angeles Varicose Vein Center explains common vein problems and treatment options for older adults.

No matter a patient’s age, there are solutions for vein disorders which make a person feel better physically and look better cosmetically

Although seniors may attribute leg pain and swelling to the inevitable ailments of growing older, Los Angeles Phlebologist Dr. Maged Mikhail of the Los Angeles Varicose Vein Center advises seniors that they don’t have to live with aching, heavy legs. Dr. Mikhail recommends minimally-invasive varicose vein treatment for older adults, which can be a successful procedure for people of all ages.

“No matter a patient’s age, there are solutions for vein disorders which make a person feel better physically and look better cosmetically,” said Dr. Mikhail. “Although seniors may think vein stripping surgery is the only option for the treatment of varicose veins, we now have many modern approaches which are minimally-invasive and involve less time and pain.”

In healthy leg veins, tiny one-way valves allow blood to flow back toward the heart, and prevent it from flowing in the wrong direction. In varicose veins, the valves don’t close properly, leading to blood pooling in the vein and protruding through the skin. Symptoms of varicose veins include leg fatigue, throbbing, swelling, and discoloration. Risk factors for varicose veins include pregnancy, having a family history, or being over the age of 40.

The reason why varicose veins are more likely to develop in older adults is due to the makeup of the veins and how it changes with age. As collagen production declines, which is a main component of vein walls, the veins become more fragile and the valves are more prone to dysfunction. This can lead to blood flowing backwards in the legs and becoming varicose.

Another venous disease more common in older adults is a more serious condition called deep vein thrombosis. Deep vein thrombosis occurs when a blood clot forms in a vein, and it has a higher prevalence in seniors due to three main risk factors, including trauma to blood vessels, decreased blood flow from immobility, or an abnormal tendency to blood clotting. Seniors are more likely to develop a deep vein thrombosis because they are typically less physically active.

A 2012 study published by the American Academy of Orthopedic Surgeons found that elderly patients who underwent hip replacement surgery and had untreated varicose veins had a three percent higher likelihood of developing deep vein thrombosis within 90 days of their operation.

Although seniors are 50 percent more likely to develop venous disease, they have the same success rates as younger adults with treatment. Modern techniques used to address vein problems include endovenous ablation therapy (EVLT) and sclerotherapy, which are the most effective solutions for the majority of patients with varicose or spider veins. These treatments are minimally invasive and have a high rate of success, no matter the patient’s age.


About Dr. Maged Mikhail
Dr. Maged Mikhail has more than 24 years of experience in private and academic practice and is Board-Certified in Critical Care, Pain Management, and Anesthesiology. He is a graduate of the University of Florida College of Medicine and is among only a few physicians to achieve the designation of Registered Vascular Technologist and he has certifications in cardiac and vascular ultrasound. Dr. Mikhail trained with Dr. John Kingsley, an internationally recognized pioneer in phlebology. He has written four editions of Clinical Anesthesiology, a book that has been translated into five other languages, as well as numerous articles in critical care medicine, cardiovascular anesthesia, pain management and surgery. He is passionate about his work and committed to offering each patient individualized treatment to obtain the best possible result.

About Los Angeles Varicose Vein Center
Los Angeles Varicose Vein Center is one of the few clinics in southern California that specializes in minimally-invasive varicose vein treatments. The team has expertise in problems ranging from complicated cases such as recurrent varicose veins to simple cosmetic spider veins. Los Angeles Varicose Vein Center has a highly talented staff with a wealth of experience. The primary goal is to take care of vein-disorder patients in the most pleasant and efficient way possible while working as a team. To learn more, visit or call (818) 654-0520.

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