Dr. Adam Goldman

Some people actually have another branch.

So in my case, I did two major branches of the greater saphenous vein.

I did the anterior accessory because that was leaking as well.

So every anatomy is different.

If you have probably one leg, it's probably only one vein.

If there's one area that's being affected –

It's probably just that one vein.

But often people come in, they've got a lot of veins coming out.

Yeah, totally.

Both legs.

Uh, it's up to the thigh.

So it's the groin down to the calf basically.

And then on the, you know, it depends on where the veins are.

Sometimes the backside, the lesser saphenous vein runs from the, let's say around the, just above the knee down to the ankle.

Uh, so that's being evaluated that case.

And the greater saphenous vein, we really don't,

Treat with the ablation above the knee.

We do treat the lower part with what's called an injection called Varathena.

So, you know, but we do evaluate more interested from the groin on to about the knees, the most important area to evaluate for the greater saphenous vein.

So usually the people doing a venous insufficiency ultrasound are also the people doing the treatments.