Planning your Treatment The relevant information following physical examination of the legs, general medical examination and the picture of blood flow or ‘duplex mapping’ made of the abnormal blood flow in veins enables the specialist to plan appropriate treatment that reduces the risk of future recurrence. Treatment for varicose veins is of different parts; initially treating the larger inner vein that has the valve damage and then treating the visible lumpy veins under the skin; often both are performed at the same time. Once this has healed, the spider veins are then dealt with.
It is important to understand that varicose veins are not the same in every person and every person with varicose veins is not the same. The management option of each patient will differ depending upon individual clinical need, associated medical condition, previous vein surgery, personal preference, etc. Similarly, the clinical and cosmetic outcome will differ in every person undergoing treatment depending on initial status of the vein, type of procedure and individual healing process. All surgeons may not offer the newer minimally invasive treatments for varicose veins and a good outcome can be obtained from any of these varicose vein operations as long as the procedure is carried out to a good standard. You can also at this stage discuss and choose the option of anaesthesia either general anaesthesia or local anaesthesia or the popular twilight technique of combining sedation with local anaesthesia.
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Consultation Duplex Ultrasound Scan Planning your Treatment ACP Guidlines in Acrobar Reader PDF format