Varicose Veins, Thread Veins, Spider Veins, PhotoDerm, Sclerotherapy, Surgery, Thrombosis West London Vein Clinic telephone number
Varicose Veins, Thread Veins, Spider Veins, PhotoDerm, Sclerotherapy, Surgery, Thrombosis
Varicose Veins, Thread Veins, Spider Veins, PhotoDerm, Sclerotherapy, Surgery, Thrombosis
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How are Varicose Veins Investigated?

Clinical Examination of Varicose Veins

A clinical examination is useful in showing the extent of the varicose veins. This does not always show from where varicosities arise. This is especially true when varicose veins have recurred after a previous operation. Even experienced vascular surgeons find it difficult to decide exactly where the problem lies without the use of special investigations.

Varicose Veins, Thread Veins, Spider Veins, PhotoDerm, Sclerotherapy, Surgery, Thrombosis

Duplex ultrasound of Varicose Veins

Colour duplex ultrasound imaging is now universally acknowledged to be the gold standard for investigating venous disease. It is the least invasive and most informative technique available. Ultrasonography reliably shows the source of the varices and venous ulcers, as well as demonstrating thrombosis of the deep veins, by obtaining pictures of the veins and measuring blood flow in the vessels. In this way it is also easy to visualise the leaky valves. The investigation and machine used is similar to that undertaken when scanning during pregnancy. This investigation should always be performed before undertaking any form of treatment whether surgical or by injections.

Varicose Veins, Thread Veins, Spider Veins, PhotoDerm, Sclerotherapy, Surgery, Thrombosis

Pre-operative Marking of Varicose Veins

Ultrasound imaging is used to mark the exact position of veins on the leg before an operation. This makes sure that all veins are removed though the smallest possible cuts.

Plethysmography in Varicose Veins

Photoplethysmography and strain gauge plethysmography, blood flow measuring techniques, are also used to measure the function of the veins in the leg. Using these tests doctors can find out whether the overall function of all veins in the leg is normal, or if there is a problem with the deep veins, or obstruction in any major vein.

All of these tests are called "non-invasive", that is none of them involves any needles or injections and, in fact, none of these tests are painful!

Help! All these treatments! Which is the one for me?

Mr Philip Coleridge Smith DM FRCS
Reader in Surgery, UCL Medical School, London .
Consultant Vascular Surgeon BVI Medical Director
The West London Vein Clinic: Tel 0870 609 2389


 
 
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