Diagnosis of Venous Disease
In addition to clinical evaluation of the legs, varicose veins are evaluated for size and reflux using a noninvasive, painless technique called Venous Duplex Scanning. This involves using a special ultrasound machine to examine each vein in the leg.
Treatment of Venous Disease
Treatment of venous disease usually involves a combination of treatment modalities. This can include the following:
- Compression stockings: these reduce swelling and help the leg veins pump blood better
- Radiofrequency ablation: An in-office procedure performed under local anesthesia. It involves inserting a catheter into the diseased vein and closing it off with readiofrequency energy. The blood then goes to the healthier deep veins, and circulation is markedly improved.
- Ultrasound-guided sclerotherapy: Injecting a diseased vein under ultrasound guidance using a chemical to close off the vein
- Mini-phlebectomy: An in-office procedure performed under local anesthesia in which sections of a diseased vein are removed via a series of mini-incisions
- Spider vein sclerosis: The small spider and reticular veins are injected with a very small amount of a foam chemical which causes them to dissolve.