Varicose Veins

Varcoise VeinsVaricose veins (VV) are abnormally dilated and tortuous superficial veins, found typically within the leg. This very common condition occurs in up to 30% of adults and is more prevalent in the female population. VV result when the valves within are damaged, allowing an abnormal backflow and pooling of blood within the ‘incompetent’, truncal vessels.

Apart from their frequently troublesome cosmetic appearance, VV may also give symptoms of discomfort, ache, heaviness, itch, bleeding, leg swelling and intermittent episodes of localised tenderness (‘thrombo-phlebitis’). Chronic venous incompetence can be associated with long-term skin problems including discolouration/thickening, eczema and ulceration.

Varcoise VeinsTruncal varicose veins classically involve one or both of the superficial venous systems that drain into the deep veins at either the groin (long saphenous) or back of the knee (short saphenous). Clinical examination is often all that is required for adequate VV assessment, although some patients (e.g. recurrent VV, previous DVT) may require more detailed investigation by venous duplex ultrasound.

Conservative VV management consists of weight optimisation, lifestyle advice and compression hosiery. Treatment options for definitive VV intervention presently include ultrasound-guided foam sclerotherapy, endovenous ablation or open surgery.

VV Treatment Options Treatment Options link