Consultation including Duplex Ultrasound Scan
Before we can discuss the best treatment options for you we must first determine the underlying cause of your vein problems; whether cosmetic, symptomatic or both.
It is widely accepted that any successful varicose vein treatment requires good imaging in the form of colour duplex ultrasound scanning to accurately map the anatomy (what the veins look like) and the physiology (how they are working e.g. direction of blood flow).
Be particularly wary if you are offered treatment without first having a detailed colour duplex ultrasound scan. A simple hand held Doppler examination is not good enough. Even with the most innocent spider veins it is important to check for valve failure and reflux as management of any sort of venous problem which neglects to detect and treat underlying reflux will fail. There may be short term success but the problem will recur and get worse.
Unlike many centres where the ultrasound scan is undertaken by a technician at a separate visit, your scan will be undertaken by your consultant or nurse practitioner at the time of your consultation. They are specialists in their field and will exhaustively check all the veins in your legs to identify all possible underlying problems causing your varicose veins. Only then, will they be able to discuss with you exactly what the problem is and agree with you a firm and costed proposed treatment plan. 95% of our patients require EVLA (NICE recommended treatment for Varicose Veins) at our fixed price. See Price List.
Colour Duplex Ultrasound is a painless quick and non-invasive test.
It is essential even in cases where reflux at the commonest site is detected clinically as the colour duplex test can detect other important features like further refluxing segments and variants of normal anatomy which may well alter the optimum treatment plan.
Consultation & Treatment on the Same Day
If you wish you can book in for both consultation and EVLA treatment at the same time. In order to do so we require you to send us evidence which indicates you have definite varicose veins. When you attend for the consultation, an exact treatment plan will be devised however as you're presenting with definite varicose veins the most likely treatment you'll require is EVLA.