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Varicose Veins Consultation

To determine the best treatment options for you, a detailed consultation and duplex ultrasound scan is required.

We treat the cause of your vein problems, not just the symptoms.

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Consultation Process


1. Discussion

The consultation will begin with a conversation with the consultant regarding your vein problems (whether cosmetic, symptomatic or both), your reasons for seeking treatment and your desired outcome. They will also discuss your past medical history including any previous vein treatment you may have had.


2. Scan

The consultant will then undertake a colour duplex ultrasound scan on your legs from your feet up to your groin. This scan is the only way to accurately identify what, if anything, is causing the visible veins (varicose & thread) and any associated symptoms.

The scan is like a baby scan but on your legs and is undertaken with you standing up.


3. Tailored Treatment Plan

The consultant will then explain the results of the scan and what treatment options are suitable – including the benefits and the risks. You are encouraged to ask questions and ensure that any proposed treatment plan takes into consideration your preferences.

Over 95% of patients who present with varicose veins require a combination of EVLA and Foam Sclerotherapy (NICE-recommended treatments for varicose veins).


4. Treatment Cost

Our prices are upfront and fixed and so they will not escalate from what you can see here. The consultant will be able to discuss the prices for the treatment plan you require. The treatment quote will be confirmed in writing alongside your consultation report.


5. Further Queries & Booking

The results of the consultation and scan are valid for 6 months. There is no pressure to rush and book in for treatment allowing you to book at a time which suits you. If you wish to book, our receptionist will be able to help or you can give our patient advisers a call at a later date. Our patient advisers are also available to answer any further questions you may have or to clarify anything in the consultant report or treatment quote.


What is a Colour Duplex Ultrasound Scan?

A colour duplex ultrasound scan is a painless, quick and non-invasive test. It is akin to a baby scan (but on your legs). The scan accurately maps the anatomy (what the veins look like) and the physiology (how they are working e.g. direction of blood flow).

The scan will reveal if there is reflux (reverse blood flow) in any of the veins underlying the skin. If so, this indicates the veins contain faulty valves. When working properly the valves ensure blood flows back up the veins to the heart. If the valves are faulty, blood flows back down the leg (reflux) and this causes the venous problems and visible veins to appear.

A duplex ultrasound scan is essential even in cases where reflux at the commonest site is detected clinically. This is because 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.

Be particularly wary if you are offered treatment without first having a detailed colour duplex ultrasound scan. A simple handheld Doppler examination is not good enough.

I’ve had treatment previously, can you still offer me treatment?

It is not uncommon for us to see and successfully treat patients who have had their veins treated previously. In particular, patients who’ve had surgical stripping (as the recurrence rates are so high) or those that underwent treatment to the visible veins without having had the underlying cause of their veins fixed first.

Consultation Cost

An initial consultation with one of our Consultant Vascular Specialists costs £250 and includes the Colour Duplex Ultrasound Scan of your legs.


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