The first step to healthy veins
At the initial appointment, the main questions are resolved: is there reflux and where is its source, is there anything threatening the deep veins, what is necessary to treat, and what is aesthetics. The doctor selects the class and type of compression hosiery, explains prevention, and, if intervention is indicated, describes the stages and preparation. Patients with neglected legs receive a realistic step-by-step plan without intimidation; with the initial stages - often just observation and knitwear.
Indications
- varicose veins, “stars”, heaviness and swelling of the legs in the evening;
- cramps at night, pain along the veins, compactions;
- trophic changes in the skin of the legs, darkening, eczema, ulcers;
- previous thrombosis/thrombophlebitis - observation; pregnancy with varicose veins.
How is the appointment going?
The phlebologist examines the legs while standing (the veins are filling) and lying down, assesses the stages according to CEAP and immediately performs a duplex ultrasound of the veins - the “gold standard” of diagnosis: the patency of the deep veins, the consistency of the valves, the sources and extent of reflux, and incompetent perforators are determined. A plan is built based on the vein map: from compression hosiery and sclerotherapy to combined phlebectomy. The patient receives a clear diagram of “what, why and in what order” with prices according to the price list.
