Result control
After sclerotherapy, the doctor evaluates the closure of the veins, punctures the coagulum if necessary (accelerates the resorption of pigmentation) and prescribes the next session; after surgery - wound control, ultrasound confirmation of deep veins, load resolution. Annual follow-up examinations are recommended for anyone with a history of varicose veins: new incompetent veins are easier to close with sclerotherapy at an early stage.
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.
