Screening and Diagnosis

 

 

There are generally three steps associated with the diagnosis of varicose veins. They are as follows:-

 

(a) An examination of the relevant veins, in particular while the patient is standing so that any bulging or swelling can be observed;

 

(b) Obtaining a description of any pain or symptoms; and

 

(c) Obtaining an ultrasound for evidence of any blood clot.

 

In some cases it may appropriate to refer to a phlebologist (specialist in vein conditions) or a dermatologist (specialist in skin conditions). In some severe cases painful ulcers may form on the skin. Brownish pigmentation often precedes the development of such ulcers. The ulcers require treatment of the site to promote healing. Depending on the treatment method utilised it may be necessary for any ulcer to be fully healed before treatment of the varicose vein can commence or in some cases the treatment of the varicose vein may be able to take place with a view to removing the source of the ulcer.

 

Patients with varicose veins, as a result of the blockage and pooling of blood have an increased risk of the development of thrombophlebitis (blood clotting) where such a complication is suspected an urgent referral should be made to an appropriate treating specialist for treatment, including the dissolving of the clot. If not treated properly such a clot may form a deep vein thrombosis which may in turn lead to heart attack or stroke.