email: info@hje.org.uk

call us on +44 (0)20 7806 4000

Varicose Vein Clinic

 

Varicose veins are prominent bulging veins on the legs. They are often accompanied by flares or ‘spider’ veins and may cause skin changes such as darkened patches, scaliness and ulceration.

Many patients seek help for varicose veins from a doctor because of the following reasons:

  • Veins are unsightly
  • Veins cause pain
  • Leg swelling
  • Bleeding
  • Itchiness
  • Eczema

The various treatment options available can be confusing and certain methods have a greater success with some people than others.

The Varicose Vein Clinic offers an assessment by a Consultant Vascular Surgeon who will discuss the options and then arrange for a specialist Ultrasound scan of the legs to be completed.

Once a diagnosis is made a treatment plan with full costs will be proposed.

Appointments & Enquiries
For further information or to arrange an appointment with at the Varicose Vein Clinic please call our Outpatient Appointments Team on 020 7806 4060

You can also email us in confidence at: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Frequently Asked Questions & Additional Information

What are varicose veins?
Varicose veins are prominent bulging veins on the legs. They are often accompanied by flares or ‘spider’ veins and may cause skin changes such as darkened patches, scaliness and ulceration.

What causes varicose veins?
Veins have one way valves to keep blood flowing towards the heart. If the valves fail (called ‘incompetent’), the blood pools in the veins and the rising pressure causes the veins to stretch and bulge. Clearly this is made worse by standing up for long periods. Pregnancy typically makes varicose veins worse or more noticeable.

What are the symptoms?
Even before they are big enough to see, varicose veins cause local swelling of the skin and stretch tiny nerves in the skin. This can cause aching and heaviness of the legs, a feeling of burning in the legs, ankle swelling and itchy skin.

What treatment is available?

Compression
Tight fitting stockings support the veins from outside and help to stop the blood pooling and stretching the veins. These are used either after treatment or on their own.

Injection
If the problem is very localised, a chemical can be injected directly into the bulging vein causing it to shrink (known as ‘sclerotherapy’). This procedure may be sufficient on its own or may be necessary after surgery or laser treatment.

Surgery
If the whole vein system is incompetent, the varicose veins may be stripped from the thigh by making a groin incision under general anaesthetic. Full recovery from surgery can take several weeks and this procedure can be undertaken as a day case or overnight stay. Further visits may be required to eliminate secondary varicosities and superficial unsightly veins (spider veins).

Laser ablation (EVLT)
A non-surgical way of treating varicose veins has been developed which involves the insertion of a laser fibre into the varicose vein of the thigh from the knee to the groin using ultrasound imaging to guide the way. Further visits may be required to eliminate secondary varicosities and superficial unsightly veins (spider veins).

What is best for me?
The exact choice of treatment depends on the particular nature of your veins, your medical background and most importantly your wishes.

How do I decide?
You can come for an initial consultation and assessment at which time the surgeon will arrange for you to have an ultrasound Duplex scan to map out the condition of your veins, discuss your relevant medical background and explain the options to you, for you to decide.

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