Varicose Veins
Comprehensive treatment for venous insufficiency and varicose vein complications
Venous Treatment
Varicose veins are a common medical problem caused by incompetent valves in the veins. Multiple treatment options available.
DR LUBOMYR LEMECH
MBBS (Hons), FRACS (Vascular), DDU (Vascular)
Treatment Options:
- Compression stockings
- Surgery
- Sclerotherapy
- Radiofrequency/Laser Ablation
Understanding Varicose Veins
Varicose veins are a common medical problem. Veins are the blood vessels that carry blood from the body to the heart.
Veins have valves which ensure that blood only flows in the correct direction. In patients with varicose veins these valves are incompetent or leaky.
Chronic high pressure in the veins from incompetent valves results in varicose veins and their complications.
Venous Valve Anatomy
Problems from Varicose Veins
Varicose veins can be problematic in many ways
Cosmetic Issues
They can be unsightly and affect confidence and quality of life
Pain & Swelling
They can cause pain and swelling of the leg
Blood Clots
Blood clots can form in them (superficial thrombophlebitis)
Bleeding
They can bleed, rarely but can be significant
Skin Rashes
They can cause skin rashes (varicose eczema)
Leg Ulcers
They can result in leg ulcers which can be difficult to heal
Investigations
Venous Assessment
The veins can be investigated with a non-invasive ultrasound test. Occasionally an invasive test such as a CT venogram or catheter venogram is required to investigate venous disease.
Venous Duplex Ultrasound
Non-invasive assessment of venous flow and valve function
CT Venogram
Detailed imaging when complex venous disease suspected
Catheter Venogram
Invasive gold standard for complex venous assessment
Treatment Options
Varicose veins can be treated by a number of means
Compression Stockings
Non-invasive treatment to improve venous flow and reduce symptoms. Available in different compression grades.
Surgery
Surgical removal or ligation of problematic veins. Traditional approach for severe varicose veins.
Sclerotherapy
Injection of sclerosant agent to close off problematic veins. Minimally invasive outpatient procedure.
RF/Laser Ablation
Modern minimally invasive techniques using heat energy to close problematic veins from inside.
Individualized Treatment Planning
We will discuss the treatment options after review of your history, physical examination and investigations and decide together which treatment is best for you.
Patient Information Sheet
Download our comprehensive information sheet about lower limb venous incompetence duplex ultrasound examination.
PDF Format • Information about venous incompetence duplex examination for varicose vein assessment
Expert Varicose Vein Treatment
Dr Lemech provides comprehensive varicose vein evaluation and treatment using the latest minimally invasive techniques. Personalized care to address both symptoms and cosmetic concerns.