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Varicose Veins & Venous Disorders (Australian Doctor)

How to treat varicose veins-Dr A LimVARICOSE veins are the most common superficial venous disorder of the lower limb. Venous malformations can also affect the lower limb, and a number of key syndromes are associated with venous malformation and/or varicose vein.

Procedural treatment options for these superficial venous disorders include surgery, sclerotherapy and laser. Below we have the article for you download. This article provides an update on therapeutic advances in the areas of ultrasound-guided sclerotherapy and endovenous laser ablation of superficial veins. Click the link below to download the article.
Download the Venous Disorders (Australian Doctor) article


Treatment of varicose veins (Dr Adrian Lim)

Dr Lim varicose veinsPatients often ask about management options for unsightly varicose veins


A 48-YEAR-OLD nurse presents with a 10-year history of varicose veins that are gradually getting worse. She complains of significant aching and swelling of the affected leg that gets worse with prolonged standing, especially at the end of the day.

She is currently well but has a maternal family history of varicose veins with the complication of thrombophlebitis and venous ulceration. She asks about her management options.


The diagnosis is straightforward when there are clearly visible dilated and tortuous vein segments. In less clinically apparent cases, ultrasound scanning (audio Doppler or visual Duplex devices) is required to assess superficial venous reflux or incompetence. Significant venous reflux or congestion may occasionally be detected in patients presenting with ‘mild’ looking varicose veins. Before treating varicose veins, a Duplex scan is required to map the entire superficial venous network so that no ‘hidden’ varicosities are missed. The map provides information on the degree of venous reflux or incompetence as well as vein lumen diameter. More severe disease is correlated with greater reflux and larger lumen diameters. Specific procedural options include vein stripping, ultrasound-guided sclerotherapy, endovenous laser ablation or a combination of procedures. In recent years, ultrasound guided sclerotherapy and endovenous
laser ablation techniques have become a popular alternative to this stripping procedure. Informed patient preference will help determine the specific treatment

Dr Lim and Dr Elvy are set up to offer you the best results for your leg vein problems. At the forefront of Phlebology leg vein assessment and treatment since 1998. With over 10 thousand procedures performed we combine expertise with state-of-the-art equipment to ensure that you are in safe hands!

Download the Endovenous Laser and varicose veins (Medical Observer) article