Varicose veins are caused by either primary or secondary disease. Primary disease, the most common cause of varicose veins, occurs because of an inherited weakness of the one-way valves in the veins of the leg. Secondary causes of varicose veins include deep vein thrombosis (DVT), deep venous obstructions, increase in pressure in deep veins and an increase on the pressure on the veins in the abdomen like during pregnancy.
The majority of varicose veins can now be treated without surgery.
Ultrasound Guided Sclerotherapy (UGS) has been shown to have great success rates on its own for certain types of varicose veins (for some more complicated recurrent varicose veins it can sometimes be your only choice of treatment). UGS tackles tortuous veins and veins that are simply too small for other treatments to address.
Endovenous Ablation (EVA) is a technique that is ultrasound-guided, and a minimally invasive treatment for varicose veins performed under local anaesthetic. It uses radiofrequency to cauterise and close the varicose veins in the legs.
Sclerotherapy is a treatment that works by injecting a special sclerosant solution into the veins, damaging, shrinking, collapsing or dissolving them, which over time results in the disappearance of the veins.
Whilst non-surgical approaches are now the most appropriate treatments for the majority of patients with varicose veins, surgery is still occasionally indicated. The most common varicose vein operation is called ligation and stripping; it involves a small cut in the groin at the top end of the affected vein. This vein is tied off (ligated), to stop blood flowing through it, and then is carefully pulled (stripped) out of the leg through incisions. This procedure requires general anaesthetic and full theatre facilities.
The surgical removal of veins is an option for patients where EVA or UGS are not suitable.
A treatment plan will be proposed based upon the history, examination and the results of a duplex ultrasound map. Patients with varicose veins should always have an ultrasound map before any intervention or treatment. Insurance companies usually cover the cost of this depending on the policy type and where medical necessity criteria apply.
Veins and their early symptoms can be uncomfortable, which can limit your everyday activities. Acting early before varicose veins start to bulge and symptoms worsen is worthwhile for your health and wellbeing. We offer vein assessments without referral from your GP. The diagnosis is made via a Doctor’s assessment and Ultrasound examination done on site at the Skin Institute clinic. The most appropriate treatment will be recommended based on the findings of this assessment.
Thankfully, the majority of vein conditions can now be treated without surgery the current published research clearly identifies the most appropriate treatments now are not surgical,” Mr Stephen Benson, General Surgeon, says. In fact, the long-term effectiveness of non-surgical treatment of veins is over 90%, compared to surgical methods that have a long-term effectiveness of less than 70%.
At Skin Institute, we accept cash, Eftpos or credit cards. There are also easy ways to spread your payments with QCard or Afterpay.
We are also a Southern Cross Affiliated Provider for procedures where medical necessity and criteria are met.