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How are nonsuperficial veins diagnosed and treated?

If varicose veins are surface veins that have restricted flow, what about veins that are not superficial? How can a doctor check for unseen veins that may have restricted blood flow or other underlying issues? How can those veins be treated?


Doctors Answers (5)

The only way to determine if you have deep vein disease is to perform an ultrasound. This type of ultrasound should be scheduled by a vein specialist. It is very possible that you have reflux in some of your deeper veins that needs to be treated to correct the more superficial problem.

The superficial veins are essentially located above the muscles in areas that can sometimes be easily seen at the surface of the skin or may not be visible without an ultrasound exam to see, evaluate blood flow and treat these veins if needed. Ultrasound guided procedures to close poorly functioning veins with venous reflux (improper blood flow) are done in the office and include several different techniques or treatment options depending on the size and location of the vein to be treated. Varicose veins can be treated using a fiber optic catherter (or radio frequency catheter) for the largest portions of varicose veins, and sometimes with either a micro-phlebectomy or guided injections of foam sclerotherapy.

Varicose Veins don't nececessarily "restrict blood flow" but instead cause backwards blood flow. Varicose veins that are deeper or deeper incompetent superficial veins can be evaluated thoroughly with duplex (ultrasound) exam. Treatments include sclerotherapy or ablation with heat such as an endovenous laser or radiofrequency catheter.

Duplex ultrasound examination evaluates all deeper Veins. We can visualize all the veins and tell you what you need to do to fix them or slow the progression of these problem.

Duplex ultrasound non-invasively demonstrates and maps leg veins below the surface very well, while numerous scans (MI, CT, angiography) diagnose veins elsewhere on the body. Treatment depends on the condition found.

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