Varicose Veins must be assessed and marked standing up.
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Varicose veins are caused by superficial venous reflux – down flow of blood in the wrong direction in the veins under the pull of gravity. It therefore follows that to accurately diagnose the root cause of varicose veins, gravity must be acting on the veins when the veins are examined. We hear many stories of patients who have had inadequate treatment because they were scanned with ultrasound while lying down. Identifying the presence of reflux, where it is coming from and which veins are affected, can only be accurately assessed by duplex ultrasound when the patient is standing.
Furthermore, to accurately identify the varicose veins for adjunctive procedures such as phlebectomy and foam sclerotherapy, skin marking must be performed while the patient is standing.
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