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To determine whether venous reflux disease is causing your varicose vein symptoms, your doctor may conduct an examination and some tests. In some cases, you may be referred to a vascular surgeon at this time. After you describe your symptoms, the surgeon will examine your legs in a standing position, looking for swelling, visible veins and signs of skin changes, like discoloration, irritation or early signs of ulcers.
The next step is a “hands-on” examination – the surgeon will feel your leg with his fingertips to detect swollen veins that are too deep under the skin to be visible. The groin area and the back of the calf are particular targets for inspection, and the surgeon will also pay special attention to any areas of significant pain or tenderness, because that can indicate a possible blood clot or deep vein thrombosis (DVT).
If the exam produces sufficient signs of venous reflux, your surgeon will probably order an ultrasound examination, a non-invasive test that provides a clear and detailed image of the circulatory system in your leg. The most sophisticated ultrasound tests use Doppler technology – the same technology used for weather radar – that illustrate the blood flow in various shades of red and blue to show the doctor the speed and direction of the blood flow through the vein.
If the ultrasound confirms the diagnosis of venous reflux, your surgeon will commonly prescribe conservative measures like compression stockings as a first step in your treatment. (If the ultrasound does not indicate venous reflux, a Magnetic Resonance Imaging test may be ordered to pinpoint the source of the symptoms.) Patients exhibiting the signs or symptoms of varicose veins may request a referral to a specialist performing the VNUS Closure procedure.
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