Symptoms and medical history
The first step is to understand whether the symptoms come from the veins. Medical history, previous vein treatment, any history of clots and factors that may increase clotting risk are discussed.
Standing examination
The examination is done standing, because veins become more visible when standing. All visible veins from spider veins to large varicose veins, skin changes, swelling, ulcers and previous scars are assessed.
Colour Doppler ultrasound
After the examination the leg veins are examined standing with colour Doppler ultrasound. It shows blood flow, valve failure (reflux) and possible clots or blockages. It is non-invasive; no needles or medication are used.
When the examining doctor also performs the ultrasound, the vein anatomy is known in detail and treatment can be planned as a whole.
Related pages
Frequently asked questions
Is any preparation needed for Doppler ultrasound?
Usually not; comfortable clothing that lets the legs be uncovered easily is recommended.
Can treatment be on the same day as diagnosis?
In some cases a treatment plan can be made the same day, depending on the examination and ultrasound findings.
