How to diagnose Varicose Veins?

The first step is taking a detailed clinical and family history. Factors that can increase your risk for varicose veins include being overweight, not exercising enough, smoking, and having a job that requires long periods of standing or sitting. Women are more likely to suffer from varicose veins than men, and the disease usually affects people between the ages of 30 and 70.

Another risk factor is a family history of venous disease.

A physical exam is the next step.

The doctor will examine your legs for any bulging veins, and if these are present, their texture and color. He will examine the skin overlying the veins for color changes, thickening, or breakdown. The definitive test for proper diagnosis is a complete venous ultrasound. This exam will study both the deep and superficial veins to assess the patient’s overall circulation. The quality of the ultrasound is very important in order to determine which vein is causing the problem, as well as its size and location. The severity of the problem also needs to be assessed.

Ultrasound examinations are very operator dependent - which means that vascular laboratories must be accredited to ensure they have qualified technicians performing the correct protocols. For example, the superficial veins must be checked while the patient is in the standing position. Getting to the right treatment requires the correct diagnosis. Patients should make sure they are evaluated and examined by a vascular surgeon with an accredited ultrasound laboratory.