Management and referral of varicose veins
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Uncomplicated Varicose Veins
Varicose veins without skin changes.
These may present with heaviness, tension, pain, itch or restless legs
Complicated Varicose Veins
- Varicose eczema
- Venous pigmentation
- Lipodermatosclerosis
- Active or healed ulceration
- Bleeding
- Truncal thrombophlebitis
- requiring treatment with enoxaparin or demonstrated on ultrasound scanning
- risk of propagation to deep system – refer as per Management of suspected DVT
Protocol for access to varicose vein surgery
Further information
European Society for Vascular Surgery Guidelines: Clinical Practice Management of Chronic Venous Disease
Editorial Information
Last reviewed: 04 February 2020
Next review: 30 April 2022
Author(s): Consultant Vascular Surgeons
Approved By: TAM Subgroup of ADTC
Reviewer Name(s): Consultant Vascular Surgeon
Document Id: TAM424