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Your first visit will be for an initial consultation. This appointment will be 45-60 minutes long. A thorough medical history and focused physical examination will be undertaken, followed by non-invasive diagnostic testing which may include venous doppler, transillumination of varicose veins, and color Duplex ultrasound and venous mapping. This information will provide us with the necessary information to formulate an individualized treatment plan for you.

Optimum results are best obtained through a combination of treatment methods such as visual sclerotherapy, foam and liquid sclerotherapy and ultrasound guided injections, endovenous laser or radiofrequency ablations, microphlebectomies, ligations and surgical stripping and ligations. Combination therapies have become the standard of care for the treatment of varicose vein disease.

You will be asked to complete a medical/surgical history questionnaire including your current medications and allergies. Once in the patient room, you will be asked to change into loose fitting shorts to allow for better visualization of your entire legs. You may bring your own or use ones we have available for  our patients. We will be taking photographs of your legs for your patient file. Our certified fitting staff will take measurements of your legs for graduated compression stockings. If you have previously worn graduated compression stockings, please bring them with you, and you should bring your compression stockings with you to all of your appointments.

The number of treatment options for varicose vein disease can be confusing. Only after appropriate examination and assessment can we help you make the best treatment choice. This is done with duplex ultrasound assessment of your leg veins and valves. The choices we offer you depend on the results of your assessment and to an extent, your own needs and desires for treatment options. Often there is more than one choice available to you and you must help us weigh the pros and cons to help you  decide what is best for you.

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