The diagnosis of varicose veins requires an examination and tests performed by a qualified physician who specializes in venous diseases. These physicians are called Phlebologists. Patients should inquire about the physician’s qualifications as a Phlebologist.  A Phlebologist is a specialist with the most modern tools and knowledge of the diagnosis and treatment of varicose veins and venous diseases. Diagnosis usually begins with an office visit where the physician or his/her staff will gather some initial information from the patient. A consultation with the physician will follow. The physician will gather more detailed information from the patient. This information may include a detailed history of the patient’s medical conditions and symptoms the patient is experiencing. Next through physical exams of the legs are performed to evaluate the extent of the venous disease.  The physician may also examine the abdominal and pelvic area as well.

After the physical exam is completed the physician will decide if any additional tests are needed to evaluate the venous system and the vein valves. The standard test for this is a duplex ultrasound imaging. Most Phlebologists have the equipment and the expertise to perform this test in their office. If not, the patient may be referred to another facility for the test.

At the completion of the visit the physician will explain all the treatment options to the patient. The patient should ask questions about the cost, complications, advantages and disadvantages of all the treatments. The patient should also ask questions concerning the physician’s qualifications to perform any treatment procedures. Treatment of varicose veins and venous diseases include the conservative treatment of wearing compression stockings. Other treatments include sclerotherapy, surgery, and endovenous laser procedures.