Varicose veins

Date Published: 
Wednesday, November 27, 2019

Dr Sam Dunn discusses varicose veins - vanity or a medical necessity? Sam has completed the diploma of Procedural Phlebology and is the medical director of Palm Clinic in Auckland.



  • Definition and pathophysiology refresher
  • How do patients present
  • Clinical examinations
  • Self help that works
  • When to refer
  • Investigation in the community
  • Conservative management
  • Recurance rates
  • Post treatment instructions
  • Potential complications
  • Spider veins


Take home messages

  • Common symptoms: heavy, achy, tired legs.
  • Less common symptoms: restless legs, cramps at night, pruritus or edema.
  • Relief from elevation or compression is very telling of a venous cause.
  • Symptoms don’t always corolate with signs
  • Ultrasound scan can detect that incompetence that may not be outwardly visible.
  • Gold standard treatment is Radiofrequency ablation (RFA) or endovenous laser ablation (EVLT).
  • Surgery is not the treatment of choice.




Dr Sam Dunn
Vein Physician

To contact sam Click here.




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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.