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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