Nice | Varicose veins in the legs

22nd August 2013 by Louise Hudman

This guideline sets out to reduce disparities in the availability of different treatments for varicose veins across the country. It’ll be interesting to see how local funding copes with this…

They advise that patients meeting the following criteria should be referred to vascular services:

  • Symptomatic primary or recurrent varicose veins
  • Lower-limb skin changes thought to be due to venous insufficiency (eg eczema / pigmentation).
  • Superficial vein thrombosis and suspected venous incompetence.
  • A venous leg ulcer (below the knee that has not healed within 2 weeks).
  • A healed venous leg ulcer

Do not offer compression hosiery unless interventional treatment is unsuitable.

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