❶ Diagnosis Of Diseases: Varicose Veins

It would seem, what could be easier than determining the presence of varicose veins? But a visual examination is completely insufficient to make a correct diagnosis and prescribe treatment. You can only see the true state of the deep veins of the thigh and lower leg with the help of a special examination, which will be prescribed by a phlebologist. Location: Location: Visual inspection allows you to see the superficial veins, determine the tension, density and presence or absence of tenderness to the touch. The condition of the valves and perforating veins can be seen with ultrasound, Doppler, or angiography.

Diagnostics using ultrasound and Doppler

Ultrasound is the main type of diagnostic examination used to make an accurate diagnosis and prescribe further treatment. During ultrasound and Doppler ultrasound, the doctor sees the veins in the section, assesses the nature of the blood flow, the presence of reverse blood flow, the degree of consistency of the valves of the perforating veins, the patency of the deep veins, and the presence or absence of blood clots.

Ultrasound is the most economical method for diagnosing varicose veins. Doppler ultrasonography is used only if one type of examination is not enough for a doctor to make a correct diagnosis.

When performing color Doppler sonography, the nature of the vascular blood flow is diagnosed. Blood flow is colored red or blue on the monitor screen.

Angiography, or phlebography

This is an X-ray method, which consists in the introduction of a radiopaque substance into the vessels. On the roentgenogram, the doctor sees the state of the vessels, the presence of blood clots, the degree of lumen. Angiography is rarely used if for some reason it is impossible to perform Doppler ultrasound.

Other diagnostic methods

Other methods of vein examination include plethysmography, phleboscintigraphy, phlebomanometry, and three-dimensional computed tomography. All these methods are used only with complicated varicose veins and in the absence of the possibility of Doppler ultrasonography.

In addition to all diagnostic methods, laboratory tests are carried out to determine the indicators of blood clotting. Timely diagnosis helps to exclude serious complications.