The work up begins with a good history and physical examination.  Once the diagnosis of varicose veins is established, the next step is to obtain a duplex ultrasound study.  A good study done by an experienced RVT (Registered Vascular Technologist) will take 30-45 minutes for both legs.  This study uses a sonogram (noninvasive testing) to visualize both deep and superficial venous systems in great detail.  Interpretation of this study will allow your physician to delineate the exact location of the “leaky” vein that is causing the back flow and the varicose veins.

This precise testing is absolutely necessary because it enables your doctor to come up with a very specific treatment plan that is tailored exactly to your situation.