Our Services

Minimally invasive, evidence-based treatments for varicose veins and venous disorders.

Methods of Treatment

1. Endovenous Therapy

Thermal: RFA, Microwave, Steam

Non-Thermal: Sclerotherapy, HIFU

2. Compression Therapy

Medical-grade compression stockings to support venous return and manage symptoms.

3. Diagnostics

Duplex ultrasound scanning — the gold standard for diagnosing venous disease.

Ultrasound Diagnostics (Sonar)

Vascular ultrasound imaging is considered the gold standard in diagnosing and guiding venous disease treatment. The scan examines deep and superficial veins in the legs to assess patency of the deep venous system and evaluate varicosities and venous reflux.

Our sonographer will scan from the junction of the leg and hip down to the mid-calf on each side, checking for blood clots. You will then stand so the sonographer can assess the superficial veins for reflux.

Preparation

No preparation is required for this exam.

Duration

Plan for 30 to 60 minutes depending on whether one or both legs are assessed.

Treatment Procedures

Radio Frequency Ablation (RFA)

Thermal Ablation

Radiofrequency ablation is a procedure that uses radio waves to produce electrical current, which heats up a small area of the vein surface from inside. This process leads to obliteration of the vein, causing it to close. The procedure is done at the office under local anaesthetic and guided by sonar.

Liquid Sclerotherapy

Non-Thermal Ablation

The liquid chemical solution (sodium tetradecyl sulphate / STS) is injected through a very fine needle directly into the vein and causes almost no pain. Liquid Sclerotherapy is a simple and safe procedure that successfully treats over 90% of varicose veins. It is especially useful for spider veins and reticular veins. In some patients, more than one session may be required, usually after an interval of 4 to 6 weeks.

Foam Sclerotherapy

Non-Thermal Ablation

For larger varicose veins, the liquid sclerosant is converted into a viscous, thick foam by mixing it with either air or nitrogen. This foam is then injected into the varicose veins under ultrasound guidance. Since the foam is viscous, it stays in contact with the vein wall for a longer time, allowing the sclerosant more time to act and increasing the chances of the vein staying permanently closed.

High Intensity Focused Ultrasound (HIFU)

Non-Thermal Ablation

HIFU may prove to be the next disruptive technology in the treatment of varicose veins and venous reflux disease. It is totally non-invasive, with ultrasound energy being beamed from a transducer applied to the skin above the vein.

Steam Ablation

Thermal Ablation

Endovenous Steam Ablation (EVSA) is a method of thermal vein ablation that works by heating the veins with steam to a maximum temperature of 120 degrees centigrade. Steam is ejected into the treated vein from two areas at the tip of the catheter.

Local Anaesthesia

Tumescent anaesthetic describes the use of large volumes of dilute anaesthetic solutions infiltrated into the space surrounding the veins to be treated. A solution of lidocaine with or without epinephrine in normal saline, often buffered with sodium bicarbonate, is used.

Purposes of Tumescent Anaesthesia:

  • A. Provides local anaesthetic effect
  • B. Empties the vein to maximise contact of the thermal device with the vein wall
  • C. Minimises heating of adjacent structures

Ready to Start Treatment?

Based on your sonar findings, our surgeon will recommend the most suitable treatment option for you.

Book a Consultation