Procedures not routinely provided by NHSScotland

  • Varicose veins with no skin complications    

Varicose veins with no skin complications

 

 

 

 

 

  • Thread Veins

Thread Veins

Patients should be given the following advice:

  • Avoid prolonged standing or sitting still
  • Elevate legs when possible
  • Use moisturiser if skin is dry, flaky or scaly
  • Use support tights or compression stockings (consider if arterial disease assessment is required before using)
  • Weight loss and exercise may reduce the risk of further varicose vein formation

Considerations for treatment

Indications for referral

  • Varicose eczema

Varicose eczema picture 1  Varicose eczema picture 2

 

  • Lipodermatosclerosis

Lipodermatosclerosis picture 1  Lipodermatosclerosis picture 2

 

  • Venous ulceration

Venous ulceration picture 1  Venous ulceration picture 2

 

  • Bleeding
  • Venous pigmentation
  • Thrombophlebitis requiring treatment with enoxaparin or demonstrated on ultrasound scanning
  • Diagnosis of truncal thrombophlebitis
  • Reducing the progression of skin changes in patients with treatable superficial disease
  • Aiming to heal venous ulcers
  • Aiming to prevent recurrence of venous ulcers
  • Prevention of further bleeding episodes
  • Prevention of recurrent thrombophlebitis

Treatment can only be considered when one or more of these indications for referral are met.