Vein Duplex Ultrasound
Leg Vein Duplex Ultrasound — The Starting Point for Every Treatment
Duplex ultrasound reveals what the naked eye cannot: how your valves are working, whether blood is flowing backward (reflux), whether your deep veins are open, and whether any clots are present. I perform the scan myself at every appointment — so you leave with a clear diagnosis, a plain-English explanation, and a treatment plan in a single visit, without being sent from room to room.
20–30
minutes — both legs
2
positions: standing and lying down — reflux can only be caught this way
0
preparation or restrictions required
right away
you receive your report and treatment plan before you leave
Who Is This Procedure For
- Heaviness, swelling, night cramps, or aching legs by the end of the day
- Visible veins, bulging nodes, or spider veins
- Suspected DVT: sudden swelling and pain in one leg — seek care urgently
- Follow-up after EVLA, RFA, sclerotherapy, or surgery
- Planning a pregnancy with a family history of varicose veins
- Before surgery or long-haul flights when risk factors are present
How the Procedure Works
- 1
Standing Assessment
I examine the veins visually and identify areas of concern — many problems are only apparent when you're upright.
- 2
Lying-Down Scan
I assess the deep veins for patency and compressibility, and rule out thrombosis.
- 3
Standing Functional Tests
Valsalva and compression maneuvers are performed to detect reflux — the primary mechanism behind varicose veins.
- 4
Report & Plan
I explain the findings in plain language, draw up a personalized vein map, and walk you through your treatment options with pricing.
Benefits of the Method
Scanned by Your Treating Physician
Not a referral sonographer — the phlebologist who will care for you performs the scan, interprets the images firsthand, and stands behind the diagnosis.
Standing and Lying Down
Reflux shows up under load — a scan performed only while lying down can miss early-stage varicose disease.
Safe and Painless
Ultrasound involves no radiation: it is completely safe during pregnancy and can be repeated as many times as needed.
A Clear Action Plan — Immediately
You leave not with a printout, but with a straightforward plan: what to treat, what to monitor, and what it will cost.
Every Appointment Starts with Ultrasound
Whatever brings you in — spider veins, swollen legs, or prominent varicose veins — we always begin by looking at your veins with duplex ultrasound. Only then can we honestly recommend the right approach: sclerotherapy, laser treatment, or simply monitoring without intervention.
Pricing
Your initial consultation already includes vein duplex ultrasound and a treatment plan — there is no separate charge for the scan.
Duplex Ultrasound of the Lower Limb Veins
per estimate after ultrasound- The initial consultation includes a vein ultrasound and a personalised treatment plan
- Your cost estimate is confirmed in writing before the procedure and will not change
Frequently Asked Questions
Do I need to prepare for a vein duplex ultrasound?
No. There is no need to fast, stop any medications, or do anything special beforehand. Just wear comfortable clothing that can easily be rolled up above the knee.
How is duplex ultrasound different from a standard ultrasound?
Duplex combines two modes: B-mode imaging shows the vein's structure and any clots, while Doppler maps the direction and speed of blood flow — in other words, how your valves are functioning. Duplex is the only modality that reliably diagnoses varicose disease.
How often should I have a vein ultrasound?
If you develop symptoms, come in straight away. After treatment, scans are scheduled as part of your follow-up plan — typically at 2–3 days, 2 months, and then annually. For preventive monitoring when risk factors are present (family history, prolonged standing, multiple pregnancies), once a year is recommended.
Is vein duplex ultrasound safe during pregnancy?
Yes, ultrasound is completely safe for both mother and baby. Varicose veins often first appear during pregnancy, so there is no reason to delay assessment if you have any concerns.
What happens if you find a clot?
I determine the next steps immediately: I prescribe treatment and, if necessary, arrange hospital admission. If thrombosis is suspected, I never send a patient home to 'wait and see' without a clear management plan.
Related reading
EVLA
Laser sealing of a diseased vein through a tiny needle puncture — the leading non-surgical treatment for varicose veins.
CLaCS
A transdermal laser plus a sclerosant in the feeding vein, with skin cooling — for stubborn spider veins.
Sclerotherapy
Sclerosant injections eliminate spider veins and small vessels — no incisions, no scarring.
Miniphlebectomy
Removal of varicose nodes through 1–2 mm micro-incisions — no stitches, no visible marks.
This material is for information purposes and does not replace a doctor’s consultation. An exact diagnosis and treatment plan are established at an in-person consultation with a vein ultrasound.
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