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Varicose Vein Clinic

Treatment Criteria & Principles

Whether varicose veins need treatment is not decided by how much the veins bulge.
We look together at whether duplex ultrasound confirms venous reflux, whether symptoms affect daily life, and whether skin changes are present.

#criteria #ultrasound #non-surgical #surgery

01

First criterion

Is reflux confirmed on duplex ultrasound?

Duplex ultrasound examines not only the shape of the vein but the direction of flow, valve function and where reflux begins.

Confirming the site and extent of reflux in the main veins — the great saphenous, small saphenous and perforating veins — is the important part.

Reflux on ultrasound does not by itself mean surgery or a procedure is decided.

The location and diameter of the refluxing vein, the severity of symptoms and any skin change are considered together in setting the direction of treatment.

하지정맥류 치료기준 - 혈관초음파 검사 다리
하지정맥류 치료기준 - 다리 증상 무거움 부종

02

Second criterion

Do the symptoms affect daily life?

If heaviness, swelling, pain, heat, numbness or night cramps keep returning and affect daily life, the state of the veins should be checked.

Spinal conditions, peripheral nerve problems and lymphatic circulation can cause similar symptoms, so duplex ultrasound is needed to see how far venous reflux is involved.

03

Third criterion

Are there skin changes or complications?

When pigmentation around the ankle, itching, eczema, lipodermatosclerosis, venous ulcers or superficial thrombophlebitis are present, a combined approach to treatment is needed

하지정맥류 치료기준 - 피부 변화 발목

Direction of treatment

How is the direction of treatment decided?

When symptoms are mild or there is no clear reflux, conservative care comes first

01

Conservative care

Compression stockings · oral medication · lifestyle adjustment

02

Sclerotherapy

Used for small veins and branch varicosities

03

Vein closure · surgery

Details of each treatment are on its own page

Our principles at Bluesky Phlebology

What matters is establishing why a treatment is needed

Dr. Bang Jeong-hee served as a university hospital professor for 30 years and, on the basis of more than 3,000 vascular operations, assesses venous disease in detail.

Using high-resolution duplex ultrasound to confirm the site and extent of reflux, we aim for care in which patients understand their own condition.

혈관외과의사의 30년 경력의 대학병원 교수 경험

30 years

as a university hospital professor

3,000+

of vascular surgery experience

High-resolution

duplex ultrasound · care built on explanation

FAQ

Treatment criteria — frequently asked questions

If veins bulge, do they always need treatment?

No. Even when no veins are visible, recurring heaviness, swelling, night cramps or numbness can point to a circulation problem. Only duplex ultrasound can give an accurate diagnosis.

Not every case calls for surgery. Depending on the symptoms and the ultrasound findings, it can be managed with compression stockings, oral medication or sclerotherapy. The direction is decided after a full examination.

Yes, these are common early symptoms. If they worsen in the afternoon or after long periods of standing, a circulation problem is possible. If they keep returning, an examination is recommended.

Book a visit

If heavy legs keep coming back, talk to a specialist now

From checking symptoms to treatment, Bluesky Phlebology is with you
Ultrasound results the same day · same-day consultation available

Weekdays 09:00–12:30, 13:30–18:00 | Wed & Sat 09:00–13:00 | Closed Sun & holidays