Ultrasound helps to decide if laser, radio frequency, or ultrasound guided foam sclerotherapy treatment is possible. These are recommended FIRST line treatments when possible, using the National Institute for Health and Care Excellence (NICE) criteria. If you don't have a scan, you can't realistically have these treatments considered.
We now know that even with THREAD veins, a scan is usually required as up to 25% of patients have underlying vein disease that may need dealt with first.
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