Treatment of varicose veins

Clinical Scenario

A 48-YEAR-OLD nurse presents with a 10-year history of varicose veins that are gradually getting worse (Figure 1). She complains of significant aching and swelling of the affected leg that gets worse with prolonged standing, especially at the end of the day. 

She is currently well but has a maternal family history of varicose veins with the complication of thrombophlebitis and venous ulceration. She asks about her management options.

Complications of varicose veins

Primary varicose veins are associated