Lincoln Vein Clinic

Modern vein treatment

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Treatments

The National Institute for Health and Care Excellence (NICE) published guidance in 2013 for the treatment of symptomatic varicose veins. They concluded that varicose veins should be assessed by a vascular specialist and a venous duplex ultrasound should be part of that assessment. Treatments should be in the following order


Clarivein is a new technique which has been approved by NICE when used by practitioners with training and that patients understand the technique does not have long term results.

Varicose Veins

Thread Veins

Thread veins on the leg are best treated with microsclerotherapy and on the face with Veinwave.

Appendix K - Surgical

Treatment of Varicose

Veins NHS Lincolnshire will commission surgical treatment of varicose veins

only when one, or more, of the following clinical criteria are met *:

a. Varicose eczema

b. Lipodermatosclerosis or a varicose ulcer

c. At least two episodes of documented superficial thrombophlebitis

d. A major episode of bleeding from the varicosity

*These criteria equate approximately to Class 4 & 5 of the

Nottingham/Derby Guidelines (published 2001) ‘Varicose Veins - who

and what to treat’. (NB. Patients who are in Class 3 should only be

referred if one, or more, of the following clinical criteria are met:

At least two episodes of documented superficial thrombophlebitis

A major episode of bleeding from the varicosity)

 Details of condition

 Which clinical criteria have been applied/fulfilled

NHS Treatment

NHS treatment of varicose veins in Lincolnshire is subject to NHS Lincolnshire's prior approval scheme. This means that NHS funding is only available when

This means that many patients who were previously entitled to NHS care no longer qualify. Although private patients have a right to transfer to the NHS for their treatment they are not entitled to transfer if their condition does not meet NHS Lincolnshire's prior approval criteria.


Please discuss your individual case with Mr Dunning if you are in any doubt. Private insurers still cover patients for a varicose veins that are causing symptoms. Most policies will not cover cosmetic procedures which includes most cases of thread veins.