{"id":12917,"date":"2025-09-05T08:00:23","date_gmt":"2025-09-05T08:00:23","guid":{"rendered":"https:\/\/hautarzt-muenchen-sendlinger-tor.de\/varicose-veins-diagnosis-and-treatment\/"},"modified":"2025-10-24T09:55:19","modified_gmt":"2025-10-24T09:55:19","slug":"varicose-veins-diagnosis-and-treatment","status":"publish","type":"page","link":"https:\/\/hautarzt-muenchen-sendlinger-tor.de\/en\/varicose-veins-diagnosis-and-treatment\/","title":{"rendered":"Varicose veins: Diagnosis and treatment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"12917\" class=\"elementor elementor-12917 elementor-6196\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<main data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-b4607b6 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b4607b6\" data-element_type=\"section\" data-e-type=\"section\" id=\"oben\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-8a1fd42\" data-id=\"8a1fd42\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ce3861e elementor-widget elementor-widget-heading\" data-id=\"ce3861e\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation_mobile&quot;:&quot;fadeInRight&quot;,&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Varicose veins: <br>Diagnosis and treatment<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-aa34e4a\" data-id=\"aa34e4a\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7180e03 elementor-widget elementor-widget-text-editor\" data-id=\"7180e03\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"><span class=\"s1\">Today, early treatment of varicose veins is recommended before symptoms occur. Doppler procedures are now mostly used to assess the reflux and detect flow obstructions. Color-coded duplex sonography, an ultrasound examination, has largely replaced phlebography, an X-ray examination with contrast medium. It can be used to precisely localize thromboses or valve leaks. <br><\/span><span class=\"s1\">There are various options for treating the veins: Removal (by classic crossectomy and stripping), closure (with endoluminal procedures) or adhesion (sclerotherapy).<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-ef7f393\" data-id=\"ef7f393\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/main>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-be1971f elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"be1971f\" data-element_type=\"section\" data-e-type=\"section\" id=\"content\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-48cd841\" data-id=\"48cd841\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6d12cdc elementor-widget elementor-widget-heading\" data-id=\"6d12cdc\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Stripping procedure<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-31c4953 elementor-widget elementor-widget-text-editor\" data-id=\"31c4953\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"><span class=\"s1\">Open crossectomy was considered the gold standard of phlebology for over 100 years and is covered by all health insurance companies. Depending on the location of the vein to be treated, an incision is made in the groin or knee. The so-called crosse, the crossing point between superficial and deep veins, is sought. The superficial vein is then cut off as close as possible to where it joins the deep vein, severed and pulled out. As the legs have to be wrapped for several weeks, the treatment is only recommended in the winter months. It can also lead to bruising, infections, sensitive nerve damage or thrombosis.     <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-34713ef\" data-id=\"34713ef\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f940177 elementor-widget elementor-widget-heading\" data-id=\"f940177\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Endoluminal procedures<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ae831e elementor-widget elementor-widget-text-editor\" data-id=\"3ae831e\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"><span class=\"s1\">In endoluminal procedures, the varicose vein wall is damaged from the inside by delivering energy to the vessel wall, causing the varicose vein to close. The aim is for the treated vein to be broken down by the body. The energy can be applied using a laser (endovenous laser ablation, ELVT) or steam (endovenous vapor ablation, EVSA).  <\/span><\/p><p class=\"p1\"><span class=\"s1\">Endovenous laser ablation (ELVT) is comparable to radiofrequency therapy in terms of the procedure. Different lasers with wavelengths from 810 to 1470 nm are used for ELVT. This results in temperatures of up to 700 \u00b0C. In endovenous vapor ablation (EVSA), steam is used to close the vein. A catheter releases the steam at temperatures of up to 120 \u00b0C in two directions.    <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-07f0fbd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"07f0fbd\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-09f86e9\" data-id=\"09f86e9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2ebe504 elementor-widget elementor-widget-heading\" data-id=\"2ebe504\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Sclerotherapy<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e9cbe79 elementor-widget elementor-widget-text-editor\" data-id=\"e9cbe79\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"><span class=\"s1\">As with the treatment of spider veins, ethoxysclerol is also injected into the vessels to be treated for sclerotherapy of varicose veins &#8211; however, the veins involved are larger and the concentrations are correspondingly higher. Sclerotherapy is performed on an outpatient basis and does not require anesthesia. However, as the closure rates are rather low, the method is only used if the procedures described above are not possible.  <\/span><\/p><p><strong>Continue reading:<br><\/strong><a href=\"https:\/\/hautarzt-muenchen-sendlinger-tor.de\/krampfadern-eine-volkskrankheit-und-ihre-ursachen\/\"><span class=\"s1\"><b>Vein problems: Options for prevention<\/b><\/span><\/a><br><a href=\"https:\/\/hautarzt-muenchen-sendlinger-tor.de\/en\/treatments\/phlebology-vein-medicine\/\"><strong>Venous medicine<\/strong><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7f44777\" data-id=\"7f44777\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-753451c elementor-widget elementor-widget-heading\" data-id=\"753451c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Read more<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-396da46 elementor-widget elementor-widget-text-editor\" data-id=\"396da46\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><a href=\"https:\/\/hautarzt-muenchen-sendlinger-tor.de\/wissenswertes\/gesunde-venen-einblick-in-ein-komplexes-system\/\">Healthy veins: Insight into a complex system<\/a><\/li><li><a href=\"https:\/\/hautarzt-muenchen-sendlinger-tor.de\/wissenswertes\/krampfadern-eine-volkskrankheit-und-ihre-ursachen\/\">Varicose veins: A widespread disease and its causes<\/a><\/li><li><a href=\"https:\/\/hautarzt-muenchen-sendlinger-tor.de\/en\/varicose-veins-more-than-a-cosmetic-problem\/\">Varicose veins: More than a cosmetic problem<\/a><\/li><li><a href=\"https:\/\/hautarzt-muenchen-sendlinger-tor.de\/en\/varicose-veins-diagnosis-and-treatment\/\">Varicose veins: Diagnosis and treatment<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-6e0db6ed elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6e0db6ed\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4a236d8\" data-id=\"4a236d8\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7c8dac39 elementor-widget elementor-widget-jkit_heading\" data-id=\"7c8dac39\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation_mobile&quot;:&quot;fadeInUp&quot;,&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"jkit_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div  class=\"jeg-elementor-kit jkit-heading  align-center align-tablet- align-mobile- jeg_module___6a02f8292b765\" ><h3 class=\"heading-section-subtitle  style-color\">Your skin - our mission<\/h3><div class=\"heading-section-title  display-inline-block\"><h2 class=\"heading-title\">Make an appointment now<\/h2><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f2ac4ee elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"1f2ac4ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Please make an appointment by calling <a href=\"tel:+4989238874321\">+49(89) 238874321<\/a> or via the Internet<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-55376635 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"55376635\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-b5740c7\" data-id=\"b5740c7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a544479 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"a544479\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.jameda.de\/gesundheitseinrichtungen\/dermatologie-am-sendlinger-tor-privatpraxis#address-id=61056&#038;is-online-only=false&#038;filters%5Bservices%5D%5B%5D=382\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Make an appointment now<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-88de5bd elementor-invisible\" data-id=\"88de5bd\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-25008f9 elementor-widget elementor-widget-image\" data-id=\"25008f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/hautarzt-muenchen-sendlinger-tor.de\/wp-content\/uploads\/2025\/08\/Behandlungen_Gereate_2000px_004_094-1024x1024.webp\" class=\"attachment-large size-large wp-image-12901\" alt=\"\" srcset=\"https:\/\/hautarzt-muenchen-sendlinger-tor.de\/wp-content\/uploads\/2025\/08\/Behandlungen_Gereate_2000px_004_094-1024x1024.webp 1024w, https:\/\/hautarzt-muenchen-sendlinger-tor.de\/wp-content\/uploads\/2025\/08\/Behandlungen_Gereate_2000px_004_094-300x300.webp 300w, https:\/\/hautarzt-muenchen-sendlinger-tor.de\/wp-content\/uploads\/2025\/08\/Behandlungen_Gereate_2000px_004_094-150x150.webp 150w, https:\/\/hautarzt-muenchen-sendlinger-tor.de\/wp-content\/uploads\/2025\/08\/Behandlungen_Gereate_2000px_004_094-768x768.webp 768w, https:\/\/hautarzt-muenchen-sendlinger-tor.de\/wp-content\/uploads\/2025\/08\/Behandlungen_Gereate_2000px_004_094-1536x1536.webp 1536w, https:\/\/hautarzt-muenchen-sendlinger-tor.de\/wp-content\/uploads\/2025\/08\/Behandlungen_Gereate_2000px_004_094.webp 1666w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Varicose veins: Diagnosis and treatment Today, early treatment of varicose veins is recommended before symptoms occur. Doppler procedures are now mostly used to assess the reflux and detect flow obstructions. Color-coded duplex sonography, an ultrasound examination, has largely replaced phlebography, an X-ray examination with contrast medium. It can be used to precisely localize thromboses or [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":12900,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-12917","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Varicose veins: Diagnosis and treatment - fast treatment<\/title>\n<meta name=\"description\" content=\"Varicose veins should be treated as soon as possible to avoid serious problems. 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