Treatment

The five branches of vascular care

Every complaint has its own path on the vascular map. The common starting point is always the same — an accurate diagnosis at an examination.

Venous diseases

Chronic venous disease is a progressive condition in which the superficial veins can dilate and venous congestion develops. Complaints often include heaviness and a dull pain in the legs, itching, burning, muscle cramps and swelling around the ankle — typically getting worse after prolonged standing or sitting.

The assessment begins with a conversation about the complaints, a clinical examination and, where indicated, a Doppler ultrasound scan, which provides detailed information about the state of the venous system.

Modern treatment covers several groups of approaches — lifestyle changes, compression therapy, medication, sclerotherapy and minimally invasive methods, including radiofrequency ablation and phlebectomy. Which approach is suitable is determined individually after an examination and diagnostics.

  • Diagnosis and follow-up of varicose veins and chronic venous disease
  • Assessment and treatment of thrombophlebitis
  • Radiofrequency ablation and sclerotherapy according to individual indications

Arterial diseases

Arterial diseases of the limbs can present with pain on walking, legs that tire easily or changes in the skin. An examination by a vascular surgeon and Doppler diagnostics help to assess the arterial blood flow and to discuss the appropriate next steps.

  • Consultation for arterial disease of the limbs
  • Assessment and follow-up of aneurysms

Wounds of vascular origin

Non-healing wounds on the limbs often have a vascular cause — venous or arterial. An accurate diagnosis of the underlying disease is the basis of the treatment plan, so the assessment includes an examination and, where necessary, vascular diagnostics.

Lymphoedema

Lymphoedema is a chronic condition in which the limb swells because of impaired lymphatic drainage. The consultation aims to distinguish lymphatic swelling from venous or other types of swelling and to outline an individual plan for care and follow-up.

Doppler ultrasound diagnostics

Doppler ultrasound is a non-invasive ultrasound method that visualises the blood flow in the veins and arteries. It is a key step in the assessment of venous and arterial complaints and supports the choice of the appropriate approach — from follow-up to treatment.

The information on this page is general and does not make a diagnosis. Which approach is suitable in your case is determined individually — after an examination and diagnostics. Book an appointment or call 0887 217 378.

Take the first step towards healthy legs

Book an appointment online via Superdoc or give us a call — the practice team will help you find a convenient time.

Consultation hours: monday 09:00 – 13:00 · wednesday 14:00 – 18:00 — Hubcha 16 Medical Centre, Sofia