Varicose Veins
Varicose Veins Varicose veins are enlarged, twisted veins visible just below the skin, common in the legs and feet. They occur when vein valves malfunction, causing blood pooling and increased pressure. This condition affects one in three people, often showing as dark blue or purple veins snaking under the skin. It is more than just a Cosmetic Condition While varicose veins impact appearance,
What it is
Varicose veins affect around 1 in 4 UK adults. Beyond cosmetic concern, they cause aching, swelling, skin changes, eczema, ulceration and (rarely) superficial venous thrombosis. NICE recommends endothermal ablation as first-line treatment for symptomatic varicose veins.
Symptoms and signs
- Visible bulging, tortuous leg veins.
- Aching, heaviness, restlessness or itching in the legs — particularly at the end of the day.
- Ankle swelling, eczema-like skin changes (varicose eczema) or brown discoloration (haemosiderin).
- Healed or active venous leg ulcer.
- Previous superficial venous thrombosis (phlebitis) along a varicose vein.
How we investigate
Duplex venous ultrasound performed by an accredited vascular sonographer — the diagnostic gold standard. Identifies the source of reflux (great saphenous, small saphenous, anterior accessory, perforator) which determines treatment.
Treatment options at The Vesey
- Endovenous laser ablation (EVLA) — walk-in walk-out, local anaesthetic only, day-case.
- Radiofrequency ablation — equivalent to EVLA, technique-dependent choice.
- VenaSeal glue closure — no tumescent anaesthesia required, fast recovery.
- Foam sclerotherapy — for tributaries, recurrent disease, and selected smaller veins.
- Compression therapy — for venous skin changes, ulcers and where intervention is deferred or declined.
Book an appointment
When to see a specialist
Book if your varicose veins are symptomatic, are causing skin changes, or you want a structured consultation on whether treatment is right for you.
Cost and pathway
Initial vascular consultation £290 (includes initial assessment). Duplex venous ultrasound from £290. Endovenous ablation packages from £1,950 per leg.
- Open 7 days including Sundays — 8am to 8pm, no weekend surcharge
- No GP referral required — book directly with our vascular surgical team
- Sutton Coldfield location — serving Birmingham, Walsall, Tamworth, Lichfield and the West Midlands
- CQC-regulated — rated 4.87/5 on Doctify from 700+ verified reviews
View our vascular surgical services →
Sutton Coldfield · Birmingham · Walsall · Tamworth · Lichfield · West Midlands · Open 7 days 8am–8pm
Open 7 days · 8am–8pm · 0121 387 3727