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What should be done about tortuous veins?
February 19, 2026
What should be done about tortuous veins?
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Vein stripping Is Over and the Future Is Endovenous
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Updated February 19, 2026

Patient Pathway for Thread and Spider Veins; Telangiectasia

thread veins on legs - patient pathway

Thread veins are the very fine, red veins that can occur on the surface of the lower or upper leg. They are also referred to as broken veins or spider veins and are the blight of many men and women, causing sufferers much embarrassment and upset due to their rather unsightly appearance.

Wrongly considered a cosmetic issue, they are very often an indicator of a hidden varicose vein loitering underneath and if left untreated, the thread veins will remain and may even continue to increase in number and size.




Microsclerotherapy - Treatment for Thread Veins of the legs


Thread veins can easily be treated using a medical procedure called Microsclerotherapy. However, there is no point having this treatment until the underlying cause (or causes) of the thread veins have been identified and removed.

The most effective way of doing this is to visit a qualified Sonographer who can perform a duplex ultrasound scan which will clearly highlight whether there is a deeper vein that is giving rise to the more superficial thread veins that can be seen on the surface of the skin.

With 89% of thread veins having an underlying varicose vein, sufferers are encouraged to identify the root cause of the problem before seeking any treatment.




Suggested pathway:


 

  • Consultation & Duplex Ultrasound Scan

  • Review of results

  • Treatment Plan


 




For more information, please see the thread veins section of our website. Alternatively, contact us using the contact form, email at [email protected] or call us on 01483 477180.

April 1, 2016