Varicose Veins

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Treatment for Varicose Veins

There are several treatments available for Varicose Veins including Radiofrequency Ablation, Sclerotherapy, stripping and much more. Booking your initial consultation will enable Liverpool Vascular Clinic to assess your condition and provide the advise and specific treatment that’s right for you.

The Treatment & Process

A full and comprehensive range of treatments are offered by the Liverpool Vascular Clinic who will assess and provide the appropriate treatment for you. Below are some of the most common treatments we offer.

Assessment

All treatment plans start with our assessment / initial consultation. This allows our specialists to fully understand your condition and work out the right path of treatment for you.

Venous Duplex

The next step in your assessment is to receive a Venous Duplex Ultrasound. A procedure that uses sound waves to “see” inside your body. This procedure is performed to evaluate symptoms including leg pain or swelling, varicose veins, or suspected blood clots in your legs and/or lungs.  Unlike high street Vein clinics where the treating surgeon performs such scans our scans are performed by accredited vascular scientists ensuring quality and independence.

Treatment of Varicose Veins

Following the consultation and diagnostic scan, one of three treatment options would be recommended where vein disease has been confirmed. All these treatment options are proven to be safe and effective for treatment of varicose veins by the National Institute for Clinical Excellence (NICE)

• Ablation of one or more truncal veins with heated catheter (radio-frequency ablation or ClosureFast™ procedure).
• Foam sclerotherapy is used to treat superficial veins visible on the surface of the skin.
• Surgical options can be offered to “strip” out the vein or to remove visible varicose veins that are large
• You may be offered a combination of treatments with follow up foam treatments as required at least 6 weeks later.
See below for more information on these treatments.

Radiofrequency Ablation

The ClosureFast™ procedure uses radiofrequency energy or heat to close the diseased vein, which redirects blood flow to healthy veins, relieving symptoms. 

  • Using ultrasound, your physician will position the catheter into the diseased vein through a small opening in the skin.
  • The small catheter delivers heat to the vein wall, causing it to shrink and the vein to seal closed.
  • Once the diseased vein is closed, blood will reroute itself to other healthy veins. 

This procedure is minimally invasive so only takes around an hour and you will be back to normal activities within a few days. Over 2 million patients have been treated with the ClosureFast procedure in over 100 countries around the world.

Sclerotherapy

This treatment involves injecting special foam into your veins. The foam scars the veins, which seals them closed.

The injection is guided to the vein using an ultrasound scan. It’s possible to treat more than one vein in the same session. Foam sclerotherapy is usually carried out under local anaesthetic, where a painkilling medication will be used to numb the area being treated.

After sclerotherapy, your varicose veins should begin to fade after a few weeks as stronger veins take over the role of the damaged vein, which is no longer filled with blood. You may require treatment more than once before the vein fades.

CLOSUREFAST

PROCEDURE ANIMATION

 

ClosureFast endovenous radiofrequency ablation procedure

Re-Assess and discharge

All treatment plans include a quick clinical follow-up around 6 weeks post procedure. You will speak with your clinician to review the improvement in appearance and symptoms as discussed during your diagnosis. Following this appointment you can expect to be discharged from our care and get on with enjoying your life.

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Have a different condition?

Varicose Veins

Leg Swelling

Aortic Aneurysm (AAA)

Peripheral Arterial Disease

Vascular Imaging

General Vascular Surgery

Patient Reviews

"In 2024 I experienced severe pains in my left leg during a walk. After seeing the doctor then a consultant and a scan I was told that I had a blockage in a main artery of my left leg and that it was Intermittent Claudication. I could not walk more than 50/100yds without severe pain. I was advised that the body will compensate for the Claudication and that exercise will help that process. I did do exercise but with after thought not enough and not dedicatedly.

Things didn’t improve that much so I went for a second opinion with another Consultant (Mr Simon Neequaye) and another scan. The situation was explained in much greater detail and the possibilities of surgical procedures and the risks involved. The decision of what course to take was left for a couple of months for me to decide.

After a delay due to another medical problem I made up my mind to do everything I could with the advice given,that was,exercise could help with the condition. I researched and found an exercise program on the internet from a NHS hospital. It consisted of Twelve basic exercises to be done 2/3 times a week,which I started straight away and combined that with walking as far as I could as often as I could. I also practiced going up and down the stairs with my left leg leading to exercise it as much as possible. It was very painful at times but the advice was to push through, then rest then continue. It was very difficult at first but gradually it was easier to do the exercises and my walking distances improved.

After several months at my next appointment/ check up I was able to say that my mobility had increased significantly and that the pain had improved and now was more of an ache than a severe pain. Also I think doing something positive has helped me deal with the situation."

Maxwell Blond. November 2025.

"After struggling with the veins in my left leg for 8 years, deciding to proceed with treatment from Mr Neequaye was the best thing I ever did. He kept my calm throughout the procedure, and the results are better than I’d have imagined."

Imogen E

"I found him to be an extremely skillfull, cautious and approachable Vascular Surgeon and despite the challenges created by the pandemic left no stone unturned at the pre-op stage.

He was never rushed and always took time to explain, in layman’s terms, and sometimes with sketches precisely what he was proposing as the solution to my pending complex Aortic Aneurysm repairs.

My procedure took place in early June 2021, I now feel fit and well and extremely fortunate indeed that my Surgeon was Mr Simon Neequaye."

Brian D

"Following the discovery of abnormal blood pressure readings I was fortunate enough to be referred the consultant vascular surgeon Dr Neequaye.

Tests and scans revealed that I had a rare arterial plumbing configuration. Following discussion we decided that the condition would be managed medically with now annual checks and two yearly scans.

I am grateful for his level of expertise,the confidence this inspires and for the inclusive nature of our consultations. "

Mrs H from Liverpool