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Conservative

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The aim is to improve venous return and reduce pressure in varicose superficial veins. It should be considered in:

  • patient's with uncomplicated varicosities
  • the pregnant, the elderly or the unfit
  • patient's who refuse other forms of treatment

Methods include:

  • encourage walking
  • discourage prolonged sitting or standing
  • keep legs elevated when sitting to increase venous return
  • lose weight, if appropriate
  • wear supporting elastic stockings which compress superficial veins and prevent reflux from deep veins:
    • the stockings should extend from the distal metatarsals to just below the knee
    • avoid extending to the thigh unless they can be secured by means of a garter
    • use carefully because of potential tourniquet effect

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