{"id":1000026,"date":"2023-06-13T08:51:08","date_gmt":"2023-06-13T06:51:08","guid":{"rendered":"https:\/\/centromedicogargano.com\/?page_id=1000026"},"modified":"2026-10-16T00:23:30","modified_gmt":"2026-10-15T22:23:30","slug":"varicose-veins-naples","status":"publish","type":"page","link":"https:\/\/centromedicogargano.com\/en\/medical-centre-naples\/varicose-veins-naples\/","title":{"rendered":"Varicose veins in Naples: diagnosis and personalised treatments"},"content":{"rendered":"\n<section class=\"cmg-percorso-pratico\" style=\"border:1px solid #d9c8cb;border-radius:12px;padding:24px;margin:24px 0;background:#faf6f6\"><h2>Varicose vein assessment in Naples<\/h2><p>For an initial assessment, you can book venous colour duplex ultrasound of the legs with a phlebology consultation, with a 60-minute appointment. This service includes the examination and consultation with Dr Ciro Gargano during regular clinic hours. Any treatment is decided after assessment and is not included in this service. The price of each service is available in its booking calendar.<\/p><p class=\"cmg-vein-treatment-service\">The <strong>Treatment session for veins and spider veins<\/strong> uses the method selected by the doctor according to the individual case: sclerotherapy for varicose veins, liquid or foam microsclerotherapy for spider veins, or VeinGogh for selected small superficial vessels.<\/p><p class=\"cmg-vein-treatment-protocol\">At our Centre, treatment of veins and spider veins on the legs requires a prior consultation and colour duplex ultrasound scan of the leg veins carried out personally by Dr Ciro Gargano, the same doctor who will perform the treatment. The doctor chooses the method after assessing the individual case.<\/p><a class=\"cmg-book-treatment\" style=\"display:inline-block;margin:8px 12px 8px 0;padding:12px 16px;border-radius:8px;background:#632b39;color:#fff;text-decoration:none;font-weight:600;max-width:100%;box-sizing:border-box;white-space:normal;text-align:center;margin-right:0\" href=\"https:\/\/centromedicogargano.com\/en\/book-an-appointment\/?ameliaServiceId=18#prenota-online\" aria-label=\"I have already had a consultation and colour duplex ultrasound scan with Dr Ciro Gargano: Book treatment\"><span>I have already had a consultation and colour duplex ultrasound scan with Dr Ciro Gargano<\/span><br><strong>Book treatment<\/strong><\/a>\n<a class=\"cmg-book-assessment\" style=\"display:inline-block;margin:8px 12px 8px 0;padding:12px 16px;border-radius:8px;background:#632b39;color:#fff;text-decoration:none;font-weight:600;max-width:100%;box-sizing:border-box;white-space:normal;text-align:center;margin-right:0\" href=\"https:\/\/centromedicogargano.com\/en\/book-an-appointment\/?ameliaServiceId=27#prenota-online\" aria-label=\"I have not yet had a consultation and colour duplex ultrasound scan with Dr Ciro Gargano: Book a consultation and colour duplex ultrasound scan\"><span>I have not yet had a consultation and colour duplex ultrasound scan with Dr Ciro Gargano<\/span><br><strong>Book a consultation and colour duplex ultrasound scan<\/strong><\/a><\/section>\n\n\n<p class=\"wp-block-paragraph\"><strong>Varicose veins<\/strong> are dilated and tortuous superficial veins of the lower limbs. For some people, they are primarily an aesthetic concern; for others, they may be associated with heaviness, pain, swelling, itching, cramps or skin changes. At Centro Medico Gargano in Naples, the pathway before treatment includes a consultation and a <a href=\"https:\/\/centromedicogargano.com\/en\/venous-colour-duplex-ultrasound-naples\/\">venous colour duplex ultrasound<\/a>, to understand the circulatory function and choose a treatment proportionate to the clinical picture.<\/p>\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><p>On this page<\/p><nav><ul><li class=\"\"><a href=\"#quali-sintomi-possono-essere-associati-alle-vene-varicose\">Symptoms associated with varicose veins<\/a><\/li><li class=\"\"><a href=\"#perche-la-diagnosi-viene-prima-del-trattamento\">Why diagnosis comes before treatment<\/a><\/li><li class=\"\"><a href=\"#quando-richiedere-una-valutazione-specialistica\">When to request a specialist assessment<\/a><\/li><li class=\"\"><a href=\"#quali-trattamenti-possono-essere-valutati\">Treatment options that can be evaluated<\/a><\/li><li class=\"\"><a href=\"#il-percorso-presso-il-centro-medico-gargano\">The process at Centro Medico Gargano<\/a><\/li><li class=\"\"><a href=\"#risultati-limiti-e-controlli\">Results, limitations and follow-ups<\/a><\/li><li class=\"\"><a href=\"#domande-frequenti\">Frequently asked questions<\/a><\/li><li class=\"\"><a href=\"#approfondimenti-e-fonti\">Further information and sources<\/a><\/li><\/ul><\/nav><\/div>\n\n<div class=\"cmg-before-after-link\" style=\"margin:24px 0;padding:24px;background-color:#f2f7f9;border-left:4px solid #1f5f78;border-radius:8px\">\n<h2 style=\"margin:0 0 12px;font-size:1.4rem;line-height:1.3\">Before and after photos of varicose vein treatment with foam sclerotherapy<\/h2>\n<p style=\"margin:0 0 16px\">Documented photographic comparisons at Centro Medico Gargano in Naples.<\/p>\n<a href=\"https:\/\/centromedicogargano.com\/en\/sclerotherapy-varicose-thread-veins-naples\/#scleroterapia-prima-dopo\" style=\"display:inline-block;max-width:100%;padding:12px 18px;background-color:#1f5f78;color:#ffffff;border-radius:6px;font-weight:600;line-height:1.5;text-decoration:underline\">View before and after photos<\/a>\n<p style=\"margin:16px 0 0\"><a href=\"https:\/\/centromedicogargano.com\/en\/medical-centre-naples\/spider-veins-telangiectasias-naples\/#capillari-gambe-prima-dopo\" style=\"font-weight:600;text-decoration:underline\">Capillaries: treatments and before\/after photos<\/a><\/p>\n<\/div>\n\n<figure data-wp-context=\"{&quot;galleryId&quot;:&quot;6adc1999d2dce&quot;}\" data-wp-interactive=\"core\/gallery\" class=\"wp-block-gallery has-nested-images columns-default coblocks-animate wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;6adc1999d73a6&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"6adc1999d73a6\" class=\"wp-block-image size-large wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on--pointerdown=\"actions.preloadImage\" data-wp-on--pointerenter=\"actions.preloadImageWithDelay\" data-wp-on--pointerleave=\"actions.cancelPreload\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/centromedicogargano.com\/wp-content\/uploads\/2023\/11\/pima-dopo-varici-posteriori-1024x651.jpg\" alt=\"Photographic comparison of legs in two side-by-side images.\" style=\"aspect-ratio:1024\/651;object-fit:contain\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\tdata-wp-bind--aria-label=\"state.thisImage.triggerButtonAriaLabel\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.thisImage.buttonRight\"\n\t\t\tdata-wp-style--top=\"state.thisImage.buttonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;6adc1999d7e7e&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"6adc1999d7e7e\" class=\"wp-block-image size-large wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on--pointerdown=\"actions.preloadImage\" data-wp-on--pointerenter=\"actions.preloadImageWithDelay\" data-wp-on--pointerleave=\"actions.cancelPreload\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/centromedicogargano.com\/wp-content\/uploads\/2023\/06\/reticolari-e-capillari-curati-con-la-scleroterapia-edited-1024x656.png\" alt=\"Photographic comparison of the leg in the knee area in two side-by-side images.\" style=\"aspect-ratio:1024\/656;object-fit:contain\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\tdata-wp-bind--aria-label=\"state.thisImage.triggerButtonAriaLabel\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.thisImage.buttonRight\"\n\t\t\tdata-wp-style--top=\"state.thisImage.buttonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;6adc1999d7fd6&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"6adc1999d7fd6\" class=\"wp-block-image size-large wp-lightbox-container\"><img decoding=\"async\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on--pointerdown=\"actions.preloadImage\" data-wp-on--pointerenter=\"actions.preloadImageWithDelay\" data-wp-on--pointerleave=\"actions.cancelPreload\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/centromedicogargano.com\/wp-content\/uploads\/2023\/06\/curare-vene-varicose-a-napoli-1024x904.jpg\" alt=\"Varicose veins of the thigh before and 5 weeks after foam sclerotherapy using a long catheter.\" style=\"aspect-ratio:1024\/904;object-fit:contain\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\tdata-wp-bind--aria-label=\"state.thisImage.triggerButtonAriaLabel\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.thisImage.buttonRight\"\n\t\t\tdata-wp-style--top=\"state.thisImage.buttonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n<\/figure>\n\n<h2 id=\"quali-sintomi-possono-essere-associati-alle-vene-varicose\" class=\"wp-block-heading\">Symptoms associated with varicose veins<\/h2>\n\n<p class=\"wp-block-paragraph\">Varicose veins do not cause the same symptoms in everyone. The most frequently reported symptoms include:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>heaviness or tiredness in the legs;<\/li>\n\n\n<li>pain, tension or burning along the course of the veins;<\/li>\n\n\n<li>swelling, especially towards the evening;<\/li>\n\n\n<li>itching or night cramps;<\/li>\n\n\n<li>skin changes, pigmentation or eczema in some advanced cases.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">The presence of a visible vein alone does not determine the severity of the problem. Similarly, swelling or pain in the legs can also depend on non-venous causes: for this reason, it is advisable to avoid diagnosis and treatment based solely on aesthetic appearance.<\/p>\n\n<h2 id=\"perche-la-diagnosi-viene-prima-del-trattamento\" class=\"wp-block-heading\">Why diagnosis comes before treatment<\/h2>\n\n<p class=\"wp-block-paragraph\">The assessment includes medical history and clinical examination. When primary or recurrent varicose veins are suspected and treatment is to be planned, colour duplex ultrasound allows for the study of the superficial and deep venous system, confirming the presence of reflux and defining its extent.<\/p>\n\n<p class=\"wp-block-paragraph\">The result of the examination helps to distinguish, for example, an isolated tributary vein from saphenous insufficiency or a clinical picture requiring further investigation. This avoids proposing the same procedure to patients with different haemodynamic problems.<\/p>\n\n<h2 id=\"quando-richiedere-una-valutazione-specialistica\" class=\"wp-block-heading\">When to request a specialist assessment<\/h2>\n\n<p class=\"wp-block-paragraph\">It is appropriate to request an assessment in the presence of symptomatic or recurrent varicose veins, persistent swelling, pain, heaviness, itching, skin changes, hard and painful veins or a leg lesion that does not heal. <a href=\"https:\/\/centromedicogargano.com\/en\/venous-ulcers-naples\/\">Venous ulcers<\/a>, whether past or active, require a specific diagnostic framework.<\/p>\n\n<p class=\"wp-block-paragraph\">Bleeding from a varicose vein requires prompt assessment. The sudden appearance of a red, hard and painful vein may also indicate superficial venous thrombosis and should not be managed with home remedies alone.<\/p>\n\n<h2 id=\"quali-trattamenti-possono-essere-valutati\" class=\"wp-block-heading\">Treatment options that can be evaluated<\/h2>\n\n<p class=\"wp-block-paragraph\">Treatment depends on symptoms, venous anatomy, the presence and distribution of reflux and the patient&#8217;s characteristics. Options include:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>monitoring and behavioural advice for cases that do not require a procedure;<\/li>\n\n\n<li>compression therapy when clinically appropriate;<\/li>\n\n\n<li><a href=\"https:\/\/centromedicogargano.com\/en\/sclerotherapy-varicose-thread-veins-naples\/\">sclerotherapy<\/a> for reticular veins, varices or selected capillaries;<\/li>\n\n\n<li><a href=\"https:\/\/centromedicogargano.com\/en\/medical-centre-naples\/saphenous-vein-treatment-naples\/\">endovenous saphenous treatments<\/a> in indicated cases;<\/li>\n\n\n<li><a href=\"https:\/\/centromedicogargano.com\/en\/ambulatory-phlebectomy-naples\/\">ambulatory phlebectomy<\/a> for certain varicose tributaries;<\/li>\n\n\n<li>surgical assessment when minimally invasive alternatives are not appropriate.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">The availability of a technique does not mean it is automatically the best choice. Indications, expected benefits, limitations, possible side effects and alternatives must be discussed before proceeding.<\/p>\n\n<h2 id=\"il-percorso-presso-il-centro-medico-gargano\" class=\"wp-block-heading\">The process at Centro Medico Gargano<\/h2>\n\n<p class=\"wp-block-paragraph\">The assessment is carried out by Dr Ciro Gargano, a surgeon specialising in radiodiagnostics, angiologist and phlebologist. Before treatment, the consultation and colour duplex ultrasound scan are carried out personally by the same doctor who will perform the procedure, linking the diagnosis to the choice of method.<\/p>\n\n<p class=\"wp-block-paragraph\">At the end of the assessment, options compatible with the case are explained. For some patients, monitoring may be sufficient; for others, a single procedure or a course of several sessions may be indicated.<\/p>\n\n<h2 id=\"risultati-limiti-e-controlli\" class=\"wp-block-heading\">Results, limitations and follow-ups<\/h2>\n\n<p class=\"wp-block-paragraph\">No treatment can guarantee that new varicose veins will not appear in the future. It is important to distinguish the result obtained on the treated vein from the possible evolution of venous disease in other areas. Clinical and ultrasound follow-ups are scheduled based on the procedure performed and the patient&#8217;s characteristics.<\/p>\n\n<h2 id=\"domande-frequenti\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n<details class=\"cmg-faq-accordion\" id=\"leco-color-doppler-e-sempre-necessario\" name=\"cmg-faq-vene-varicose\" style=\"border:1px solid #e6d3d6;border-radius:8px;margin:12px 0;padding:18px;background:#faf6f7\"><summary style=\"color:#772832;font-weight:700;line-height:1.5\">Is colour duplex ultrasound required before treatment?<\/summary><p>At our Centre, treatment of veins and spider veins on the legs requires a prior consultation and colour duplex ultrasound scan of the leg veins carried out personally by Dr Ciro Gargano, the same doctor who will perform the treatment. The doctor chooses the method after assessing the individual case. Continuity between diagnosis and treatment is the basis of our care pathway.<\/p><\/details>\n<details class=\"cmg-faq-accordion\" id=\"le-vene-varicose-sono-soltanto-un-problema-estetico\" name=\"cmg-faq-vene-varicose\" style=\"border:1px solid #e6d3d6;border-radius:8px;margin:12px 0;padding:18px;background:#faf6f7\"><summary style=\"color:#772832;font-weight:700;line-height:1.5\">Are varicose veins only an aesthetic problem?<\/summary><p>No. They can be asymptomatic, but in some people they are associated with heaviness, pain, swelling, cramps, itching, skin changes, thrombophlebitis, bleeding or <a href=\"https:\/\/centromedicogargano.com\/en\/venous-ulcers-naples\/\">venous ulcers<\/a>. A specialist assessment helps distinguish the aesthetic problem from the functional one and situations that require treatment from those that can be monitored.<\/p><\/details>\n<details class=\"cmg-faq-accordion\" id=\"e-sempre-necessario-operare\" name=\"cmg-faq-vene-varicose\" style=\"border:1px solid #e6d3d6;border-radius:8px;margin:12px 0;padding:18px;background:#faf6f7\"><summary style=\"color:#772832;font-weight:700;line-height:1.5\">Is surgery always necessary?<\/summary><p>No. There are conservative, sclerotherapy, endovenous and surgical options. Many varicose veins can be treated with minimally invasive techniques, avoiding traditional surgery. The choice depends on the clinical indication and the colour duplex ultrasound findings and cannot be established correctly without assessing the individual case. In some patients, clinical monitoring may be sufficient.<\/p><\/details>\n<details class=\"cmg-faq-accordion\" id=\"la-calza-elastica-elimina-le-vene-varicose\" name=\"cmg-faq-vene-varicose\" style=\"border:1px solid #e6d3d6;border-radius:8px;margin:12px 0;padding:18px;background:#faf6f7\"><summary style=\"color:#772832;font-weight:700;line-height:1.5\">Do compression stockings eliminate varicose veins?<\/summary><p>No. Compression can help control swelling, heaviness and other symptoms of venous insufficiency, but it does not eliminate existing varicose veins. Stockings may be recommended before or after treatment or when there is no immediate indication for a procedure. The type of stocking and the compression class must be chosen after a specialist assessment.<\/p><\/details>\n<details class=\"cmg-faq-accordion\" id=\"il-risultato-del-trattamento-e-definitivo\" name=\"cmg-faq-vene-varicose\" style=\"border:1px solid #e6d3d6;border-radius:8px;margin:12px 0;padding:18px;background:#faf6f7\"><summary style=\"color:#772832;font-weight:700;line-height:1.5\">Can varicose veins return?<\/summary><p>Yes. Even after a correctly performed treatment, varicose veins can reappear over time. This phenomenon, called <strong>recurrence<\/strong>, is possible with any therapeutic method, whether surgical or minimally invasive.  <br\/><br\/>However, it is important to distinguish between the <strong>successful treatment of the treated vein<\/strong> and the appearance of <strong>new varicose veins<\/strong> over the years due to the natural progression of venous disease.<br\/><br\/>The real question is not whether a recurrence might occur, but <strong>how likely it is and after how long<\/strong>. For this reason, in the evaluation of results, we consider the percentages of patients who maintain a good clinical and instrumental outcome years later. Techniques such as endovenous radiofrequency and ultrasound-guided sclerotherapy may be indicated in selected cases, based on the clinical picture and the colour duplex ultrasound. Expected benefits, limitations and the risk of recurrence are discussed during the consultation.<\/p>\n<p>Correct follow-up and, when indicated, some simple preventive measures (weight control, physical activity, use of compression stockings in recommended cases and periodic checks) contribute to reducing the risk of new manifestations of venous disease.<\/p><p>For this reason, it is not correct to promise the absolute absence of recurrence.<\/p><\/details>\n<details class=\"cmg-faq-accordion\" id=\"le-vene-varicose-possono-provocare-trombosi\" name=\"cmg-faq-vene-varicose\" style=\"border:1px solid #e6d3d6;border-radius:8px;margin:12px 0;padding:18px;background:#faf6f7\"><summary style=\"color:#772832;font-weight:700;line-height:1.5\">Can varicose veins cause thrombosis?<\/summary><p>In most cases, varicose veins do not directly cause deep vein thrombosis, but they can favour the appearance of <strong><a href=\"https:\/\/centromedicogargano.com\/en\/dvt-ultrasound-naples\/\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/centromedicogargano.com\/trombosi-venosa-napoli\/\" rel=\"noreferrer noopener\" style=\"color:#772832\">superficial thrombophlebitis<\/a><\/strong>, i.e. inflammation of a varicose vein associated with the formation of a thrombus. In the presence of sudden pain, redness or significant swelling of a leg, promptly request a medical assessment: a <strong>venous colour duplex ultrasound<\/strong> may be necessary. If breathing difficulties or chest pain also develop, call 112 or 118.<\/p><\/details>\n<details class=\"cmg-faq-accordion\" id=\"quando-e-necessario-trattare-la-safena\" name=\"cmg-faq-vene-varicose\" style=\"border:1px solid #e6d3d6;border-radius:8px;margin:12px 0;padding:18px;background:#faf6f7\"><summary style=\"color:#772832;font-weight:700;line-height:1.5\">When is it necessary to treat the saphenous vein?<\/summary><p>Not every dilated saphenous vein needs treatment. The indication depends on venous reflux documented by colour duplex ultrasound, the patient\u2019s symptoms and the vein\u2019s anatomy. When reflux is significant and causes varicose veins, swelling, pain or skin changes, minimally invasive treatments such as endovenous radiofrequency or ultrasound-guided foam sclerotherapy may be indicated in selected cases.<\/p><\/details>\n<details class=\"cmg-faq-accordion\" id=\"la-radiofrequenza-della-safena-e-dolorosa\" name=\"cmg-faq-vene-varicose\" style=\"border:1px solid #e6d3d6;border-radius:8px;margin:12px 0;padding:18px;background:#faf6f7\"><summary style=\"color:#772832;font-weight:700;line-height:1.5\">Is radiofrequency of the saphenous vein painful?<\/summary><p>Endovenous radiofrequency is a minimally invasive procedure that is generally well tolerated. It is performed under tumescent local anaesthesia and allows the saphenous vein to be treated without extensive surgical incisions. In most patients, post-procedure pain is modest and the return to normal daily activities occurs quickly.<\/p><\/details>\n<details class=\"cmg-faq-accordion\" id=\"la-scleroterapia-elimina-definitivamente-le-vene-varicose\" name=\"cmg-faq-vene-varicose\" style=\"border:1px solid #e6d3d6;border-radius:8px;margin:12px 0;padding:18px;background:#faf6f7\"><summary style=\"color:#772832;font-weight:700;line-height:1.5\">Does sclerotherapy permanently eliminate varicose veins?<\/summary><p>Sclerotherapy allows the treated veins to be closed, but it cannot prevent the natural evolution of venous disease. For this reason, it is possible that new varices may appear in other areas over time. Diagnosis with <strong>colour duplex ultrasound<\/strong> guides the choice of technique; periodic check-ups allow the outcome to be evaluated over time and the possible need for further treatments.<\/p><\/details>\n<details class=\"cmg-faq-accordion\" id=\"camminare-fa-bene-alle-vene-varicose\" name=\"cmg-faq-vene-varicose\" style=\"border:1px solid #e6d3d6;border-radius:8px;margin:12px 0;padding:18px;background:#faf6f7\"><summary style=\"color:#772832;font-weight:700;line-height:1.5\">Is walking good for varicose veins?<\/summary><p>Yes. Walking is one of the most useful activities for encouraging blood return to the heart, because the contraction of the calf muscles acts as a real &#8220;venous pump&#8221;. Regular physical activity helps reduce heaviness, swelling and venous pooling. However, when significant venous insufficiency or a saphenous vein with reflux is present, walking alone does not eliminate the problem: it is important to combine it with a <strong>colour duplex ultrasound<\/strong> assessment to determine if specific treatments such as sclerotherapy or radiofrequency are indicated.   <\/p><\/details>\n\n<h2 id=\"approfondimenti-e-fonti\" class=\"wp-block-heading\">Further information and sources<\/h2>\n\n<p class=\"wp-block-paragraph\">For more on symptoms, diagnosis and treatment, read our guide to <a href=\"https:\/\/centromedicogargano.com\/en\/venous-insufficiency-symptoms-leg-care\/\">venous insufficiency<\/a>. For independent further reading, you can consult the <a href=\"https:\/\/www.nice.org.uk\/guidance\/cg168\" target=\"_blank\" rel=\"noopener noreferrer\">NICE recommendations on the diagnosis and management of varicose veins<\/a>. General indications do not replace individual clinical assessment.<\/p>\n\n<p class=\"wp-block-paragraph\">For address and practical information, see the <a href=\"https:\/\/centromedicogargano.com\/en\/contact-directions\/\">Contact and location<\/a> page.<\/p>\n\n<div style=\"display:flex;flex-wrap:wrap;justify-content:center;gap:14px;margin:32px 0\">\n<a class=\"cmg-book-treatment\" style=\"display:inline-block;padding:14px 24px;background-color:#5B3FD6;color:#ffffff;text-decoration:none;font-size:16px;font-weight:700;line-height:1.2;border-radius:7px;max-width:100%;box-sizing:border-box;white-space:normal;text-align:center;margin-right:0\" href=\"https:\/\/centromedicogargano.com\/en\/book-an-appointment\/?ameliaServiceId=18#prenota-online\" aria-label=\"I have already had a consultation and colour duplex ultrasound scan with Dr Ciro Gargano: Book treatment\"><span>I have already had a consultation and colour duplex ultrasound scan with Dr Ciro Gargano<\/span><br><strong>Book treatment<\/strong><\/a>\n<a class=\"cmg-book-assessment\" style=\"display:inline-block;padding:14px 24px;background-color:#5B3FD6;color:#ffffff;text-decoration:none;font-size:16px;font-weight:700;line-height:1.2;border-radius:7px;max-width:100%;box-sizing:border-box;white-space:normal;text-align:center;margin-right:0\" href=\"https:\/\/centromedicogargano.com\/en\/book-an-appointment\/?ameliaServiceId=27#prenota-online\" aria-label=\"I have not yet had a consultation and colour duplex ultrasound scan with Dr Ciro Gargano: Book a consultation and colour duplex ultrasound scan\"><span>I have not yet had a consultation and colour duplex ultrasound scan with Dr Ciro Gargano<\/span><br><strong>Book a consultation and colour duplex ultrasound scan<\/strong><\/a>\n<a href=\"https:\/\/wa.me\/393487035744?text=Buongiorno%2C%20vorrei%20ricevere%20informazioni%20su%20la%20valutazione%20e%20il%20trattamento%20delle%20vene%20varicose.\" target=\"_blank\" rel=\"noopener noreferrer\" style=\"display:inline-block;padding:14px 24px;background-color:#25D366;color:#ffffff;text-decoration:none;font-size:16px;font-weight:700;line-height:1.2;border-radius:7px\" aria-label=\"Chatta su WhatsApp con il Centro Medico Gargano\">WhatsApp<\/a>\n<a href=\"tel:+390817809641\" style=\"display:inline-block;padding:14px 24px;background-color:#4d4d4d;color:#ffffff;text-decoration:none;font-size:16px;font-weight:700;line-height:1.2;border-radius:7px\" aria-label=\"Chiama il Centro Medico Gargano al numero 081 7809641\">Call the clinic<\/a>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Varicose veins in Naples: phlebological examination, colour duplex ultrasound where indicated and personalised treatments at Centro Medico Gargano.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1000010,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1000026","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/centromedicogargano.com\/en\/wp-json\/wp\/v2\/pages\/1000026","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/centromedicogargano.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/centromedicogargano.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/centromedicogargano.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/centromedicogargano.com\/en\/wp-json\/wp\/v2\/comments?post=1000026"}],"version-history":[{"count":28,"href":"https:\/\/centromedicogargano.com\/en\/wp-json\/wp\/v2\/pages\/1000026\/revisions"}],"predecessor-version":[{"id":2502779,"href":"https:\/\/centromedicogargano.com\/en\/wp-json\/wp\/v2\/pages\/1000026\/revisions\/2502779"}],"up":[{"embeddable":true,"href":"https:\/\/centromedicogargano.com\/en\/wp-json\/wp\/v2\/pages\/1000010"}],"wp:attachment":[{"href":"https:\/\/centromedicogargano.com\/en\/wp-json\/wp\/v2\/media?parent=1000026"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}