Perforator Vein Treatment in Swindon

We assess and treat incompetent perforator veins in Swindon using consultant‑led, minimally invasive techniques, including ultrasound‑guided foam sclerotherapy and endovenous thermal ablation.
If you have recurrent varicose veins, persistent leg swelling, skin changes, or a venous ulcer, an incompetent perforator vein may be contributing to your symptoms.

Perforator veins connect the deep veins of the leg to the superficial veins and normally allow blood to flow in one direction only. When the valves within a perforator vein fail, blood can flow backwards under high pressure into the superficial veins — a condition known as an incompetent perforator vein.

Being told you have an incompetent perforator vein can feel confusing or concerning. Although the diagnosis can sound complex, assessment and treatment are usually straightforward when guided by detailed duplex ultrasound and consultant‑led care.

How Are Incompetent Perforator Veins Diagnosed

A duplex ultrasound scan is essential to diagnose incompetent perforator veins. The scan allows the doctor to see the direction of blood flow and identify any faulty valves. Not all perforators are clinically significant, and treatment is usually reserved for those associated with skin damage or ulceration.

Treatment of Incompetent Perforator Veins

Treatment is aimed at closing the incompetent perforator to reduce the high pressure in the superficial veins. This can be achieved using minimally invasive techniques such as ultrasound-guided foam sclerotherapy or endovenous thermal ablation. These procedures are performed under local anaesthetic and have excellent success rates.

Treating incompetent perforators can significantly improve symptoms, reduce skin inflammation, and help venous ulcers to heal more quickly. It is an important part of comprehensive venous care in selected patients.