Virtual Non-Surgical ConsultationsVaricose veins are a very common condition and appear as swollen, twisted and enlarged veins, typically on the legs and develop when the valves inside the veins stop working effectively and blood flows backwards, collecting in the vein.

It is thought to affect 40% of adults but there are certain risk factors that can increase your chance of developing varicose veins. Women are more likely to be affected and there is a genetic link. Being overweight, standing for long periods of time, being pregnant and at a later stage of life, are also risk factors.

Many varicose vein sufferers don’t experience any symptoms beyond the cosmetic, but these can include aching, uncomfortable and heavy-feeling legs, burning or throbbing legs, muscle cramps and dry, itchy skin on the affected part of the legs. If left untreated, varicose veins can lead to more serious problems such as leg ulcers.

As an alternative to varicose vein surgery, there are now a number of minimally-invasive, highly-effective treatments. This approach is borne out by the latest guidelines from the National Institute of Clinical Evidence (NICE), surgery for varicose veins should only be offered if other less invasive treatments aren’t suitable.

Mr David Greenstein offers pioneering laser treatment for varicose veins and varicose leg ulcers including Endovenous Laser Ablation or EVLA and infra-red assisted sclerotherapy. He also has a special interest in the treatment of Pelvic Venous Congestion syndrome.

David’s technical rate for varicose veins is 99% and he achieves very high patient satisfaction.

Quick Reference


30 minutes to 1 hour depending on the number of veins being treated

Anaesthesia Used


Hospital Stay

Day case

Final Result

Some can see immediate improvement whereas other patients may take weeks or months

FAQs for Varicose Vein Treatments

During your consultation, Mr David Greenstein will discuss your concerns with your veins; whether they are purely cosmetic or if you’ve been experiencing any associated symptoms. He will also take a full medical history and cover whether you have undergone any other vein treatments in the past. He will also personally perform an ultrasound scan to assess your vein health – it may reveal other veins that would benefit from treatment at this point.

Mr Greenstein can then advise you on the most appropriate treatment plan and explain the benefits as well as the risks you should consider before making the decision to go ahead.

Our legs contain many veins and when superficial ones are blocked or removed by treatment, the other veins will compensate with no impact on blood flow. There is now a whole range of minimally invasive procedures available that safely remove the affected vein, while resulting in little to no downtime.

There may be some bruising and mild discomfort, but this will quickly disappear. Patients can go to the gym the following day and can return to full activities as soon as they feel confident. There are no restrictions after varicose vein treatment.

The majority of patients will see immediate improvement. Some can take weeks and even occasionally months and this depends on the size of the vein, the anatomy, the technique used. You may require further treatment for optimal results, but Mr Greenstein will discuss this in full at your consultation.

Once the vein has been treated, it shouldn’t cause further problems. This doesn’t mean other veins won’t be affected in the future, but Mr Greenstein will perform a full ultrasound scan at the time of your initial consultation to identify any other veins that are a cause for concern.

Endovenous Laser Ablation, also known as EVLA or EVLT, is performed under local anaesthetic. A needle with a laser fibre is inserted into the affected vein and the laser energy is directed into the walls of the vein, destroying it without damaging any surrounding tissue.

Mr David Greenstein has developed his own personal technique to treat varicose veins, known as EVLA Crossectomy. He believes it is superior to all other techniques for varicose veins.

Sclerotherapy, which is the injection of a solution known as a sclerosant that damages the internal lining of the vein, has been used for many years in the treatment of varicose, spider and thread veins. Augmented reality or infra-red assisted sclerotherapy is far more accurate and delivers much better results than conventional sclerotherapy. Several treatments may be required depending on the extent of the problem.