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The correct treatment should include a holistic management by means of: appropriate wound care compression therapy surgical or endovenous treatment of the underlying truncal reflux Management The management of varicose veins, depending on the stage of the disease, your anatomy and your personal preference (following thorough informed discussion) may include: lifestyle recommendations and skin care Maintaining a healthy weight Eating a well-balanced and healthy diet Exercising Moving if you sit or stand for long periods of time make sure to get up and move regularly Elevating your feet and legs above heart level this can have a real soothing effect after a long day looking after and moisturising your skin interventional treatments of the varicose veins key hole, minimally invasive, endothermal ablation (radiofrequency RFA) ultrasound guided foam sclerotherapy surgical avulsions and/or ligations of perforator veins fitted or customised compression hosiery Wearing fitted or customised compression hosiery or socks/stockings to support your veins the appropriate combination of the above When attending the Vascular Clinic, a comprehensive anamnesis (personal and medical history) and a physical examination will be performed

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