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<p>Until recently it was highly unlikely that anyone considering Radiofrequency Ablation for the treatment of varicose veins would’ve been able to access this free of charge on the National Health Service, as the treatment of choice recommend within the health system was vein stripping.<br /><br />However, the National Institute for Health and Care Excellence (NICE) issued updated guidance at the end of July 2013 which stated that surgery should only be offered to treat varicose veins on the NHS if other less invasive treatments are unsuitable.<br /><br />Currently there is wide regional variation in the treatment of varicose veins in the UK as there is no definitive system for determining which people would benefit most from treatment. There is also currently no established framework within the NHS for the diagnosis and management of the condition. To help standardise the kind of treatment people can receive, NICE has published a new <a title="NICE" href="https://www.nice.org.uk/guidance/cg168" target="_blank">clinical guideline on varicose veins.</a><br /><br />For confirmed cases of varicose veins, it recommends that endothermal ablation, radiofrequency or laser, should be offered. If endothermal treatment is not suitable, then ultrasound-guided foam sclerotherapy should be offered. Finally, if these others are not suitable, then surgery should be considered. The guidance in PDF format is available <a title="NICE Guideline on Varicose Veins PDF Version" href="https://www.nice.org.uk/guidance/cg168/resources/varicose-veins-diagnosis-and-management-35109698485957" target="_blank">here</a>.<br /><br />We would therefore always recommend that you visit your General Practitioner before embarking on private treatment for varicose veins. As well as their advice and guidance they may also be able to refer you to a local NHS Hospital who can treat you with newer techniques, based on this updated guidance.<br /></p>
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