How do you perform venous insufficiency testing?
In our practice, we perform testing for truncal insufficiency (at saphenofemoral or saphenopopliteal junctions) in the supine position (lying down). This is adequate in > 99% of cases.
It is the rare patient where the test is done in the supine position and then the patient is made to stand and the scan repeated. These are cases where patients have a lot of symptoms but the scan in the supine position shows little or minimal reflux.
Other sources of venous insufficiency is in segmental veins that are independent of the saphenous system and in perforator veins in the legs.
It is important to get venous insufficiency testing by an ABVLM certified vein specialist.