Venous Duplex Ultrasound

Venous duplex ultrasound is a diagnostic test using ultrasound to evaluate blood flow in veins and identify vein problems.

$250 consult fee (with Medicare rebate and GP referral)
endovascular procedures
0 s
transformed patients
4 major hospitals

Do you suffer from leg pain, swelling, or fatigue? Why put up with it when you don’t have to? With over 500 procedures a year, we are your Northern Beaches and North Shore experienced vein doctors.

Disclaimer: The images above are displayed with the consent of the patients featured. Be aware that the results depicted are specific to these individuals and may not represent the outcomes for others. Results can vary due to factors such as genetics, diet, and exercise.

Venous duplex ultrasound is a vital tool in the diagnosis and treatment of varicose veins and spider veins. During your initial vein consult, Dr Ryan McConnell will perform a detailed ultrasound of the veins within the leg of concern. The ultrasound is non-invasive, evidence-based and takes approximately 40 minutes.

What does the ultrasound assess?

The venous duplex ultrasound allows for an accurate assessment of varicose veins in order to guide treatment planning if required. It assesses:

  • Whether the deep veins of the leg are normal.
  • If there is venous reflux. If reflux is present, the source of reflux may be assessed.
  • The path of venous reflux including the vein branches affected.
  • If there are any obvious problems which would prevent endovascular treatment.
  • The location of the refluxing vein with respect to the skin and surrounding structures.
venous duplex ultrasound

Do I need an ultrasound for spider veins?

As spider veins on the legs are often associated with underlying venous reflux, it is important that a venous duplex ultrasound be performed. This will allow the underlying venous disease to be detected and treated so that when the spider veins are treated there is less chance of recurrence. Failure to detect underlying venous reflux may contribute to spider vein matting at a later stage (a cluster of extremely fine spider veins).

How is it performed

  1. The venous ultrasound takes approximately 40 minutes.
  2. The best examination of the leg veins is performed when the veins are distended (you will be advised to not wear stockings on the day of the examination).
  3. The ultrasound is performed with the patient upright, standing on an elevated platform. This allows blood to pool within the veins of the legs and the ultrasound scan is more likely to detect venous reflux if present.
  4. Images of the deep and superficial veins within the leg will be obtained (the scan extends from the groin crease to the level of the ankle joint).
  5. An assessment for venous reflux will be carried out by the sonographer performing several augmentation manoeuvres. This often involves a squeeze of the leg below the vein segment being imaged.


Vein Doctors Sydney provides state-of-the-art Duplex Venous Ultrasound. Vein Doctors Sydney is accredited under the Diagnostic Imaging Accreditation Scheme (DIAS).

Ultrasound results

Dr McConnell is an Australian trained interventional radiologist with extensive training and experience in image interpretation and endovascular procedures. Dr McConnell will provide an accurate written and graphical report outlining the ultrasound findings. He will explain to you the ultrasound findings so that you are completely informed of the degree of vein disease. The ultrasound will be used to help provide the optimal treatment plan for the patient’s particular venous condition.

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Why Choose Us

  • Less Invasive Treatments with a Higher Success Rate
    Our less invasive procedures offer fewer risks, a quicker recovery, and higher success rates.
  • Vascular Ultrasound Technology
    Onsite ultrasound service is available. It is evidence-based and an effective way to assess the blood flow in the arteries or veins.
  • Experience Proven by 1000s of Patients
    We’ve performed 1000s of endovascular procedures and transformed the lives of over 2500 patients.
  • Expert Assistance by our Friendly and Trained Doctors
    Our practice promotes a relaxed and friendly atmosphere where patients are provided with accurate information based on the latest research and technology.
  • Everything Under One Roof
    At Vein Doctors, we’re committed to providing complete, integrated care under one roof. From diagnosis and treatment to prevention.
Dr. Ryan McConnell

Less Covering Up. More Showing Off.
Regain the Comfort in Your Legs


Initial Consultation And Vein Screening

This consultation is the perfect way for you to learn about what we can do to help you become free of the pain and discomfort of your varicose veins. From start to finish a consultation takes about 45 minutes and the valuable information you will receive will enable you to make important healthcare decisions about your varicose veins.

  • A comprehensive venous ultrasound will be performed
  • A doctor will discuss the results with you, answer any questions you may have and present various treatment options
  • A personalised treatment plan will be provided based on the results of your vein assessment.
  • After your consultation, it is important to know that our team are on hand to answer any further questions and to support you through your journey

Our Vein Clinics Locations in Sydney

Vein Doctors Sydney Manly

Suite 503, 39 East Esplanade, Manly NSW 2095

Our Open Hours:
8:30 am – 5 pm
Tuesday, Wednesday, and Friday

Vein Doctors Sydney St Leonards

North Shore Health Hub - Ground Floor, Rockwell Medical Centre, 7 Westbourne Street, St Leonards 2065

Our Open Hours:
8:30am – 5pm
Tuesday, Wednesday, Friday

Vein Doctors Sydney Kingswood

Nepean Private Specialist Centre, Suite 3, 1A Barber Avenue, Kingswood 2747

Our Open Hours:
8:30 am – 5 pm
Tuesday, Wednesday, and Friday