Varicose veins are usually seen as dilated tributaries of one or two of the superficial veins in the leg (the great saphenous or small saphenous vein). When these veins reflex (the blood flows backwards), the increased pressure causes the veins to dilate and become varicose. It is extremely important to diagnose where the reflex is coming from. This is done with a Duplex exam.

Dr. Critchlow feels strongly that the physician that is going to treat your legs should be the person that diagnoses your problem. At The Vein & Esthetic Centre, Dr. Critchlow does all of the Duplex ultrasound exams. This non-invasive procedure uses sound waves to evaluate the function of the valves of the veins in the legs.

He founded the Vascular Laboratory at Audrain Medical Center in Mexico, MO in 1984 and was its Medical Director until 1995 when he moved to Cape Girardeau, where he was credentialed at both Cape Girardeau hospitals to do and interpret venous examinations. He established his own office vascular lab in 1999. To satisfy insurance credentialing requirements he has recently taken and passed his examinations and has been credentialed as a Registered Vascular Technician (RVT).

When you come for your initial consultation, you will be asked to fill out forms concerning your medical history (you may obtain these forms in advance of your visit by clicking here and filling them out and returning them on your first visit). You will then be asked to put on some loose fitting/baggy shorts. Once Dr. Critchlow ha reviewed your medical history and discussed in detail any vein related symptoms and examined your legs, he may suggest a Duplex evaluation. Once this is done, he will sit down with you and explain what your problems are and what your options are. You should feel free to ask about costs, insurance coverage, complications and potential benefits, as well as side-effects of the treatment.