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Many Methods of Vein Treatment are Available Now.

Cornelis M.A. Bruijninckx

There a many methods available to treat leg vein conditions. Vein Specialists need to take into account what is available and patients need more information. Today’s guest blog is by Cornelis Bruijninckx – 

“Nowadays there are numerous ways to treat patients with varicose veins. Although most methods are equally effective, they differ greatly at several levels.

They differ at the level of the principle of the treatment: firstly eliminating the reflux in the superficial venous trunks (great and/or small saphenous vein) or firstly removing (or closing) the visible secondary varicose veins? The … Continue reading »

How a Comprehensive Understanding of Your Ultrasound System Will Streamline Your Phlebology Practice

Ultrasound is the eyes of vascular practitioners, facilitating success in every Phlebology practice worldwide. For a vascular technologist, a comprehensive understanding of the ultrasound system will add tremendous value via image optimisation, which allows for complete diagnostic confidence in the ultrasound findings, acquisition of appropriate candidates for intervention, and development of an effective treatment plan.

It is crucial to consider each component of the ultrasound system in order to achieve each of these goals and, ultimately, streamline the Phlebology practice.

A comprehensive understanding of the … Continue reading »

Latest on Deep Vein Blood Flow

Mr Christopher Lattimer

Mr Christopher Lattimer

This week, I am very grateful to Mr Christopher Lattimer for writing about his reflections on the first day of the Spring Meeting of the Venous Forum at the Royal Society of Medicine. This meeting is the largest conference in the United Kingdom dedicated exclusively to the diagnosis and treatment of vein conditions. Chris completed his specialist vascular training at St Thomas’ Hospital and King’s College London. He is an expert in vein disease and has carried out important research on venous haemodynamics (how … Continue reading »

Varicose Veins Treatments and Golf – More in Common than You Think!

Being able to expertly and skillfully treat varicose veins, thread veins and their complications takes constant practice. This week, my colleague Zola Mzimba makes the point very nicely.

<<What do the treatment of varicose veins and golf have in common??

“It’s a funny thing. The more I practice the luckier I get”

These are the famous words of Arnold Palmer. This premise is true … Continue reading »

My Restless Legs Are Driving Me Crazy

This week, I have asked my good friend and colleague, Dr Ted King from the USA, to tell us more about how veins may cause symptoms – in particular, the Restless Legs Syndrome (RLS).

Restless Legs Caused By Varicose Veins

Restless Legs

 “Restless legs syndrome is a condition that is characterized by an irresistible urge to move one’s limbs (almost always legs) to stop uncomfortable or odd sensations. Moving the affected limb lessens the sensations and provides some temporary relief. It seems as though RLS must have been recently … Continue reading »

What Have My Ovaries Got To Do With My Leg Veins?

Recently, I treated Emma from Bristol who developed very large, uncomfortable varicose veins around her vulva and upper thigh during pregnancy. After she had her baby, the veins around her vulva disappeared but the veins in her thigh persisted and gradually got worse. Her duplex ultrasound scan showed that the veins in her thigh were filling from her ovaries.

She had a condition called “Ovarian Vein Reflux”. The treatment for this is controversial, but my approach is to treat these veins with ultrasound guided foam sclerotherapy unless there are symptoms of pelvic pain, bladder irritation or pain during intercourse. So far, … Continue reading »

Varicose Vein Treatments Should Be Bespoke

This week, I am very grateful to Simon Payne who describes how varicose vein treatment should be tailored to an individual’s unique requirements.

“You may be baffled searching the internet for the best treatment for your varicose veins.

You will have discovered  injection treatments, standard surgery (stripping), laser, VNUS, Clarivein, Steam, Radiofrequency ablation, Foam sclerotherapy, Venaseal (“super-glue”), cryotherapy and maybe others!

Some treatments can be performed under local anaesthetic, most involve the use of compression hosiery. Return to normal activities varies between techniques and the cost of the different techniques varies enormously between procedures and also between clinics – the highest prices being … Continue reading »

Safety and Efficacy of Foam Sclerotherapy

I am very grateful to Philip Coleridge Smith for his assessment of the safety and efficacy of Ultrasound Guided Foam Sclerotherapy. Philip is a world expert on the treatment of varicose veins and he was one of the first specialists to use Ultrasound Guided Foam Sclerotherapy in the UK. He has trained many of the UK’s vein specialists how to perform this technique (including myself, nearly 10 years ago).

Philip Coleridge Smith

Philip is Consultant Vascular Surgeon and Reader in Surgery, UCL Medical … Continue reading »

How Are Those New Year Resolutions?

How many of us made it our aim to get fit in 2012? How many of us are still on target? Coriander Firmager has some advice about Motivation.

“February is here and many of the good intentions people started the year with will have faded into the distant past.  The reality is the first few weeks of maintaining an exercise program is a fragile time; life just seems to get in the way.  KEEP GOING!  A few adjustments and a few minutes revaluating the situation can get you right back on track.

Why … Continue reading »

Core Muscles

This week Coriander Firmager discusses the importance of our core muscles. These are important in every day activities and need to be “engaged” in order to exercise safely. So core muscles really do matter. Here’s what Cori has to say…

“Many of you may have been to a gym or an exercise class and heard the words ‘engage your core’ or ‘set your core’, and hopefully you were instructed on how to do this.  However there are common misconceptions about what core stabilisation is and how it may be improved.

In … Continue reading »