* You are viewing Posts Tagged ‘varicose vein removal’

Endovenous Laser Treatment – A Live Demonstration

Endothermal Ablation. During endothermal ablation, the veins affected by reflux are treated from the inside with heat energy.  I perform this under local anaesthetic under ultrasound guidance. With an ultrasound probe on the skin, the unhealthy vein is located and the skin overlying the vein is numbed with local anaesthetic and then a small needle is inserted into this vein. Through the needle a fine catheter is inserted into the vein and advanced along the vein under the skin and positioned accurately to the site where the superficial vein joins the deep vein, confirmed by ultrasound. The vein is then … Continue reading »

New for 2018: The Comprehensive Review of Varicose Veins, Varicose Eczema, Leg Ulcers, Hand Veins

Comprehensive Review of All Aspects of Lower Limb Vein Conditions.

Everyone knows that venous disease is common and important. The Bonn Vein Study is one of the largest and most quoted medical studies looking at how common venous disease is. It looked at over 3000 adults: the participants completed a questionnaire, they were examined carefully and they underwent an ultrasound scan. They were allocated into one of 7 classes. C0 being a completely normal assessment with no signs of vein abnormality all the way to C6 which is an open leg ulcer. There are … Continue reading »

How Common Are Varicose Veins?

Many people are affected by vein conditions. But just how common are they?

 

The Bonn Vein Study is one of the largest and most quoted medical studies looking at how common venous disease is. It looked at over 3000 adults: the participants completed a questionnaire, they were examined carefully and they underwent an ultrasound scan. They were allocated into one of 7 classes. C0 being a completely normal assessment with no signs of vein abnormality all the way to C6 which is an open leg ulcer. There are 3 striking findings from this study. … Continue reading »

What is the best treatment for varicose veins?

National Guidance on the Treatment of Varicose Veins

In 2013, The National Institute for Health and Care Excellence – NICE- published clinical guideline CG168 and stated that patients with varicose veins should be referred to a vascular service – a team of healthcare professionals who have the skills to undertake a full clinical and duplex ultrasound assessment and who can provide the full range of treatment options.

NICE recommends:

  • Endothermal ablation should be the first option
  • Ultrasound Guided Foam Sclerotherapy the second option
  • Surgery is now the last resort.

During endothermal ablation, the veins affected by … Continue reading »

What is the cause of Varicose Veins, Varicose Eczema and Leg Ulcers?

Although surface varicose veins are pretty obvious, the cause of varicose veins is deeper under the skin. It is a problem called superficial venous reflux.

That is a defect in the one-way valves that keep blood flowing in the correct direction. Venous valves are delicate folds in the lining of the vein that open and close keeping blood flowing in the correct direction. In the legs, healthy vein valves direct blood from the foot upwards back towards the heart. When the one-way valves in the veins do not work properly, gravity can pull the blood downwards … Continue reading »

The Best Treatment for Spider Veins

Experts agree that Microsclerotherapy is the best treatment for thread veins and spider veins on the legs. In this video, Catharine McGuinness, a vascular specialist at the VeinCare Centre demonstrates the treatment.

Microsclerotherapy is a medical treatment that involves injecting a prescription medicine called a sclerosant directly into the spider veins. Don’t worry, it’s not painful: an ultra-fine needle is used, only slightly bigger than a human hair, which you can barely feel. The technique requires good illumination and magnification.

 

The sclerosant works by removing the lining of the vein almost instantly (this is also not … Continue reading »

Phlebitis: 7 Things Your Doctor Should Know

Phlebitis is a term that is used by doctors and the public and there are many important facts that you and your doctor should know. Here are 7 important facts that even many doctors get wrong.

  1. Phlebitis is not caused by an infection and antibiotics are not necessary. Recently reviews in the medical literature suggest that antibiotic are frequently prescribed for phlebitis. Not only is this ineffective, but costs our healthcare system and may complications such as diarrhoea and my contribute to antibiotic resistance.
  2. Phlebitis most commonly affects the leg veins and it causes swelling, tenderness and redness along the … Continue reading »

Do Veins Get Worse?

Varicose veins deteriorate and get worse if they are ignored and neglected. Treatment at an early stage can prevent complications such as leg ulcers and deep vein thrombosis – DVT.

A question I get asked a lot is “if I have nothing done now, will my veins get worse?” It’s a good question and here’s what the evidence suggests.

Although varicose veins and leg vein problems are one of the commonest diseases that doctors see, there is surprisingly little information about the progression of vein problems from mild to severe and then on to serious complications. However all the evidence suggests that … Continue reading »

Local Anaesthetic for Varicose Veins – How I do It

Tumescent local anaesthetic administration is an essential intervention to treat varicose veins by endo-venous laser. The anesthetic is applied under ultrasound guidance and varicose veins and refluxing saphenous veins can be removed without admission to hospital, without general anaesthetic and on a walk in, walk out basis.

Varicose Vein Removal under Local

Local Anaesthetic Varicose Vein Removal

In the video that follows,  I show you how I do this step by step. We start with the laser fibre in the correct position and in this live demonstration, I administer tumescent local … Continue reading »

Private Vein Treatment – Will My GP Refer Me?

Traditionally, GPs have been happy to refer their patients for private varicose treatment. This doesn’t seem to be the case now. Why?

Do NHS GPs refer Privately?

Do NHS GPs refer Privately?

I think the main reason is that GPs now no longer refer patients with vein problems to the local NHS hospital. So, they no longer know who is their local expert in looking after vein problems. GPs are very busy and my impression is that they simply do not have time to keep up to date with … Continue reading »