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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 »

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 »

Varicose Vein Transformation – Better Looking Legs

Do unsightly varicose veins or spider veins trouble you? Do they rule your life, affecting what you can wear, what kind of holiday you take and force you to keep your legs covered? My name is Dr Haroun Gajraj. I am a specialist vascular surgeon and I have been treating people with unsightly leg veins for over 30 years. I have established a team of doctors and nurses who can help you with your unsightly leg vein problem.

Based on many years of clinical experience, research of the medical literature and study of expert guidance, we … Continue reading »

The Real Cause of Varicose Veins and Leg Vein Complications

Nearly all leg vein problems are caused by reflux. Let me explain – whenever any fluid travels in the wrong direction in the body, the term reflux is used. So for example, if acid comes up from the stomach in the wrong direction, the person is said to have acid indigestion reflux. Acid should go down to digest the food.

Well, blood flow in veins should go up the legs, from the foot towards the heart. If the one-way valves inside the veins are not working properly, gravity can pull the blood down towards the foot and the term vein reflux … Continue reading »

Colour Duplex Ultrasound to Diagnose Varicose Veins

Colour Duplex Ultrasound is Essential in the Diagnosis and Treatment of Varicose Veins.

Scan for varicose veins

Colour Duplex Ultrasound Scan

Ultrasound has really revolutionised the way that doctors treat varicose veins and related conditions. We do not use just an ordinary ultrasound machine — the machine that you might be familiar with for diagnosing gallstones or looking at pregnant mothers and their babies — this is a special sort of ultrasound called Colour Duplex. Now what do I mean by “duplex”? Well the ultrasound builds up a picture of the … Continue reading »

Laser for Varicose Vein Removal

DrGajrajSurgery and stripping of varicose veins are now history. Endothermal treatment – using heat energy inside the vein – is now considered the best option for varicose vein removal.

How it Works: Endovenous laser – often abbreviated to EVLT or EVL – works by heating the abnormal unhealthy vein to a temperature at which it is cauterised, sterilised and devitalised. After numbing the skin with local anaesthetic, a fine needle is inserted into the vein under the guidance of ultrasound. Then a laser fibre is introduced and positioned very carefully inside the … Continue reading »

PROOF – REFLUX IS IMPORTANT

I go on about reflux a lot in my videos, my blogs and when I speak on the subject of veins at meetings. It might sound a little theoretical but I am going to show you the proof that reflux is important.

With the exception of deep vein thrombosis, nearly all leg vein problems are due to reflux. Now, whenever any fluid travels in the wrong direction in the body, the term reflux is used. So for example, if acid comes up in the wrong direction in the chest into the chest, the person is said … Continue reading »

Phlebitis Is A Serious Condition – It Can Cause DVT

Earlier this month I saw a patient who was referred to me by his General Practitioner with phlebitis. His GP had been treating him with antibiotics and if anything, his leg was getting worse.

Now treating phlebitis with antibiotics is simply wrong and I am going to tell you the truth about phlebitis.

What happens in Phlebitis

What happens in Phlebitis

Phlebitis is simply a medical term indicating that there is inflammation in the vein. Most commonly it affects the superficial leg veins and it is associated with … Continue reading »