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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 »

How to Scan The Superficial Leg Veins – Free Instructional Video

Many specialists around the world have asked us to set up a training course on duplex ultrasound. As a result, my colleagues and I are in the process of establishing an Academy to train doctors with an interest in venous disease how to perform a thorough and detailed duplex ultrasound scan of the veins of the leg. In a future post, I will formally announce details of the VeinCare Academy.

Slide1Colour Duplex Ultrasound is Essential in the Diagnosis and Treatment of Varicose Veins.
Ultrasound has really revolutionised the way that doctors treat varicose … Continue reading »

Do I Have a DVT, Doctor?

Today in my Bristol Clinic I met George who developed a deep vein thrombosis after a long haul flight. I was shocked to hear that the diagnosis was delayed despite 2 telephone calls to NHS Direct and despite visiting his GP practice. With George’s permission, I’d like to share his story as I think there are some important lessons to be learnt.

During a long haul flight at night back home, George found it very difficult to get comfortable but eventually he rested his leg on the seat in front and then he fell … Continue reading »