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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 »

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 »

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 »

Exercising After Varicose Vein Surgery

One of the commonest questions I get asked by people who are having varicose vein treatment is “When can I start my exercise program?”

Walking really is the best exercise to perform after any form of varicose vein treatment or varicose vein surgery. It works the foot pump the calf pump and the thigh pump and it promotes the flow of blood in the veins from the leg back to the heart. And it also promotes the healing process. You really can’t do too much walking. Do as much as you can as early as you want.

With regard to running it … Continue reading »

I am Pregnant – Can I Have My Varicose Veins Treated?

Varicose Veins can appear for the first time in pregnancy and may become so painful that pregnant mothers seek varicose vein treatment. So can varicose veins be treated safely during pregnancy?

I am pregnant - can I have my varicose veins treated-001In general, varicose veins should not be treated during pregnancy and there are 4 main reasons.

-1) Increased risk of DVT and PE. Pregnancy is a period in which there is an increased risk of deep vein thrombosis (DVT) and pulmonary embolism. Compared women who are not pregnant, the risk of venous … Continue reading »

Varicose Veins in Men

Fit men may get varicose veins. Many people believe myths that women get varicose veins more frequently than men, that pregnancy, being overweight or life-style choices (lack of exercise, diet, or occupation) cause varicose veins.

Iron Man Stewart Palmer

Iron Man Stewart Palmer

Well meet Stewart Palmer who is a double Iron Man. He developed varicose veins when he was only 20 years old and despite regular running, swimming and cycling, his veins got worse. They ached after exercise and he did not like the appearance of his legs particularly in … Continue reading »

VenaSeal – 3 Reasons to Choose Superglue

VenaSealWe already have excellent procedures for superficial vein reflux – the cause of varicose veins and thread veins. Procedures such as endo-venous laser (EVLT), Radiofrequency Ablation, and VNUS Closure which can be performed under local anesthetic on a walk in walk out basis. So why choose VenaSeal or medical superglue for veins?

Here are 3 reasons why you might wish to consider VenaSeal by Sapheon for the treatment of your varicose veins.

-1) The VenaSeal medical superglue procedure by Sapheon does not use thermal or heat energy, so tumescent … Continue reading »

Pregnancy and Varicose Veins – why do pregnant women get varicose veins?

There are dramatic changes in the female body during pregnancy and often varicose veins and thread veins appear for the first time. I will discuss the main changes that occur in the venous circulation and I will review the evidence for a causal link between varicose veins and pregnancy.

During the last trimester of pregnancy there is an increase in the maternal circulating blood volume to provide increased oxygen and nutrient carrying capacity for the developing fetus. Most of this increased circulation is accommodated in the veins of the legs. This is also facilitated by increases in progesterone and estrogen which … Continue reading »