Are you not coming for treatment of your spider veins because you are afraid of needles or pain? The Leg Vein Doctor in Brisbane and Toowoomba can help reassure you that treatment may not be as scary as you think.
If you are at all worried about your leg health or are in pain, winter is a great time to book in at our leg vein clinic for a initial consultation. You will receive a complete medical examination and ultrasound investigation on your legs, I will discuss the findings with you and the best course of action. From there you will have a treatment plan is put together outlining all costs and any Medicare and health fund rebates.
Most patients require multiple sessions, usually over a few months in order to achieve optimal results. From start to finish you will be taken care of by me (Dr Nicholas Kemp) and we also offer complementary post treatment reviews for a year in order to ensure procedures are fully successful and that you are happy with the results.
Booking in advance offers you the freedom to choose treatment days and accommodate work and family commitments. At The Leg Vein Doctor after-hours sessions are particularly popular as the nature of our treatments means there is NO downtime and you can go straight back to work or home to cook dinner for your family!
Modern varicose vein treatments are designed to be walk-in walk-out and this is the model that has practiced in Europe and the United States for many years. General anesthetics are discouraged because they prevent a patient from being mobile following a procedure, therefore putting them at greater risk of DVTs. Not to mention the inconvenience of not being able to drive and requiring someone to collect you from the hospital.
Early booking also allows you to complete your treatment before it gets hot, which is most patients preference as the compression stockings can be hidden under trousers or worn as tights (black available). Perhaps most importantly it means your legs will be ready for the beach before the next heatwave.
Call our friendly receptionists at our varicose vein clinic on 37209912 to book an appointment for Brisbane or Toowoomba.
Venaseal is one of two types of Glue now available in Australia for the treatment of varicose veins. Venaseal is N-butyl cyanoacrylate which is similar to superglue.
Venaseal treatment may also be referred to as
- Endovenous adhesive ablation
- Cyanoacrylate adhesive ablation
- Cyanoacrylate embolization
These images show the degree contraction of the saphenous vein one week after insertion of Venaseal.
Venaseal® and Venablock® are two new cyanoacrylate glue products which have now been approved for use in the treatment of varicose veins. Several peer reviewed randomized controlled studies now support the use of glue in terms of safety and efficacy. Glue has been widely used for nearly 40 years for treating of other medical conditions such as vascular malformations. Millions of patients have been treated with glue and there is no record of an increased risk of cancer.
Advantages of glue
- High degree of safety. Theoretically no risk of injury to nerves or arteries or lymphatics.
- Minimal discomfort. Just one injection of local anaesthetic for insertion of the catheter.
- Relatively quick procedure.
- No compression stockings. Walk straight out and resume normal activities.
- Next to no discomfort following the procedure (except inflammation on occasions)
- Success rates equivalent to endovenous thermal ablation (Laser and Radiofrequency).
- Does not treat superficial varicose veins – only treats underlying refluxing veins such as incompetent saphenous veins which are the cause of superficial varicose veins.
- Complementary treatment with sclerotherapy or phlebectomy is required to treat surface varicose veins - same limitations as endovenous laser and radiofrequency ablation.
- Inflammation (phlebitis) can sometimes occur.
I'm frequently asked if taking aspirin will help prevent Deep Vein Thrombosis (DVT) in situations such as long haul international flights where there is a known increased risk of DVT. Before answering this question it is helpful to understand some basic information about blood clots.
Blood clots arise due to thrombosis anywhere in the arterial or venous circulation. DVTs occur in the venous circulation. Heart attacks and strokes occur due to blood clots in the arterial circulation. Venous and arterial blood clots are very different.
The process of blood clotting is thought to have evolved at least 50 million years ago. Blood clots are composed of two components; a blood protein called Fibrin and particles in the blood called Platelets. Platelets aggregate together like a mesh and Fibrin acts like glue to hold it all together to form a blood clot.
Anything that might inhibit the development or activity of either Fibrin or Platelets will impair the formation of a blood clot. Modern medicine has come up with therapeutic methods that do this because a blood clot can be life threatening. Think Heart Attack, Stroke or Pulmonary Embolus.
Aspirin interferes with Platelet aggregation by irreversibly inhibiting Thromboxane A2, which makes it useful in preventing arterial blood clots which cause heart attacks and strokes. But Aspirin does not interfere with Platelet aggregation mediated by Thrombin which explains why it is not effective in preventing DVT which occurs in the venous system.
Heparin and Clexane do interfere with Thrombin generation and therefore are effective in preventing DVT.
If you are going on a long haul flight and want to minimize the risk of DVT then wear compression stockings, take a walk up and down the aisle for ten minutes every few hours. Also, make sure you drink plenty of fluids - that way you'll need to walk down the aisle to go and visit the loo!
Dr Nicholas Kemp is a Specialist GP has post graduate Procedural Phlebology, Sclerotherapy and Ultrasound qualifications.
The Leg Vein Doctor offers treatments for varicose and spider veins in Brisbane and Toowoomba.