The most common type of sclerosants used in Australia today for the treatment of varicose veins and spider veins involving the legs are the detergent sclerosants. These are small lipid soluble molecules which can theoretically pass into breast milk in minute amounts. There is no evidence that they will do any harm to the baby but then again there is no conclusive evidence regarding their safety. 

However detergent sclerosants are very quickly metabolized by the liver and excreted by the kidney, so it is safe to resume breast feeding very soon after treatment.  At The Leg Vein Doctor we recommend to breast feeding mothers that they use a breast pump and store expressed breast milk prior to treatment which can then be used for the first feed after treatment. Normal breast feeding can resume twelve-twenty four hours after treatment.

Hypertonic saline is a less commonly used sclerosing agent, but it is safe to use during breast feeding.   

AuthorNicholas Kemp

The Leg Vein Doctor has been recognised with an annual award based on patient service excellence ratings from healthcare search engine WhatClinic.

WhatClinic looked at 12 months of data from users of its site, in relation to Dr Kemp's practice including patient review scores, feedback data and clinic contact rates. In 2017 over 15 million people visited the comparison site to find and compare clinics.

The Leg Vein Doctor in Brisbane & Toowoomba was only one of a small number of clinics on the site that met the exacting standards needed to qualify for the award. Not only must the clinic have a consistently high ServiceScore™ rating to qualify, the rating measures the clinic’s commitment to customer service over a whole year, and so represents long term commitment dealing with patients. Less than 2% of clinics on the site qualified for the award this year.

Dr Nicholas Kemp today said; “We are delighted to be recognised for our commitment to customer service by WhatClinic for the 4th consecutive year. Quality and care are the cornerstones of our phlebology practice and we pride ourselves on being able to offer the best service we can to each and every patient. It is wonderful to get feedback first hand from our patients that we are meeting these goals ”

WhatClinic CEO David Roe congratulated The Leg Vein Doctor and said “The WhatClinic Customer Service awards have now run for nine years.  In 2018 we are now including tens of thousands of ratings of patient to clinic phone calls, rating clinics on their politeness, helpfulness and customer service over the phone, as well as through email, online and in person.

Ratings are useful to both consumers and clinics. Consumers can see which clinics have rated well with lots of other users, and Clinics can evaluate their own performance against others in their market, ideally with the goal of getting better and better at serving their patients, which is ultimately good for everybody. "

AuthorNicholas Kemp

The speciality of phlebology has developed to enable physicians sharing an interest in venous disease and health to share knowledge and experience despite being trained in a variety of backgrounds such as dermatologyvascular surgeryhaematology, interventional radiology or general medicine. Diagnostic techniques used include the patient's history and physical examination, venous imaging techniques in particular vascular ultrasound and laboratory evaluation related to venous thromboembolism.

A significant part of a phlebology is involved with the treatment of superficial venous disease, frequently of the leg. Conditions often treated include venous stasis ulcers, varicose veins and spider veins (telangiectasia). Other conditions managed by phlebologists include deep venous thrombosis (DVT), superficial thrombophlebitis, and venous malformations.

From WikiPedia

AuthorNicholas Kemp

Dr Kemp is looking forward to joining doctors from all over the world at next month's  World Congress of Phlebology in Melbourne.

Hosted by the Australasian College of Phlebology, A/Professor Kurosh Parsi explains that phlebology is a multi-disciplinary field and the conference will bring together world experts in vascular disease, vascular anomalies and malformations, interventional radiology, lymphology, dermatology, haematology, thrombosis and haemostasis, fluid mechanics and haemodynamics, ultrasound and wound healing.

The program will feature daily multi-disciplinary state-of-the-art keynote lectures focussing on new technologies and innovations, international guidelines, debates and consensus meetings.

At the conference there will be hands-on training sessions (HOTS), a comprehensive Ultrasound Certification Program, live broadcasts of procedures, daily videos and workshops on a wide range of topics.

AuthorNicholas Kemp

Dr Nicholas Kemp has been treating leg veins in Toowoomba monthly for the last 5 years. As a Fellow of the Australian College of Rural and Remote Medicine and having practiced for most of his career in rural locations he is passionate about being able to provide a service to country patients. His family still live in the Lockyer Valley and so he has a long history with the area.

The Leg Vein Doctor offers the following procedures for the treatment of varicose veins:

  • Endovenous Ablation (Laser and Radiofrequency)
  • Venous Glue "venaseal"
  • Ultrasound Guided Sclerotherapy UGS.

GP referrals are not needed to make an appointment but are encouraged.

All initial consultations include full ultrasound scan performed by Dr Kemp. Dr Kemp only treats varicose and spider veins so you can be assured of specialised attention and a thorough knowledge of the most up to date treatment options available. All procedures are walk in /walk out and to not require hospital admission, general anaesthetic or invasive surgery.

For more information on the treatment options please read Dr Kemp's article in the Australian Family Physician.

To make a booking call 3720 9912.


AuthorNicholas Kemp

There was a recent TV feature on Channel 9 Television about laser treatment of varicose veins being painless. Is this true? Pain is certainly minimal in comparison to surgery but people do experience some pain so saying its painless is not entirely true.  The measure of pain is subjective as each individual has different tolerance thresholds for pain.  

Prior to the Laser being turned on and withdrawn through the vein, Tumescent Anaesthetic needs to be injected along the entire length of the vein with a series of needles so that the vein becomes enveloped in an anaesthetic blanket.  These injections are relatively painless but they are not painLESS.

Once the anaesthetic is inserted you can be confident that the laser treatment is completely painLESS no matter what type of laser or frequency of laser is being used.  

Following treatment the anaesthetic takes several hours to wear off and this is when some discomfort might develop.  Any dull ache that might develop which normally would only last a few days can normally be managed with ibuprofen or paracetamol. 

With the use of the newer types of Lasers there is often minimal or next to no pain over the recovery period.  There has been a trend towards the use of lower frequency Lasers (1470nm) which specifically target water in the vein wall rather than the blood inside the vein. The lower power settings required for these new types of Lasers accounts for the significant reduction in post procedural pain. 

AuthorNicholas Kemp