Normal circulation involves blood carrying oxygen being pumped from the heart into the tissues via arteries and then returning de-oxygenated blood carrying other waste products from the tissues back to the heart through the veins. Your arteries might be in good health but if your veins are not working properly and leaking back into the tissues due to varicose veins then in the long term tissue damage to your lower legs can occur leaving you at risk of varicose leg ulcers later in life.  

Walking compresses the deep veins in the leg muscles and this pumps the blood out of the legs. This is the most important mechanism to improve clearance of venous blood out of the legs. If you sit on an aeroplane for a long flight you might be aware of some ankle swelling because you haven’t been walking.

People with venous disease will often find relief from their swollen feet and ankles and alleviation of tired and aching legs by elevating their legs at the end of the day.

There are many and varied medications and devices marketed as circulation boosters (e.g. the brand Revitive).   Medical Graduated Compression Stockings have Evidence Based Medicine to support their use to improve leg vein circulation and improve leg vein health.  

But these methods only provide temporary relief and do not prevent tissue damage from occurring in the long term. An Ultrasound investigation can establish if your aching or swollen legs are caused by poor venous circulation. 

The price of the initial consultation at our Vein Clinic in Brisbane and Toowoomba includes a venous duplex ultrasound examination for which there is a medicare rebate. 

Posted
AuthorNicholas Kemp

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. 

Source: Brisbane Body Expert

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.

Posted
AuthorNicholas Kemp
CategoriesVaricose Veins

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).

Disadvantages

  • 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.
Posted
AuthorNicholas Kemp
CategoriesVaricose Veins

Horse chestnut, grape seed, Ginko biloba, coumarins and flavonoids. Pills, lotions and even skin wraps for those unsightly vascular marks and promises to make your legs healthy again ot give you your best legs ever! 

There seems to be any number of herbal and home remedies which are available for the treatment and removal of spider veins and varicose veins they can be found online and in the chemist.  Some of these products are cheap and others not so cheap but all seem to guarantee pain free removal of your veins with quick results.

These products are termed Veno-active drugs (VAD) or Phlebotonic drugs.  They are mostly derived from plant extracts.

Such groups include:

·         Benzopyrones (Coumarine, Flavonoids, Oxerutin, Rutin, Rutosides, Diosmine)

·         Saponins (Horse chestnut and Butcher’s extract)

·         Other plant extracts (Gingko Biloba, Maritime Pine extract, grape seed)

·         Synthetic products or the Quinons ( naftazone and calcium dobesilate)

·         Xanthine derivatives (Pentoxifylline )

There seem to be various modes of action depending on the individual drug.  Beneficial effects include reduction in capillary leakage and anti-inflammatory effects by scavenging free radicals. Improvements in venous tone and on the lymphatic system have been proposed.

But what is the level of scientific evidence?

At a recent International Phlebology conference that I attended, Veno-Active Drugs (VAD) were one of the topics of discussion.

Pentoxifylline, Sulodoxine and micronized purified flavonoid fraction (Daflon®) have demonstrated some benefit to patients with Chronic Venous Disease in a few trials.

However “strong recommendations with Level 1 evidence” cannot be made about the use of any of the wide range of Veno-active drugs available in the treatment of Chronic Venous Disease at the moment.

Until more evidence is gathered sclerotherapy and Endothermal ablation remain the most successful and proven methods of removing varicose veins and spider veins. 

Posted
AuthorNicholas Kemp
CategoriesVaricose Veins

Long periods of standing in the one position in certain occupations such has hairdressing, nursing or machinery work can often lead to discomfort in the legs and feet. Symptoms such as a vague aching sensation, itchy, restless legs or burning and sweating feet can be due to poor clearance of venous blood out of the legs. 

People affected with venous disease that causes venous incompetence are particularly prone to these symptoms if they are standing for prolonged periods and not walking around. Walking helps clear the blood out of the lower limbs because contraction of the calf muscles compresses the deep veins and this is the mechanism by which venous blood gets pumped up and out of the legs. It’s known as the “Calf muscle pump”.

If you are experiencing uncomfortable symptoms such as just described and your work involves extended periods of standing on your feet without the opportunity of moving about too much, you might be suffering from venous incompetence and poor clearance of venous blood out of your legs due to venous disease. This can often occur without the presence of visible varicose veins.

A duplex venous ultrasound of the saphenous veins and deep veins in your legs is the appropriate investigation for this problem. For many people immediate treatment may not be an option due to pregnancy, work and family commitments or because they do not have direct access to funds for procedures.

Compression therapy in the form of socks or stockings maybe beneficial in relieving some of the symptoms mentioned above through boosting a persons circulation when worn throughout the day. The Leg Vein Doctor now carries a wide range of compression therapy in various grades and forms to fit all sizes. Banish the thought of those white TED surgical / hospital stockings from your mind. The non surgical compression therapy we have is breathable for the Queensland heat and comes in a choice of colours. It is not just for women either, we have men's 'dress' socks suitable to be worn with a suit and a core spun range which can be comfortably worn with work or safety boots. Both the options for men and women are unidentifiable to others so know one need know about your issue.   

Please call the clinic to book an initial consultation should you require more information and advise regarding if these medical accessories could be as suitable option for you pre-treatment.