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. 

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. 

Dr Nick spent many years managing a General Practice Medical Centre in outback Mount Isa, before that he had worked at the hospital institute in both Townsville and Tully. Being a rural GP he undertook further training in obstetrics and anaesthetics and did a large selection of procedures.  He became a Fellow of the Australian College of Rural and Remote Medicine in 2000.

He continues to remain committed to helping country patients and has been running a satellite clinic in Toowoomba every month since 2013. Dr Nick very much enjoys keeping his connection with this area and visiting his family who live in the Lockyer Valley.

Dr Kemp sees patients from Toowoomba, the Darling Downs, Crows Nest, Esk, Kilcoy, Kingaroy, Gympie, Dalby, St George, Chinchilla, Goondiwindi, Millmerran, Withcott, Gatton, the Lockyer Valley, Laidley, Ipswich, Warwick, Stanthorpe, Miles, Roma, Chinchilla and surrounds.

We also receive patients from further afield in Queensland at our Brisbane Clinic from Gladstone, Rockhampton, Bundaberg, Emerald, Longreach, Buderim, Mackay, Cairns and Port Douglas.

We are very happy to work with patients travelling to see us to create a treatment schedule which is realistic and can work around their commitments such as taking children to boarding school and avoiding them being away during critical farming times.

The Toowoomba clinic operates out of Cosmetic Elegance on Scott Street. To make a booking please call 07 3720 9912.


AuthorNicholas Kemp

Athletic people particularly runners and cyclists frequently present to our clinics in Brisbane and Toowoomba with varicose veins. This is to be expected because of the huge increase in load on the venous system in the legs during intense physical activity which can damage the vein walls in people with a predisposition to varicose veins.

At The Leg Vein Doctor we see a number of patients that have deferred treatment of varicose veins for too long so as to avoid interfering with their sporting schedule. The more prolonged the delay is in treating varicose veins then the higher the risk that microcellular damage to the skin around the lower leg and ankles will occur. In the long term there is a risk of the skin ulcerating – “Varicose ulcers”.

Endovenous Laser Ablation (ELA) or Ultrasound Guided Sclerotherapy (UGS) are walk-in/walk out, non-invasive treatments offered at The Leg Vein Doctor.  They are clinic based procedures which don’t require hospitalisation and therefore easier to schedule into a busy life.  They have been likened to ‘keyhole’ varicose vein surgery.  Down time is negligible as there is no admission to hospital and no general anaesthetic.  You are back on your feet for a 30 minute walk immediately after the procedure and you can then drive home. Upper body weights can continue following treatment as can low impact exercise such as walking, swimming, yoga and pilates. Short intensity running and cycling can recommence usually within at fortnight as long as the patient is cautious and remains alert to their body.

At the initial consultation you will be provided with a treatment plan which is valid for 12 months. Our reception team will happily work with you to find appointment dates that fit around your training schedule and events calendar.

Please visit our Youtube channel if you are looking for exercises that can help alleviate discomfort in your legs.



AuthorNicholas Kemp
CategoriesVaricose Veins

At The Leg Vein Doctor we work with other Brisbane based health professionals such as GPs, Midwives, Physiotherapists, Personal Trainers and Podiatrists in order to share our knowledge and assist their clients that suffer with varicose veins. 

The video we have collaborated on with neighbouring exercise physiologists BodyTrack shows simple exercises that can potentially assist with reducing pain or congestion in venous system of the legs and as received over 80,000 views to date. 

If you have questions regarding your leg veins you can book in for an initial consultation with Doctor Kemp which includes an ultrasound investigation. All treatment plans are valid for 12 months, you are under no obligation to book in straight away and although GP referrals are preferable they are not required. 

AuthorNicholas Kemp

15% of people in the community develop chronic venous hypertension in their legs because of varicose veins. Unlike “Arterial” hypertension, “Venous” hypertension causes tissue damage due to an accumulation of waste metabolites and a build up of fluid leaking into the subcutaneous tissues under the skin.

After a number of years inflammation of the subcutaneous tissue leads to lipodermatosclerosis where there is damage to the lymphatic system and degeneration of the fat tissue. The skin becomes darkly pigmented, paper thin and vulnerable to injury.

Unfortunately 1-2% of people in the community will develop skin ulceration. This condition can also occur at an early age as we have treated people with skin ulceration in their mid-thirties. Treatment of varicose veins will abolish venous hypertension and prevent skin damage from occurring.

Venous Ulcer on a female patient with untreated Varicose Veins.

Venous Ulcer on a female patient with untreated Varicose Veins.

Lipodermatosclerosis due to untreated Varicose Veins.

Lipodermatosclerosis due to untreated Varicose Veins.

AuthorNicholas Kemp