Sclerotherapy means injecting a sclerosant into the veins (a sclerosant is a material that causes veins to seal off by causing severe internal inflammation). Sclerotherapy is suitable for treatment of spider veins, venous lakes and varicose veins that are smaller than 4 mm. Sclerotherapy can be used alone or in combination with other treatments for…
Dysfunction of the valves in the veins in the legs is called venous insufficiency. Venous insufficiency is common. Varicose veins, part of the spectrum of venous insufficiency, are as prevalent as 40%. Patients with venous insufficiency may have swollen legs, pain, skin changes, varicose veins, venous ulcers and recurrent infections. This article will discuss chronic…
Treatment of varicose veins is most often performed in an outpatient clinic. Patients come in, have the procedure and once they have rested they may return home. However, after going home, there are often many questions that arise regarding what to do after varicose vein treatment. Many patients do not know what they should do,…
The treatment of varicose veins may be non-surgical or invasive. Endovascular treatment of varicose veins has replaced surgery in most cases. Of the invasive options, the most common options for treatment that are currently being offered include radiofrequency ablation and laser ablation. Radiofrequency ablation of varicose veins Radiofrequency ablation is a technique in which a…
Treatment of varicose veins can be done without a procedure or with a procedure. Procedures include surgery, endovenous ablation techniques, and ultrasound guided sclerotherapy. Treatment is quite successful, with long term success reaching 90% and more. Non-Surgical Treatment of Varicose Veins Conservative management of varicose veins should actually be the most utilized of all methods. …
Varicose veins have troubled mankind for thousands of years. Varicose veins are mentioned as early as 1550 B.C. in the Ebers papyrus, where it was recommended not to treat them. Varicose veins were also mentioned in ancient Greece. The role of varicose veins and venous hypertension in creating venous ulcers was recognized as early as…
Thoracic outlet syndrome (TOS) is when upper extremity symptoms arise from compression of the neurovascular bundle by adjacent muscle and bone. There are actually three types of thoracic outlet syndrome (in descending order of prevalence): Neurogenic (90% of cases) Venous Arterial (1% of cases) As the nerves and blood vessels of the neck traverse the…
Paget Schroetter Syndrome is a type of thoracic outlet syndrome. It is neither positional nor secondary to indwelling catheters. Paget Schroetter is deep vein thrombosis related to effort. Therefore, Paget Schroetter syndrome is also called ‘effort related thrombosis of the subclavian vein’. Despite the relative rarity of Paget Schroetter syndrome, it has drawn quite a…
Klippel Trenaunay syndrome (often referred to as Klippel Trenaunay syndrome or KTS) is a rare birth described at the turn of the 20th century (actually the first known description is from 1832). The Dutch Klippel-Trenaunay registry, for example, has under 100 patients, a testament to the rarity of the disorder. The Klippel Trenaunay syndrome is…
Varicose veins are enlarged, swollen veins. They have saccular, dilated and torturous. For some people this is just a “cosmetic problem”. For others, the veins are a source of pain, leg swelling and disability. Epidemiology Varicose veins are common. In many nation wide surveys around the world it has consistently been found that the annual…
