Consultation
Your first consultation is an important stage in the management
of your varicose veins. The consultation process involves
discussing your symptoms due to varicose veins and your
general medical condition that would influence the choice of
treatment for your veins. Your legs are then assessed for signs
of advanced venous disease such as inflammation or phlebitis,
changes in skin and subcutaneous tissue, leg swelling,
ulcerations and other signs of skin breakdown.
The next step is crucial as you proceed to have a Duplex
Ultrasound scan of your veins. This is very important in deciding
which operation is the best choice for your condition as the
underlying problem in the vein cannot be fully ascertained
correctly just by looking at the leg and external appearance of
the varicose veins.
Treatment is designed for each patient based on the results of
the vein test. The management options and the procedure
techniques are discussed with you in detail giving you the
opportunity to understand the treatment and to discuss the
merits of different procedures.
The common question I am asked is will my veins come back
after treatment and should I wait till later. The veins do not come
back after treatment as they are destroyed or removed.
However, you can form new veins over the years as you would
have a tendency to make veins and this is normal course of the
condition. Early stage of the condition favours simpler
procedures with better outcome.
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Restless leg
Restless Leg Syndrome, (RLS) is a common medical condition
characterised by an uncontrollable urge to move the legs,
persistent leg movements during sleep, difficulty in sleeping and
abnormal sensation such as tingling, burning and aching. Those
who suffer from RLS find ordinary activities, such as car or air
travel and sitting in cinemas, almost impossible because they
cannot sit still for long periods.
The cause of restless leg syndrome (RLS) is unknown but it
appears to have multiple causes including damage in vein valves
that cause back flow of blood in the legs. Medical research
shows that 22% of patients with RLS also have venous
insufficiency or valve damage with or without visible varicose
veins. The treatment of venous insufficiency in these patients
can relieve their symptoms. It is advisable for patients who have
persisting symptoms of restlessness in their legs to attend your
GP or a vascular surgeon to be evaluated for venous
insufficiency with a simple duplex ultrasound scan test.