The veins of the lower limbs can be subdivided into three subtypes: deep veins, superficial veins, and connecting veins (figure 1).

Size: px
Start display at page:

Download "The veins of the lower limbs can be subdivided into three subtypes: deep veins, superficial veins, and connecting veins (figure 1)."

Transcription

1 VEIN DISEASE Vein disease may seem insignificant and harmless at first, but if left untreated, it can develop into a major problem. It occurs when veins have trouble transporting blood back to the heart and lungs. Vein disease affects approximately one-third of the population over the age of 45. While vein disease is progressive and irreversible, there are effective treatment and prevention options. This article reviews the circulatory system and the role of veins within this system. It explains some common vein problems and discusses the various treatment and prevention options. Circulatory System The circulatory system is a marvelous and precisely balances mechanism comprised of the heart, arteries, veins, and lymph vessels. It acts as a transporter of substances both to and from tissues and vital organs. Oxygen, nutrients, immune substances, hormones and chemicals necessary for the normal function of the body are transported via the arteries. Veins return oxygen-depleted blood back to the lungs where carbon dioxide is exchanged for oxygen. The circulatory system equalizes body temperature and assists in the maintenance of normal water and electrolyte balance. The average adult has a blood volume of approximately five litres. The circulatory system carries this quantity on one complete circuit through the body every minute. In 24 hours, 6800 litres of blood pass through the heart. Since veins tend to be larger and more numerous than arteries, the capacity of the venous system is greater than that of the arterial system. In fact, about 64% of the total circulating blood volume is within the venous system. Veins The veins of the lower limbs can be subdivided into three subtypes: deep veins, superficial veins, and connecting veins (figure 1). The central system of deep veins lies within skeletal muscles and other tissues and provides drainage from most of the muscle mass to the limbs. Ultimately, the deep veins connect with the veins of the abdomen. The superficial system includes the great saphenous vein and the small saphenous vein. The great saphenous vein is the longest vein in the body. It travels along the inside of the foot, leg and thigh where it joins the femoral deep vein. The small saphenous vein is shorter and travels along the lateral side of the foot, crosses the back of the leg and joins the deep vein behind the knee. The third major type is the connecting or perforating vein system, which connects the superficial and deep systems.

2 Vein Walls Vein walls differ from the walls of arteries in that they are highly distensible. This stretchability is a factor of the composition of the vein walls. The walls contain three distinct layers: adventitia (outer layer), media (middle layer) and intima (inner layer). Vein walls are relatively thin because the media is not well developed. The walls of veins primarily contain collagen and elastin fibers, whereas the arterial walls contain more smooth muscle tissue. Consequently, a vein is more easily compressed by adjacent muscles and bones. As we age, vein walls lose elasticity, causing them to stretch and dilate. Muscle Muscles play an important role in normal vein function through a process referred to as the venous pump. The muscles of the leg serve to lower vein pressure in dependent parts of the leg, relieve vein congestion in the same area and facilitate venous return both in times of rest and with more vigorous exercise. The massaging action of the muscle empties the deep veins and promotes blood flow from the superficial to the deep vein system. Valves

3 Since the veins in the legs are working against gravity, pumping blood upward from the feet to the heart, they contain valves to keep the blood flowing in the proper direction. Like swinging doors, these valves "float open" to allow the blood flow toward the heart, and "flap closed" again to prevent backflow toward the feet. Generally, the lower the vein is in the leg, the greater the number of valves within it. The loss of normal valve function in the veins results in abnormal blood flow. If the valve malfunctions because it has been damaged or because the vein walls are distended, blood pools in the veins. This dilates the vessel and further interferes with valve action. When an upper valve becomes defective, the fluid seeps into the next lower section of the vein. This doubles the weight the valve has to support and dilates the walls of the vessel. The results of blood flowing back down the leg can lead to bulging veins, swollen angles, and a feeling of heaviness and pain the legs. Blood can no longer be directed toward the deep vein. Valve failure and inactivity are precursors to venous insufficiency. Injury, disease, advanced age, excessive weight, pregnancy and heredity all contribute in varying degrees to possible valve malfunction. Types of Vein Disease Chronic venous insufficiency is the collective term used to describe a condition in which the return blood flow through the veins is impaired, resulting in elevated venous pressure. Once the vein walls or valves become weak or damaged, the walls can dilate. If the veins are continually stretched, over time the valves begin to malfunction. The combination of weakened valves and gravity can cause blood in the veins to flow back down into the legs. Vein disease is progressive in nature. If symptoms are left untreated, veins can become irreversibly damaged and unable to perform the pumping function they were designed to do. The vein walls become increasingly permeable, allowing blood to pool in surrounding leg tissue. Varicose Veins The term varicose comes from the Latin root varix, meaning "twisted". Varicose veins usually begin to appear between the ages of 30 and 70. For some people, they are simply a cosmetic concern; for others, varicose veins can cause a significant pain and discomfort, often leading to problems that are more serious. Varicose veins are typically swollen, twisted, blue in colour and close to the surface of the skin. They can be unsightly and uncomfortable. Veins often bulge, throb and feel heavy. the legs and feet can swell and the skin can itch. Varicose veins can occur in almost any part of the body. However, they are most often seen at the back of the calf or on the inside of the leg between the groin and ankle. Hemorrhoids (veins around the anus) can also become varicose. Women are more likely than men to develop varicose veins, partly because female hormones tend to relax the vein walls. Other contributing factors can include pregnancy, illness, injuring and excess body weight. Venous Ulcers In more advanced stages, varicose veins may develop into open sores around the ankle area. This occurs as a result of poor circulation in the ankle and a leakage of blood into the leg tissue. Skin organisms then attack the skin and cause active inflammation and infection. These open sores are often very difficult to heal, and, if left unattended, can be quite painful causing serious health problems. Deep Vein Thrombosis (DVT) Deep vein thrombosis refers to the process of forming, or the presence of, a blood clot in a deep vein such as those in the leg or pelvis.

4 Deep vein clots occur most often during long periods of inactivity such as bed rest following surgery or with an illness, or following trauma to an extremity. There is also an increased risk of thrombosis in women who are pregnant or who are using oral contraceptives, people with an inherited deficiency of certain anti-clotting factors and people with certain types of cancer. DVT commonly affects only a single leg and depending on the location, swelling and pain may be the chief symptom. The pain may worsen with increased activity or if standing still for a long period of time. Of significant concern with clots in veins is the risk that a portion of or the entire clot will become dislodged and travel through the bloodstream to the lung. This is called a pulmonary embolism and is a life-threatening complication that requires urgent treatment. Although some clots may never go away, they can be treated to prevent the clot from growing. The use of anticoagulant (blood thinner) medications may prevent this complication by decreasing the ability of the blood to clot. Facts increasing the Risk of Deep Vein Thrombosis Age > 40 years Major surgery Immobility Cardiopulmonary disease Obesity Hypercoagulation (cancer) Venous disease Warning Signs of Vein Disease Open sores or ulcers on lower legs Leg pain from prolonged sitting or standing Varicose or spider veins, especially during pregnancy Tingling, numbness, burning or cramping in legs and feet Discoloration of the skin Swollen ankles at night Family history of venous problems Tired heavy legs Treatment Options The best treatment for vein disease is early detection. While there is no known cure for vein disease, there are options ranging from self-help to surgery. Self-Help Options Avoiding Excess alcohol and smoking Wearing flat or low-heeled shoes to work calf muscles and prevent discomfort Maintaining normal weight to take unnecessary pressure off the veins Minimizing long periods of sitting or standing and changing your position to avoid pooling of blood in the lower limbs Avoiding tight clothing which can restrict circulation Elevating the legs to allow a greater gravitational downward flow of blood Avoiding direct sunlight to minimize vasodilation and swelling Exercising to improve blood circulation

5 Medical Compression Stockings Compression stockings are often the first line of defense in treating varicose veins or in slowing their progression. They provide "graduated" compression, with the greatest pressure at the ankle and diminishing pressure as the stocking goes up over the leg. The stockings support the weakened vein walls and help them perform the pumping action. They promote circulation and help limit gravity's downward pull. As a result, blood flow is increased and often there is a decrease in swelling, fatigue, and pain and a reduction in the risk of blood clot formation. Compression stockings should only be worn after consultation with a physician. The physician will indicate the desired compression ratio based on specific parameters. Proper fit is essential to ensure optimal efficacy. A professional fitter will measure various parts of the leg and foot using a precise fitting protocol. An improperly sized stocking negates the effect of graduated compression. Daily wearing of the garment is essential. The compression stocking should be put on first thing in the morning and taken off before going to bed. Compression stockings come in different fabric weights, styles and colours. Compression stockings should not be confused with other types of stockings such as support hose and anti-embolism stockings. Support hose offer light, non-medical compression, which may help the legs feel better, but they cannot provide sufficient compression to prevent the progression of vein disease. Anti-embolism stockings (sometimes referred to as TEDs) are generally reserved for hospital use. They are used for managing post surgical patients at risk of developing a clot, and are specifically designed for people who are bedridden. Surgery If varicose veins do not respond to life-style adjustments, or if they are more severe, surgery may be recommended. There are various surgical treatment options available. Sclerotherapy is an outpatient procedure that involves injecting small and medium-sized varicose veins with a solution that scars the affected veins. The scarring effectively closes the veins and forces the blood to reroute to healthier veins. Ambulatory phlebectomy is an outpatient procedure involving the removal of smaller varicose veins through a series of tiny skin punctures. The procedure is frequently preformed under a local anesthetic and scarring is generally minimal. Vein stripping entails removal of a long vein through small incisions. For most people, this is also an

6 outpatient procedure and normal activities can usually be resumed within 2 weeks of the procedure. Endoscopic vein surgery is usually considered only in advanced cases of vein disease involving leg ulcers. Surgeons use a thin video camera inserted in the leg to visualize and treat the affected veins. PHARMAwise is authored and published by Dawn M. Frail, B.Sc. (Pharm), M.Sc. and made possible through the support of the Pharmacy & Apotex Continuing Education (PACE) program, the Apotex Advisory Board and your pharmacist. Reference to articles contained in this infoletter are available by contacting the Apotex Professional Affairs Department at , extension PHARMAwise is intended to provide drug and health information to care providers. The publisher, sponsor, and distributor are not responsible for losses arising from the use of information in this publication.

Tired, Aching Legs? Swollen Ankles? Varicose Veins?

Tired, Aching Legs? Swollen Ankles? Varicose Veins? Tired, Aching Legs? Swollen Ankles? Varicose Veins? Healthy Legs 2006 http://healthylegs.com Page 1 Venous disorders are widespread Leg problems are widespread throughout the world, but what most people

More information

Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients

Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients Are You at Risk? Leg problems are widespread throughout the world, but what most people don t know is that approximately

More information

SCRIPT NUMBER 122 VARICOSE VEINS - 2 (TWO SPEAKERS)

SCRIPT NUMBER 122 VARICOSE VEINS - 2 (TWO SPEAKERS) SCRIPT NUMBER 122 VARICOSE VEINS - 2 (TWO SPEAKERS) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: VARICOSE VEINS - 2 PROGRAM NUMBER: 122 SUBJECT: SYMPTOMS, CAUSES, TREATMENT, PREVENTION OF VARICOSE VEINS

More information

Baby Your Legs! Get relief for: Heavy, tired or aching legs Swollen ankles and feet Varicose or spider veins. Managing leg health during pregnancy

Baby Your Legs! Get relief for: Heavy, tired or aching legs Swollen ankles and feet Varicose or spider veins. Managing leg health during pregnancy Baby Your Legs! Get relief for: Heavy, tired or aching legs Swollen ankles and feet Varicose or spider veins Managing leg health during pregnancy Common leg health problems during pregnancy Venous disorders

More information

Treatment by LASER. Understanding Varicose veins and. Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD)

Treatment by LASER. Understanding Varicose veins and. Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD) Understanding Varicose veins and Treatment by LASER Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD) Orange city Hospital & Research Institute 19, Pandey Lay out, Veer Sawarkar Square, Nagpur 440015

More information

X-Plain Varicose Veins Reference Summary

X-Plain Varicose Veins Reference Summary X-Plain Varicose Veins Reference Summary Introduction Varicose veins are very common, in both women and men. Varicose veins can be painful and unattractive. Vein doctors use non-invasive ultrasound imaging

More information

VARICOSE VEINS. Information Leaflet. Your Health. Our Priority. VTE Ambulatory Clinic Stepping Hill Hospital

VARICOSE VEINS. Information Leaflet. Your Health. Our Priority. VTE Ambulatory Clinic Stepping Hill Hospital VARICOSE VEINS Information Leaflet Your Health. Our Priority. Page 2 of 7 Varicose Veins There are no accurate figures for the number of people with varicose veins. Some studies suggest that 3 in 100 people

More information

treatment of varicose and spider veins patient information SAMPLE a publication by advancing vein care

treatment of varicose and spider veins patient information SAMPLE a publication by advancing vein care treatment of varicose and spider veins patient information a publication by advancing vein care Since most veins lie deep to the skin s surface, vein disorders are not always visible to the naked eye.

More information

Patient Information Understanding Varicose Veins

Patient Information Understanding Varicose Veins Patient Information Understanding Varicose Veins The Circulatory System Arteries carry oxygenated blood to your legs and the veins carry de-oxygenated blood away from your legs. The blood returns to the

More information

Venous Reflux Disease and Current Treatments VN20-87-A 01/06

Venous Reflux Disease and Current Treatments VN20-87-A 01/06 Venous Reflux Disease and Current Treatments Leg Vein Anatomy Your legs are made up of a network of veins and vessels that carry blood back to the heart The venous system is comprised of: Deep veins Veins

More information

CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE

CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE Introduction CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE Original authors: Niren Angle, John J. Bergan, Joshua I. Greenberg, and J. Leonel Villavicencio Abstracted by Teresa L. Carman New technology has

More information

Varicose veins - 1 -

Varicose veins - 1 - Varicose veins - 1 - Varicose Veins About 3 in 10 adults develop varicose veins at some time in their life. Most people with varicose veins do not have an underlying disease and they usually occur for

More information

Suffering from varicose veins? Patient Information. ELVeS Radial Minimally invasive laser therapy of venous insufficiency

Suffering from varicose veins? Patient Information. ELVeS Radial Minimally invasive laser therapy of venous insufficiency Suffering from varicose veins? Patient Information ELVeS Radial Minimally invasive laser therapy of venous insufficiency Do you suffer from heavy legs or visible veins? This makes diseases of the veins

More information

TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info

TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info www.heartofthevillages.com TIRED & ACHING LEGS? If you suffer from varicose and spider veins, you are not alone. It is estimated that there are more

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 1 NORMAL VENOUS CIRCULATION Original author: Frank Padberg Abstracted by Teresa L.Carman Introduction The circulatory system is responsible for circulating (moving) blood throughout the body. The

More information

Varicose Veins and Spider Veins

Varicose Veins and Spider Veins page 1 Varicose Veins and Spider Veins Q: What are varicose veins and spider A: Varicose (VAR-i-kos) veins are enlarged veins that can be blue, red, or fleshcolored. They often look like cords and appear

More information

Understanding Varicose Veins

Understanding Varicose Veins Understanding Varicose Veins Professor Bruce Campbell Published by Family Doctor Publications Limited in association with the British Medical Association IMPORTANT NOTICE This book is intended not as a

More information

V03 Varicose Veins Surgery

V03 Varicose Veins Surgery V03 Varicose Veins Surgery What are varicose veins? Varicose veins are enlarged and twisted veins in the leg. They are common and affect up to 3 in 10 people. More women than men ask for treatment, with

More information

A Guide to Healthier Legs

A Guide to Healthier Legs A Guide to Healthier Legs Are You at Risk? Keeping Your Legs Healthy Leg problems are widespread throughout the world. According to the American College of Phlebology, more than 80 million Americans suffer

More information

Recurrent Varicose Veins

Recurrent Varicose Veins Information for patients Recurrent Varicose Veins Sheffield Vascular Institute Northern General Hospital You have been diagnosed as having Varicose Veins that have recurred (come back). This leaflet explains

More information

Tired legs, varicose veins

Tired legs, varicose veins Tired legs, varicose veins Everything you need to know What are varicose veins? Varicose veins are swollen, enlarged and twisted veins in the deep or superficial venous system of the legs, due to loss

More information

Spotlight Series: Interventional Radiology. Varicose Veins and Venous Insufficiency

Spotlight Series: Interventional Radiology. Varicose Veins and Venous Insufficiency Spotlight Series: Interventional Radiology Varicose Veins and Venous Insufficiency What is venous insufficiency? Spectrum of Disease Spider veins and telangiectasias Small reddish and purple veins near

More information

F REQUENTLY A SKED Q UESTIONS. and Spider Veins

F REQUENTLY A SKED Q UESTIONS. and Spider Veins page 1 Varicose Veins moves up the legs. If the one-way valves become weak, blood can leak back into the vein and collect there. This problem is called venous insufficiency. Pooled blood enlarges the vein

More information

Varicose veins and spider veins

Varicose veins and spider veins Varicose veins and spider veins Summary Varicose veins are knobbly, twisted and darkish-blue in appearance, and are most commonly found on people s legs. Varicose veins are caused by faulty valves within

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 17 SURGICAL THERAPY FOR DEEP VALVE INCOMPETENCE Original author: Seshadri Raju Abstracted by Gary W. Lemmon Introduction Deep vein valvular incompetence happens when the valves in the veins (tubes

More information

Varicose Vein Treatment (Endovenous Ablation of Varicose Veins)

Varicose Vein Treatment (Endovenous Ablation of Varicose Veins) Scan for mobile link. Varicose Vein Treatment (Endovenous Ablation of Varicose Veins) Varicose vein treatment, also known as endovenous ablation, uses radiofrequency or laser energy to cauterize and close

More information

Graduated compression hosiery (stockings)

Graduated compression hosiery (stockings) What is compression hosiery? Compression hosiery are elasticated stockings which give support to your legs. In graduated compression hosiery, the pressure given by the stockings is greater at the ankle

More information

Preventing Blood Clots in Adult Patients. Information For Patients

Preventing Blood Clots in Adult Patients. Information For Patients Preventing Blood Clots in Adult Patients Information For Patients 1 This leaflet will give you information on how to reduce the risk of developing blood clots during and after your stay in hospital. If

More information

The Treatment of Varicose Veins and Spider Veins

The Treatment of Varicose Veins and Spider Veins The Treatment of Varicose Veins and Spider Veins St. Joseph Vein Center Surgical Specialists of St. Joseph, P.C. Glen H. Hastings, M.D., F.A.C.S. 820 Lester Ave., Suite 105 St. Joseph, MI 49085 (269) 983-3368

More information

THE VEIN CENTER. State-of-the-Art Treatment for Varicose Veins and Spider Veins

THE VEIN CENTER. State-of-the-Art Treatment for Varicose Veins and Spider Veins THE VEIN CENTER State-of-the-Art Treatment for Varicose Veins and Spider Veins Vein Disorders Nearly 50 percent of the adult population suffers from undesirable, sometimes painful vein disease. The most

More information

SEDICO Newsletter Issue 8. Varicose veins

SEDICO Newsletter Issue 8. Varicose veins SEDICO Newsletter Issue 8 Definition: Varicose veins Varicose veins are veins that have become enlarged and twisted. The term commonly refers to the veins on the leg, although varicose veins occur elsewhere.

More information

CHINOOK VASCULAR - ENDOVENOUS LASER ABLATION PROCEDURE

CHINOOK VASCULAR - ENDOVENOUS LASER ABLATION PROCEDURE CHINOOK VASCULAR - ENDOVENOUS LASER ABLATION PROCEDURE Endovenous Laser Ablation is a minimally invasive option for treating great saphenous vein incompetence (leaky valves). The first stage of your surgery

More information

Do you have any of these varicose vein symptoms?

Do you have any of these varicose vein symptoms? Do you have any of these varicose vein symptoms? Heaviness Achiness Swelling Throbbing Itching HASTI Symptoms Ask your doctor if Varithena is right for you Varithena (polidocanol injectable foam) is a

More information

Modern Varicose Vein Treatments: What Every Patient Should Know

Modern Varicose Vein Treatments: What Every Patient Should Know The Skin and Vein Center Oneonta Laser Derm & Day Spa Natural Good Looks and Leg Veins Our Specialty Dr Eric Dohner, MD 41-45 Dietz St Oneonta, NY 13820 607/431-2525 www.oneontalaserderm.com Modern Varicose

More information

Confirmed Deep Vein Thrombosis (DVT)

Confirmed Deep Vein Thrombosis (DVT) Confirmed Deep Vein Thrombosis (DVT) Information for patients What is deep vein thrombosis? Blood clotting provides us with essential protection against severe loss of blood from an injury to a vein or

More information

Beaumont Hospital. Varicose Veins. and their TREATMENT. Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM

Beaumont Hospital. Varicose Veins. and their TREATMENT. Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM Beaumont Hospital Varicose Veins and their TREATMENT Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM Department of Surgery Beaumont Hospital and Royal College of Surgeons in Ireland

More information

Treatment for Varicose Veins

Treatment for Varicose Veins Treatment for Varicose Veins Your blood vessels are made up of arteries and veins. Arteries bring blood rich in oxygen from the heart to all parts of your body. Veins carry blood back to the heart where

More information

X-Plain Inguinal Hernia Repair Reference Summary

X-Plain Inguinal Hernia Repair Reference Summary X-Plain Inguinal Hernia Repair Reference Summary Introduction Hernias are common conditions that affect men and women of all ages. Your doctor may recommend a hernia operation. The decision whether or

More information

Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast. Information for patients Pharmacy

Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast. Information for patients Pharmacy Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast Information for patients Pharmacy Your doctor has prescribed a tablet called rivaroxaban. This leaflet tells you about

More information

Varicose Veins & Pregnancy

Varicose Veins & Pregnancy A Guide to Varicose Veins & Pregnancy What are varicose veins? Varicose veins are bulging and unsightly blue veins that occur on the legs. They can occur at any age in both men and women, but are very

More information

Y O U R S U R G E O N S. choice of. implants F O R Y O U R S U R G E R Y

Y O U R S U R G E O N S. choice of. implants F O R Y O U R S U R G E R Y Y O U R S U R G E O N S choice of implants F O R Y O U R S U R G E R Y Y O U R S U R G E O N S choice of implants F O R Y O U R S U R G E R Y Your Surgeon Has Chosen the C 2 a-taper Acetabular System The

More information

What are spider veins? What is the best treatment for spider veins?

What are spider veins? What is the best treatment for spider veins? Laser Spider/Leg Vein Q & A What are spider veins? Millions of women and men are bothered by unsightly spider veins on their faces and legs. Spider veins or telangiectasias are those small red, blue and

More information

ARTHROSCOPIC HIP SURGERY

ARTHROSCOPIC HIP SURGERY ARTHROSCOPIC HIP SURGERY Hip Arthroscopy is a relatively simple procedure whereby common disorders of the hip can be diagnosed and treated using keyhole surgery. Some conditions, which previously were

More information

Varicose Veins Operation. Patient information Leaflet

Varicose Veins Operation. Patient information Leaflet Varicose Veins Operation Patient information Leaflet 22 nd August 2014 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the

More information

INTRODUCTION Thrombophilia deep vein thrombosis DVT pulmonary embolism PE inherited thrombophilia

INTRODUCTION Thrombophilia deep vein thrombosis DVT pulmonary embolism PE inherited thrombophilia INTRODUCTION Thrombophilia (Hypercoagulability) is a condition in which a person forms blood clots more than normal. Blood clots may occur in the arms or legs (e.g., deep vein thrombosis DVT), the lungs

More information

INTRODUCTION Thrombophilia deep vein thrombosis DVT pulmonary embolism PE inherited thrombophilia

INTRODUCTION Thrombophilia deep vein thrombosis DVT pulmonary embolism PE inherited thrombophilia INTRODUCTION Thrombophilia (Hypercoagulability) is a condition in which a person forms blood clots more than normal. Blood clots may occur in the arms or legs (e.g., deep vein thrombosis DVT), the lungs

More information

OPERATION:... Proximal tibial osteotomy Distal femoral osteotomy

OPERATION:... Proximal tibial osteotomy Distal femoral osteotomy AFFIX PATIENT DETAIL STICKER HERE Forename.. Surname NHS Organisation. Responsible surgeon. Job Title Hospital Number... D.O.B.././ No special requirements OPERATION:..... Proximal tibial osteotomy Distal

More information

Spider and Varicose Veins

Spider and Varicose Veins KRAMES. PATIENT EDUCATION Procedures for Spider and Varicose Veins How Vein Problems Develop Easing Symptoms with Self-Care Minimally Invasive and Surgical Treatment Options , J ;Yf 'i Understanding Problem

More information

VARICOSE VEIN ADVICE SHEET PRIVATE DAY CASE Mr Paul O Byrne

VARICOSE VEIN ADVICE SHEET PRIVATE DAY CASE Mr Paul O Byrne VARICOSE VEIN ADVICE SHEET PRIVATE DAY CASE Mr Paul O Byrne What are Varicose Veins Varicose veins are enlarged swollen veins. Most varicose veins are found in the legs. They are generally caused by a

More information

EndoVenous Laser Therapy (EVLT) Information Booklet. Dr. Dueck. Varicose Veins

EndoVenous Laser Therapy (EVLT) Information Booklet. Dr. Dueck. Varicose Veins EndoVenous Laser Therapy (EVLT) Information Booklet Dr. Dueck Varicose Veins Varicose veins are abnormally large veins that protrude from under the skin in the legs. They can be associated with a brown

More information

Patients First. Varicose Veins: Treatment Options. Deep veins, enclosed by muscle, lie deep in the legs and carry the most blood to the heart.

Patients First. Varicose Veins: Treatment Options. Deep veins, enclosed by muscle, lie deep in the legs and carry the most blood to the heart. Patient Education About your surgery Varicose Veins: Treatment Options Deep veins, enclosed by muscle, lie deep in the legs and carry the most blood to the heart. This handbook will help you understand

More information

Blepharoplasty - Eyelid Surgery

Blepharoplasty - Eyelid Surgery Blepharoplasty - Eyelid Surgery Introduction Eyelid surgery repairs sagging or drooping eyelids. The surgery is also known as blepharoplasty, or an eyelid lift. Sagging or drooping eyelids happen naturally

More information

Treating varicose veins with foam injections using ultrasound guidance

Treating varicose veins with foam injections using ultrasound guidance Issue date February 2013 Information for the public NICE interventional procedures guidance advises the NHS on when and how new procedures can be used in clinical practice. Treating varicose veins with

More information

Hip Replacement. Department of Orthopaedic Surgery Tel: 01473 702107

Hip Replacement. Department of Orthopaedic Surgery Tel: 01473 702107 Information for Patients Hip Replacement Department of Orthopaedic Surgery Tel: 01473 702107 DMI ref: 0134-08.indd(RP) Issue 3: February 2008 The Ipswich Hospital NHS Trust, 2005-2008. All rights reserved.

More information

Endoscopic Plantar Fasciotomy

Endoscopic Plantar Fasciotomy Endoscopic Plantar Fasciotomy Introduction Plantar fasciitis is a common condition that causes pain centralized around the heel. It may be severe enough to affect regular activities. Health care providers

More information

T.E.D. Anti-Embolism Stockings

T.E.D. Anti-Embolism Stockings T.E.D. Anti-Embolism Stockings You have been given this information because you are spending time in the hospital. This booklet contains important information about why you are wearing T.E.D. anti-embolism

More information

INFORMATION DOCUMENT. Minimal Invasive Therapy of Leg Veins. Types of Veins. What is the mechanism by which veins develop?

INFORMATION DOCUMENT. Minimal Invasive Therapy of Leg Veins. Types of Veins. What is the mechanism by which veins develop? INFORMATION DOCUMENT Minimal Invasive Therapy of Leg Veins (Injection Microsclerotherapy / Ultrasound Guided Sclerotherapy / Endovenous Laser Therapy-EVLA and Modified Ambulatory Phlebectomy). This document

More information

Information for patients who require Foam Sclerotherapy for Varicose Veins.

Information for patients who require Foam Sclerotherapy for Varicose Veins. Information for patients who require Foam Sclerotherapy for Varicose Veins. Why do I need this procedure? Everybody has two sets of veins in the legs. These include the superficial and deep veins. Their

More information

Peninsula Commissioning Priorities Group. Commissioning Policy Varicose Vein Referral

Peninsula Commissioning Priorities Group. Commissioning Policy Varicose Vein Referral NHS Devon NHS Plymouth Torbay Care Trust Peninsula Commissioning Priorities Group Commissioning Policy Varicose Vein Referral Varicose Vein Referral Guidelines 1. Description of service/treatment Most

More information

Varicose Vein Surgery

Varicose Vein Surgery Information for patients Varicose Vein Surgery Northern General Hospital You have been diagnosed as having varicose veins and your specialist has recommended varicose vein surgery. This leaflet explains

More information

ARTHRITIS INTRODUCTION

ARTHRITIS INTRODUCTION ARTHRITIS INTRODUCTION Arthritis is the most common disease affecting the joints. There are various forms of arthritis but the two that are the most common are osteoarthritis (OA), and rheumatoid arthritis

More information

What Patients are Saying

What Patients are Saying What Patients are Saying The day after my VenaCure procedure, I was active all day and felt fine. My outcome has been terrific! The bruising was gone, the veins were also gone and my legs looked wonderful.

More information

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary Introduction Severe arthritis in the hip can lead to severe pain and inability to walk. To relieve the pain and improve

More information

Plantar Fascia Release

Plantar Fascia Release Plantar Fascia Release Introduction Plantar fasciitis is a common condition that causes pain around the heel. It may be severe enough to affect regular activities. If other treatments are unsuccessful,

More information

Varicose Vein Information Pack

Varicose Vein Information Pack Varicose Vein Information Pack What are Varicose Veins? Varicose veins are veins under the skin of the legs which have become widened, bulging and tortuous. They are very common and do not cause medical

More information

Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865

Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Write questions or notes here: Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Document Title: Total Knee Replacement Further Information and Feedback: Tell us how useful

More information

Anterior Hip Replacement

Anterior Hip Replacement Disclaimer This movie is an educational resource only and should not be used to manage Orthopaedic health. All decisions about the management of hip replacement and arthritis management must be made in

More information

PROVIDER POLICIES & PROCEDURES

PROVIDER POLICIES & PROCEDURES PROVIDER POLICIES & PROCEDURES SCLEROTHERAPY TREATMENT OF SUPERFICIAL VARICOSE VEINS OF THE LEGS The purpose of this document is to provide guidance to providers enrolled in the Connecticut Medical Assistance

More information

A PATIENT S GUIDE TO DEEP VEIN THROMBOSIS TREATMENT

A PATIENT S GUIDE TO DEEP VEIN THROMBOSIS TREATMENT A PATIENT S GUIDE TO DEEP VEIN THROMBOSIS TREATMENT This medicine is subject to additional monitoring. This will allow quick identification of new safety information. If you get any side effects, talk

More information

Inferior Vena Cava filter and removal

Inferior Vena Cava filter and removal Inferior Vena Cava filter and removal What is Inferior Vena Cava Filter Placement and Removal? An inferior vena cava filter placement procedure involves an interventional radiologist (a specialist doctor)

More information

Hip Replacement Surgery Understanding the Risks

Hip Replacement Surgery Understanding the Risks Hip Replacement Surgery Understanding the Risks Understanding the Risks of Hip Replacement Surgery Introduction This booklet is designed to help your doctor talk to you about the most common risks you

More information

Weight Loss before Hernia Repair Surgery

Weight Loss before Hernia Repair Surgery Weight Loss before Hernia Repair Surgery What is an abdominal wall hernia? The abdomen (commonly called the belly) holds many of your internal organs. In the front, the abdomen is protected by a tough

More information

Endovenous Laser Therapy

Endovenous Laser Therapy Information for patients Endovenous Laser Therapy Northern General Hospital You have been given this leaflet because you will be having Endovenous Laser Therapy (EVLT). This leaflet explains more about

More information

What Does Pregnancy Have to Do With Blood Clots in a Woman s Legs?

What Does Pregnancy Have to Do With Blood Clots in a Woman s Legs? Patient s Guide to Prevention of Blood Clots During Pregnancy: Use of Blood-Thinning A Patient s Guide to Prevention of Blood Clots During Pregnancy: Use of Blood-Thinning Drugs to Prevent Abnormal Blood

More information

Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865

Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Write questions or notes here: Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Document Title: Revision Total Hip Replacement Further Information and Feedback: Tell us how

More information

Venefit treatment for varicose veins

Venefit treatment for varicose veins Oxford University Hospitals NHS Trust Venefit treatment for varicose veins Information for patients Your consultant has recommended that we treat your varicose veins with a procedure known as Venefit radio

More information

Information for you Treatment of venous thrombosis in pregnancy and after birth. What are the symptoms of a DVT during pregnancy?

Information for you Treatment of venous thrombosis in pregnancy and after birth. What are the symptoms of a DVT during pregnancy? Information for you Treatment of venous thrombosis in pregnancy and after birth Published in September 2011 What is venous thrombosis? Thrombosis is a blood clot in a blood vessel (a vein or an artery).

More information

Medicare C/D Medical Coverage Policy

Medicare C/D Medical Coverage Policy Varicose Vein Treatment Medicare C/D Medical Coverage Policy Origination Date: June 1, 1993 Review Date: September 16, 2015 Next Review: September, 2017 DESCRIPTION OF PROCEDURE OR SERVICE Varicose veins

More information

The main surgical options for treating early stage cervical cancer are:

The main surgical options for treating early stage cervical cancer are: INFORMATION LEAFLET ON TOTAL LAPAROSCOPIC RADICAL HYSTERECTOMY (TLRH) FOR EARLY STAGE CERVICAL CANCER (TREATING EARLY STAGE CERVICAL CANCER BY RADICAL HYSTERECTOMY THROUGH KEYHOLE SURGERY) Aim of the leaflet

More information

Other Noninfectious Diseases. Chapter 31 Lesson 3

Other Noninfectious Diseases. Chapter 31 Lesson 3 Other Noninfectious Diseases Chapter 31 Lesson 3 Diabetes Diabetes- a chronic disease that affects the way body cells convert food into energy. Diabetes is the seventh leading cause of death by disease

More information

CONGESTIVE HEART FAILURE PATIENT TEACHING

CONGESTIVE HEART FAILURE PATIENT TEACHING CONGESTIVE HEART FAILURE PATIENT TEACHING What is Heart Failure? Congestive Heart Failure occurs when the heart loses its ability to pump enough blood to meet the body s needs. Because the heart is not

More information

X-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary

X-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary X-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary Introduction A Subclavian Inserted Central Catheter, or subclavian line, is a long thin hollow tube inserted in a vein under the

More information

A Patient s Guide to Post-Operative Physiotherapy. Following Anterior Cruciate Ligament Reconstruction of the Knee

A Patient s Guide to Post-Operative Physiotherapy. Following Anterior Cruciate Ligament Reconstruction of the Knee A Patient s Guide to Post-Operative Physiotherapy Following Anterior Cruciate Ligament Reconstruction of the Knee Introduction The anterior cruciate ligament (ACL) is one of the main supporting ligaments

More information

Total hip replacement

Total hip replacement Patient Information to be retained by patient What is a total hip replacement? In a total hip replacement both the ball (femoral or thigh bone) side of the hip joint and the socket (acetabular or pelvic

More information

Muskegon Surgical Associates, P.C. 1316 Mercy Drive Muskegon, Michigan 49444 231-739-1932 231-739-9461 1-888-874-5892 (Toll Free) www.msapc.

Muskegon Surgical Associates, P.C. 1316 Mercy Drive Muskegon, Michigan 49444 231-739-1932 231-739-9461 1-888-874-5892 (Toll Free) www.msapc. Muskegon Surgical Associates, P.C. 1316 Mercy Drive Muskegon, Michigan 49444 231-739-1932 231-739-9461 1-888-874-5892 (Toll Free) www.msapc.com www.msa-veincarecenter.com Welcome The Vein Care Center at

More information

Deep Vein Thrombosis (DVT) in pregnancy

Deep Vein Thrombosis (DVT) in pregnancy Deep Vein Thrombosis (DVT) in pregnancy Information and advice for women and families Maternity What is a deep vein thrombosis (DVT)? A deep vein thrombosis (DVT) is a blood clot that forms in a deep leg

More information

PATIENT CONSENT TO PROCEDURE - ROUX-EN-Y GASTRIC BYPASS

PATIENT CONSENT TO PROCEDURE - ROUX-EN-Y GASTRIC BYPASS As a patient you must be adequately informed about your condition and the recommended surgical procedure. Please read this document carefully and ask about anything you do not understand. Please initial

More information

Procedure Information Guide

Procedure Information Guide Procedure Information Guide Resurfacing hip replacement Brought to you in association with EIDO and endorsed by the The Royal College of Surgeons of England Discovery has made every effort to ensure that

More information

Venous Thrombosis and Pulmonary Embolism Treatment with Rivaroxaban

Venous Thrombosis and Pulmonary Embolism Treatment with Rivaroxaban Venous Thrombosis and Pulmonary Embolism Treatment with Rivaroxaban Information for patients and families Read this booklet to learn: about venous thrombosis and pulmonary embolism how the medicine Rivaroxaban

More information

Your Practice Online

Your Practice Online P R E S E N T S Your Practice Online Disclaimer This information is an educational resource only and should not be used to make a decision on Revision Hip Replacement or arthritis management. All decisions

More information

Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy Laparoscopic Cholecystectomy Removal of Gall Bladder Page 12 Patient Information Further Information We endeavour to provide an excellent service at all times, but should you have any concerns please,

More information

Further information You can get more information and share your experience at www.aboutmyhealth.org

Further information You can get more information and share your experience at www.aboutmyhealth.org OS01 Total Hip Replacement Further information You can get more information and share your experience at www.aboutmyhealth.org Local information You can get information locally from: Taunton and Somerset

More information

A patient's guide. Your clinic's contact details are: Name: Contact number:

A patient's guide. Your clinic's contact details are: Name: Contact number: A patient's guide Your clinic's contact details are: Name: Contact number: Contents 2 Why have I been prescribed Xarelto? 2 What is Xarelto? 3 How do I take Xarelto? 3 What should I do if I miss a dose

More information

CHAPTER 1: THE LUNGS AND RESPIRATORY SYSTEM

CHAPTER 1: THE LUNGS AND RESPIRATORY SYSTEM CHAPTER 1: THE LUNGS AND RESPIRATORY SYSTEM INTRODUCTION Lung cancer affects a life-sustaining system of the body, the respiratory system. The respiratory system is responsible for one of the essential

More information

LASER TREATMENT FOR VARICOSE VEINS

LASER TREATMENT FOR VARICOSE VEINS LASER TREATMENT FOR VARICOSE VEINS How can varicose veins be treated by laser? Laser treatment of varicose veins, Endovascular Laser Ablation (known as EVLA), is a minimally invasive procedure for treating

More information

SCRIPT NUMBER 82 SPRAINED ANKLE (TWO SPEAKERS)

SCRIPT NUMBER 82 SPRAINED ANKLE (TWO SPEAKERS) SCRIPT NUMBER 82 SPRAINED ANKLE (TWO SPEAKERS) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: SPRAINED ANKLE PROGRAM NUMBER: 82 SUBJECT: PATHOLOGY, CAUSES, DIAGNOSIS, TREATMENT, PREVENTION OF SPRAINED ANKLES

More information

Low Back Surgery. Remember to bring this handout to the hospital with you.

Low Back Surgery. Remember to bring this handout to the hospital with you. Remember to bring this handout to the hospital with you. Table of contents Page Why do I need low back surgery?... 1 What kinds of low back surgeries are there?... 2 Before your surgery... 3 After your

More information

Self Management Program. Ankle Sprains. Improving Care. Improving Business.

Self Management Program. Ankle Sprains. Improving Care. Improving Business. Ankle Sprains Improving Care. Improving Business. What is an ankle sprain? Ligaments attach to the ankle bones and allow for normal movement and help prevent too much motion within the joint. Ankle sprains

More information

Cardiac Rehabilitation

Cardiac Rehabilitation Cardiac Rehabilitation Introduction Experiencing heart disease should be the beginning of a new, healthier lifestyle. Cardiac rehabilitation helps you in two ways. First, it helps your heart recover through

More information