Varicose veins in the legs can be both unsightly and uncomfortable. Varicose veins appear as swollen, bumpy and purple because the valves that regulate blood flow have stopped working properly. The possible adverse effects include deep vein thrombosis, skin changes, leg ulcers, bleeding and thrombophlebitis. Treatment options available are conservative in the form of stocking and symptom relief or intervention in the form of foam injection, endovenous Laser therapy and surgical removal.
Thread veins are smaller versions of varicose veins and these small dilated blood vessels are extremely common but can be socially embarrassing and restrict clothing choices. Although thread veins are commonly seen as a cosmetic problem, if left untreated some veins can lead to other complications including eczema, leg ulcers and swollen legs.
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VARICOSE VEIN TREATMENT
At St Michael’s Clinic we treat all types and stages of varicose veins from thread veins to complex recurrent venous ulcers of the legs. We offer one stop clinic include consultation, scan and treatment. The options for treatment include microsclerotherapy, endovenous laser ablation or surgical removal. A combination of these may be used to achieve the optimum result and the best treatment option for you will be discussed during your consultation.
The aim of ultrasound sclerotherapy injection into the vein is to damage the endothelial inside surface of the varicose vein which causes scarring and blockage of the treated vein. This procedure will cause an inflammatory reaction which can be reduced by compression stocking and eventually the body will absorb the chemical with the vein.
Full leg treatment could be achieved in one session and sometimes you need more than one session to achieve full treatment. We offer sclerotherapy in conjunction with Endovenous Laser or as a sole method.
ENDOVENOUS LASER ABLATION (EVLA)
EVLA treats varicose veins by destroying the damaged veins from the inside. The first stage of the procedure is an ultrasound during the consultation which is used to locate the damaged vein and analyse the area. The ultrasound shows how the blood is currently flowing through the vein so the vascular surgeon knows exactly where to make the incision and deliver the laser vein treatment.
During the procedure, a local anaesthetic will be applied and a small incision made to the vein. A small laser will be inserted into the damaged vein and light energy from the laser is emitted in short pulses. This heats up the vein walls and destroys them, which in turn directs the blood flow through a different route of veins. The body naturally absorbs the treated vein tissue within a couple of weeks following treatment which is when the full effects of the treatment are seen. The treated area will be bandaged to reduce swelling and bruising and a compression stocking should be worn for at least a week following treatment.
EVLA is a great treatment for varicose veins as it is a minimally invasive and quick treatment. It is performed under local anaesthetic meaning patients are able to walk-in and walk-out as an outpatient and only requires one small incision into the vein. Patients are able to resume normal activities immediately after treatment and they will experience less inflammation and discomfort compared to other varicose vein treatment. This treatment also has a very high success rate with excellent long term effectiveness and no visible scarring.
The most common complications reported were pain and bruising which are resolved within one month. Less common complications include discolouration of the skin over treated vein and deep vein thrombosis.
VASCULAR SURGEON AT ST. MICHAEL’S CLINIC
Mr Emad Shawish, MBBCh, Msc, MRCS, FEBVS.
Emad Shawish is a vascular surgeon at St. Michael’s Clinic. Emad had his training in Vascular and Endovascular surgery partially in London Imperial college, and partially in Midland vascular centre at Heartland Hospital.
His interest developed in the treatment of varicose veins with different techniques to establish the best treatment for different people.
Emad is involved in different research at Imperial colleague with Prof G Geroulakos and in Midland with Prof Bradbury.
He now works as consultant for Vascular Endovascular Surgery at Shrewsbury and Telford Hospitals and his role involves clinical work, teaching staff and he is also an educational supervisor.
WHY CHOOSE ST. MICHAEL'S CLINIC?
Here at St. Michael's Clinic, Shrewsbury's leading private skin and laser treatment clinic, our experts are specialists in all aspects of dermatology, skin cancer, anti-ageing and beauty treatments. We are able to offer NHS patients a consultant led dermatology service from our sites in Shrewsbury and Much Wenlock.
St. Michael's Clinic is regulated by the Care Quality Commission, ensuring the best level of treatment is provided to you in a safe environment. Our Clinical Lead Dr Stephen Murdoch is a member of the British Association of Dermatologists, the British Laser Medical Association and the European Academy of Dermatology and Venereology. We are part of the Dermatology Partnership, a leading group of dermatology clinics, defined by clinical excellence and focusing on leading dermatological care.
St. Michael's Clinic
St. Michael's Street
Monday: 8:30am - 6:00pm
Tuesday: 9:00am - 5:00pm
Wednesday: 9:00am - 5:00pm
Thursday: 9:00am - 5:00pm
Friday: 9:00am - 5:00pm
We are closed on bank holidays.
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