3 steps to simplified varicose veins management

3 Steps to
Simplified Varicose Veins
Management
(Minus the Pun & the Fun)
Dr.Irineu A.Pereira
www.irineupereira.com

Blood Flow in the
Legs has always got
to be from the foot
towards the
abdomen.
A Reverse flow is
always abnormal and
occurs in venous
reflux disease.
Need to stop a
“Leaking Tap” for
the correct treatment
!

Or You’ll need to do this to help
the blood to return back to the
heart !
You cannot be doing this for long,
I am sure !

Varicose Veins is not a Cosmetic Problem
It is a disease with Piles and Varicocoele(in
males) and Vulval Varicies(in females) as other
manifestations of the disease
( so sorry, I am not adding their photos here for company ! )

Varicose Veins : Typical Approach
(Pun and Fun intended ! )
1. Oh ! They just look Ugly : Ignore until they
trouble you more !
2. Trouble a.k.a. Pain & Swelling : Wear Leg
compression stockings (ask the relative in the
gulf to send one) ! Whether it fits properly or
not, doesn't matter as long as it is “imported”

Varicose Veins : Typical Approach
(Pun and Fun intended)
3. More Trouble. Non-Healing Leg Ulcer.
Dressings daily from Mercurocrome, to
Haldi to Aloe Vera…!
4. More trouble…Vein Clot or Bleeding .
Time to go to the doctor !

Veins just look
Ugly. A
cosmetic view !
Just Cosmetic
Treatment with
Skin Laser/ IPL /
Sclerotherapy of
Spiders results in
need of repeated
treatments while
the problem
continues to
progress
Bleeding/Clottin
g of varicose
veins, Ulcers ,
etc begin to
complicate the
course.
Seek proper
evaluation and
treatment
Varicose Veins : Atypical Approach

6 Common Presentations of
Varicose Veins
• Heaviness of the legs by day and Cramps at
Night
• Swelling of the Legs
• Pigmentation
• Eczema
• Ulcers and non-healing wounds
• Bleeding / Clotted Varicose veins

1. Heaviness in the legs
in the Evenings ?
2. Swollon Legs in the
evening ; disappearing
in the morning only to
reappear in the
Evening ?
3. Cramps at Night ?
Right Time to see the
Doctor !

1.Pigmentation of the
legs?
2.Leg Ulcer ?
3.Bleeding Varicose
Veins ?
You are Late but
you have to go to
the Doctor .
You MUST see him
ANYWAY !

Varicose Veins :
Symptoms with
or without the
Signs
Colour
Doppler
Venous
Ultrasound &
Vascular
Surgical
Consultation
Intervention
necessary if
Positive
Symptoms +/-
Signs of
Varicose Veins,
and
Colour Doppler
showing
Valvular or
Perforator
Incomptence
Varicose Veins : Recommended Approach

4 Reasons to Evaluate Varicose Veins

4 Reasons to Evaluate Varicose Veins
• Cosmetic : They don’t look good !
• Bleeding and Clot Formation issues.
• Non-Healing Leg Wounds
• May be an indicator of some other disease
elsewhere in the body. Even Cancer.

Colour Doppler : The Only Test
• Colour Doppler Venous Study done in standing
and lying down positions is the only test needed
in addition to a clinical examination
– Assess the severity of the valvular and
perforator incompetence and
– Rule out Deep Vein Thrombosis.

Treatments
• Life Style Advice
• Compression Stockings
• Foam Sclerotherapy
• Endovenous Therapy
• Surgery : Conventional or through MIVAS
Approach

Endovenous Laser Ablation

Foam Sclerotherapy for Spider Veins

• Our minimally invasive varicose vein
procedures are also minimally invasive to
your daily life.
• Endovenous Radial Laser 1470nm
Ablation, MIVAS and Foan Sclerotherapy –
either singly or as an hybrid procedure.

With us at Good Shepherd Healthcare, the
surgical incisions are smaller or are replaced
by needle-punctures (percutanous
treatments), so that your discomfort and pain –
if at all, is minimal.

As a matter of fact, fewer tests, smaller or ‘no’
incisions, and fewer medications ; ensure that
you spend less time and money in an associate
hospital. Day-Care or Short-Stay Surgery is
our forte with our emphasis on endovascular
and endoscopic procedures for chest, artery
and vein diseases.

Good Shepherd Healthcare Clinics
409, Ambrosia Corporate Park,
Opp.Passport Office / Ginger,
Behind Panaji Bus Stand,
Patto-Plaza,Panaji,
Goa.INDIA
91-9823952129
dr.irineu.pereira@gmail.com

3 steps to simplified varicose veins management

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