One of my favourite remedies to help me relieve aches and pain from varicose vains. This works effectively on spider veins as well visit here VaricoseVeinCures56.blogspot.com
Nice Video! Apologies for the intrusion, I am interested in your initial thoughts. Have you tried - Trentvorty Silken Legs Theorem (should be on google have a look)? It is a great exclusive guide for getting rid of varicose veins without the normal expense. Ive heard some great things about it and my old buddy Taylor got cool results with it.
Cheers for the video content! Forgive me for the intrusion, I would love your initial thoughts. Have you considered - Trentvorty Silken Legs Theorem (do a google search)? It is a good one of a kind product for getting rid of varicose veins without the hard work. Ive heard some super things about it and my old buddy Taylor finally got cool success with it.
Thanks for the video content! Sorry for the intrusion, I would appreciate your opinion. Have you ever tried - Taparton Silent Noise Takeover (google it)? It is a smashing one of a kind product for eradicating your telangiectasia (rosacea) without the normal expense. Ive heard some unbelievable things about it and my close friend Aubrey after many years got amazing results with it.
Great Video! Excuse me for chiming in, I am interested in your thoughts. Have you thought about - Trentvorty Silken Legs Theorem (just google it)? It is a smashing exclusive guide for getting rid of varicose veins minus the normal expense. Ive heard some awesome things about it and my cooworker after many years got great success with it.
This is so weird, why is there no "like" button for this video? This is such a great explanation video ! Easy to understand as a layman. Applause 👏 👏 👏. Thank you so much!
Your video is the best I have ever seen Complete description with correlating original CTs Doppler and the gross appearance before and after treatment. Your efforts are very supportive for us, please keep making videos in such way
For the past month, I've been seeing 4 different doctors from various regular clinics. I complaint about leg pain and mentioned that my veins seems to be popping out as well as turning redish and purple, they look at my veins for 1 second and said it looks normal but what were they concerned of? Well they thought it could be gout or diabetes so recommended me to get an expensive blood test and nothing's wrong, everything was normal. After some research I noticed how similar the pictures are to my leg and I've decided to go to a vascular clinic. I've never been this infuriated before. Now that I think about it, they have failed me once before. Came in this one time because of a skin diseases, gave me an ointment and it didn't do shit. Luckily I had the bright idea of going to a dermatologist and I immediately see improvement. The only reason I didn't immediately go to a vascular clinic because I was unsure if it is coming from there and the doctors constantly saying "that should be normal, maybe" made me not trust myself and made me not research further about veins popping out. Well, lesson learn, better trust your intuition more than a doctor at a family clinic. I'm so angry at how many times they failed to treat me.
Get the Clarivein : very effective, one time puncture, very small vessels can be reached, no pain, patients walk 5 minutes after procedure, no risk of nerve damage, no hardware or fancy glasses needed. And less important: it is cheaper too. And you get a lot of support from the reps. I went to the UK to watch some Iive cases first. No anesthetic or cooling needed : thats so old fashioned.
Wonderful; you are a gifted teacher with a passion for your work so I know where you get your energy. I wish I knew how you make such incredible videos. I also like to explain procedures to my patients, but you get the “Gold Metal” on this one. If you can point me in the right direction to produce videos of this quality it would be greatly appreciated.
Hey I had phlebectomy done. What I'm curious about is what happens when, say you remove the affected area. The rest of the vein, how does it heal internally. Like say you had a garden hose with water running through it, if you cut out the middle section whime water is rubbing, how do you not internally bleed m, how does the "ends" not just pour blood intenally instantly. How do these veins heal and what happens to the rest of the network of the affected vein that was removed. If they seal up. Wouldn't strenuous things potentially cause them to re open.
Some blood will come out the ends of the remaining vessel after a punch phlebectomy (where they punch through the skin with a small hook like device, grab the vein and pull it out of the body). However, the blood in the venous system is relatively low pressure and only a limited amount of blood flows into the surrounding tissues. This stagnant blood then clots and plugs the free ends of the remaining vein to prevent ongoing hemorrhage. The clot will propagate back to the first freely flowing vessel (one component of Virchow's triad). Eventually, the body will absorb and recycle the clotted vein and blood products leaving a thin area of fibrosis/scarring.
I had an ultra sound and am getting varicose veins treated in 2 weeks. Wil the ugly, protruding veins automatically go away or do they need to be removed after the initial surgery? Proper blood flow is great but the appearance is also important to me. It's on one leg. Upper thigh and calf. Part of it is dark so I am assuming a lot of blood clotting there? I just want those ugly veins gone.
CAC Trikatu Syrup: This herbal syrup contains equal proportions of three spices with a pungent taste - Black pepper (Piper nigrum), Pippali (Piper longum), and Ginger (Zingiber officinale). It is the best syrup to normalize the Tridosha and helps in the elimination of toxins, increases the appetite, and improves digestion. This syrup has a carminative and expectorant effect that helps to ease the symptoms of varicose vein.
Dr. I saw your video, well explained. Thank you for detailed explanation. I have spider vein, as suggested , I am going for a walk, exercises wearing stockins etc, but not taking tablets. I have this problem for the past 2 years. I wanted to get rid of this pain once for all and become normal like any other person. I am from Bangalore, India. My profession was like that, (Registrar in the educational institution) Without knowing what would happen at later date, worked hard to get name & fame. Now suffering. Is there any remedy to get rid of this spider vein. Thank you
The small spider veins are most often a cosmetic issue and usually don't cause a lot of pain. If your actually experiencing discomfort, you may want to ask your doctor for a venous insufficiency ultrasound study to look for reflux and deeper varicose veins Spider veins can be treated. Usually with a tiny needle and a sclerosing agent like polidocanol or sotradecol.
Great video and graphics. A few questions. Is it possible to heal the check valves of varicose veins instead of closing them off? Is there any concern of regular blood flow being lost to local areas of the veins after they are shut? I imagine after closing off veins, the same total blood flow must return to the heart in fewer veins, so more flow per vein, which means more pressure on the veins is required to get blood back to the heart- is this true? Makes me think the remaining veins would be more likely to also become varicose. It’s strange I have the same vein in both of my legs (only one vein from Doppler scan) that became varicose around the same time, from your video it is one of the exterior veins that does not have a paired artery. I am a healthy 28 year old and confused what is going on
Great question, Jack! Remember the varicosity you see is actually a dilated vein under the skin that, in your youth, actually drained blood away from the skin to the superficial venous system, then to the deep system and back to the heart. Because of the failed valves and increased pressure in the superficial venous system, the blood flow is now reversed through the small vein under the skin as the body tries to find an alternate root to drain that incompetent segment. So shutting that segment down actually decreases the local venous pressure in the region of the varicosity and redirects blood centrally to the (hopefully patent and competent) deep venous system. And when I say competent, I don't mean smart! I mean the valves of the deep system are intact and functional. There was a lot of talk in the mid 90's and early 2000's about valvular reconstruction of THE DEEP VENOUS SYSTEM. Especially in patients with long standing DVT (deep venous thrombosis) and chronic valvular failure. The idea was to preserve venous function of the legs and prevent the ravages of chronic venous insufficiency such as discoloration, hair loss and/or debilitating swelling. This is done rarely and ONLY for the deep vein of the legs. The superficial incompetent veins are best treated with ablation when they fail to, again, redirect blood centrally to the functional deep system. The competency of the deep system is one of the things we look for on the screening ultrasound before a patient undergoes superficial venous ablation. Does that all make sense?
@@DoctorKlioze Yes that makes sense- so really after shutting off a vein near the skin, the blood is still routed to the same deep veins that goes back to the heart, same as before. The only difference post surgery is the blood from from the fatty area of the leg near the skin is now going back to the superficial and main veins through a different path? What path does it take and does it have any effect on function of that area, for example muscular performance? Does the body create new veins and pathways post surgery? Back to my question about healing the check valves in the veins- what I meant is, is the damage to the vein impossible to heal back to normal? Or is there a way through some kind of physical therapy, natural treatment, spending extended periods of time with legs above the heart, etc to un-dilate the veins and let them heal themselves back to normal? Really appreciate your feedback!
@@jacklorchdesigns Once the vein is damaged and the valves are incompetent, it's permanent. Wearing support hose may help alleviate symptoms of venous stasis and pain but it won't heal the vein. The problem with leaving an incompetent vein untreated is that, eventually, the increased local pressure can make it difficult to supply adequate arterial blood flow to the area and the patient can end up with small ulcers where the skin breaks down. This is called a venous stasis ulcer. Paradoxically, ablating or removing the incompetent veins can actually improve local blood flow to the skin!
@@DoctorKlioze Thanks for your responses, this makes me feel more confident making a decision moving forward. I'm still confused how this happened though and what I should do to make sure it won't happen again after treatment. Do varicose veins build up over time or is it typically a single event (maybe high blood pressure for a sustained long time) that causes them to occur? Thanks again
@@jacklorchdesigns As was stated in the video, probably the biggest risk is genetics. Your daily routine plays an important role as well. Prolonged sitting or standing can exacerbate your condition by putting pressure on the valves. I know a lot of nurses wear support hose since they're on their feet most of the day. Exercise helps reduce the risk. Hypertension damages the arteries, not the veins. Hope this helps!
hi Dr Kloize, thanks for informative video. Now the veins are blasted/ablated. How will the de oxygenated blood will reach heart now. please clarify. Thanks
The blood will be redirected to the deep system of the leg through small venules. This is why it's imperative that we check that the deep system is both patent (no DVT) and competent (no reflux) on the initial screening exam prior to ablation.
CAC Panchsakar Churna This churna is very effective for varicose vein patients as it shows antioxidant, anti-inflammatory, laxative, and analgesic properties. It is a classical herbal churna prepared from ingredients like Shatapushpa, Balaharitaki, Shunthi, Swarnapatri, & Saindhav lavana. It helps in removing all toxins from the body and provides good results to patients of varicose vein.
I think the best advise I can give you is try not to get caught up in the profit-driven hype that any certain food type or supplement is going to make you better, stronger, faster or healthier. It's a package deal. Eat a variety of healthy, NATURAL foods, get a good nights sleep and exercise regularly to maintain valvular and general vascular health. Taking too much or too little of any particular nutrient chemical or macro-molecule will eventually have consequences. Fortunately, the fruits and vegetables that grow on the plants around us and the animals that share the earth with us can provide that perfect balance if we partake in moderation. After 20+ years experience in the medical possession, I can assure you that no matter what it is, excess is your enemy. I hope that helps...
In the armamentarium of venous therapies, there are multiple options to treat both symptomatic and cosmetic venous disease. For SFV reflux and associated varicosities, a combination of ablation of the incompetent vein with either endovascular laser (EVLT) or Radiofrequency ablation (RFA) techniques and/or sclerotherapy of the varicosities themselves is very efficacious as long as the entire incompetent segment of the superficial vein is adequately treated. Punch phlebectomy is used for isolated perforator vessels of the deep system supplying the superficial varicose vein and chemical sclerotherapy can be used as a stand alone or part of a combination therapy for both spider veins and large varicosities. Of course, effective therapy must be followed by compliant use of medical grade compression to insure sustained venous occlusion and limit recanalization of the disease segments. Does that answer your question?
Yes In a way I'm trying to make the most informed Decision. I know evlt and phelebectomy would probably have me out of work awhile as I work in my feet alot. I wear compression currently every day which helps a lot my legs feel good. I do want to get them treated but there are no places near me other then hospital settings. Nearest clinic is 3 hrs away. Other place near me only does venaseal. And I don't like the glue idea. Although I do like it's not as long as a recovery
it waa superb but one question sir why u have shown the varicosity in other vein and not in the incompetent valve vein does varicosity occur in adjacent vein near to that of incompetent valve vein only??? please reply😥
Remember that the visible varicosities are simply small, non-valved draining veins from the skin surface. If everything is working correctly, the small veins drain the skin surface down to the deep or superficial system. If the deep and superficial valved veins are competent, the blood will continue to move against gravity towards the heart. However, when the valves fail, the blood backs up and then distends the small veins right under the skin surface. These are the visible varicosities. Even though they are labeled superficial, the greater saphenous and small saphenous veins are still fairly deep under the skin surface and are usually not visible unless they become quite distended. Does that make sense?
@@DoctorKlioze I had an ultra sound and am getting varicose veins treated in 2 weeks. Wil the ugly, protruding veins automatically go away or do they need to be removed after the initial surgery? Proper blood flow is great but the appearance is also important to me. It's on one leg. Upper thigh and calf. Part of it is dark so I am assuming a lot of blood clotting there? I just want those ugly veins gone.
I’m 33 years old … I went to hospital yesterday for a lump on the back of my leg … they thought it was a cyst but they still did a sonogram and said it was an enlarged vein … and I have spider looking veins mostly on the back of my legs 😔
Look for a vein specialist. Many types of physicians are trained to do the workup and treatment of varicosities including vascular surgeons, Interventional radiologists, some primary care docs and even OB-GYN and anesthesiologists! The most important thing is to find someone with a good reputation who will be honest and fair with you. A lot of docs "dabble" in vein work but you want someone who does it all the time and has done it for many years.
Would love to talk to you about where the blood flow animations are from! I'm looking to include animations like these for an explainer video I'm putting together. Did you have these made?
Hey Adam. I make most of my own video (found out it was both cost prohibitive to have them made and there was always a little something lost in the translation from what I envisioned and the final product). I do use a few industry videos that are accordingly credited. If they're not credited , they're mine and I'd be happy to help you out. Let me know.
I don't enjoy walking anymore because of too much pain when I walke, when its cold or hot is the same, and then my baby dose not allow me to even wear some clothes,
Don't know if you're familiar with the old adage that "when you have a hammer, everything looks like a nail", but that's probably applicable to this response. I'm an interventional radiologist so, in my opinion, gonadal vein embolization would be the best treatment for SYMPTOMATIC varicoceles. Again, I would only treat if they're causing a problem (pain or infertility). Embolization is the least invasive therapy with the same efficacy of open surgery (both are about 90% long term success). Can always do surgery or microsurgery if embolization fails. Because of venous anatomy, varicoceles are far more common on the left. If a left sided varicocele is present, there is a 30-40% chance that the disease is bilateral. Isolated right sided varicoceles are uncommon and probably warrant a work up of a secondary cause of venous failure (i.e retro-peritoneal adenopathy compressing the right gonadal vein).
Blood is redirected to the competent deep venous system. That's why we check to make sure that deep system is intact without reflux before suggesting ablation.
Actually it can! The mechanism is the same- failed valves in the gonadal vein that results in the scrotal varicocele in men and pelvic congestion syndrome in women. Treatment is a little different, however. Gonadal vein embolization is usually done with a series of embolic coils and gelfoam slurry to stop the retrograde flow into the scrotal/ovarian veins. Venous drainage is then redirected into the deep venous system of the pelvis.
The last time I went for a Doppler test , it showed mild vericocele, hydrocele and lumph on my left testicle. I've used medications such as levofluxin, levobact, dobesil all tap. The effects are still on..with to much pain during erection , driving, after wet dreams. then i went back again to my doc who then directed me to another doc most properly a senior one. Presented to him all my medical history and scans I've under gone. Pain killer is the only medication he prescribed me and am still in pain. Am even thinking that the left testis is now affecting right one. What can I do?
@@abdullmajiidmohamedbadel9580 Varicoceles can cause pain and infertility. If any of those symptoms are present, should probably treat. An interventional radiologist, like myself, are usually the doctors that do these therapies through a catheter. Surgical ligation of the vein could also be considered but this is generally a second line therapy in the US.. Asymptomatic varicoceles can be followed or ignored until they're symptomatic. I'm a little concerned about the testicular "lump" you describe. If there is a mass in the testicle itself, you need to see a urologist as the majority of intratesticular masses are cancer. If the mass is in the scrotum but separate from the testicle, these are usually benign.
I want to go for a Third test. send you the current and previous medical history scan results . Can I have your email address... And Actually am currently based in norther parts of Kenya. Thank you doc🙏
Im 22 years old and i have varicose in my testies and wanna know if its safe to live with it for life? Scared of surgery and i don’t have insurance, dam.
The varicocele itself won't affect your general health but may be symptomatic. Most common presenting symptoms are scrotal pain and/or infertility. Pain from the distended veins that can cause a throbbing sensation in the scrotum and infertility because of the increased testicular temperature associated with the pooling venous blood (testicles dangle outside the body in the scrotal sac because they need to be cooler than the core body temperature to produce sperm effectively). I think I need to do a video on this topic...
No. In fact, if you go to your doctor and tell them that you want to get rid of your varicose veins because you don't like the way they look but they're asymptomatic, chances are your insurance won't pay for the procedure as it's considered cosmetic. The only caveat is the big ones can bleed badly with relatively minor trauma.
So where does the blood go through after the faulty vein is closed ? Wouldn't it then be anyway derivated into others parts of the superficial venous system, thus still causing varicose ?
Once the superficial system is ablated, venous drainage is directed to the deep system. I do have a few patients who have incompetence of their deep system as well which does make them prone to developing new varicosities directly off the deep system a few months or years down the road. These can be treated as needed. Support hose seems to help, especially if you stand or sit for long hours.
Doctor Klioze Excellent! I had 2 of the procedures recently and wish I had seen your video before. Thank you. May show this to my surgeon so he can direct patients to your video prior to surgery. Thank you.
Lovely Video clip! Apologies for the intrusion, I would appreciate your thoughts. Have you heard about - Trentvorty Silken Legs Theorem (just google it)? It is a smashing one off guide for getting rid of varicose veins without the normal expense. Ive heard some great things about it and my best friend Jordan at very last got great results with it.
I'm sonakshi I'm 12th class sir I want to ask one Q's for u Valve are present in all arty nd vein except heart valve Plz explain detail sir I can't understand properly
Hi! Valves are only present in the veins of the arms and legs to help push blood back to the heart. Valves are also present n the gonadal veins that drain blood from the ovaries in girls and the testicles in boys (when they fail, they can be the source of painful varicoceles in boys and pelvic congestion syndrome in girls). The big veins draining the body (Inferior vena cava or IVC) and head (Superior vena cava or SVC) do not contain valves but there is a valve present in some people at the junction of the IVC and right atrium called the eustachian valve. The heart has 4 valves (Tricuspid, Pulmonic, Mitral and Aortic). The arteries do not have valves. Does that help?
This is the best explanation of Varicose Veins I have ever come across in my medical career.
This video is great. This is the type of info I want when I want explanation from a doctor. Thank god for TH-cam and people like you 🤟🏼
I spent hours going through videos and this one is th best I found answers to my questions . I can go on now, Thank You
One of my favourite remedies to help me relieve aches and pain from varicose vains. This works effectively on spider veins as well visit here VaricoseVeinCures56.blogspot.com
Nice Video! Apologies for the intrusion, I am interested in your initial thoughts. Have you tried - Trentvorty Silken Legs Theorem (should be on google have a look)? It is a great exclusive guide for getting rid of varicose veins without the normal expense. Ive heard some great things about it and my old buddy Taylor got cool results with it.
Cheers for the video content! Forgive me for the intrusion, I would love your initial thoughts. Have you considered - Trentvorty Silken Legs Theorem (do a google search)? It is a good one of a kind product for getting rid of varicose veins without the hard work. Ive heard some super things about it and my old buddy Taylor finally got cool success with it.
Thanks for the video content! Sorry for the intrusion, I would appreciate your opinion. Have you ever tried - Taparton Silent Noise Takeover (google it)? It is a smashing one of a kind product for eradicating your telangiectasia (rosacea) without the normal expense. Ive heard some unbelievable things about it and my close friend Aubrey after many years got amazing results with it.
Great Video! Excuse me for chiming in, I am interested in your thoughts. Have you thought about - Trentvorty Silken Legs Theorem (just google it)? It is a smashing exclusive guide for getting rid of varicose veins minus the normal expense. Ive heard some awesome things about it and my cooworker after many years got great success with it.
This is so weird, why is there no "like" button for this video? This is such a great explanation video ! Easy to understand as a layman. Applause 👏 👏 👏. Thank you so much!
Your video is the best I have ever seen
Complete description with correlating original CTs Doppler and the gross appearance before and after treatment. Your efforts are very supportive for us, please keep making videos in such way
I really find this video to be well explained and translates well to laymen's understanding. Thanks.
Glad it was helpful!
@@DoctorKlioze sir I will send you ultrasound report can you explain me about my problem kindly
The best video on this topic so far . Thanks
For the past month, I've been seeing 4 different doctors from various regular clinics. I complaint about leg pain and mentioned that my veins seems to be popping out as well as turning redish and purple, they look at my veins for 1 second and said it looks normal but what were they concerned of? Well they thought it could be gout or diabetes so recommended me to get an expensive blood test and nothing's wrong, everything was normal.
After some research I noticed how similar the pictures are to my leg and I've decided to go to a vascular clinic. I've never been this infuriated before.
Now that I think about it, they have failed me once before. Came in this one time because of a skin diseases, gave me an ointment and it didn't do shit. Luckily I had the bright idea of going to a dermatologist and I immediately see improvement. The only reason I didn't immediately go to a vascular clinic because I was unsure if it is coming from there and the doctors constantly saying "that should be normal, maybe" made me not trust myself and made me not research further about veins popping out.
Well, lesson learn, better trust your intuition more than a doctor at a family clinic. I'm so angry at how many times they failed to treat me.
I watched many videos but this stands out among all.. scientific terms/process explained to such an extent even a layman can understand easily.
Get the Clarivein : very effective, one time puncture, very small vessels can be reached, no pain, patients walk 5 minutes after procedure, no risk of nerve damage, no hardware or fancy glasses needed. And less important: it is cheaper too. And you get a lot of support from the reps. I went to the UK to watch some
Iive cases first. No anesthetic or cooling needed : thats so old fashioned.
Came for my NCLEX knowledge, stayed for the rad *tunes*
Greate video
Best video for Varicose veins !! Thank you as I have got a clear picture of this subject !!
Wonderful; you are a gifted teacher with a passion for your work so I know where you get your energy. I wish I knew how you make such incredible videos. I also like to explain procedures to my patients, but you get the “Gold Metal” on this one. If you can point me in the right direction to produce videos of this quality it would be greatly appreciated.
Varicose, beautifully explained
Really amazing demonstration 👏👏
wow.. I learned so much through this video. Thank you!
amazing description and illustrations. This is super clear thank you!
Great Video! Thank you for the explanation!!
You are fantastic man !
Thanks a lot !
quick. to the point. easy. great video and good animation :D
Great video. Clear as a bell info.
Excellent video with outstanding imagings!!
Respected Sir. keep doing good
Very clear
Great work sir, thanks
Hey I had phlebectomy done. What I'm curious about is what happens when, say you remove the affected area. The rest of the vein, how does it heal internally. Like say you had a garden hose with water running through it, if you cut out the middle section whime water is rubbing, how do you not internally bleed m, how does the "ends" not just pour blood intenally instantly. How do these veins heal and what happens to the rest of the network of the affected vein that was removed. If they seal up. Wouldn't strenuous things potentially cause them to re open.
Some blood will come out the ends of the remaining vessel after a punch phlebectomy (where they punch through the skin with a small hook like device, grab the vein and pull it out of the body). However, the blood in the venous system is relatively low pressure and only a limited amount of blood flows into the surrounding tissues. This stagnant blood then clots and plugs the free ends of the remaining vein to prevent ongoing hemorrhage. The clot will propagate back to the first freely flowing vessel (one component of Virchow's triad). Eventually, the body will absorb and recycle the clotted vein and blood products leaving a thin area of fibrosis/scarring.
Thank you sir! Appreciate this video...
I had an ultra sound and am getting varicose veins treated in 2 weeks. Wil the ugly, protruding veins automatically go away or do they need to be removed after the initial surgery?
Proper blood flow is great but the appearance is also important to me. It's on one leg. Upper thigh and calf. Part of it is dark so I am assuming a lot of blood clotting there? I just want those ugly veins gone.
CAC Trikatu Syrup: This herbal syrup contains equal proportions of three spices with a pungent taste - Black pepper (Piper nigrum), Pippali (Piper longum), and Ginger (Zingiber officinale). It is the best syrup to normalize the Tridosha and helps in the elimination of toxins, increases the appetite, and improves digestion. This syrup has a carminative and expectorant effect that helps to ease the symptoms of varicose vein.
Dr. I saw your video, well explained. Thank you for detailed explanation.
I have spider vein, as suggested , I am going for a walk, exercises wearing stockins etc, but not taking tablets.
I have this problem for the past 2 years.
I wanted to get rid of this pain once for all and become normal like any other person.
I am from Bangalore, India. My profession was like that, (Registrar in the educational institution)
Without knowing what would happen at later date, worked hard to get name & fame. Now suffering.
Is there any remedy to get rid of this spider vein.
Thank you
The small spider veins are most often a cosmetic issue and usually don't cause a lot of pain. If your actually experiencing discomfort, you may want to ask your doctor for a venous insufficiency ultrasound study to look for reflux and deeper varicose veins
Spider veins can be treated. Usually with a tiny needle and a sclerosing agent like polidocanol or sotradecol.
@@DoctorKlioze thank you
Restoring blood to my noodle, LOL!
Awesome video
Great video and graphics. A few questions. Is it possible to heal the check valves of varicose veins instead of closing them off? Is there any concern of regular blood flow being lost to local areas of the veins after they are shut? I imagine after closing off veins, the same total blood flow must return to the heart in fewer veins, so more flow per vein, which means more pressure on the veins is required to get blood back to the heart- is this true? Makes me think the remaining veins would be more likely to also become varicose. It’s strange I have the same vein in both of my legs (only one vein from Doppler scan) that became varicose around the same time, from your video it is one of the exterior veins that does not have a paired artery. I am a healthy 28 year old and confused what is going on
Great question, Jack! Remember the varicosity you see is actually a dilated vein under the skin that, in your youth, actually drained blood away from the skin to the superficial venous system, then to the deep system and back to the heart. Because of the failed valves and increased pressure in the superficial venous system, the blood flow is now reversed through the small vein under the skin as the body tries to find an alternate root to drain that incompetent segment. So shutting that segment down actually decreases the local venous pressure in the region of the varicosity and redirects blood centrally to the (hopefully patent and competent) deep venous system. And when I say competent, I don't mean smart! I mean the valves of the deep system are intact and functional.
There was a lot of talk in the mid 90's and early 2000's about valvular reconstruction of THE DEEP VENOUS SYSTEM. Especially in patients with long standing DVT (deep venous thrombosis) and chronic valvular failure. The idea was to preserve venous function of the legs and prevent the ravages of chronic venous insufficiency such as discoloration, hair loss and/or debilitating swelling. This is done rarely and ONLY for the deep vein of the legs. The superficial incompetent veins are best treated with ablation when they fail to, again, redirect blood centrally to the functional deep system. The competency of the deep system is one of the things we look for on the screening ultrasound before a patient undergoes superficial venous ablation. Does that all make sense?
@@DoctorKlioze Yes that makes sense- so really after shutting off a vein near the skin, the blood is still routed to the same deep veins that goes back to the heart, same as before. The only difference post surgery is the blood from from the fatty area of the leg near the skin is now going back to the superficial and main veins through a different path? What path does it take and does it have any effect on function of that area, for example muscular performance? Does the body create new veins and pathways post surgery?
Back to my question about healing the check valves in the veins- what I meant is, is the damage to the vein impossible to heal back to normal? Or is there a way through some kind of physical therapy, natural treatment, spending extended periods of time with legs above the heart, etc to un-dilate the veins and let them heal themselves back to normal?
Really appreciate your feedback!
@@jacklorchdesigns Once the vein is damaged and the valves are incompetent, it's permanent. Wearing support hose may help alleviate symptoms of venous stasis and pain but it won't heal the vein.
The problem with leaving an incompetent vein untreated is that, eventually, the increased local pressure can make it difficult to supply adequate arterial blood flow to the area and the patient can end up with small ulcers where the skin breaks down. This is called a venous stasis ulcer. Paradoxically, ablating or removing the incompetent veins can actually improve local blood flow to the skin!
@@DoctorKlioze Thanks for your responses, this makes me feel more confident making a decision moving forward. I'm still confused how this happened though and what I should do to make sure it won't happen again after treatment. Do varicose veins build up over time or is it typically a single event (maybe high blood pressure for a sustained long time) that causes them to occur?
Thanks again
@@jacklorchdesigns As was stated in the video, probably the biggest risk is genetics. Your daily routine plays an important role as well. Prolonged sitting or standing can exacerbate your condition by putting pressure on the valves. I know a lot of nurses wear support hose since they're on their feet most of the day. Exercise helps reduce the risk. Hypertension damages the arteries, not the veins. Hope this helps!
hi Dr Kloize, thanks for informative video. Now the veins are blasted/ablated. How will the de oxygenated blood will reach heart now. please clarify. Thanks
The blood will be redirected to the deep system of the leg through small venules. This is why it's imperative that we check that the deep system is both patent (no DVT) and competent (no reflux) on the initial screening exam prior to ablation.
CAC Panchsakar Churna This churna is very effective for varicose vein patients as it shows antioxidant, anti-inflammatory, laxative, and analgesic properties. It is a classical herbal churna prepared from ingredients like Shatapushpa, Balaharitaki, Shunthi, Swarnapatri, & Saindhav lavana. It helps in removing all toxins from the body and provides good results to patients of varicose vein.
Hey doctor nice explanation...
Pls tell me
. Valves are made up of which protein... I mean how we can strengthen them....
I think the best advise I can give you is try not to get caught up in the profit-driven hype that any certain food type or supplement is going to make you better, stronger, faster or healthier. It's a package deal. Eat a variety of healthy, NATURAL foods, get a good nights sleep and exercise regularly to maintain valvular and general vascular health. Taking too much or too little of any particular nutrient chemical or macro-molecule will eventually have consequences. Fortunately, the fruits and vegetables that grow on the plants around us and the animals that share the earth with us can provide that perfect balance if we partake in moderation. After 20+ years experience in the medical possession, I can assure you that no matter what it is, excess is your enemy. I hope that helps...
Any vein that is close to the skins surface can become varicosed. Commonly effet the veins in the legs.
What is the best procedure available. For sfj reflux. Is phelebectomy and evlt safe
In the armamentarium of venous therapies, there are multiple options to treat both symptomatic and cosmetic venous disease.
For SFV reflux and associated varicosities, a combination of ablation of the incompetent vein with either endovascular laser (EVLT) or Radiofrequency ablation (RFA) techniques and/or sclerotherapy of the varicosities themselves is very efficacious as long as the entire incompetent segment of the superficial vein is adequately treated. Punch phlebectomy is used for isolated perforator vessels of the deep system supplying the superficial varicose vein and chemical sclerotherapy can be used as a stand alone or part of a combination therapy for both spider veins and large varicosities. Of course, effective therapy must be followed by compliant use of medical grade compression to insure sustained venous occlusion and limit recanalization of the disease segments.
Does that answer your question?
Yes In a way I'm trying to make the most informed Decision. I know evlt and phelebectomy would probably have me out of work awhile as I work in my feet alot. I wear compression currently every day which helps a lot my legs feel good. I do want to get them treated but there are no places near me other then hospital settings. Nearest clinic is 3 hrs away. Other place near me only does venaseal. And I don't like the glue idea. Although I do like it's not as long as a recovery
it waa superb but one question sir why u have shown the varicosity in other vein and not in the incompetent valve vein does varicosity occur in adjacent vein near to that of incompetent valve vein only??? please reply😥
Remember that the visible varicosities are simply small, non-valved draining veins from the skin surface. If everything is working correctly, the small veins drain the skin surface down to the deep or superficial system. If the deep and superficial valved veins are competent, the blood will continue to move against gravity towards the heart. However, when the valves fail, the blood backs up and then distends the small veins right under the skin surface. These are the visible varicosities. Even though they are labeled superficial, the greater saphenous and small saphenous veins are still fairly deep under the skin surface and are usually not visible unless they become quite distended. Does that make sense?
@@DoctorKlioze I had an ultra sound and am getting varicose veins treated in 2 weeks. Wil the ugly, protruding veins automatically go away or do they need to be removed after the initial surgery?
Proper blood flow is great but the appearance is also important to me. It's on one leg. Upper thigh and calf. Part of it is dark so I am assuming a lot of blood clotting there? I just want those ugly veins gone.
I’m 33 years old … I went to hospital yesterday for a lump on the back of my leg … they thought it was a cyst but they still did a sonogram and said it was an enlarged vein … and I have spider looking veins mostly on the back of my legs 😔
Thanks so much sir 👍
How do you find a qualified practitioner who will go through all the necessary steps for treating varicose veins? Like the ultrasound, etc.?
Look for a vein specialist. Many types of physicians are trained to do the workup and treatment of varicosities including vascular surgeons, Interventional radiologists, some primary care docs and even OB-GYN and anesthesiologists! The most important thing is to find someone with a good reputation who will be honest and fair with you. A lot of docs "dabble" in vein work but you want someone who does it all the time and has done it for many years.
Thank you sir😍
Would love to talk to you about where the blood flow animations are from! I'm looking to include animations like these for an explainer video I'm putting together. Did you have these made?
Hey Adam. I make most of my own video (found out it was both cost prohibitive to have them made and there was always a little something lost in the translation from what I envisioned and the final product). I do use a few industry videos that are accordingly credited. If they're not credited , they're mine and I'd be happy to help you out. Let me know.
@@DoctorKlioze your explanation and teaching way is far important than animation
So gud 👌👌
My are so painful it is hard to finish my work day
Man it hurts bad right! Mine just started happening and it’s so annoying
I don't enjoy walking anymore because of too much pain when I walke, when its cold or hot is the same, and then my baby dose not allow me to even wear some clothes,
We want more videos
I like your presentation videos.
what is the best treatment the bilateral vericocil ?
Don't know if you're familiar with the old adage that "when you have a hammer, everything looks like a nail", but that's probably applicable to this response.
I'm an interventional radiologist so, in my opinion, gonadal vein embolization would be the best treatment for SYMPTOMATIC varicoceles. Again, I would only treat if they're causing a problem (pain or infertility). Embolization is the least invasive therapy with the same efficacy of open surgery (both are about 90% long term success). Can always do surgery or microsurgery if embolization fails.
Because of venous anatomy, varicoceles are far more common on the left. If a left sided varicocele is present, there is a 30-40% chance that the disease is bilateral. Isolated right sided varicoceles are uncommon and probably warrant a work up of a secondary cause of venous failure (i.e retro-peritoneal adenopathy compressing the right gonadal vein).
after the procedure, where will the blood go if those veins are no longer there?
Blood is redirected to the competent deep venous system. That's why we check to make sure that deep system is intact without reflux before suggesting ablation.
Can the same procedure be used to treat varicocele of the scrotum instead of surgeries?
Actually it can! The mechanism is the same- failed valves in the gonadal vein that results in the scrotal varicocele in men and pelvic congestion syndrome in women. Treatment is a little different, however. Gonadal vein embolization is usually done with a series of embolic coils and gelfoam slurry to stop the retrograde flow into the scrotal/ovarian veins. Venous drainage is then redirected into the deep venous system of the pelvis.
The last time I went for a Doppler test , it showed mild vericocele, hydrocele and lumph on my left testicle. I've used medications such as levofluxin, levobact, dobesil all tap. The effects are still on..with to much pain during erection , driving, after wet dreams. then i went back again to my doc who then directed me to another doc most properly a senior one. Presented to him all my medical history and scans I've under gone. Pain killer is the only medication he prescribed me and am still in pain. Am even thinking that the left testis is now affecting right one. What can I do?
@@abdullmajiidmohamedbadel9580 Varicoceles can cause pain and infertility. If any of those symptoms are present, should probably treat. An interventional radiologist, like myself, are usually the doctors that do these therapies through a catheter. Surgical ligation of the vein could also be considered but this is generally a second line therapy in the US.. Asymptomatic varicoceles can be followed or ignored until they're symptomatic.
I'm a little concerned about the testicular "lump" you describe. If there is a mass in the testicle itself, you need to see a urologist as the majority of intratesticular masses are cancer. If the mass is in the scrotum but separate from the testicle, these are usually benign.
I want to go for a Third test. send you the current and previous medical history scan results . Can I have your email address... And Actually am currently based in norther parts of Kenya. Thank you doc🙏
@@abdullmajiidmohamedbadel9580 I would prefer that you list your e-mail and I will respond to that. Thx
Thank you for this information From d Bless ✝️
don't belss god, bless the doctors and the men/women who continue to improve science :)
I need for treatment I have alot of vens
Im 22 years old and i have varicose in my testies and wanna know if its safe to live with it for life? Scared of surgery and i don’t have insurance, dam.
The varicocele itself won't affect your general health but may be symptomatic. Most common presenting symptoms are scrotal pain and/or infertility. Pain from the distended veins that can cause a throbbing sensation in the scrotum and infertility because of the increased testicular temperature associated with the pooling venous blood (testicles dangle outside the body in the scrotal sac because they need to be cooler than the core body temperature to produce sperm effectively).
I think I need to do a video on this topic...
Walking is good but that hurts more
Do we need to treat asymptomatic varicous veins?
No. In fact, if you go to your doctor and tell them that you want to get rid of your varicose veins because you don't like the way they look but they're asymptomatic, chances are your insurance won't pay for the procedure as it's considered cosmetic. The only caveat is the big ones can bleed badly with relatively minor trauma.
Thank u for your intimatemats
Sir please can you check my ultrasound report and tell me about problem
I'd be happy to look. Can you forward the report?
I wish my varicose veins will be treated because it is very painful
Drink tea..leaf sweeat potato..
My thoughts exactly 😢
So where does the blood go through after the faulty vein is closed ? Wouldn't it then be anyway derivated into others parts of the superficial venous system, thus still causing varicose ?
Once the superficial system is ablated, venous drainage is directed to the deep system. I do have a few patients who have incompetence of their deep system as well which does make them prone to developing new varicosities directly off the deep system a few months or years down the road. These can be treated as needed. Support hose seems to help, especially if you stand or sit for long hours.
Thank you.
Doctor Klioze
Excellent! I had 2 of the procedures recently and wish I had seen your video before. Thank you. May show this to my surgeon so he can direct patients to your video prior to surgery. Thank you.
Lovely Video clip! Apologies for the intrusion, I would appreciate your thoughts. Have you heard about - Trentvorty Silken Legs Theorem (just google it)? It is a smashing one off guide for getting rid of varicose veins without the normal expense. Ive heard some great things about it and my best friend Jordan at very last got great results with it.
I used a shock stick....made many many red spots and walla no more veins
after 1day💪
shock stick arnica oil.....took mine away
I'm sonakshi
I'm 12th class sir I want to ask one Q's for u
Valve are present in all arty nd vein except heart valve
Plz explain detail sir
I can't understand properly
Hi! Valves are only present in the veins of the arms and legs to help push blood back to the heart. Valves are also present n the gonadal veins that drain blood from the ovaries in girls and the testicles in boys (when they fail, they can be the source of painful varicoceles in boys and pelvic congestion syndrome in girls). The big veins draining the body (Inferior vena cava or IVC) and head (Superior vena cava or SVC) do not contain valves but there is a valve present in some people at the junction of the IVC and right atrium called the eustachian valve. The heart has 4 valves (Tricuspid, Pulmonic, Mitral and Aortic). The arteries do not have valves. Does that help?
@@DoctorKlioze thnq sir
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