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Varicose Veins and Hair Removal

Summers are just around the corner and it is time to get out from the multiple layers of winter clothing! We are sure you want to look your best in the summer outfits and have already booked your salon appointments to get rid of the unwanted body hair.

But wait, do you have varicose veins and are confused about the hair removal process that you should opt for the best results and least damage to the varicose veins? Do not worry, we are here to discuss the pros and cons of different hair removal methods and help you overcome your hair removal blues!

Hair Removal Methods for Varicose Veins

Today, there is a multitude of choices available for hair removal but not all are suitable for varicose veins patients. It is tricky yet extremely important for people complaining of varicose veins to choose a safe hair removal method as you would not want to harm your sensitive veins in your attempt to look good.

In general, hair removal methods that use excessive heart or sharp razors can cause accidental cuts to the protruding veins, worsen your present medical condition, and even give rise to conditions that can lead to the formation of new varicose veins.

In this blog today, let us review some common hair removal methods and help you make the right choice.

  1. Waxing – This is the most popular hair removal method in which a heated-up wax-like substance is applied on the skin surface. A fabric strip is then used to remove the wax along with the undesired hair. For best results, this process is usually repeated at least twice on the same area.

    Waxing is harmful for varicose veins patients. The excessive heat can result in further enlargement of the already swollen varicose veins and cause extreme stress. Also, abruptly pulling off the wax strips can damage the sensitive skin in the varicose veins affected area. This can lead to irritation and bleeding.

    If you still prefer waxing, prepare sugar-based waxing substance by mixing sugar, lemon juice, and oil or water. Although, the method of waxing remains the same, sugar-based waxes are not heated up to extreme temperatures and are thus less harmful to the varicose veins affected area.

  2. Epilator – Epilator is an electronic device that is passed over the skin to extract the hair from its roots. The strong pulling action of this device can lead to inflammation in the varicose veins affected area and harm the delicate skin and tissues.

    A great alternative to using an epilator is depilatory cream. Simply apply this cream to the desired skin surface and let it be there for a few minutes before removing it with a cloth. This cream is gentler on the skin and chemically causes the hair to dissolve.

  3. Shaving – When using a razor, it is common to get a few cuts and bruises here and there. For varicose veins patients, even a small laceration is risky. Varicose veins are highly susceptible to bleeding especially in warm temperatures. It is, thus, even trickier for women who shave in warm showers.

    If you still prefer to shave the varicose veins affected area, choose a razor that is meant to work on dry skin. Avoid shaving in warm and humid weather conditions. This is comparatively less damaging to the varicose veins.

  4. Laser Hair Removal – In the laser hair removal process, heat from a laser beam is used to eliminate hair and prevent them from re-growing. For permanent results, most patients require 8 to 10 laser sessions.

    This is a safer option of hair removal for varicose veins patients. You must, however, make a note that patients who undergo laser hair removal are asked to avoid direct sunlight for a few days after every session. It is thus best, to begin with your laser hair removal sessions in cooler months and not winters.

Get your legs Summer Ready

All the above-mentioned hair removal options have their own benefits and risks. It is highly recommended for you to speak to your doctor about the hair removal method that will be best suited for your present health condition.

The only way to enjoy complete freedom of choosing your desired hair removal method is to bid a farewell to your varicose veins. With numerous advancements in medical science and technology, varicose veins can now be treated through the painless and minimally invasive laser ablation procedure. All damaged veins are closed off from the heat of laser fibre and the patient gets immediate relief from pain and swelling of varicose veins.

Dr. Rajah V Koppala is an internationally qualified interventional radiologist and a highly experienced vascular surgeon with over two decades of medical experience where he has completed 40,000+ procedures with a high success rate. He specializes in the USFDA approved endovenous laser ablation treatment procedure for varicose veins and strictly works in accordance with all protocols from the American College of Phlebology.

Undoubtedly the best vascular surgeon for treatment of varicose veins in south India, he has been applauded for his medical excellence and professionalism by one and all. He prioritizes the comfort and satisfaction of his patients above everything else and ensures their complete recovery. Schedule your appointment for the best-in-class, painless, minimally invasive, totally safe, and zero downtime laser treatment of varicose veins by Dr. Rajah V Koppala!

Before and After Your Varicose Vein Treatment

If you have varicose veins and have decided to get them removed through the painless and minimally invasive endovenous laser ablation treatment procedure, it is best to know the preparations that you must do before undergoing the procedure and the steps that you must follow after the treatment process as well.

In this blog, we will recommend the best practices that will help you get optimal results from the varicose vein painless laser treatment and also share post-treatment protocols that will not only assist in faster recovery but also ensure the least chances of varicose vein recurrence. Stay with us till the end.

Preparations before the Treatment

During the physical examination in your consultation visit, if the vein specialist suspects that you have varicose veins, he/she will recommend a few examination checks to confirm the presence of varicose veins and check for their exact count and precise location.

The doctor will also ask for your medical history and check if you consume any blood thinners which will probably have to be stopped a few days before the laser treatment of varicose veins.

Before the endovenous laser treatment process, you must be hydrated so it is a good idea to drink plenty of fluids especially water. It is advised that you wear loose-fitting clothes to the hospital on the day of the procedure and carry your compression stockings along.

After the preliminary examination, the vein specialist will use injection for local anaesthesia in the affected area. You will remain awake during the procedure but not feel any pain or discomfort in the area that is being treated. As it might be a little tough for you to drive back home, it is advised to bring a companion (friend or relative) along.

Post-Treatment Care Instructions

Your vein specialist will explain all after-treatment guidelines to you in detail. Below is a summary of the post-laser surgery precautions:

  1. Monitor the incision – A few of you may experience minor bleeding and bruising from the incision. If you notice blood stains on the bandages, raise your legs and apply pressure on the incision. If this does not stop the excessive bleeding, contact your doctor.

    If you also witness minor swelling, apply ice on the incision for 15 minutes. A painkiller may be taken to reduce the discomfort. You may wash the incision with soap and water. Never use hydrogen peroxide or alcohol to clean the wound.

  2. Avoid strenuous activities – Do not lift heavy weights or perform any strenuous exercise for at least two weeks from the date of the laser treatment. You may go out for a brisk walk, 20 minute every day is good to ensure proper blood flow and fast-track the healing process.

  3. Take showers – Instead of soaking your legs in hot water, take showers in the first week after the treatment procedure. The water that you bathe with must only be warm and not hot.
  4. Do not sit or stand for long durations – Although you can do your everyday chores, join office, and get back to work soon after your laser surgery, you must avoid sitting or standing for long durations at a stretch. Moving around at frequent intervals aids in improving blood flow.
  5. Wear compression stockings – Compression stockings are support stockings that put additional pressure on the leg veins and thus promote blood flow back to the heart. You must wear compression stockings continuously for at least three days after the laser treatment or as recommended by your vein expert.
  6. Do not miss follow-up appointments – You must never miss your follow-up appointments with your vein specialist. He/She may call you over for ultrasounds checks to monitor the healing progress and to review your medications in a few days after the procedure, ensure to get your check-ups done in a timely manner.

Conclusion

Laser treatment is a quick procedure that is 100% safe and offers a faster recovery rate. To be able to achieve excellent results, always follow the above tips and tricks. Do not forget to speak to your vein specialist for any other precautions that you must take before and after the laser surgery of varicose veins.

Dr. Rajah V Koppala is the best interventional radiologist in Hyderabad, India and is renowned for his whopping high success rate of endovenous laser ablation procedures on varicose veins patients. In his more than two decades of medical practice as a vascular surgeon, he has completed over 40,000+ laser procedures. His patients are happy with his professionalism and totally satisfied with his unmatched medical assistance.

At Avis Vascular Centre, Dr. Rajah V Koppala and his team of vein specialists employ only the USFDA approved treatment procedures of laser treatment and follow all protocols of the American College of Phlebology. Dr. Rajah V Koppala and his team prioritize patient health and focus primarily on their satisfaction. They ensure the highest levels of comfort for patients of all age groups and have made special provisions for non-local patients with round-the-clock assistance for Mediclaim approvals from all leading national insurance agencies.

If you are worried about those swollen and enlarged veins that are visible to be bulging out from the skin surface and experience immense pain and discomfort from them, do not hesitate to schedule a consultation appointment with Dr. Rajah V Koppala at Avis Vascular Centre. We begin with a physical examination along with ultrasound scans to know if you will benefit from the laser treatment. For a thorough analysis and best-in-class laser treatment, book your consultation today!

Caring for Venous Ulcer Wounds

What are Venous Ulcers?

Patients who complain of varicose veins are at an alarmingly high risk of venous ulcers. The restricted blood flow in the varicose veins contributes to blood pooling which further causes additional pressure on the veins. This, in turn, is known to cause the skin tissue around the damaged vein to crack open and form an open wound.

These open wounds that may or may not bleed are called venous ulcers. The patients experience a feeling of heaviness along with a sensation of tingling and itching in the affected area. Also, the colour of the skin around the ulcer changes to dark red, brown, or purple. In the absence of treatment, as the blood continues to pool, the patients may also experience the skin around the wound turning thicker.

As and when the ulcer breaks open, there can be seen a shallow red-coloured wound that is covered by a yellow tissue. The skin surrounding the ulcer becomes tight, has a shiny look, and is warm to touch. If there is an infection in the ulcer, you will notice a strong foul smell and pus as well.

What are the Home-Remedies for Venous Ulcers?

Venous ulcers are usually formed above the ankle. Although these have an unsightly appearance and are a huge discomfort, there are numerous at-home remedies in the form of simple tips that help fast-track the healing of these wounds. Let us learn about these home remedies below:

  1. Cleansing the wound – It is vital to keep the skin around the wound absolutely dry and clean at all times. This will prevent the ulcer from spreading to the nearby healthy tissues. Ask your doctor for tips on cleaning the wound and doing the bandage. Always clean the ulcer wound before applying the new bandage.

  2. Wearing compression stockings – Compression stockings are tight-fighting garments that help improve the blood flow back to the heart and reduce the swelling. These are available in a variety of styles and sizes. Ensure to ask the doctor about the recommended size and usage. Do not cover the wound with these support stockings.

  3. Elevating your leg – As and when possible, lie down and use a pile of pillows to elevate your legs at a level above the heart. This promotes proper blood circulation and offers relief from the pain and swelling.

  4. Having a daily exercise routine – Maintaining a good activity level helps improve the blood flow and aids in the healing process of the venous ulcers. Make an exercise routine. You can choose between brisk walking, swimming, and other low-impact exercises.

How to Treat Venous Ulcers?

If you do not get much relief from the home remedies, you must consult a vascular expert and seek medical advice to treat the infection at the venous ulcer and prevent the formation of new ulcers.

The specialist doctors will not only help you heal the venous ulcer wound but will most certainly assist you in treating the underlying cause of these ulcers i.e. varicose veins. To prevent new ulcers from developing in the damaged area, it is essential to restore the blood circulation by treating the varicose veins.

Dr. Rajah V Koppala is an internationally qualified interventional radiologist and a highly trained vascular surgeon with over two decades of experience and 40,000+ successful laparoscopic surgeries to his name! He specializes in the minimally invasive laser treatment of varicose veins and ensures faster recovery with zero downtime.

Do not be scared of going under the knife for the treatment of venous ulcers, as the no-cut, no-stitch, and no-scar treatment is available at Avis Vascular Centre, Hyderabad’s leading medical institute for treatment of all venous disorders. All doctors at Avis Vascular Centre use only the US-FDA approved procedures and follow all protocols of the American College of Phlebology for medical practice. Book your consultation today!

The Relationship Between Birth Control and Varicose Veins

A large number of women in India use birth control pills as oral contraceptives, to manage their menstrual cycle or to get relief from the painful health conditions such as endometriosis.

Birth control pills have diverse side-effects and those include medical complications related to vein health. Although the risk of a vascular disorder due to a regular dosage of birth control pills is low, it cannot be ignored.

Women who consume birth control pills are likely to develop varicose veins and blood clots in the legs. This is primarily because the hormones that help prevent pregnancy are also known to adversely affect the blood flow through the veins.

The Hormones in the Birth Control Pills

All birth control pills have two hormones – progestin and estrogen. These hormones together hinder the ovulation process and significantly reduce the chances of pregnancy in women.

The birth control pills make the woman’s body believe that it is already pregnant and thus prevent another pregnancy from taking place. But what is harmful is that these pills also severely restrict the blood flow.

As stagnant blood tends to collect and pool in the legs, this increases the chances of development of new varicose veins and blood clots in the deep veins thus leading to Deep Vein Thrombosis (DVT). This is a life-threatening health condition as the blood clot can break free and travel from the deep veins of the legs to other parts of the body such as the lungs and lead to pulmonary embolism.

These hormones that are generated naturally by the body during pregnancy also contribute to the development of varicose veins in pregnant women. Although the sluggish blood helps prevent blood loss during delivery, it also increases the likelihood of varicose veins as the valves of these veins do not help move the de-oxygenated blood back to the heart.

Should you consume Birth Control Pills?

Although consuming birth control pills increases the odds of developing varicose veins, the risk is low for healthy women. For women who have a healthy lifestyle, there are rare chances of birth control pills causing blood clots or DVT.

In simpler words, the risk is not so high that the women should avoid taking these oral contraceptives. However, every woman should consult a doctor and discuss their personal and family medical history to examine the risk of blood clots and DVT. No women should pick-up birth control pills from the chemist and consume them without a doctor’s prescription.

In one instance, a woman asked the drug store for the best-selling birth control pills and started consuming them without any medical advice from a specialist. In a few months, she developed varicose veins and had extreme swelling in her legs. This happened as she was overweight and had already been diagnosed with a gallbladder ailment which heightened the risk of blood clots on regular consumption of birth control pills.

Always consult a healthcare practitioner before consuming birth control pills. Women who are known to have developed blood clots due to birth control pills in the past must speak to their doctor before restarting the contraception program. Any woman who is on birth control pills must carefully watch out for any early signs of varicose veins, blood clots, and DVT. Never postpone or ignore the symptoms and schedule a consultation with a specialist for a medical check-up.

If you plan to begin consuming oral contraceptives or are already taking them for a while but want to understand the associated risk of varicose veins and blood clots in the deep veins, schedule an appointment with the best vascular surgeon and interventional radiologist in Hyderabad, Dr. Rajah V Koppala at Avis Vascular Centre. He will analyse your medical details and examine your family history of blood clots to advise a suitable dosage of birth control pills or rule out oral contraceptives consumption and suggest alterative therapy or preventive measures for your ailments.

If you have already developed early symptoms of varicose veins, Dr. Rajah V Koppala can help you with the treatment and cure. He excels in the painless endovenous laser treatment of varicose veins and is renowned for having treated 40,000+ patients. Book your appointment for the best treatment with Avis Vascular Centre today!

Are Varicose Veins Causing Your RLS?

RLS is the synonym for Restless Legs Syndrome which is primarily a neurological disorder as opposed to varicose veins that signal towards a vascular disease.

Although these are two entirely different medical conditions, varicose veins and RLS are often confused and also linked with each other. In this blog, let us understand how are these two related to each other. Stay with us till the end.

What is RLS?

RLS, also known as Willis-Ekbom disease causes discomfort in the form of unpleasant sensations in the legs. Patients with RLS experience an uncontrollable urge to move their legs especially in the evening and at night.

Patients do get relief by moving their legs. The urge to move the legs is known to get intense when the patient is trying to relax or sleep. Thus, one of the major concerns with RLS is its interference with sleep and everyday activities as patients usually witness sleepiness in the daytime along with fatigue.

RLS can happen to anyone at any age and the symptoms generally get worse with the growing age. RLS and sleep deprivation can lead to several other health problems including depression if treatment for RLS is delayed. Simple lifestyle modifications and self-care steps can help ease the symptoms but medications do become necessary for most patients.

Why are varicose veins being linked to RLS?

Painful itching and throbbing in the legs especially at the night time are two of the many other common symptoms of RLS and varicose veins. Also, it is known that both RLS and varicose veins patients experience relief from their symptoms on moving their legs.

These surprising similarities in the accompanying characteristics and actions that cause relief in symptoms of both these disorders have made the medical researchers keen on investigating if and how these two medical conditions are related to one another.

Could Varicose Veins Be Causing Your RLS?

RLS development has been linked with other health problems such as iron deficiency, Parkinson’s disease, diabetes, and kidney disorders. It is also known that certain medications for a few diseases namely hypertension, allergies, heart ailments, and even depression contribute to be a major source of RLS.

Although it is known that RLS can be caused by a number of other health conditions, numerous medical studies and reports from recent research have also concluded that varicose veins can be the underlying cause of RLS in a few patients.

The swollen and enlarged varicose veins fail to send blood back to the heart and result in blood pooling accompanied by a feeling of heaviness in the legs. The extreme pressure in the veins makes them protrude out from the skin surface and appear all along the legs and feet.

The medical study conducted in 1995 and published in the Dermatological Surgery stated that out of 1300 patients with RLS and vascular disorder, as many as 113 were treated through the sclerotherapy procedure, a common treatment process for varicose veins where the sclerosant, a substance is injected into the damaged veins to permanently close them off.

It was reported that a whopping 98% of the patients confirmed having experienced immediate relief from RLS symptoms after undergoing sclerotherapy. Not only this, but the recurrence rate of RLS symptoms was also very low for these patients. Roughly 8% had RLS symptoms within the first year and approximately 28% in the second year after the sclerotherapy procedure.

The results from the 1995 study were reinforced by the findings of the medical study conducted in 2007 that we reported in Phlebology : The Journal of Venous Disease. Of the total 174 patients, 63 tested positive for RLS of which 62 were also diagnosed with chronic venous insufficiency.

Researchers have reconfirmed that RLS and varicose veins are overlapping medical disorders. They have also concluded that patients with RLS must first be examined for varicose veins and subsequently be treated for it instead of being prescribed medications for RLS.

Conclusion

If you have RLS, at-home remedies such as massaging your legs, walking, and stretching before going to bed are sure to help ease the symptoms. These are great relaxation techniques that also relieve symptoms of varicose veins as well.

Soaking your legs in warm and cold water will also help you feel relaxed and make your night time more restful. You must limit your caffeine and alcohol intake and eat nutritious meals at regular intervals to feel better.

If RLS is bothering you and you are yet to find out the root cause of it, it is best to see a vein specialist and get yourself medically examined for the presence of varicose veins or other venous disorders. You must know that not all varicose veins are visible. Hence, you may have no visible or protruding veins on the skin surface but still, be suffering from varicose veins.

It is best to let the vascular expert check for deep-lying damaged veins that may be making RLS even more troublesome for you. Diagnosis of the varicose vein can help in timely treatment and prevent RLS from progressing further.

Dr. Rajah V Koppala is an internationally qualified and highly experienced vascular surgeon. He specializes in the painless and minimally invasive laser treatment of varicose veins. Performed as an outpatient treatment, the laser ablation process has zero downtime and the patients can go back home on the same day.

Avis Vascular Centre offers free duplex ultrasound scans and quick friendly Mediclaim assistance to all patients along with special aid for travel and accommodation reservations of non-local patients. Call us to schedule your consultation visit today!

Why should you never ignore Spider Veins?

At least one-third of adults in India suffer from one or the other form of a venous disorder but are not necessarily aware of it. The most common vein disease is spider veins. These are not swollen and enlarged or painful and discomforting but are visible in the form of spider-web-like structures primarily on the legs and feet.

If your parents or siblings have a medical history of a vascular disorder, there are high chances of you developing spider veins or varicose veins at some point in your lifetime. Apart from genetics, lifestyle factors such as consumption of fatty foods, insufficient intake of water, excessive alcohol consumption, inadequate physical activity, and remaining in the same posture for long durations at a stretch are the other common causes of a venous disorder.

Spider veins not only cause cosmetic displeasure but also signal towards an underlying issue in the circulation of blood. It is tedious for an individual to differentiate between varicose veins and spider veins by just merely looking at them through the naked eye.

It is thus extremely important to take notice of the early signs and visit your vascular expert for thorough diagnosis and timely treatment before further progression of the vascular disorder as any delay in medical aid can worsen the condition and result in:

  1. Blood Clots – Pooling of blood due to spider veins and/or varicose veins can result in clotting. These blood clots, in turn, can further restrict blood flow and cause other life-long health issues.
  2. Ulcers – Additional pressure on the vein walls due to undue pooling of blood can lead to inflammation, swelling, and eventually open sores (ulcers) on the legs and feet. These are accompanied by fluid discharge and are quite difficult to heal.
  3. Cellulitis – Cellulitis is a skin infection caused by the bacteria that is naturally present on the skin. Cellulitis can result in tissue damage, organ damage, and other infections that prevent the body from healing itself.

    Spider veins are a warning sign that other tissue disorders such as cellulitis are likely to develop in incidences of lack or delay in treatment.

  4. DVTDeep Vein Thrombosis refers to the development of blood clots in the deep veins. These clots cause swelling, pain, and the skin around the affected area becomes discolored and is often warm to touch.

  5. Pulmonary Embolism – The blood clots in the deep veins can break free and travel to the lungs or heart, thus cutting off the oxygen supply. These can even cause death if immediate medical care is not made available.

What to do next?

If you are currently suffering from varicose veins or have a family history of a vascular disorder that places you at high risk of varicose veins, always keep a close eye on the symptoms and do not delay getting medical assistance from a vascular specialist on the occurrence of the primary signs.

Avis Vascular Centre is a well-equipped medical institute with state-of-the-art healthcare facilities and round-the-clock expert assistance for all patients. All our doctors are highly qualified and supremely experienced in laser treatment of varicose veins.

Laser treatment is a painless and minimally invasive treatment procedure for venous disorders. It is a quick process performed as an outpatient procedure and the patient can go back home on the same day. There are minimal chances of any side-effects or recurrence of varicose veins. Performed under the influence of local anaesthesia, this is a safe procedure for patients of all age groups.

At Avis Vascular Centre, the expert healthcare practitioners follow all protocols from the American College of Phlebology and perform only USFDA approved procedures for world-class treatment, higher chances of success, and faster recovery.

Free duplex ultrasound scan and specialist consultation visits are arranged for all deserving patients. Avis Vascular Centre has also tied up with all leading national insurance agencies of India to offer cashless Mediclaim assistance in a stress-free and hassle-free way. Our team also manages travel and accommodation bookings for all out-station patients.

We are your one-stop destination for the best treatment of venous diseases at the most affordable prices. Do not think twice, simply schedule your consultation with the renowned vascular experts at Avis Vascular Centre and say goodbye to your vascular disorder and discomfort! Book now!

Endovenous Laser Treatment vs. Vein Stripping

Until recently, the surgical and highly invasive procedures of vein stripping and vein ligation were the only feasible treatment methods to ger relief from the bulging, swollen, and painful varicose veins found in the thighs and calves of one or both legs.

In the past few years, with massive developments in medical science and technology, a new treatment procedure called the endovenous laser treatment method has quickly replaced the vein stripping process for the cure and treatment of varicose veins.

In this blog today, let us understand the difference between these two procedures and find out which is more beneficial for you. Stay with us till the very end as we help you choose the ideal treatment process and enable you to get rid of the varicose veins pain and discomfort.

What is Vein Stripping?

Vein stripping is a painful and invasive procedure that requires large cuts to be made for the treatment of varicose veins. In this process, the damaged vein is removed through an incision made behind the knee or in the groin area.

This procedure is performed as an outpatient procedure with general anaesthesia and takes anywhere between 60 to 90 minutes. The recovery time ranges from two to four weeks based on how many veins were removed from where.

What is Endovenous Laser Ablation?

This is a minimally invasive treatment process performed with high-resolution live imaging through a duplex ultrasound scan. As opposed to the vein stripping procedure, patients only require local anaesthesia in EVLA (Endovenous Laser Ablation). It is a quicker process and has relatively faster recovery times.

A laser fibre is inserted through the small incision made on the skin surface. The thin beam of radiation in the form of laser light is used to heat up and burn off the walls of the damaged veins. The veins collapse and this causes scar tissues within the blood vessels. As a result, the veins seal themselves after which the body redirects the blood to other healthier veins.

 It is a safe procedure and there is only a negligible chance of any side-effects or post-treatment complications such as redness or swelling. Discomfort from the laser treatment, if any, is also known to subside in 5 to 7 days with mild medications. The patient can resume everyday activities in 24 hours but must avoid strenuous exercises.

What are the Advantages of Laser Treatment?

Laser treatment is highly recommended for patients whose varicose veins have turned red, sore or are inflamed (swollen). It is also recommended when the skin over the varicose veins is irritated. There are no large cuts, bruises, stitches, or scar marks.

Patients experience faster recovery as the endovenous laser ablation is a minimally invasive procedure and there are rare chances of infection or bleeding after the treatment. Also, as the EVLA treatment is performed with local anaesthesia as an outpatient procedure, it saves the patient from expensive hospital stays.

All damaged veins can be treated in a single session and the patient can go back home on the same day. There are minimal chances of recurrence that too in patients who do not take the precautions recommended by the doctor complemented by a healthy lifestyle that includes nutritious food and moderate exercise.

Conclusion

Laser treatment is the safest and by far the best available treatment option for varicose veins. It is not only painless and minimally invasive but also quick and delivers guaranteed results even in extreme cases or for patients with a medical history of other health conditions such as blood pressure, diabetes, etc.

Dr. Rajah V Koppala is renowned for having cured varicose veins for over 12000 patients from all across India and even different parts of the World. He is a trained and qualified interventional radiologist with 24+ years of experience. Dr. Rajah V Koppala is currently practicing at the Avis Vascular Centre, Hyderabad and aims to offer the most advanced yet cost-effective treatment to one and all.

Avis Vascular Centre has the latest medical equipment. All doctors perform only the USFDA approved procedures and work in strict accordance with the protocols from the American College of Phlebology.

Apart from a friendly support staff and highly qualified doctors on the panel, Avis Vascular Centre has partnered with all leading national insurance providers to offer instant Mediclaim assistance to all local, non-local, and international patients.

Are you suffering from varicose vein discomfort? Are you looking for immediate relief from the symptoms? Get smooth and pain-free legs, book your consultation with the highly acclaimed interventional radiologist Dr. Rajah V Koppala at Avis Vascular Centre today!

What Type of Doctor will Treat my Varicose Veins?

Varicose veins are formed when the valves of certain veins do not function as desired and prevent blood flow back to the heart. This leads to excessive pooling of blood and eventually causes extreme swelling and irritation in the affected area.

It is essential to get your varicose veins diagnosed and treated on time as any delay or lack in medical aid can result in other health complications such as chronic venous insufficiency, venous ulcers, blood clots in the deep veins (DVT or Deep Vein Thrombosis), and even the life-threatening condition called pulmonary embolism (blood clot that travels to the lungs).

Varicose Veins Treatment Procedures

The treatment procedures for varicose veins are aimed at closing off or removing the damaged veins. There are two different treatment approaches as detailed below:

  1. Surgical Procedure – Until recently, surgery was the only way to treat varicose veins. In this process, the surgeon makes an incision to either ligate (tie-up) or remove the malfunctioning veins. This procedure is painful and thus performed under general anaesthesia.

    Surgical procedures also require a few weeks to months’ time for total healing. There is a 50% chance of varicose vein recurrence after 5 years of surgical treatment. Scarring, bleeding, infection, pain, and DVT are some common side-effects of surgical procedures.

  2. Minimally Invasive Treatment – These procedures are performed under the influence of local anaesthesia and require only a small incision to be made on the skin. These are usually performed as outpatient procedures in the doctor’s cabin. The minimally invasive treatment procedures usually require only local anaesthesia, are quick to perform, and heal even faster. The patient can resume work and perform routine tasks from the very next day itself.
    1. Sclerotherapy – This process involves injecting a scarring agent into the damaged veins. Sclerotherapy works well in the case of spider veins but is rare to give satisfactory results for patients complaining of severe varicose veins.
    2. Micro-phlebectomy – In this procedure, a small nick is made on the skin above the varicose veins. The damaged veins are then removed.
    3. Endovenous Ablation – In this procedure, a laser fibre along with a catheter is inserted into the varicose veins from a small incision. The heat from the laser is used to burn and close-off the damaged veins. This gives immediate relief from the swelling and pain. The success rate for this laser treatment ranges from 84% to 94%

Varicose Veins Treatment Specialists

During a routine examination, if your general physician suspects the development of varicose veins, he/she is most likely to recommend you to see a vascular specialist for diagnosis and treatment before further advancement in the disorder.

You may choose to visit healthcare practitioners with the following specialization:

  1. Vein Surgeon – A vein surgeon is an expert doctor who is trained to conduct surgical procedures for the removal of varicose veins. The vein surgeon uses general anaesthesia to make an incision in the damaged area and remove all damaged veins. This procedure usually requires a larger hospital stay.
  2. Interventional radiologist – An interventional radiologist is a healthcare practitioner who excels in the minimally invasive treatment of varicose veins. These specially trained doctors use a live duplex ultrasound scan to diagnose and treat the damaged veins. The minimally invasive laser treatment is not only painless but is also more efficient and has zero downtime.

Although a few other doctors such as phlebologists, cardiologists, dermatologist, plastic surgeons, and even general surgeons can also help you with the treatment of varicose veins, vascular surgeons and interventional radiologists have complete additional training which makes them a better choice for diagnosis and treatment of even the critical cases of varicose veins.

Dr. Rajah V Koppala at Avis Vascular Centre is not only an internationally qualified vascular surgeon but also a highly trained interventional radiologist. He has more than two decades of medical experience and specializes in the endovenous laser ablation treatment process of varicose veins in patients of all age groups. With an array of 40,000+ completely cured, happy, and satisfied patients, he is renowned in Hyderabad and across India for his excellence in the treatment of varicose veins.

Dr. Rajah V Koppala practices at Avis Vascular Centre which is a well-equipped medical institution with a modern infrastructure and all latest medical facilities. Avis Vascular Centre also offers Mediclaim assistance from all the leading national insurance agencies and complete support for non-local patients as well. Schedule your consultation for the best-in-class treatment of varicose veins today!

What are varicoceles and their link with infertility?

Introduction

Varicoceles refer to the swollen and enlarged veins of the scrotum, a pouch that contains the testicles. Varicoceles look similar to an enlargement above the testicles and can be easily identified as a bulge on the scrotum. There is, however, no discoloration on the skin but men complaining of varicoceles often suffer from the tenderness of the scrotum.

Like all other veins, the veins of the scrotum also have valves that prevent the blood from flowing backward. In a few men, these valves become faulty and fail to work as desired. Thus, the deoxygenated blood is unable to travel back to the heart and leads to blood pooling accompanied by extreme pain and swelling.

Although a large number of men who have varicoceles, do not have any visible signs, a few of them complain of difficulty in impregnating a woman. This is the primary reason behind varicoceles being linked to infertility in men. Certain research reports have even stated that treating varicoceles helps improve the likelihood of pregnancy.

What Causes Varicoceles?

Varicoceles are fairly common and reported to be affecting 10-15% of the men but doctors are yet to confirm the cause of these weakened valves. According to recent research studies, men who smoke are at a greater risk of developing varicose veins as smoking is known to damage the blood vessels and weaken the valves.

However, alcohol consumption and the occupation of a person has been found to have no link with varicoceles. In some cases, the growth in the stomach has been determined as the cause of excessive additional pressure on the veins which further leads to varicoceles. This has been prominent in men over 45 years of age.

For a majority of the men, varicoceles are inexplainable and do not have an apparent cause. Also, varicoceles do not always point towards an underlying health issue.

How are Varicoceles diagnosed?

Most men do not have any discomforting symptoms of varicoceles. However, a few of them may have heavy sensation and occasional throbbing in the scrotum. A majority of the men discover about varicoceles only when they face infertility issues and visit a fertility expert for treatment.

Healthcare practitioners diagnose varicoceles by physical examination of the scrotum as they are able to feel lumps and unusual blood vessels. Doctors may also recommend an ultrasound scan to confirm the presence of varicoceles and check for the severity and location of the damaged veins.

What are the treatment options for Varicoceles?

Varicoceles that do not cause any symptoms do not require treatment. A varicocele may require treatment in the following cases:

  1. Varicocele is causing pain and swelling
  2. A man has a varicocele and is suffering from a low sperm count or other issues with the sperm
  3. A couple has unexplained infertility and the male partner has varicoceles

The treatment options for varicoceles include surgery and embolization:

  1. Surgery – The doctors block the blood flow to the damaged veins and then surgically remove the varicoceles. This process is called varicocelectomy and requires general anaesthesia. Patients may experience pain and tenderness for a few days after the surgery.
  2. Embolization – This procedure requires local anaesthesia and can be performed in the doctor’s clinic itself. In this process, the doctor makes a small incision to insert the needle into the damaged vein and cut off the blood supply to it.

Embolization is a safe procedure and has a high success rate. It is a painless and minimally invasive procedure that is quick and has a zero downtime. Dr. Rajah V Koppala at Avis Vascular Centre specializes in the embolization treatment for varicoceles. He has over two decades of experience and an array of 12000+ happy patients who are totally satisfied with his treatment and post-treatment medical assistance.

Dr. Rajah V Koppala practices at Avis Vascular Centre that has state-of-the-art medical facilities along with the latest equipment and advanced infrastructure. Schedule an appointment for a medical check-up, accurate diagnosis, and effective treatment of varicoceles. Book now!

Surprising Facts about Varicose Veins

As you already know by now, varicose veins are not only a cosmetic issue but pinpoint to a serious venous disorder and must never be ignored. Painful or painless, varicose veins must be treated by experienced vascular experts to reduce the likelihood of extreme health complications that may pose a serious threat to life!

In this blog today, we will throw light on some of the lesser-known facts about varicose veins, their symptoms, causes, and treatment. Read till the end as awareness to varicose veins will help you diagnose and get them treated on time.

  1. Opposed to what most people believe, varicose veins can occur anywhere in the body but are most common in the legs and feet as the gravitational pull makes it difficult for the blood from the lower body to flow back to the heart.
  2. Varicose veins can lead to intense circulatory disorders and may result in loss of a limb or even death. Any vein that causes discomfort must be addressed by healthcare practitioners.
  3. Undiagnosed and untreated varicose veins can lead to chronic blood pooling and result in venous insufficiency and blood clots in deep veins known as Deep Vein Thrombosis (DVT)
  4. Hormonal changes, overexposure to the sun, and inherited factors can also cause varicose veins and spider veins.
  5. Doppler scan is used to examine the blood flow direction and thus helps to analyse if the valves of certain veins are working as desired or require treatment.
  6. A few patients with varicose veins or venous insufficiency are also reported to complain of Restless Leg Syndrome.
  7. You must avoid scratching varicose veins as doing so can lead to venous ulcers or open sores that are painful and cause extreme discomfort.
  8. Those who are at a high risk of varicose veins must avoid wearing tight clothes that hinder the blood flow at the waist, groin, or legs.
  9. Venous insufficiency can cause non-healing ulcers and excessive bleeding from varicose veins.

Of all the treatment methods, endovenous laser treatment is by far the best option. It is a type of minimal access surgery where an expert interventional radiologist makes a small incision to close-off the varicose veins.

Dr. Rajah V Koppala at Avis Vascular Centre specializes in the endovenous laser treatment for varicose veins. He is a highly qualified and exceptionally trained interventional radiologist with over two decades of experience.

In the endovenous laser treatment process, the doctor places a laser fibre through a small incision. The laser fibre is directed to the affected area and the heat from it is used to burn off the varicose veins. The varicose veins are reabsorbed in the body which also re-routes the blood to the other neighbouring healthier veins.

This procedure is not only painless and 100% safe but also quick and requires only minimal post-surgical care. There are negligible chances of any complications or recurrence of varicose veins. The patient experiences immediate relief from the swelling, pain, and discomfort.

Avis Vascular Centre is well-equipped with the most advanced medical amenities and has a modern infrastructure for the utmost care and comfort of each patient. We make every possible effort to ensure that all our patients have a hassle-free and stress-free medical experience.

Book your consultation for a medical check-up, diagnosis, and minimally invasive laser treatment of varicose veins from expert healthcare practitioners at Avis Vascular Centre today!

Types of Venous Disorders

Veins are an integral part of the circulatory system as they carry deoxgenated blood from all different parts of the body back to the heart. Thus, vascular health is of prime importance for the overall wellbeing of an individual.

In this blog today, we will explain about the different medical disorders of the veins and associated health complications of the venous system.

  1. Spider Veins – These are the red, blue or purple-coloured tiny veins that are visible right below the skin surface of the legs, chest, face, etc in the shape of a spiderweb-like formation.

    Spider veins are usually painless and do not cause any swelling. Although these do not pose an immediate threat to life, spider veins must not be ignored as they are caused due to pooling of blood and indicate a blood circulation issue in the veins.

  2. Varicose Veins – Varicose veins are larger than spider veins. These are caused when the valves of the leg veins restrict the blood flow back to the heart and lead to swelling accompanied by pain and irritation in the affected area.

    Varicose veins are clearly visible to the naked eye. Varicose veins patients also often complain of a feeling of heaviness in the legs. If painless, varicose veins may not be treated immediately. But delay in treatment can worsen the symptoms and lead to other complications as detailed below.

  3. Venous Ulcers – Blood pooling leads to excessive additional pressure as a result of which the walls of the varicose veins stretch and cause the protein from the blood cells to reach the subcutaneous tissues. The subcutaneous tissues eventually break-down and lead to ulceration.

    Venous ulcers are open sores visible on the skin surface of the legs and feet. The skin around the ulcer usually turns hard and brown in colour. Patients may also complain of a tingling sensation. These are extremely slow to heal and must be treated on time.

  4. Blood Clots – Blood clots are clumps of blood that restrict the righteous blood flow. These can occur anywhere in the body such as arms, legs, lungs, abdomen, etc and either stay at one place (Thrombosis) or travel to other parts of the body (Embolism).

    In the presence of blood clots, the affected area feels warmer and the skin surface looks visibly red. There may be numbness along with swelling and pain. Some patients may even find it difficult to walk.

  5. Deep Vein Thrombosis – DVT refers to the medical condition where a blood clot develops in the deep veins. This is a life-threatening disorder as the blood clot can travel to other parts of the body and affect the heart, brain, and even the lungs.

    DVT is triggered due to chronic blood pooling in the leg veins. DVT patients may complain of unexplained pain in the ankle and feet accompanied by swelling. The affected area feels warmer and turns pale red in colour.

  6. Chronic Venous Insufficiency – When a vascular impairment such as varicose veins is left untreated for a long period of time, the condition becomes chronic and the symptoms become worse, thus leading to Chronic Venous Insufficiency (CVI).

    CVI is characterized by changes in the skin colour of the lower legs, constant itching on the legs, and swelling around the ankle. In this medical complication, the patients experience unusually high blood pressure levels in the legs.

If you have signs or symptoms of a venous disorder, do not worry as the best medical aid is available at Avis Vascular Centre, the leading medical institute for the painless and minimally invasive laser treatment of varicose veins.

Avis Vascular Centre is trusted by 12000+ happy patients who are completely satisfied with its healthcare services. All treatment procedures performed at Avis Vascular Centre are USFDA approved and performed in strict accordance with the protocols from the American College of Phlebology.

We always ensure that you have a pleasant medical experience at Avis Vascular Centre. For more details about our treatment procedures, medical check-up, diagnosis, treatment, Mediclaim assistance or outpatient registration, get in touch with Avis Vascular Centre today!

Getting Laser Treatment for Varicose Veins? Read This First!

If you have varicose veins and have decided to get them removed through the painless and minimally invasive endovenous laser ablation treatment procedure, it is best to know the preparations that you must do before undergoing the procedure and the steps that you must follow after the treatment process as well.

In this blog, we will recommend the best practices that will help you get optimal results from the varicose vein painless laser treatment and also share post-treatment protocols that will not only assist in faster recovery but also ensure the least chances of varicose vein recurrence. Stay with us till the end.

Preparations before the Treatment

During the physical examination in your consultation visit, if the vein specialist suspects that you have varicose veins, he/she will recommend a few examination checks to confirm the presence of varicose veins and check for their exact count and precise location.

The doctor will also ask for your medical history and check if you consume any blood thinners which will probably have to be stopped a few days before the laser treatment of varicose veins.

Before the endovenous laser treatment process, you must be hydrated so it is a good idea to drink plenty of fluids especially water. It is advised that you wear loose-fitting clothes to the hospital on the day of the procedure and carry your compression stockings along.

After the preliminary examination, the vein specialist will use injection for local anaesthesia in the affected area. You will remain awake during the procedure but not feel any pain or discomfort in the area that is being treated. As it might be a little tough for you to drive back home, it is advised to bring a companion (friend or relative) along.

Post-Treatment Care Instructions

Your vein specialist will explain all after-treatment guidelines to you in detail. Below is a summary of the post-laser surgery precautions:

  1. Monitor the incision – A few of you may experience minor bleeding and bruising from the incision. If you notice blood stains on the bandages, raise your legs and apply pressure on the incision. If this does not stop the excessive bleeding, contact your doctor.

    If you also witness minor swelling, apply ice on the incision for 15 minutes. A painkiller may be taken to reduce the discomfort. You may wash the incision with soap and water. Never use hydrogen peroxide or alcohol to clean the wound.

  2. Avoid strenuous activities – Do not lift heavy weights or perform any strenuous exercise for at least two weeks from the date of the laser treatment. You may go out for a brisk walk, 20 minute every day is good to ensure proper blood flow and fast-track the healing process.
  3. Take showers – Instead of soaking your legs in hot water, take showers in the first week after the treatment procedure. The water that you bathe with must only be warm and not hot.
  4. Do not sit or stand for long durations – Although you can do your everyday chores, join office, and get back to work soon after your laser surgery, you must avoid sitting or standing for long durations at a stretch. Moving around at frequent intervals aids in improving blood flow.
  5. Wear compression stockings – Compression stockings are support stockings that put additional pressure on the leg veins and thus promote blood flow back to the heart. You must wear compression stockings continuously for at least three days after the laser treatment or as recommended by your vein expert.
  6. Do not miss follow-up appointments – You must never miss your follow-up appointments with your vein specialist. He/She may call you over for ultrasounds checks to monitor the healing progress and to review your medications in a few days after the procedure, ensure to get your check-ups done in a timely manner.

Conclusion

Laser treatment is a quick procedure that is 100% safe and offers a faster recovery rate. To be able to achieve excellent results, always follow the above tips and tricks. Do not forget to speak to your vein specialist for any other precautions that you must take before and after the laser surgery of varicose veins.

Dr. Rajah V Koppala is the best interventional radiologist in Hyderabad, India and is renowned for his whopping high success rate of endovenous laser ablation procedures on varicose veins patients. In his more than two decades of medical practice as a vascular surgeon, he has completed over 12000 laser procedures. His patients are happy with his professionalism and totally satisfied with his unmatched medical assistance.

At Avis Vascular Centre, Dr. Rajah V Koppala and his team of vein specialists employ only the USFDA approved treatment procedures of laser treatment and follow all protocols of the American College of Phlebology. Dr. Rajah V Koppala and his team prioritize patient health and focus primarily on their satisfaction. They ensure the highest levels of comfort for patients of all age groups and have made special provisions for non-local patients with round-the-clock assistance for Mediclaim approvals from all leading national insurance agencies.

If you are worried about those swollen and enlarged veins that are visible to be bulging out from the skin surface and experience immense pain and discomfort from them, do not hesitate to schedule a consultation appointment with Dr. Rajah V Koppala at Avis Vascular Centre. We begin with a physical examination along with ultrasound scans to know if you will benefit from the laser treatment. For a thorough analysis and best-in-class laser treatment, book your consultation today!

Do Varicose Veins Indicated Heart Problems?

Needless to say, varicose veins are cosmetic displeasure. But are these thick and twisted veins also a sign of deeper trouble?

Varicose veins are not only unsightly and uncomforting but also a bit scary. It is not unusual for you to wonder if these swollen and enlarged veins are the cause of a potential cardiac disorder.

In this blog, let us understand if varicose veins have any effect on the heart and the cardiovascular system.

Varicose Veins and Heart Disease

Our bodies have two types of blood vessels – arteries and veins. The arteries are blood vessels that carry oxygen-rich blood from the heart to all other body parts. The veins are responsible for bringing used and de-oxygenated blood back to the heart from all different body organs.

Varicose veins are those damaged veins whose valves do not function as desired and prevent blood from flowing back to the heart. This is a venous disorder and indicates blood flow problems in the veins.

Cardiac disorders are related to the arterial system and not the venous system. Thus, even though the presence of varicose veins signals towards an unhealthy blood circulation, it does not necessarily point towards heart disease.

Varicose veins definitely put you at a higher risk of other venous complications but the development of varicose veins does neither cause nor indicate heart disease. In simple terms, there is no connection between varicose veins and a cardiac disorder. Having varicose veins does not at all increase the risk for a heart ailment.

However, in some cases, the vascular system can get affected by cardiac disease. A patient who has a heart ailment and has developed varicose veins is at a high probability of complaining of swelling in the legs and infection in the varicose veins affected area.

Varicose Veins Complications

For a majority of the people, varicose veins are only a cosmetic concern. Although varicose veins are not a potential risk for heart ailments, they do pose a serious risk to the overall health and well-being of the patient. Thus, it is extremely important to understand the medical conditions and complications related to varicose veins in order to prevent health loss in the long run.

As varicose veins prevent blood flow, there is excessive accumulation of blood in the affected area. This causes the veins to enlarge and leads to swelling which is usually accompanied by pain and a feeling of heaviness. Patients also complain of discomfort in the form of itching, a feeling of heaviness, and a constant sensation of throbbing.

This medical condition can worsen further and progress to other health issues in case of delay or lack of treatment. Blood pooling causes extreme pressure and can result in open sores known as active venous ulcers. Some patients can even develop blood clots in their deep veins (DVT i.e. Deep Vein Thrombosis) and chronic venous insufficiency.

In DVT, if the blood clot breaks free, it can travel to any body part like the heart, lungs, and others. A blood clot in the lungs (pulmonary embolism) can hinder oxygen supply to the vital body organs and even cause the untimely death of the patient. Thus, varicose veins must never be ignored as a mere cosmetic annoyance.

Conclusion

Even though varicose veins and heart diseases are not inter-related medical complications, both respond well to healthy lifestyle changes. In both these health conditions, patients have been known to benefit from eating a nutritional diet and having a daily exercise regime.

If you have varicose veins, you are also sure to experience relief from swelling and pain by raising your legs above the level of your heart while lying down. You must also speak to your vascular expert about the recommended usage of compression stockings that help improve the blood flow from the legs back to the heart.

However, if your varicose veins are causing extreme trouble, you must consider getting them removed or permanently closed through surgical procedures. In contrast to the open surgeries which were much painful and discomforting, these days the minimally invasive procedures have got popular due to their high success rate and faster healing.

Dr. Rajah V Koppala is a trained vascular interventional radiologist and an expert at performing the painless laser ablation treatment of varicose veins. He performs the laser ablation as an outpatient procedure and all varicose veins are treated in a single session. The patients can go back home on the same day and continue to perform their everyday activities from the very next day.

It is a painless, minimally invasive, scar-less, convenient, and safe treatment procedure for varicose veins. There is no need of general anaesthesia as doctors only use local anaesthesia in the affected area to make small incisions and check for the location of varicose veins through a live duplex ultrasound scan.

The heat from the laser fibre is used to close off and burn away the damaged veins which get reabsorbed in the body. The body also automatically re-routes the blood to neighbouring healthy veins. Patients get immediate relief from pain, swelling, and itching.

Dr. Rajah V Koppala is internationally qualified and ranked as the best vascular surgeon in South India. He ensures patient comfort and satisfaction at all times before, during, and even after the procedure. If you are looking for the best treatment of varicose veins, do not look elsewhere, schedule your appointment with Dr. Rajah V Koppala today!

Is Varicose Vein Treatment Permanent?

In India, over 10 million varicose vein cases are reported every year. Varicose vein medical ailment is estimated to affect the legs and feet of nearly 30% of the adult Indians.

Also, most obese people have a tendency to develop one or more varicose veins as they age. Based on verified statistics, women are known to be somewhat more probable of suffering from varicose veins as compared to their male counterparts.

What are Varicose Veins?

In the case of a healthy person, the valves of the veins make the used and de-oxygenated blood flow back to the heart from all body parts. These valves also prevent the blood from staying stagnant at one place or flowing backward in the undesired direction.

But for patients who complain of varicose veins, the valves of the affected veins get damaged and hence restrict the blood flow back to the heart. This disturbs the circulatory system and causes the blood to pool around the impaired veins.

Varicose veins are those swollen and enlarged veins that are often seen bulging out from the skin surface of the legs. These twisted veins are bluish-purple in colour and are truly an ugly sight. The varicose vein patients often complain of pain, itching, burning, and mild cramping in the affected area.

You should never ignore any visible signs of varicose veins. Although not a very serious disorder, varicose veins may not require immediate treatment but genuine medical aid is vital to prevent the condition from getting worse.

In some critical scenarios, the delays in treating the varicose veins can further lead to other several other acute health hazards like Deep Vein Thrombosis (DVT) i.e. clots in the superficial veins, acute Venous Ulcers, and even Chronic Venous Insufficiency.

Why do Varicose Veins Re-appear?

By treating the varicose veins, patients not only get relief from the constant pain, and irritation, but also get rid of the unappealing sight of the varicose veins on their legs and feet.

The traditional treatment procedure of vein surgery, where the affected veins were stripped off, is definitely less efficient and has higher chances of making the varicose veins re-appear.

In the new era, with the invention of laser treatments for varicose veins, the swollen varicose veins are accurately identified with the help of the duplex ultrasound procedure and these are then permanently closed. This forces the body to re-route the blood to other neighbouring veins.

Although the advanced laser treatment massively reduces the chances of varicose veins coming back, it does not guarantee a permanent cure. In medical terms, varicose vein is a chronic ailment and the varicose veins may redevelop in the future for the patients who were successfully treated in the past.

A patient who has once had varicose veins always remains at high risk of redeveloping them. It is not usually the same vein, but different veins may get affected by the malfunctioning valves, thus causing the varicose veins to reoccur.

Some people are genetically more probable to develop varicose veins but all patients can reduce their chances of re-growing varicose veins by improving their lifestyle. Doing mild exercises every day, eating a balanced diet, and maintaining a healthy lifestyle with a BMI (Body Mass Index) score under 25, is known to reduce the risk of varicose veins.

Also, you must avoid sitting or standing for long periods at a stretch as this can cause extreme pressure on your veins and breakdown the valves. In an unfortunate incidence of the varicose veins recurring for you, you can still get them eliminated by the painless endovenous laser treatment.

This laser treatment is minimally invasive and absolutely painless. It leaves no cuts or scar marks on the patient’s body and has quick recovery time. Except for a few critical cases, patients are generally discharged on the same day. They can go back home and resume their daily activities without any difficulties or outside support.

The endovenous laser treatment procedure has very little post-operative care and the patients can even undertake long flights without the fear of DVT or blood clots that may cause a medical emergency. To a few patients, the vascular surgeon may suggest the use of compression stockings for a few days after the laser treatment.

Dr. Rajah V Koppala, MD in Vascular Interventional Radiology, is a distinguished doctor offering his medical services at Avis Hospitals, Hyderabad. With over 24 years of experience and a record of treating 4000+ varicose vein patients every year, Dr. Rajah V Koppala is not only renowned but also trusted for his knowledge and medical practice.

Schedule your appointment for the medical check-up of your varicose veins and its painless endovenous laser treatment today from Dr. Rajah V Koppala today!

What is a good time to see a Vein Specialist?

Veins are the thin blood tubes that are located right underneath our skin. Spread throughout the body, the veins carry used and deoxygenated blood from the vital body organs, back to the heart. Most veins have valves that prevent backflow of the blood.

Healthy veins are essential to facilitate the proper functioning of the human body. Although most people believe that they will never have any vein related health issues, vein disorders like spider veins and varicose veins are quite common in both men and women who are over 50 years of age.

Vein diseases vary hugely in their signs and symptoms. Sometimes the vein disorders are silent and there are no visible signs, but in a few cases, a serious vein problem may cause severe pain, swelling, and discomfort in the affected body part.

When left untreated for a long period of time, vein health issues can even lead to life-threatening ailments like venous insufficiency, deep vein thrombosis (DVT), and active venous ulcers. Thus, it is essential to not ignore any symptoms and visit a vein healthcare practitioner if you notice either of the below symptoms:

  1. Prominently Visible Signs – For some patients, the vein disorders are visible even by the naked eye. In such medical cases, there are visible bulges on the skin that can even be felt on touch. The affected veins turn dark blue or purplish in colour, are clearly visible right under the skin, and the patient may complain of itching, irritated skin, soreness, and a heavy feeling.
  2. Acute Leg Pain – Although vein disorders may occur in any body part, they are most commonly found in the legs. Patients with vein health issues may suffer from extreme pain that is usually felt in the legs after they sit, stand or remain in the same position for an extended time duration. Patients may also suffer from severe pains after undertaking a long flight or when they remain seated for long by getting stuck in a heavy traffic jam.
  3. Severe Swelling in Legs – If you have swelling in both legs that usually disappears in the morning, there is nothing to worry about, as this swelling has no connection to your vein health. But if you feel that the swelling gets worse when you exert yourself and keep moving or remain seated in the same position for long, it most probably is the case of varicose veins and you must take an appointment with a vein expert for accurate treatment of the same.
  4. No Relief from Home Remedies – To a few patients with some early signs of vein disorders, the vein specialists may advice regular use of compressions stockings that aid in regulating blood flow back to the heart from the leg and foot veins. Such patients may also be asked to elevate their legs while sleeping. But, even after doing these home remedies, if there are no signs of improvements and the patient still has pains and discomfort, he/she must see a vein healthcare expert and discuss all symptoms.

The patients may feel constant restlessness in the body part affected with a vein disorder. Although the vein disease symptoms vary in intensity, the pain and discomfort may increase when the patient is exerted, thus negatively affecting the patient’s quality of life.

If you have any of the above symptoms, you must not delay seeing a vascular expert. But, if you are over 50 years of age and still have no visible signs of vein disease, as a precautionary step you must still get an appointment with a vein expert for a physical examination to rule out any possibility of a vein health issue.

If you are in and around Hyderabad and are looking for a vein specialist, book an appointment with the renowned vascular surgeon Dr. Rajah V Koppala at Avis Hospitals. Dr. Rajah is highly educated and has 24 years of experience in successfully treating the most severe cases of vein disorders. Avis Hospitals is equipped with the latest medical technology and has an army of the most caring medical staff. For absolute relief from your vein discomfort, get in touch with Dr. Rajah V Koppala at Avis Hospitals today!

4 Common Myths About Varicose Vein Treatment

There is an increasing number of varicose vein cases being reported every year. Although varicose veins have become relatively common in India, people are still unaware of the condition and its treatment process.

Most people also confuse spider veins with varicose veins but these two medical conditions are fairly different. In this internet era, patients often rely on Google and try to self-diagnose their diseases which is the leading cause of misconceptions.

Today, we are about to burst some of the most popular varicose vein myths in this informative post. Read till the very end to improve your varicose vein knowledge.

Myth #1 – Varicose vein treatment is a painful surgery

In ancient times, vein stripping was the only available treatment for varicose veins. In this process, the patient is sedated and the damaged veins are removed by a surgical process.

This process is highly invasive, truly painful, and leaves a huge cut on the patient’s body. It also has an extended recovery time and the patient generally continues to be in pain even after the surgery has been successfully completed.

With medical advancements, surgical procedures are now rarely recommended for only the critical cases where varicose veins lead to severe issues of venous disorders. There are new and minimally invasive procedures where laser fibre is used to cure the pain point.

The highly suggested cure of medical treatment, endovenous laser ablation is absolutely painless, performed with local anaesthesia, and the patients do not get any cuts or stitches on their body.

Myth #2 – Varicose veins come back after the treatment

The vein stripping procedure is not as effective and patients often complain of re-appearance of varicose veins after treatment. However, for the laser process, the affected vein is accurately identified with the Duplex Ultrasound Scan before being cured.

This special ultrasound helps the doctors to treat the problematic vein and close it permanently. This allows the body to re-route the blood from the damaged vein to other neighbouring healthy veins.

There are extremely low chances of the varicose veins coming back after the endovenous laser treatment. It surely has a quick recovery process and the patient in most cases can resume work and other daily activities almost immediately.

Myth #3 – Varicose veins need to be treated only for cosmetic reasons

Varicose veins are not only an unpleasant sight but also a painful condition that is accompanied by itching, insomnia, skin damage, blood clots and even bleeding ulcers. Thus, getting treated for varicose veins is not merely for a cosmetic purpose, it is most definitely to improve the patient’s overall health and quality of life.

Varicose veins, when left untreated for a longer duration can lead to serious health issues due to the blood that continues to remain pooled in the damaged veins. This can even lead to clots in the veins. It may further cause Deep Vein Thrombosis (DVT) that is the medical condition where a clot develops in the deep veins and may require immediate medical care.

In some severe cases, the patient may suffer from a more serious disease called the chronic venous insufficiency where the patient’s skin turns brown around the calf and ankle due to leakage of the pooled blood into the tissues of the lower legs. This further leads to ulcers which are even more harder to cure and difficult to heal.

Myth #4 – Varicose veins are not covered under insurance

In the few not-so-critical cases of spider veins, most insurance companies do not offer a Mediclaim cover. But for varicose vein patients who are suffering from swelling, itching, pain, and the condition is negatively affecting their lifestyle, they must not shy away from contacting their insurance agency to know more about the insurance coverage.

As varicose vein treatment is not merely a cosmetic correction treatment, insurance agencies generally have this covered in their policies. Today, laser vein ablation and radiofrequency ablation treatment are offered with a cashless plan by almost all leading insurance agencies of India.

If you have any signs of varicose veins or have been already been diagnosed with them, schedule an appointment with the renowned and trusted vascular surgeon Dr. Rajah V Koppala to get an estimate of the treatment required and its expenses. After this, you can consult your insurance agencies to cross-check about the offered insurance cover.

Avis Hospitals has the latest equipment and a professional team of doctors who offer the most reliable medical advice under the guidance of Dr. Rajah V Koppala. Schedule a consultation today!

5 Essential Things Need to Know About Varicose Veins

Varicose veins are truly bothersome. They are the enlarged and swollen veins that cause intense pain and constant irritation. Some varicose veins are internal while most of them are visible right under the skin.

Varicose veins are an unpleasant sight and cause extreme discomfort to a large number of patients. Occurring more frequently to women than men, varicose veins are formed when the vein valves get damaged over time and cause the blood to pool leaving the patients with a heavy feeling in the affected area.

Even though varicose veins is a common medical condition for the aged people, there is a total lack of awareness about its symptoms and treatment. Lets us burst the most common varicose vein myths below:

  1. Varicose veins are spider veins – Often times, varicose veins are considered to be spider veins and these two terms are used interchangeably. However, spider veins are not varicose veins. Spider veins are comparatively smaller, less painful and very thin. Spider veins look like thin ink lines drawn on the skin while varicose veins bulge out from the skin and are much more painful.
  2. Varicose veins are vital to the circulatory system – Varicose veins used to be an essential part of the circulatory system but now as their valves do not function well and they cause the blood to pool, they are no longer useful to the body. They are superficial and it is safe to get them cut or totally removed from the body. The body automatically re-routes the blood to other healthier veins and continues to function perfectly well without these veins.
  3. Varicose veins cannot be prevented – Varicose veins can most certainly be avoided by keeping a check on your weight, wearing comfortable footwear, and having an active lifestyle. If you are obese or overweight, there is additional unwanted pressure on the legs and that can damage the valves of the leg and feet veins thus leading to the severely painful varicose veins. Footwear that restricts the blood flow can also force the blood to pool in the legs and around the ankles. Mild regular exercises focussing on the ankles have also been known to reduce the chances of varicose veins in most patients.
  4. Varicose veins are not a hereditary medical condition – In a few cases, varicose veins have also been found to have developed in patients who were neither overweight nor had a sedentary lifestyle. Varicose veins are thus, also related to hereditary and have been found to be a genetic medical condition for a few people. If your family members have a history of varicose veins, sadly even you have a higher probability of getting them at some point in your life.
  5. Compression Stockings offer no comfort to varicose vein patients – Compression socks, also called support stockings are a blessing for the varicose vein patients. They are available in multiple sizes and are generally lose from the thighs but tighter near the ankles. They help keep the veins compressed and thus hinder the blood from pooling. Ideal for long flights or varicose vein patients who have desk jobs with long intervals of sitting in the same position, these help reduce the pain, slow down the progression of existing varicose veins, and also restrict new developments of varicose veins.

If you have any early signs of varicose veins or have been successfully diagnosed with them, there is absolutely nothing to worry about. Dr. Rajah V Koppala at Avis Hospitals is a vascular surgeon and specializes in non-invasive laser treatment of varicose veins. It is an absolutely safe and painless procedure. There is a minimal post-treatment care and the patients are usually discharged from the hospital on the same day as their endovenous laser treatment.

Avis Hospitals has a proven track record of happy patients who have been successfully cured of their varicose veins. No matter your age, if you have varicose veins, Dr. Rajah V Koppala is here to help you get rid of them. For pin-point diagnosis and world-class treatment, book an appointment at Avis Vascular Centre today!

Can varicose veins be treated painlessly or without Anaesthesia?

The very thought of undergoing the knife often sends chills down the spine for most people. Surgery is definitely scary but what is worse is the pain that remains for days after the surgical procedure has been successfully concluded. A majority of the patients are also fearful that although the surgery may cure their varicose veins, they may still continue to suffer from surgical discomfort.

In the 21st century, owing to the technological advancements of the medical field, painful surgeries are now a thing of the past! Laser treatment is a great alternative to the surgical cure for varicose veins. It is both non-invasive and painless. Before we share more details about the laser process, let us first understand what are varicose veins and why is it necessary for you to get them treated?

What are varicose veins?

As you know, the human body has multiple blood vessels. The arteries carry blood from the heart to all body parts, and the veins send the de-oxygenated blood from all body parts back to the heart. Varicose veins are caused when the valves of these veins dysfunction and fail to send the blood back to the heart. Though varicose veins can occur in any body part, they are most commonly found in the legs and feet.

Due to this condition, the blood pools in these varicose veins and the patients tend to have enlarged or swollen veins that are dark purple in colour and clearly visible right under the skin. Patients have a heavy feeling in the legs and may also have constant itching or a burning sensation accompanied by severe pain.

What are the treatment options for Varicose Veins?

Traditionally, varicose veins were treated by surgical procedures like sclerotherapy, radiofrequency ablation, etc. Though these surgical methods were, and are successful even today, they lead to huge cuts on the skin, are very painful, and often force the patients to a few weeks of bed rest.

The new treatment options that employ the laser technique are minimally invasive, do not require bug cuts to be made and are almost painless! In most cases, the patients can go back to their home on the same day. Named as “Endovenous Laser Treatment”, this treatment has a whopping success rate of 98%.

Before the Endovenous Laser Treatment, the doctor asks the patient to get done a Duplex Ultrasound Scan as that helps the doctor to clearly mark out all weak veins that must be treated. Using the scan, the doctor also finds the best place to insert the catheter.

The area to be treated is numbed by local anaesthesia and a small cut is made to insert the catheter with the guide-wire. A laser fibre is then passed through the catheter which seals all affected veins. This entire procedure takes at most an hour.

How is Endovenous Laser Treatment better than the surgical treatments?

  1. The cut made for the laser process is very minute and hardly visible as compared to the big cut required for surgical procedures like vein stripping. The big cut made for surgical treatment, also often leaves a mark on the patient’s skin.

  2. The laser treatment is minimally invasive and negligibly painful as opposed to the surgical processes like sclerotherapy.

  3. The patient can walk and go home on the same day as the laser treatment but may be unable to walk and remain under medical care for a few weeks after the surgical procedure for varicose veins.

  4. The endovenous laser treatment is safer than surgical operations as it requires only local anaesthesia in which only the area to be treated is numbed and the patient is awake during the whole process. For surgical treatment, general anaesthesia is given to the patient who then remains unconscious during the entire duration of the surgery.

Post Laser Treatment Care

After the laser treatment, the patient is advised to intake some medicines to reduce pain and prevent infections. The patient must not skip any medicines and complete the course as prescribed by the doctor. The treated area may be tied with a bandage that the patients can remove it on their own in a day or so.

A few patients may also be advised to wear the compression stockings for a short period of time. These stockings are for use during the day only and must be removed at the night. While lying down on the bed or while sleeping, the patient must keep two pillows under the operated leg and feet.

The patient can resume daily activities in 2-3 days of the treatment and get back to work in a week or so. The patients must avoid long flights for at least 6 weeks and also prevent sitting or standing for long durations at a stretch.

Can Avis Hospitals help you with Laser Treatment for Varicose Veins?

Dr. Rajah V Koppala is a trained vascular surgeon and has years of experience in treating varicose vein patients. For him, the patients’ satisfaction and comfort are of utmost importance. Dr. Rajah always ensures that the patients are well informed of the procedure and that they have to go through minimal pain during the laser treatment process.

Avis Hospitals has the most advanced medical equipment and a professional team of support staff that assists Dr. Rajah at each stage. Schedule your appointment for varicose veins check-up at Avis Hospitals today!

A Look at the Common Misconceptions Surrounding Varicose Veins

Varicose veins are not uncommon. Every 1 in 4 adults suffers from varicose veins at some point in their lifetime. Awareness about the symptoms of varicose veins can lead to timely diagnosis and effective treatment, thus preventing a multitude of other venous disorders that have a high probability of occurrence in cases where the treatment for varicose veins is delayed.

In this blog today, we shall be addressing some of the most common misconceptions about varicose veins. We will burst all myths and share some relevant facts, stay with us till the end.

  1. Varicose veins are the same as spider veins – Although both varicose veins and spider veins are venous disorders that occur due to faulty valves of the veins and restrict the movement of the deoxygenated blood back to the heart, these are not the synonyms for the same medical condition.

    Spider veins appear in the form of web-like structures and may occur anywhere on the body including the face and the chest. Varicose veins usually form on the legs and result in bluish-purple swollen veins that ache and cause discomfort. Spider veins are much less likely to result in any serious complication but varicose veins must be treated to prevent critical venous disorders.

  2. Varicose veins are only a cosmetic issue – Varicose veins are ugly. They are not a pleasant sight but are definitely more than just a cosmetic annoyance. Varicose veins signal towards an underlying issue in the movement of the deoxygenated blood back to the heart from the legs.

    Resulting in pooling of blood which eventually causes extreme swelling, irritation, pain, and discomfort, varicose veins spoil the quality of life and may even lead to other venous disorders such as active venous ulcers, chronic venous insufficiency, DVT (Deep Vein Thrombosis), and the life-threatening disease pulmonary-embolism.

  3. Varicose veins cannot be prevented – In a few cases, varicose veins are genetic and may occur due to the patient’s personal or family history of blood clots, varicose veins, or DVT. But in most cases, varicose veins occur to people who are overweight, consume junk food with high-fat percentage, do not have an exercise routine, have a sedentary lifestyle or a job that requires them to stand or sit in the same position for extended durations.

    Patients who are aware of their family history of venous disorders can prevent varicose veins by maintaining a healthy lifestyle. This includes eating a balanced diet, giving up on coffee, alcohol, and smoking, performing mild to moderate exercise every day, ensuring to change your posture once a while, and taking care of your overall health.

  4. Varicose veins do not affect the young – Most people assume that varicose veins only affects the elderly, but this is not true. Although the aged people are more probable of suffering from varicose veins, it can occur to the people of any age group, especially to those who do not perform any physical activity.

    Many young men and women have already been reported to be suffering from varicose veins. You can reduce the likelihood of varicose veins by performing one or the other form of exercise that is known to regulate the blood flow and prevent its pooling.

  5. Varicose veins are nothing to worry about – Varicose veins are not a medical emergency but can turn into one if you ignore the symptoms and delay the medical check-up or treatment. In the beginning, varicose veins may not even have severe symptoms but these do get worse with time.

    Delay or a total lack of treatment can exaggerate the symptoms. Blood pooling may make the affected area to swell and ache. The symptoms may include itching, enlarged veins bulging out from the skin surface, and discomfort. With time, these symptoms tend to get worse and you may develop ulcers or open sores around the ankle. Blood pooling can even lead to blood clots in the deep veins which can travel to other body parts and affect the heart, brain, and lungs.

  6. Pregnancy causes varicose veins – Pregnancy is not a cause of varicose veins but the hormonal changes, weight gain, and increased blood volume before childbirth may hinder the movement of blood from the legs to the heart.

    A few women develop varicose veins during pregnancy but these are temporary and tend to go away in 3 to 4 months after delivery. However, if you notice them getting worse after childbirth, do not delay seeking medical advice from a venous expert.

  7. Varicose veins require surgical treatment – This was true until a few years ago when surgical procedures like vein litigation and sclerotherapy were the only feasible methods to remove varicose veins. But today, interventional radiologists are efficiently able to close off the affected veins in a minimal and painless laser procedure.

    The endovenous laser treatment for varicose veins is a quick procedure with zero downtime. This process does not require general anaesthesia and can successfully treat all varicose veins in a single sitting. The laser treatment is popular for being the no-cut, no-stitch, and no-scar method that encourages the patient to resume everyday activities from the very next day of the treatment.

    It is performed under the influence of local anaesthesia as an outpatient procedure. The patient need not get admitted or take many leaves from the job. Performed with accurate monitoring from a duplex ultrasound scan, a thin catheter along with a laser fibre is inserted into the affected area. This laser fibre helps close off the damaged veins and the body re-routes the blood to the neighbouring veins.

If you are eager to get your varicose veins treated in a painless and cost-effective non-surgical method, book an appointment with Avis Vascular Centre. It is a renowned medical institute with world-class amenities and qualified venous experts. Led by the distinguished vascular surgeon and experienced interventional radiologist Dr. Rajah V Koppala, Avis Vascular Centre is your one-stop medical institution for top-rated treatment of varicose veins and related venous disorders.

Deep Vein Thrombosis and Its Health Complications

What is DVT?

Deep Vein Thrombosis, abbreviated as DVT and also referred to as venous embolism, thrombophlebitis, or phlebothrombosis is a medical condition where blood clots (thrombus) develop in the deep veins of the legs.

DVT occurs as a result of blood pooling in the veins and the neighbouring tissues which act as a trigger for the blood clotting mechanism. Although DVT can occur in the veins of other body parts as well, these have been commonly observed in the lower legs, usually between the ankle and upper calf.

Blood clots in the deep vein thrombosis condition may partially or completely hinder the blood flow. These may also travel deep within the veins of the pelvis, arms, heart, brain, lungs, etc and lead to life-threatening medical conditions.

Both Deep Vein Thrombosis (DVT) and Superficial Vein Thrombosis (SVT) are types of thrombophlebitis but SVT is less dangerous as blood clots are formed in the superficial veins and not the deep veins. As opposed to SVT which is not related to any serious complications, DVT requires immediate medical attention or can lead to death.

What causes DVT?

The most common cause of Deep Vein Thrombosis is inactivity. The lesser you move, the poorer is your blood circulation and this increases the chances of blood clotting by multi-fold.

Blood clots often develop in extended periods of inactivity. If you sit for long periods at your office desk or undertake elongated travel trips in a flight or car, or frequently binge-watch movies or web series, you are at a higher risk of developing clumps or blood clots in your legs.

People who are bedridden, paralyzed, or confined to a wheelchair are also highly likely to develop blood clots due to their inability to move their legs.

At times, any accident or surgery that causes damage to blood vessels may also lead to blood clots. Patients who have had orthopaedic surgery, pelvic surgery or abdominal surgery have also been reported to be suffering from DVT. In some cases, DVT has been diagnosed to be genetic or because of cancer.

How to diagnose DVT?

DVT is considered dangerous because it is a silent medical condition and difficult to diagnose by external examination. In most cases, especially when the blood clot is too small in size, there are no visible symptoms. DVT progresses too fast, thus making it even more difficult for the patient to identify the symptoms.

The most prominent signs of DVT are swelling, pain, and redness in the affected area. There may also be a prickly sensation in the legs. These symptoms are usually felt in a single leg.

The damaged area may feel warm and tender, it may also ache more when touched or pressed. The patient may suffer from shortness of breath accompanied by extreme pain that worsens after walking or standing.

As the visible symptoms develop only in about 50% of patients, it is wise for patients with a family history of blood clots to monitor their situation and keep a close eye on the symptoms, if any.

Is DVT a serious condition?

DVT is a very serious medical condition and often leads to the post-thrombotic syndrome which causes irreversible damage to the veins and the leg. As many as 25% of DVT patients have been reported to have suffered from permanent damage to their legs due to blood clotting.

Blood clots in the deep veins can grow bigger, break free, and travel through the bloodstream to other body parts such as the heart, brain, etc. Thus, DVT can also turn out to be fatal for a few patients.

As the deoxygenated blood from the veins is returning to the lungs for oxygenation, blood clots in the deep veins may be pushed to the lungs and can result in pulmonary embolism where the blood supply to the lungs is partially or fully restricted. This medical condition can lead to death.

Pulmonary embolism is characterized by chest pain that becomes worse with coughing or deep breathing, dizziness or fainting, increased pulse rate, and unexplained shortness of breath. If you notice one or more of these symptoms, you must immediately rush to the nearest hospital.

How to reduce in-flight risk of DVT?

The risk of developing a blood clot increases substantially during a long flight. This is because there is limited leg space and your legs usually remain in a cramped position for an extended duration. Inactivity in a flight restricts the blood flow and thus increases the likelihood of DVT.

Whenever in a flight, you must move your legs as frequently as feasible. Always opt for an aisle seat as that has a little extra leg space and allows you to get up and walk around the cabin as many times as you want. You can also stretch your legs once a while.

You must also try and stand occasionally to flex your leg muscles and improve the blood circulation in the leg veins. If for some reason you are unable to get up, raise and lower your heels and keep your toes on the floor to exercise your calf muscles.

Always wear loose-fitting clothes and keep your legs uncrossed during your flight. You can also buy ergonomic devices that stimulate blood flow when body movement is not feasible. Those who have already been diagnosed with a venous disorder must use compression stockings to improve blood flow during long flights or car rides.

How to prevent DVT?

Deep vein thrombosis can be easily prevented by being physically active. By performing moderate exercises every day or going for a brisk walk, you can maintain good blood circulation and that can help in preventing blood clots.

Getting up from your office desk once every hour or so will also help the blood to constantly pump through the body. If at all you are unable to get up, keeping legs elevated will also improve the blood flow.

You must give up on caffeine and alcohol and instead consume plenty of fluids. Keep your blood pressure under control. Also, consult your medical practitioner about the suggested use of compression stockings and any blood-thinning drugs that will help regulate your blood flow.

Always eat clean and maintain a healthy weight. Pickup an outdoor sport and team with your friends and/or family for an everyday evening session. Walk down the road instead of taking a cab and always prefer the staircase instead of the escalator or the lift. These are small steps but make a huge difference to your overall health.

How to treat DVT?

As opposed to the ancient times when surgical procedures were the only feasible way to treat varicose veins and other venous disorders like DVT, today there are available minimally invasive and painless procedures that efficiently remove the deep vein thrombus and offer instant relief from symptoms like swelling and pain.

Dr. Rajah V Koppala at Avis Vascular Centre specializes in the endovenous laser treatment which is performed as an outpatient procedure under the guidance of a doppler ultrasound scan. Enjoying a high success rate and a negligible rate of recurrence, this procedure is a highly efficient and safe treatment for a large variety of venous disorders.

If you have a family history of deep vein clots or have visible symptoms of DVT, do not hesitate or delay the treatment as it can lead to other medical complications. At Avis Vascular Centre, we treat 45000+ patients every year and have huge experience in curing even the most critical cases.

We offer 100% price assurance at the time of admission and have partnered with all major insurance agencies of India to offer easy Mediclaim assistance to our patients. Even if you reside outside of Hyderabad, our outstation patient care team can help you with your travel and accommodation bookings and thus ease your procedure.

Get treated by distinguished interventional radiologists at Avis Vascular Centre, book your consultation today!

4 Dangers Associated With Varicose Veins

Most of us wrongly believe varicose veins to just be a cosmetic issue. Varicose veins, however, refer to a medical condition where malfunctioning valves of certain veins restrict the blood flow back to the heart and result in the undesired pooling of blood.

Characterized by swelling in the damaged area, pain, itching, and a feeling of heaviness, varicose veins do not only affect the elderly but are becoming increasingly popular in young adults as well.

Visible as swollen and enlarged bluish-purple veins, varicose veins can most often be seen as bulging out from the surface of the skin. Varicose veins are known to lead to other medical complications in cases where the treatment is delayed. Let us learn more about the dangers of varicose veins:

  1. Blood Clots – These are fairly common for all varicose veins patients. Although blood clots in the superficial veins do not pose a serious threat to life, blood clots in the deep veins (Deep Vein Thrombosis or DVT) can travel to other parts of the body such as the heart, brain, and even to the lungs and cause pulmonary embolism which is a fatal medical condition.

    Blood clots can also lead to the health disorder called thrombophlebitis where the blood clots block one or more veins, usually in the legs. The affected area feels warm. The veins are painful and turn red in colour.

  2. Leg Ulcers – Varicose veins cause excessive swelling and hyperpigmentation where the skin around the affected area turns darker than the surrounding area. At this time, you will begin to notice open sores on the skin surface of the legs and these are commonly known as ulcers.

    The ulcers usually develop on the inner leg slightly above the ankle and are termed as the last stage of the venous disorder. Lack in treatment can cause chronic ulceration when while you try to heal one ulcer, another ulcer forms up at a different location on your legs.

  3. Bleeding – As varicose veins are usually the superficial veins, they are situated right under the surface of the skin. Even a small cut on the skin or a minor injury can cause excessive bleeding. Also, because the varicose veins result in the pooling of blood in the affected area, it can become very difficult to stop bleeding and there are high chances of it resulting in heavy blood loss!
  4. Chronic Venous Insufficiency (CVI) – When blood remains pooled in the varicose veins and the surrounding tissues, the blood pressure in the affected area rises and stays elevated for longer periods. This leads to the medical conditioned known as CVI.

    Chronic venous insufficiency is common for people who have blood clots in the deep veins and suffer from DVT. The skin around the affected area becomes to look leathery. It looks flaky and there is a lot of itching. CVI can further lead to venous eczema and venous stasis ulcers.

Home Remedies

Varicose veins have been classified as a lifestyle disorder. There are certain precautionary steps that you can take to improve your lifestyle and thus decrease the chances of occurrence of varicose veins and also reduce the intensity of the symptoms.

  • Maintain a healthy weight
  • Eat a nutritious diet that is low in fats and sugars
  • Make an exercise routine
  • Remain active throughout the day
  • Avoid sitting or standing for too long at a stretch
  • Use pillows to elevate your legs above the level of your heart while lying down on a bed
  • Wear compression stockings to improve the blood flow in your legs and prevent pooling of blood
  • Keep exercising your legs and ankles during long flights or car journeys

Treatment

Opposed to ancient times, today the varicose veins can be easily and efficiently treated by the painless and minimally invasive laser treatment process. In the endovenous laser ablation technique, the doctor makes a small incision in your skin and inserts a laser fiber along with a catheter to the damaged area.

The affected veins are then closed off and the body automatically re-routes the blood to the other neighbouring healthy veins. This procedure is performed with local anaesthesia and monitored with the help of a duplex ultrasound scan. It is a 100% safe procedure and does not lead to any major side-effects.

The endovenous laser treatment is a comparatively cost-effective and fairly quick procedure as compared to the surgical procedures and radio-frequency ablation techniques. Performed commonly as an outpatient procedure at the doctor’s clinic, it allows the patient to go back home on the same day and resume everyday work routine from the next day itself. The laser treatment for varicose veins is popular for being the no-cut, no-stitch, and no-scar treatment.

Conclusion

At Avis Vascular Centre, our all treatment procedures are USFDA approved. We strictly adhere to the protocols of the American College of Phlebology and ensure that all patients have a convenient and satisfactory medical experience.

We offer 100% price assurance at the time of admission along with free duplex scan facility to all deserving patients with 100% assistance for Mediclaim approvals from all leading national insurance providers.

We treat over 40000+ patients every year and have a cent percent success rate. We ensure that the chances of recurrence of varicose veins are reduced to a negligible minimum. We have an array of satisfied patients who speak highly of our professionalism and medical care.

Our doctor panel is headed by the extremely qualified and supremely talented Dr. Rajah V Koppala who has 24+ years of experience as an interventional radiologist. Having successfully cured patients with the worst cases of varicose veins, he is the best medical care practitioner for varicose veins not just in Hyderabad but in Telangana as well as all of India.

We are eager to make India, a nation free of venous disorders. If you want to know more about our treatment services or are eager to get your medical check-up for varicose veins done from Dr. Rajah V Koppala, schedule a consultation at Avis Vascular Centre today!

Varicose Veins versus Spider Veins

What are varicose veins? How do we get spider veins? Are varicose veins any different from spider veins? These are the most common questions that a majority of the people have when they are experiencing what they think might be varicose veins or spider veins.

Varicose veins and spider veins are both similar vascular disorders. However, when we pay close attention, there are prominent differences in the symptoms and treatment of both these medical conditions.

Let us understand the similarities and differences in varicose veins and spider veins in the blog today.

What are varicose veins?

Varicose veins are the swollen, enlarged, and twisted veins that turn bluish-purple in colour. These abnormal and dilated veins are commonly found on the legs and are clearly visible to the naked eye.

Varicose veins can be easily felt right under the surface of the skin. Varicose veins cause a feeling of heaviness and discomfort in the legs. The patient also feels itching and irritation on the damaged area accompanied by a burning, throbbing or tingling sensation.

Varicose veins, when left untreated, can lead to severe health issues like blood clots, DVT, and active venous ulcers. It is vital to get the varicose veins treated to prevent them from worsening and for improving the look and feel of your legs.

What are spider veins?

Comparatively smaller in size than varicose veins, spider veins are red, purple, and blue blood vessels that are visible on the skin of the legs, chest, and face in the form of branches or spider web like structure.

These veins are tiny, mostly less than 1mm in diameter and visible just below the surface of the skin. Spider veins are usually painless and do not cause swelling in the affected area. Spider veins generally do not lead to any other critical health problems.

Spider veins may be caused due to the faulty one-way valves or may occur due to chronic venous insufficiency. A patient may have both varicose veins and spider veins at the same time but not all spider veins turn

What causes varicose veins and spider veins?

Both these are vascular disorders that occur due to malfunctioning valves of the veins that restrict the blood from flowing back to the heart and instead result in the pooling of the blood in the veins and the surrounding tissues.

This causes additional pressure on the veins and makes them enlarged and bulging out from the surface of the skin. The below-mentioned factors are the leading risk factors for varicose veins and spider veins:

  1. Hereditary
  2. Obesity
  3. Lack of physical exercise
  4. Use of birth control pills
  5. History of blood clots
  6. Hormonal replacement after menopause
  7. Hormonal influence during pregnancy, puberty, menopause
  8. Occupations that require extended hours of standing or sitting in the same position (nurses, teachers, factory workers, hair stylists, etc)
  9. Conditions that increase the pressure in the abdomen area (tumours, constipation, certain garments, etc)
  • Any previous vein surgery
  • Trauma or injury to the leg
  • Exposure to UV rays

Similarities between varicose veins and spider veins

  1. Varicose veins and spider veins are very common. As many as 50% of people over 50 years of age suffer from varicose veins.
  2. Both these medical conditions are hereditary disorders. If anyone in your family has had varicose veins or spider veins, it is not uncommon for you to also have them.
  3. Spider veins, as well as varicose veins, are related to body weight. Obese people have a higher tendency of suffering from one or both of these venous disorders
  4. Spider veins and varicose veins are related to the age as older people more are more likely to suffer from them
  5. Both these are also related to the gender as a large number of women have been reported to suffer from varicose veins and spider veins as opposed to their male counterparts

Differences between varicose veins and spider veins

  1. Varicose veins usually occur on the legs while spider veins can occur on the legs, face, and chest also
  2. Spider veins are oftentimes just a cosmetic issue but varicose veins deteriorate the quality of the life and hinder with the everyday activities
  3. Varicose vein symptoms are much worse and lead to extreme swelling, pain, itching, and discomfort in the legs
  4. Spider veins hardly result in any extreme condition while varicose veins always have a high chance of getting worse in cases when the treatment is delayed
  5. A few women may develop varicose veins during pregnancy which may go away on its own in about 3 months after delivery. Spider veins have no link to pregnancy.

Treatment for spider veins may only be needed for cosmetic purposes but is it essential to get varicose veins treated to prevent further worsening of the condition. Untreated varicose veins can lead to Deep Vein Thrombosis (DVT), chronic venous insufficiency, venous ulcers, etc.

Today, with enormous advancements in medical science and technology, painless and minimally invasive laser treatment options are available for varicose veins. Referred to as the Endovenous Laser Treatment, it is a quick procedure and has proven to deliver successful results for even the most critical cases.

Dr. Rajah V Koppala is an internationally qualified and extensively trained interventional radiologist with over 24 years of experience. He has successfully treated over 12000 patients, not only from India, but also from Bangladesh, Sri Lanka, Middle East, Europe, and America.

At Avis Hospitals, Dr. Rajah V Koppala only employs the USFDA approved treatment procedure for varicose veins. This endovenous laser ablation technique is suitable for people of all age groups and has a success rate of 95% with zero downtime.

Avis Hospitals offer 100% price assurance at the time of admission and also offer free colour doppler examination for all patients. Avis Hospitals also offers round the clock services for outstation patients along with 100% assistance for Mediclaim requests as well. We are your one-stop medical institution for the most genuine treatment of varicose veins. Schedule an appointment with Dr. Rajah V Koppala at Avis Hospitals today!

Six Things to Know About Varicose Veins

In India, as many as 20% of the adults suffer from varicose veins. Although more prevalent in adults, especially women who are over 50 years of age, numerous cases of varicose veins have already been reported in youngsters as well.

For a few patients, varicose veins may just only be an ugly sight, but for most others, these turn out to be truly painful and extremely discomforting. Let us learn more about varicose veins below:

1. All leg veins are not the same

Veins are vascular structures that are responsible for carrying the used and deoxygenated blood from all different body parts back to the heart. When valves of certain veins deteriorate and do not promote, rather hinder, the blood flow back to the heart, it causes pooling of blood and results in varicose veins.

Veins lose their elasticity and become dilated thus leading to swollen and painful veins that are often seen bulging out from the skin surface of the legs. These are clearly visible to the naked eye and are accompanied by irritation and itching in the damaged area.

Varicose veins are largely different from spider veins. Spider veins are smaller and tubular blood vessels that are usually seen in treelike or spiderweb like form on the legs. Spider veins do not have severe symptoms and do not usually lead to any medical complications.

2. Some symptoms should not be ignored

If your varicose veins are not causing any discomfort or pain, you may not necessarily get them treated immediately, but there are a few symptoms which must be reported to the doctor as soon as possible. Please make a note of them below:

    1. Itchy and dry skin around the affected area
    2. Redness on the damaged skin surface
    3. Hyperpigmentation on the lower leg and/or ankle
    4. Thickening and/or hardening of the skin of the affected area
    5. Skin ulcer that is an open sore and is not caused by an injury. It may or may not have pus fluid drainage.

All these are severe symptoms of varicose veins and you must seek medical care and treatment in a priority. In a few cases, varicose veins also develop due to Deep Vein Thrombosis (clots in the deep rooted veins) that may not have any symptoms for some people or may occur with severe leg pain and swelling in some other cases.

Another prominent symptom in cases of DVT is the pain in the calf of one leg that is usually accompanied by cramps and soreness. Your legs may also feel warm when you touch them. If you notice one or more of the above mentioned symptoms, you must not delay visiting a vascular expert.

3. You will need an ultrasound

  1. If you have any early symptoms of varicose veins or doubt that you might be suffering from a venous disorder, you must visit a vascular expert and get an ultrasound done. The Doppler ultrasound scan will help the medical practitioner analyse and evaluate your condition and its severity.

    With the help of the doppler ultrasound scan, the vascular expert will be able to measure the amount of blood flow in your leg veins. These help the doctor to examine any abnormalities that may require treatment.

After the ultrasound scan reports, the vascular expert will suggest the best treatment option to cure the underlying medical condition.
The doctor will advise whether the affected veins can be treated by the latest laser ablation procedure or will necessarily require surgery.

4. Painless treatment option is available

About 15 years ago, the only way to treat varicose veins was a surgery where the patient was given general anaesthesia and operated in an operation theatre. The surgical procedures are quite painful and require massive post-operative care. The patient is usually advised complete bed rest after the surgery.

With humungous advancements in medical technology, varicose veins can be effectively treated by the painless and minimally invasive laser technique. This process is quick and requires only local anaesthesia. Usually performed in the doctor’s office itself, there is minimal post-operative care and the patient can go back home on the very same day.

5. Diet and exercise can help

As we age, most of us will have ugly looking, prominently visible, abnormal, and enlarged veins on our legs and feet. Obesity, smoking, lack of exercise, and a job that requires you to sit or stand for longer durations at a stretch are the major risk factors of varicose veins.

There is little that we can do to prevent venous disorders and diet and exercise play a major role in it. A nutritional diet and a moderate exercise routine may not be able to prevent varicose veins but can definitely assist in delaying its onset and reducing the probability of varicose veins turning into a critical condition.

6. Varicose veins caused due to pregnancy may go away on their own

 Some women develop varicose veins during pregnancy. The circulating blood volume increases in the woman’s body to take care of the foetus, hormonal changes also occur and cause dilation of the leg veins.

Women who suffer from varicose veins in their pregnancy term must wait for three to six months after delivery. If the varicose vein symptoms still persist, she must schedule an appointment with a vascular expert and seek expert medical assistance.

Varicose veins are not a very serious condition but can turn into a medical emergency if treatment is delayed. If you have visible but painless varicose veins in the lower leg region, immediate treatment may not be required but there are high chances of these varicose veins turning into highly painful and swollen veins in due course of time.

Thus, it is suggested to plan your medical check-up and treatment in a priority. Your search for a trusted and reliable vascular medical institution ends with Avis Hospitals. We have a team of internationally qualified and extensively trained interventional radiologists who specialize in the USFDA approved laser treatment of varicose veins.

The protocols that we follow are approved by the American College of Phlebology. We treat over 40,000+ patients every year and already have over 40,000+ happy and satisfied patients with a whopping success rate of 95%

We also offer complete assistance to outstation patients with 100% price assurance at the time of admission itself. We have tie-ups with all leading insurance agencies of India and assist in quick Mediclaim clearance for one and all.

For the most trusted, reliable and efficient treatment of your varicose veins, schedule an appointment with us today!

Lifestyle Changes to overcome Varicose Vein Symptoms

For most patients who have early signs of varicose veins, small and simple lifestyle changes can make a lot of difference to their leg pain, discomfort, itching in the affected area, and other varicose vein symptoms as well.

There are quite a few conservative options that have always worked quite well for patients who have self-diagnosed their early varicose veins symptoms and taken the necessary precautionary steps to prevent further damage and severity of the medical condition.

Let us discuss some simple and easy to incorporate lifestyle changes that can help you prevent your varicose veins from getting worse:

  1. Change your diet – Excessive body weight causes additional pressure on the legs and feet, and thus restricts the righteous blood flow. Losing weight can work wonders for your varicose veins. You must start choosing healthier food options, consume small meals once every 2 to 3 hours, prefer homemade food, and eat out less often. These are a few simple ways to change your diet and are sure to lead to significant improvement in your overall health.

  2. Exercise more – Gentle and low-impact exercises performed on a daily basis help burn calories and regulate the blood flow, thus easing the varicose veins symptoms. You can begin walking for 15-20 minutes every day, do yoga or some basic stretching at your home or a nearby park. Small lifestyle changes like taking the staircase instead of the escalator or lift are efficient ways to make the body move more often.

  3. Alternate between sitting and standing often – It is a well-known fact that sitting or standing for too long can harm your vein health. You must never remain in the same sitting or standing positions for prolonged durations at a stretch. As frequently as possible, you must switch your postures. Whether you have a desk job, a field job, or are undertaking a long flight, always remember to make a conscious effort to alternate between your positions. Also, try to move your legs and feet every once in a while as it helps improve the blood circulation.

  4. Wear loose-fitting clothes – Wearing tight clothes like skinny jeans or a smaller shoe size can hinder the blood flow in the feet, groin, thighs, and waist. You must choose loose clothes that offer added comfort, greater motion, are good for your vein health, and help improve the blood circulation of the body!

  5. Use compression stockings – Compression stockings are medical stockings that are tight near the ankle and loosen up around the knees and thighs. These support stockings are very helpful in reducing varicose vein pain and swelling. These are available in multiple sizes and you must consult your physician to learn about your exact size and its recommended usage.

All the above lifestyle changes are fairly simple and can be easily incorporated in your everyday routine. These will significantly contribute to the improvement of your vein health and prevent varicose veins from leading to other severe medical conditions like active venous ulcers, chronic venous insufficiency, or deep vein thrombosis.

These conventional treatment therapies will help you recover when you have mild pain and discomfort from varicose veins. But if your condition is critical, you must not delay seeking medical assistance from experienced healthcare practitioners as even a slight delay can lead to higher recovery time or irreversible medical complications.

Hidden Dangers If You Don’t Treat Varicose Veins

Most people believe varicose veins to just be a cosmetic issue, but in reality, they are a serious medical complication and pose a severe threat to your life! Not only do they make your legs look ugly but also negatively affect your body’s blood circulation, thus being the sole reason for many venous disorders and other health concerns.

Today, as many as 30% of the people suffer from these bulging and swollen veins that can be felt and seen right under the surface of the skin in the lower region of the legs. Caused when certain leg veins with a faulty valve become incapable of sending the deoxygenated blood back to the heart, these appear as bluish-purple veins and result in pooling of blood.

Varicose veins are a clear sign of some serious underlying health issues that must be addressed in a timely manner. Painful varicose veins must be immediately reported to your doctor as any delay in diagnosis and treatment can result in irreversible health conditions.

Below are the top 6 medical conditions that may crop up due to the lack of treatment of varicose veins:

  1. Leg Swelling – As the pressure builds up in the faulty veins, the blood fluid leaks into the surrounding tissues and causes swelling. Swelling can be felt like a tight sensation in your legs, the socks may begin to leave an impression on your legs, and in severe cases, the swelling can be to an extent that your shoes may not fit your feet anymore. Most times, elevating your legs with the help of a pillow will help reduce the swelling temporarily.


  2. Skin Ulcers – Open sores or wounds that are difficult to heal are called skin ulcers. Swelling in the legs for an extended duration of time can lead to skin colour changes in the affected area. The skin may also turn hard as the swollen tissues hamper the blood flow and restrict the nutrients and oxygen from reaching the involved tissues. Reducing the leg swelling is vital to healing these open sores.


  3. Skin Infection – As the tissues get stretched due to the swelling, the body loses its natural defense mechanism to fight against infections. The bacteria on the skin surface may get into the body and cause a bacterial infection referred to as cellulitis. The infected area becomes red and feels warm. This generally requires antibiotics for treatment. Reducing the swelling is also likely to help in the recovery process.


  4. Bleeding – Right below the surface of the skin, a large amount of blood remains pooled in the varicose veins and the surrounding tissues. If by any chance you get injured and hurt, cut or damage your veins, there is bound to be significantly more bleeding than usual. If the injury is very large, it will probably take you longer than normal to stop the bleeding.


  5. Thrombophlebitis – This refers to an inflammatory process where a blood clot is formed that blocks one or more of your veins, most commonly in the legs. It is highly probable for untreated varicose veins to cause blood clotting. The damaged area becomes very painful, it is warm to touch, and the veins also becomes quite hard.


  6. Deep Vein Thrombosis (DVT) – In about 25% cases where people have developed blood clots in their veins, the blood clots are formed in the deeper veins and this condition is referred to as DVT. The biggest risk in DVT is that of the blood clot breaking off and travelling to the lungs as that can result in the life-threatening disease called pulmonary embolism. DVT is a medical emergency and must be treated in a priority.

Varicose veins, whether painful or not, must be treated by a vascular expert to prevent further damage and unforeseen vein health complications. For the treatment of varicose veins, you need not undergo surgery as today, there are available minimally-invasive procedures that are painless and have zero downtime.

Avis Hospitals’ team of vascular specialists and interventional radiologists have expertise in treating the varicose veins with the latest endovenous laser ablation process that is a no-cut, no-scar, and no-stitch procedure. The process requires only local anaesthesia and the patient can go back home the same day to resume work and everyday activities from the next day itself!

If you are eager to know more about the endovenous laser treatment process, get your medical check-up done from experienced doctors, learn about the treatment expenses, and ask your queries regarding the available medical insurance assistance, feel free to schedule an appointment at https://avisvascularcentre.com/

Venous Skin Ulcers – Symptoms, Causes, Diagnosis, and Treatment

Skin ulcers are wounds or open sores that develop on the surface of the skin and take enormous time to heal. Venous skin ulcers are a type of skin ulcer that is caused due to a venous disorder like chronic venous insufficiency.

Venous skin ulcers, also commonly referred to as venous leg ulcers are shallow wounds that develop on the lower region of the legs, especially on the sides of the legs, above the ankle and below the calf.

The prevalent cause of venous skin ulcers is the failure of the leg veins to send the used and deoxygenated blood back to the heart. The blood remains pooled in the veins and the surrounding tissues of the lower leg region. This creates additional pressure in the legs and in cases where the treatment is delayed, the excessive fluid breaks out from the tissues and eventually causes an open sore or an ulcer in the affected area.

Also called Statis Legs Ulcers, these ulcers may take anywhere between a few weeks to a few years to heal due to poor blood circulation in the damaged area. A delay in treatment can, however, lead to other severe health complications as well. There are always high chances of recurrence if you do not take the desired precautions after the treatment.

What causes them?

Leg veins that become weak and incapable of sending the used blood back to the heart are the main cause of venous skin ulcers. Below mentioned are the most common causes of venous leg ulcers:

  • Varicose veins
  • Deep Vein Thrombosis (blood clot in the deep veins of the legs)
  • Old age, being tall, being a female
  • Obesity
  • Smoking 
  • Pregnancy
  • Lack of exercise
  • Sedentary lifestyle
  • Daily work that requires long hours of standing or sitting
  • Previous leg injuries
  • Family history of blood clots or venous insufficiency

What are the symptoms?

By being aware of the early signs and easy to recognize symptoms of venous leg ulcers, you can self-diagnose them and schedule an appointment with a vascular specialist for treatment and prevention.

Following are some of the early signs of venous leg ulcers:

  1. Itching or burning sensation on the skin of the affected area
  2. Dry skin accompanied by a rash
  3. Skin discoloration where the skin turns brown and looks pale
  4. A feeling of heaviness in the lower region of the legs
  5. The affected area may even become swollen

Below mentioned are the symptoms of an open sore that is actually a venous leg ulcer:

  1. Shallow sore that has a red base, may sometimes be covered by a yellow tissue
  2. Unevenly shaped borders of the ulcer
  3. The skin turns hard and tight around the ulcer
  4. The surrounded skin also turns red in colour
  5. The affected area feels warm and looks shinny

Some venous leg ulcers become infected and have the following signs and symptoms in addition to the above ones:

  1. Worsening pain
  2. Fever
  3. Pus drain from the wound
  4. A foul-smelling fluid oozing out from the open sore

How are they diagnosed?

If you have a wound on the leg that is not healing or has got infected, you must immediately visit a vascular expert. The specialist will physically examine the open sore and the skin around it, and will also ask some questions to learn about you and your family’s medical history.

The doctor will then conduct a Duplex Doppler Ultrasound Scan to find out the exact reason for the ulcer. This examination clearly shows how the blood is moving in the lower leg region and what is hindering its movement back to the heart.

The vascular expert may recommend a few other tests to check other problems related to varicose veins and to re-examine the ulcer to ensure it is healing properly.

What are the treatment options?

The most basic form of treatment and recovery involves improving the blood flow in the affected region as this will help repair the wound quickly.

There are a few things that you can do to treat the venous skin ulcers. Make a note of them below:

  1. Use compression stockings as they help prevent blood pooling and create additional pressure on the legs. This will in-turn improve blood circulation in the lower leg region thus enhancing the body’s ability to heal the ulcer.
  2. You must elevate your legs above your heart level as frequently as possible. Lie down on your bed and use a pillow or two to lift your legs up to the level of the heart. Vascular experts usually suggest a minimum of half-an-hour for at least 3 to 4 times a day.
  3. Make an everyday walk routine as walking enhances the blood circulation of the body. This clubbed with low impact exercises can also work wonders for the recovery process of your venous leg ulcers.
  4. If your ulcer has got infected, the doctor will prescribe some antibiotics to kill the infection. The vascular expert might also suggest a moist dressing on the wound to fasten its healing.
  5. In a few critical cases, doctors will immediately recommend surgery or endovenous laser ablation to treat the underlying cause of blood pooling as that may be preventing the wound from healing.

Usually, a venous leg ulcer requires 3-4 months to heal. A few may heal quicker while some may never clean-up.

As soon as you see the first signs of a statis leg ulcer, consult your vascular expert immediately to prevent the ulcer from forming or growing bigger in size, as smaller and new ulcers are easier to heal than the larger ones.

What to do next?

If you or someone you know has one or more of the above symptoms, you must not delay a medical check-up with the vascular experts at Avis Hospitals. All doctors at Avis Hospitals are through professionals, have years of experience, and believe in 100% customer satisfaction.

Avis Hospitals will not only guide you with the most genuine and authentic advise for your health but also take the extra steps to ensure your well-being. Pledge to take care of your vein health and book a timely treatment for your venous leg ulcers to prevent other medical complications. Schedule an appointment with Avis Hospitals today!

Everything You Want to Know About Deep Vein Thrombosis (DVT)

Deep Vein Thrombosis, abbreviated as DVT, refers to the medical emergency that occurs when a blood clot develops in a vein that is located deep inside the human body. Although the blood clot, which is a solidified clump of blood, can form anywhere inside the body, it is most commonly known to occur in the thighs or the lower leg region.

DVT is a serious condition that may turn fatal in case of delay or absence of immediate medical care. In medical terms, DVT is also referred to as thromboembolism, post-phlebitic syndrome, and post-thrombotic syndrome.

Symptoms of DVT

There are a few prevalent symptoms that you can use to self-diagnose DVT and visit a vascular expert for diagnosis and treatment. Following are the most common DVT symptoms:

  •   Swelling in the leg, ankle, or foot, generally on one side
  •   Severe pain in the affected area of the leg that mostly begins from the calf
  •   Unbearable and unexplained pain in the foot and/or ankle
  •   A section of the skin surface that feels warmer than the surroundings
  •   The skin of the affected area turns pale, reddish, or bluish in color

For patients who develop a blood clot in the upper half of the body, say for instance a blood clot in the arms, they may experience the below mentioned symptoms:

  • Extreme pain in the neck
  • Severe shoulder pain
  • Sudden swelling in the affected arm or the hand
  • Skin color changes to bluish-red
  • Pain that feels to move from the arm to the forearm
  • Weakness in the hand and inability to hold something firmly

Causes of DVT

The main cause of DVT is a blood clot in the bloodstream that restricts the desired blood circulation in the body. Blood clotting can occur due to one or more of the reasons detailed below:

  • Injury – An accident or injury that causes damage to the walls of a blood vessel or narrows it down thus leading to poor blood circulation. This can eventually lead to blood clots and DVT.
  • Surgery – At times, one or more blood vessel may get damaged during surgery and this can lead to the formation of a blood clot. For a few patients, suggested bed rest after surgery also leads to DVT.
  • Sedentary Lifestyle – Poor mobility or a state of inactivity for extended time durations can slow down the blood flow in the lower regions of the leg and this can cause deep vein blood clots.
  • Side-Effects of Medicines – Certain medications are known to increase the probability of blood clotting.

Risk Factors of DVT

Although people over 50 years of age are more probable to suffer from DVT, DVT can occur to people at any age. Any factors that hinder the blood flow and restrict the ideal blood circulation are high-risk factors of DVT. Let us address a few of them below:

  1. Any injury that damages the veins, like for instance a bone fracture
  2. Being overweight and/or obese as excessive body weight leads to additional pressure on the veins in the legs
  3. Hereditary blood clotting disorders
  4. Having a family history of blood clots or DVT
  5. Having a catheter placed inside a vein
  6. Consuming birth control pills
  7. Undergoing a hormone therapy
  8. Remaining seated during long flights, car journey, or at work
  9. Smoking
  10. Cancer
  11. Inflammatory bowel disease
  12. Heart failure as it makes it difficult for the heart to pump blood
  13. Varicose Veins

Treatment for DVT

The most basic form of treatment is blood thinning oral medications. These medicines restrict the blood from clotting and thus reduce the chances of new blood clot formations.

In a few cases of DVT, the doctor might advise the patient to get intravenous thrombolytic drugs that break up the existing blood clots. Wearing compression stockings also helps reduce the swelling and probability of developing new blood clots by regulating the blood flow.

Surgical procedures to remove a DVT clot from your arms or legs are suggested when the clot is too big and is causing serious medical issues like tissue damage, etc. In the surgical process, the vascular expert uses ultrasound scans to accurately locate the clot and then removes it by making an incision into the blood vessel.

Conclusion

If you have a family or personal history of blood clots, always be mindful of the above mentioned DVT symptoms. Maintain a healthy lifestyle, consume a nutritious diet, and perform basic physical activities every day.

In case of an early sign of DVT, schedule a consultation with a vascular expert. Avis Hospitals has a team of exceptionally trained and truly experienced vascular interventional radiologists at its Hyderabad as well as Bangalore branch. Schedule an appointment today!

How do blood clots form in the veins?

A blood clot is a clump of blood that can form anywhere inside the body. Blood clots vary in size and restrict the blood flow to various different body parts. These are not only harmful but can also turn to be fatal if not diagnosed and treated on time.

Blood clots may occur in the arms, legs, lungs, abdomen (stomach), heart, brain, and even kidneys. The symptoms can contrast from mere swelling and mild pain to extreme cases of heart attack and brain stroke.

There are two main variants of blood clots.

  • Thrombosis – Blood clots that are local, stay at one place in the body and do not move
  • Embolism – Blood clots that break away from the spot and keep moving to different body parts through the bloodstream

In order to prevent blood clots, we must understand how they are formed, its common causes, early symptoms, the process of diagnosis and the treatment procedure. Please read through this detailed write-up for a thorough understanding of blood clots.

How are blood clots formed?

As soon as you get an injury or meet with an accident that damages one or more of your blood vessels, the platelets (tiny disc-shaped cells) in the blood are triggered to release chemicals that initiate the blood clotting process.

During the blood clotting phenomenon, the platelets attract other platelet cells which bind with each other and with the damaged blood vessels to stop bleeding and prevent further blood loss.

The blood clotting factors attract more and more cells to completely secure the damaged area and this causes the blood clot to grow huge in size. New proteins receive signals from the extra clotting factors that prevent the clot from spreading.

Once the damaged tissue begins to heal, the blood clot dissolves itself back into the bloodstream. But at a few instances, certain substances in the bloodstream like the plague, unnecessarily initiate the blood clotting process and that causes unwanted deep vein blood clots leading to Deep Vein Thrombosis (DVT).

What causes blood clots?

Although blood clotting is vital to restrict excessive blood loss after getting hurt, unrequired blood clotting can lead to a medical emergency or even death. The below-mentioned risk factors can cause blood clots to form without a trigger.

  1. Being obese or overweight
  2. Being over 70 years of age
  3. A personal history or family heredity of blood clots
  4. Sitting for extended time durations, especially during long flights or road travel expeditions
  5. Pregnancy or recent pregnancy
  6. An injury or trauma
  7. Undergoing a surgical procedure or hospitalization
  8. Prolonged bed rest suggested after a critical surgery or an acute illness
  9. Smoking
  10. Use of birth control pills that contain the estrogen hormone or any other hormone replacement therapy
  11. Cancers of the type lung, pancreatic, multiple myeloma, or blood cancer
  12. Autoimmune disorders
  13. Chronic inflammation diseases
  14. Infections such as HIV/AIDS, Lyme disease, hepatitis C

What are the symptoms of a blood clot?

In a large number of cases, the patients often receive warning signals that point towards a blood clot. You must carefully watch out for the below-mentioned most common blood clot symptoms:

  1. A feeling of warmth in the affected area, most commonly the leg
  2. The skin of the damaged area looks prominently red
  3. Swelling accompanied by pain in the damaged body part. If the blood clot is in the leg, the patient may find it difficult to walk or stand
  4. Numbness around the damaged blood vessels or tissues

The symptoms also differ with the location of the blood clot. The blood clot in the arms or legs may cause cramps and tenderness whereas the ones in the abdomen area can lead to vomiting and Diarrhea.

Certain blood clots can even travel to different parts of the body:

  1. Clots in the heart cause a heavy feeling and intense pain in the chest and upper area of the body, breathlessness, nausea, sweating, and light-headedness.
  2. A clot that moves to the lungs can lead to shortness of breath, fever, sweating, severe chest pain, racing heart, etc
  3. A blood clot in the brain can be truly dangerous as it causes weakness in the face, arms, legs and may affect the speech and vision of the patient. It is often accompanied by acute headache and dizziness.

At times it can get really tedious to diagnose blood clots as most of the above symptoms are often confused with a heart attack or a brain stroke.

How are blood clots diagnosed?

Whether you go for a first-time check-up or reach the hospital in an emergency, the doctor will examine your symptoms and inquire about your medical history. The doctor will also request details about your family history of blood clots and the medicines that you are currently taking.

The medical practitioner will also collect your blood sample and conduct a blood test to check for an autoimmune disorder or other infections. Your blood sample will also be tested for abnormal clotting or the presence of antibodies that may be interfering with the blood clotting process.

How can blood clots be treated?

Once the patient is diagnosed to be suffering from a blood clot, the treatment is fairly simple and straightforward. Almost all patients are advised to consume blood thinners and anticoagulants that help dissolve the existing clots and prevent the new ones from developing.

If you are obese or have a sedentary lifestyle, the doctors may suggest you improve your activity levels and shed the extra kilos by engaging in sports or other physical activities. You may also be asked to follow a strict diet and give-up on smoking.

To some patients, medicines for blood clot dissolution are given through the catheter that is inserted in the affected area through a small cut on the skin. In other critical cases, especially with blood clots in the legs or feet, doctors may suggest surgical removal of the blood clot.

After successful treatment, it is vital to visit your doctor at least once every few weeks for a proper physical examination and any desired change in medications.

Conclusion

Blood clots can easily be prevented if you are aware of its causes and take strict measures to avoid the common risk factors. Completely give up on smoking, lose weight, speak to your doctor about effective alternatives to birth control pills, and ask your doctor if you must consume blood-thinning drugs on a regular basis.

If you have a personal or a family medical history of blood clots, you must eat a nutritious diet and maintain a healthy weight. You must always be cautious and keep an eye on the common symptoms of blood clots. It is also advisable to undergo routine vein screening as you are at a high risk of developing blood clots due to a past case history. This will help in early diagnosis and efficient treatment of Deep Vein Thrombosis before the situation gets worse.

If you notice any of the above signs of blood clots in your body, do not hesitate to schedule an appointment with the renowned interventional radiologist Dr. Rajah V Koppala at Avis Hospitals. He has 24+ years of experience and is known to offer the best medical advice and genuine medical treatment of endovenous laser treatment for DVT patients. Schedule your appointment today!

5 Common Causes of Varicose Veins

“Varicose Veins” is a prevalent medical condition for the aged, especially women. Owing to a poor lifestyle and with the growing age, the valves of certain veins in the leg and foot tend to break down. This hinders the blood flow back to the heart and adversely affects the circulatory system of the body.

Failure of the valves causes the blood in the affected veins to pool. These veins, called the varicose veins, are extremely painful and lead to severe swelling and itching in the legs and feet. Bluish purple in colour, enlarged in size, and clearly visible on the surface of the skin, varicose veins are not only uncomfortable but also have an unpleasant sight.

With the passage of time, these bulging varicose veins become the main reason for serious venous disorders and other acute complications of the circulatory system. If we make ourselves aware of the leading causes of varicose veins, we can surely delay their onset if not overrule the possibility of their occurrence. Let us learn about the root causes of varicose veins:

1. High Heels / Uncomfortable Footwear –

These days, it has become a common practice to wear high heels on a daily basis. Not just on festivities and parties, girls tend to wear uncomfortable footwear and stilettos to college and work every day. They may be able to look taller and smarter with the heels, but it causes extreme pain and has been proven to be immensely unfavourable for the legs and feet.

When in heels, the feet fail to land flat on the floor while standing or walking and this makes it difficult for the blood in the feet to travel up the legs and further to the heart. The veins tend to work harder to be able to efficiently send the blood back to the heart and this often results in the disruption of the valves in due course of time.

The vascular experts have sighted frequent use of high heels as one of the leading cause of varicose veins in women. They strongly recommend girls to wear heels only when it is absolutely necessary. At all other times, they must switch to flat footwear or flat heels called wedges.

2. Excessive Caffeine Intake –

Caffeine is present not only in coffee but also in tea, sodas and many other drinks as well. Caffeine consumption, in one form or the other, in excessive quantities and that too on a daily basis is a proven cause of varicose veins. It has been medically confirmed that caffeine intake massively increases the blood pressure and this restricts the movement of the blood through the blood vessels.

As a result, the people who drink black coffee, milk coffee, black tea, milk tea, lemon soda, flavoured sodas or other high on caffeine drinks, often complain of pain in the legs and a poor visual appeal. You must always consult your doctor to cross-confirm the amount of coffee that you can consume per day to reduce your chances of developing varicose veins.

3. Alcohol Consumption –

Drinking alcohol causes excessive urination and leads to dehydration. Water loss from the body causes the blood to thicken and this makes it tough for the blood to move, against the pull of the gravity, up from the feet and legs, back to the heart.

Any hindrance to the free movement of the blood in the circulatory system enhances the person’s probability of developing varicose veins. Faulty valves in the varicose veins also cause the blood to pool and may lead to worse ailments like ulcers, blood clots, deep vein thrombosis, and chronic venous insufficiency.

You must consult your doctor and discuss your alcohol intake limits based on your age, body type, and medical history of any other venous disorders. Always keep an eye on the visible signs of varicose veins and visit your vascular expert in case you witness a noticeable change.

4. Heredity and Genetics –

Varicose Veins have been discussed to be a genetic condition. If your parents, grandparents or siblings have had a history of spider veins or varicose veins, you are at high risk of developing them too.

This severe condition can be postponed if not totally avoided, by practicing a good lifestyle. You must always maintain a healthy body weight and exercise every day. Eating a balanced diet along with monitored intake of salt and sugar, and restricted fatty food intake can help keep the varicose vein condition under check.

By mentioning the family history of varicose veins, you can also consult your vascular expert about the suggested use of compressions stockings. These have been known to improve blood flow and prevent valve failures. Available in multiple sizes and shapes, you must choose the right one with the help of your doctor.

5. Your Occupation -

For a few people, varicose veins are also a conclusion of their harsh job routine. A person who has an occupation that demands him/her to keep sitting or standing for extended durations at a stretch on a daily basis develops a greater risk of varicose veins.

This rigid work routine stresses the veins and causes their valves to malfunction, thus leading to varicose veins. To reduce the chances of developing spider veins or varicose veins, you must take short strolls or sitting breaks once every while. Any form of mild exercise in between the hectic work schedule can also improve the condition.

Can Avis Hospitals Help?

With years of experience and a record of successfully treating over 4000 patients every year, Avis Hospitals is the most trusted vascular center of Hyderabad. Dr. Rajah V Koppala is an acclaimed vascular surgeon, highly trusted and respected for his services in his vast medical career.

If you are confused about the treatment options, charges and fees, risk factors or have any other queries, we will be happy to help you. Schedule an appointment with Dr. Rajah V Koppala at Avis Hospitals and we will ensure you are satisfied with our medical aid and care.

8 Foods to Avoid for Varicose Veins Diet Treatment

Varicose veins are swollen and enlarged veins that don’t appear to be dangerous but are actually very harmful to our vascular health. Developing varicose veins is a clear sign of a problem with one or more veins.

Varicose veins often appear in clusters and are found near the outer surface of the skin. These may vary in size from being very small to quite large. There are not many visible symptoms at the early stages and this is the main reason why varicose veins remain undiagnosed in most cases.

These damaged veins are formed due to malfunctioning vein valves that prevent blood from flowing back to the heart. This often results in excessive blood pooling and leads to extreme pain and discomfort along with swelling and tenderness in the affected area.

Although even the medical researchers are not yet confirmed the causes of varicose veins, a few risk factors have been identified that are known to lead to an increase in the likelihood of developing varicose veins. These include obesity, hormonal changes due to therapy or pregnancy, age, genetics, and standing or sitting for long durations every day.

If you have a family history of varicose veins or are at a higher risk of developing varicose veins due to the above mentioned risk factors, it is essential for you to avoid the following food items:

  1. Refined Grains and Flour – Fibrous foods are not only helpful in maintaining a good digestive system but also help prevent blood clot formation. Refined food lacks fibre content and is thus not very appropriate for consumption by people who are at a high risk of varicose veins.

  2. Sugar – In the bloodstream, sugar behaves just like processed grains. High intake of sugar leads to obesity and is a major risk factor of varicose veins for patients of all age groups.

  3. High-Sodium Food – Excessive intake of sodium causes water retention in the body. The body does extra work to lower the sodium content which causes reduced blood flow through the veins. This can lead to additional pressure on the veins and weaken the valves thus leading to an increase in the risk of varicose vein formation.

  4. Alcohol – Unusually high intake of alcohol attacks the ability of the liver and hampers the blood circulation in the body. This in turn can lead to varicose veins.

  5. Green Vegetables – Green vegetables are rich in Vitamin K which is known to promote blood clotting. High intake of green vegetables can make it difficult for blood to flow through the legs and other body parts. Avoid excessive intake of green vegetables such as spinach, kale, and others.
  6. Soy Sauce – In order to reduce the risk of varicose veins, you must also maintain the potassium levels under control. Soy sauce is high on potassium and can cause your potassium levels to spike. It is best to consume soy sauce in moderation or avoid it completely.

  7. Whole Milk – Not only just whole milk, but it is advisable to avoid consuming whole foods as they are rich in fats and lead to sudden weight gain.

  8. Fruit Juice – Packed juices have added preservatives that are unhealthy and can cause obesity.

Even if you do not have varicose veins, you must not consume the above mentioned food items in excess. They are not good for your overall health and can increase your risk of developing varicose veins.

Varicose veins are not life-threatening but timely treatment is necessary to prevent them from progressing and worsening to other vascular disorders such as chronic venous insufficiency, blood clots, and deep vein thrombosis.

The endovenous laser treatment is a painless and minimally invasive laser treatment is the best option for varicose veins. It is the best available treatment that is known to give excellent results for people of all age groups.

In this process, a thin laser fibre is inserted through a small incision made on the skin. The heat from the laser fibre is used to burn off the damaged veins. The body reroutes blood to other neighbouring veins and you get immediate relief from pain and swelling.

Avis Hospitals is the best medical institute for the diagnosis and treatment of varicose veins. It is India’s only hospital for comprehensive vein health care. We have the latest medical equipment and the most experienced team of vascular experts.

Dr. Rajah V Koppala who is the head of the department is a skilled interventional radiologist with more than 20 years of experience. He is internationally qualified and has completed 13000+ procedures. He has a huge array of patients who speak highly of his medical excellence and are totally satisfied with his medical care.

Whether you have any early signs or visibly swollen varicose veins, do not delay in booking an appointment with Avis Vascular Centre. Your vascular health is equally important and you must not ignore it. For appointments, call today +91 9154991963.

5 Common Misconception On Varicose Veins

In India, a growing number of varicose vein cases are reported each year but there is still a lack of knowledge regarding its symptoms and cure. Most patients get scared on the sight of swollen or enlarged veins and are unaware of the fact that varicose veins are completely curable.

A poor understanding of this medical condition has made the people believe certain things about varicose veins that are not at all true. In this blog today, we will address some of the most common varicose vein myths and clear all misconceptions :

1. Varicose veins are caused due to a neurological disorder

This is undoubtedly the most common misconception related to varicose veins. A majority of the people believe that the visible varicose veins are actually nerves and seek medical advice from a neurologist instead of a vascular expert.

Varicose veins are not nerves and they do not need a neurological treatment. The “Pregabalin” medicine or any other neurological pain reliever that is prescribed by a neurologist will not offer any relief in case of varicose veins. These can only be treated by a vascular expert and a patient who has varicose vein symptoms must not think twice before booking an appointment with a vascular expert.

2. Varicose veins are treated by a dermatologist

Most patients who notice the skin below their knee joint turning darker due to varicose veins consult a dermatologist assuming it to be a skin allergy. They continue to consume medicines and use ointments as prescribed by the dermatologist without any significant improvement in their condition.

This is a clear case of stasis eczema, also called venous eczema which is secondary to varicose veins. For an accurate treatment of venous eczema, the patient must first cure its cause i.e. the varicose veins with the help of a vascular expert and then consult a dermatologist if the skin is still discoloured.

Using the dermatologist-prescribed steroid-based ointment isn’t suggested as it thins the skin causing a decrease in the local immunity which further increases the chances of infections and damage.

3. Venous ulcers can be treated by plastic surgery

Leg and foot ulcers are often confused with a mosquito bite, an injury or most commonly as a side effect of high blood sugar levels. These are ignored and left untreated until the patient witnesses severe pain and is unable to stand or walk.

Venous ulcers, the most popular type of leg and foot ulcers are actually caused due to varicose veins. Getting a skin graph or putting patches of artificial skin on these ulcers does not heal them. These procedures may rather cause more damage in the due course of time. The venous ulcers can only be treated if the varicose veins are also being simultaneously treated by preferably the same vascular expert.

4. Compression stockings will cure varicose veins

Another popular myth is that the compression stockings, also called support stockings are a perfect cure to varicose veins. This is not at all true. Compression stockings offer only temporary relief and that too only to a handful of patients who are at the initial stages of varicose veins.

These stockings are of little to no use for people with a long history of varicose veins. Using the compression stockings in a hot country like India may anyway lead to excessive sweating thus causing more damage than relief. You must never use support stockings without consulting your vascular expert.

5. Varicose veins surgery has a poor success rate

Even today, in this era of scientific growth and massive developments in the medical sector, a large number of people believe that there is no cure for varicose veins. This is far from the truth as varicose veins can be easily treated for patients of all age groups.

Though varicose veins have traditionally been always treated with surgical procedures, the endovenous laser treatments have also showcased a fair success rate for even the most severe cases of varicose veins.

At Avis Hospitals, under the guidance and support of Dr. Rajah V Koppala, we conduct approximately 5000 varicose procedures every year. With a booming success rate, we are proud to have become the leading hospital for the treatment of varicose veins in India. Book an appointment with us for quick relief and total cure of varicose veins!