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diagnosis prices research why choose us? self assessment consultants contact us news conditions procedures varicose veins conditions > procedures > varicose veins > 0330 058 1850 book a consultation > 0330 058 1850 what exactly are varicose veins? by professor mark whiteley ms frcs (gen) fcphleb professor mark whiteley ms frcs (gen) fcphleb mark whiteley is a consultant venous surgeon and consultant phlebologist specialising in walk-in, walk-out surgery for varicose veins. he trained at st. bartholomew’s hospital in london and was a lecturer in surgery at oxford university from 1995 to 1998. mark was appointed consultant vascular surgeon in 1998 and performed the first endovenous “keyhole” surgery for varicose veins in the uk in march 1999. as the founder of the the whiteley clinic and the whiteley protocol®, his aim was to bring the very best treatments for varicose veins and vein problems, such as thread veins and leg ulcers, to the uk public. the whiteley protocol® is now adopted by all surgeons treating varicose veins within the the whiteley clinic. mark whiteley and his team have been at the forefront of developments in this field over the last decade and have won international, national and regional prizes for their research into vein treatments. -- varicose veins are normally seen as bulging veins on the legs, but our research tells us that there’s far more to the condition than meets the eye... varicose veins menu what exactly are varicose veins? highly effective treatment for varicose veins diagnosis of varicose veins varicose veins myths how veins work book a consultation procedures call us! prices locations tweets by @whiteleyclinic leg varicose veins varicose veins are easily recognized in many people as bulging leg veins on standing or sitting. unlike other lumps on the legs, when lying down, varicose veins will empty and disappear. this is because the veins are filling from underlying veins that have lost their valves, and blood falls down the veins by gravity. this blood falling the wrong way is called “ venous reflux ”. this venous reflux fills the surface veins or “tributaries”. when this has been going on for a long time, the walls of the surface veins can stretch, causing the visible varicose veins. in many cases, the blood refluxing down the leg veins on standing or sitting also causes a colour change at the ankle. the skin can appear more red or blue. when lying down and lifting the leg, the blood drains out and the colour goes back to normal. this simple test can be used at home to see if you might have varicose veins or “hidden varicose veins” deeper inside the leg. hidden varicose veins about 15-20% of adults have varicose veins visible on the legs. however, what is harder for many people to understand is that another 9-20% of adults have “hidden varicose veins” that cannot be seen on the surface. if varicose veins were only “cosmetic”, then this would not be a problem. however, as it is venous reflux that causes varicose veins and hidden varicose veins, this will cause the veins to deteriorate until the reflux is treated. indeed, research shows that about 1 in 20 (5%) of people with varicose veins will deteriorate each year if they don’t have their veins treated. as noted above, for centuries the medical profession has focused on the bulges themselves as the problem, often thinking the bulging ‘varicose veins’ are the problem. however, research in recent decades has shown that the veins appearing on the surface only do so because the veins deeper inside the leg have lost their essential valve function, allowing blood to flow the wrong way down the veins – venous reflux. so the traditional kind of treatment – still offered by some practitioners – that is directed solely at the veins seen on the surface, without either investigating or treating the underlying cause, is bound to fail. the problem is worsened further by the fact that, until recently, medical opinion held that only two principal veins could become ‘varicose veins’. many doctors still only check and treat these 2 veins! however, studies – including research conducted by the whiteley clinic – has now shown that the condition can affect a large number of different veins such as incompetent perforator veins and pelvic vein reflux . if a doctor doesn’t have access to the correct diagnosis from a detailed scan in the first place, he or she is unlikely to be able to perform a complete treatment that will minimize the risk of recurrence. new techniques to treat varicose veins a single doctor working in a room by themselves, and doing their own scan is not able to check all of these veins and also be an expert in treating them. hence nice – the national institute of health and care excellence recommends that patients with varicose veins are referred to teams of professionals working together, and able to perform duplex ultrasound scans and all of the new techniques needed to treat varicose veins. this was recognized by mark whiteley in 1998, 15 years before the nice guidelines, and is the reason why the whiteley clinic have always worked in such teams. at the the whiteley clinic we have always placed great emphasis on performing comprehensive diagnostic tests and scans – based on a foundation of duplex ultrasound scanning (link to internal wc page of duplex ultrasound – in advance of the development of any treatment plan. this is a key part of our strict adherence to the whiteley protocol® and it ensures that all of our investigations are performed by independent experts who specialise in duplex ultrasound examination of the veins. you can compare our approach with the trend in recent years where doctors in ‘cheaper’ varicose vein clinics perform their own scans to try to keep prices down – despite the recommendations by nice . this is a false economy as it has been shown that missing incompetent perforating veins or pelvic vein reflux are two of the commonest reasons that varicose veins come back after treatment. this contrasts with our own results showing that after 15.4 years of follow-up, the risk of varicose veins recurring after treatment at the whiteley clinic with the whiteley protocol®, is the same per year as people who come from a family with varicose veins running in it, but who don’t have varicose veins themselves. hence, it is impossible to get a lower risk of recurrence than we achieve. but then, as with so many things in life, cutting corners to reduce costs usually means a reduction in standards, which in terms of varicose veins means varicose veins come back again quicker and more often. put simply, it is a clear case of “ buy cheap, buy twice ”! for more information on this condition contact us on the details below: phone 0330 058 1850 email [email protected] book a consultation procedures call us! prices locations clinics: london guildford bristol patient links: events patient terms and conditions terms and conditions health insurance nice guidelines healthcare professionals: faqs -- careers training medical companies contacts: e: [email protected] call: 0330 058 1850 the whiteley clinic is licensed and regulated by the care quality commission (id-1-101725934) | the whiteley clinic ltd is a uk registered company – company no. 04391217. | the whiteley clinic is a registered trademark | the whiteley protocol is a registered trademark. | registered address: stirling house, 1 stirling road, guildford, surrey gu2 7rf terms & conditions privacy policy cookie policy sitemap © copyright 2001 - 2019 the whiteley clinic

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https://thewhiteleyclinic.co.uk/varicose-veins-treatment/myths/
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https://thewhiteleyclinic.co.uk/the-whiteley-protocol/
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