The Vein Basics - 1

The Vein Basics

Varicose Veins

The largest group of veins on the body is known as varicose veins. These can be either blue in colour, if close to the skin, or may appear to be of normal colour. Varicose veins are quite large and considered the most unsightly of all veins, as they can be seen from metres away. Varicose veins often extend from the groin to below the knee or behind the knee and can cause pressure problems on smaller veins. A solution to the abnormal flow must be found in order to make the leg look better as well as prevent the diseases that backpressure in veins can cause. Varicose veins can form anywhere in the body, but are most often located in the legs. They tend to be inherited, and can also become prominent throughout the ageing process, remaining superficial or becoming quite deep.

There are a number of theories as to what causes varicose veins, however it is said by many that defective or damaged valves within the veins are the actual cause. If a valve prevents the backward flow of blood within the vein, it begins to build up and work less efficiently than a regular valve that pumps blood toward the heart. Some surgeons believe that it is inherited, however, there can be a variety of causes. Some potential causes may include:

  • Chronic, congenital, heart valve conditions
  • Pregnancy
  • Menopause
  • Standing for long periods of time of time on a regular basis
  • Pressure on the midsection of the body, especially the abdomen
  • Obesity

Dr Omarjee performs successful treatment of varicose veins and takes pride in ensuring that each of his clients are comfortable in his care, while receiving the right treatment. Dr Omarjee’s usual treatment process for varicose veins begins with an initial consultation, where he assesses the patient’s veins. For patients with bulbous varicose veins, Dr Omarjee will send them offsite to vein sonographer, Mr Stephen Woods, where the ultrasound scan will be performed with no out of pocket expense. After reviewing the results, he is then able to treat varicose veins through a variety of options. One popular and effective way is through Ultrasound-Guided Foam Sclerotherapy, which involves injecting a chemical agent to induce blood vessel scarring and closure. Sclerotherapy has a long history and has been used to treat varicose veins for many years.

Spider Veins

Spider veins are tiny branch-like clusters of veins that can pop up all over the body but are mainly apparent on the face, cheeks, chin, and nose. Spider veins are essentially popped blood vessels that have been overloaded with pressure. Spider veins can sprout with overexposure to the sun, injuries and hormone changes.

At one end of the spectrum, spider veins are the smallest veins. These spider veins are usually of most concern to women and men aesthetically and can occur anywhere on the legs, but can also be located on the inside of the knee and outer thigh areas. There are a few different options to choose from in the treatment of spider veins to help minimise the appearance of them on the most visible areas of the body. Some of these treatment options include:

  • Micro Sclerotherapy – This treatment is considered the gold standard method for spider and small veins on the legs.
  • Laser vein treatment (Nd: YAG laser)

Treatment Options

If only spider veins and associated thread veins (reticular veins) are treated, then Dr Omarjee will usually fit a 20 mmHg graduated compression stocking (or on occasions a graduated compression sock) which is available at The DOC clinic. This is worn for 1 week* during the day and patients will also need to walk for 30 minutes* a day for at least 1 week*.

If larger veins are treated (varicose veins) then Dr Omarjee will usually fit you with a class 2 (30mmHg) graduated compression stocking. You will wear this for 2 week*s and will wear it day and night for the first week*, followed by during the day in the second week*. These class 2 stockings are available at the clinic. You may also be able to claim the cost of your stockings from your private health fund.

To learn more about your choices in vein treatment, contact Dr Omarjee and his team of professionals on 03 9021 6022 or by emailing