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Veins, pains and ankle stains .. how I ended 30 years of leg hell; After years of discomfort and family genes IAN HYLAND finally got to grips with his varicose veins.

Byline: IAN HYLAND

I'LL never forget the words my mother said to me as I prepared to have my varicose veins removed at the tender age of 19.

"I don't know why you're bothering. They'll only come back again."

She said the same thing when I had them done again in my early 30s - and when I had a third op in my early 40s.

So yes, you should always listen to your mother. Not least when she speaks from bitter experience.

In fact, varicose veins and leg ulcers have been blighting both my parents' lives for decades.

As I approached my 50s, genetic destiny and an unsightly patch of brown staining around my ankles suggested full-blown leg ulcers were coming my way too.

My varicose veins had also returned with a vengeance. My left thigh was beginning to resemble a contour map of the Himalayas.

It was also incredibly tender - not ideal when you have two young children who mainly view you as a mobile climbing frame/ trampoline.

Plus, it was a rather disgusting sight to behold, especially if I'd been on my feet all day.

My Miss Lovely Legs days may have been long behind me but I couldn't help feeling more than a little self-conscious whenever I had to get my legs out for the beach or the school run in summer.

As sob stories go, missing kickabouts with my kids for fear of the ball hitting my ankles probably wouldn't get me through to boot camp on The X Factor.

However, it was on my list of grievances alongside having to skip music gigs because standing for long periods was an issue, constantly having to listen to people saying: "I thought only grannies got varicose veins", and being woken in the night by leg cramps.

And so, somewhat belatedly (well, I am a bloke), I decided to find out why my mother's prophecy kept on coming true.

My online research pointed in the direction of one man - Professor Mark Whiteley, who is something of a varicose vein surgery pioneer. Twenty years ago, he became the first surgeon in the UK to use a keyhole technique to remove them.

In 2010, he called for the end of surgical stripping - the technique I'd had done on the NHS when I was 19.

Stripping uses a scalpel, requires a general anaesthetic, has a longer recovery time and increases the chance of the veins recurring.

Mark recommended the use of laser treatment instead and, three years later, this became the official clinical guidance from NICE.

I booked an appointment at The Whiteley Clinic in Guildford and following an initial consultation, Mark had two pieces of news.

One, the reason my veins recurred was that I'd never had a proper ultrasound scan prior to procedures. And two, one of the pending ulcers around my left ankle was about to erupt.

Given my medical history, he also suspected pelvic congestion syndrome (PCS). I'd never heard of this condition but it didn't sound very appealing.

In short, it means you have varicose veins originating in your pelvis - from which the ones in your legs can arise, totally or in part.

It is more likely to be found in women, but men can have it too.

A further scan - this time using MRI - was required to determine whether I was in fact suffering from PCS.

Consultant interventional radiologist David Beckett confirmed the diagnosis and outlined the treatment. He spoke for quite some time but all I heard was "We go in through your jugular vein while you are conscious." Whaaaat?! PCS is treated by embolisation (in other words, blocking) the faulty valves using tiny platinum coils, which are put in place via a catheter.

The "popping in via the jugular" part of the plan filled me with enough dread to make me seriously think that maybe I could live with varicose veins after all.

In practice, the whole procedure turned out to be a piece of cake.

I showed up at the clinic one Saturday morning and relaxed on the operating table with Dermot O'Leary's Radio 2 breakfast show playing in the background.

Local anaesthetic was injected near my jugular vein, and Dr Beckett inserted his tiny catheter and got to work.

Guided by X-ray, he positioned the coils. All the while, I could witness what was happening on the monitor above my head.

I found this weirdly fascinating. It was like following a Manchester to Norwich train on a real-time rail tracker map.

There was the odd bit of pushing and prodding around Peterborough but the pain was bearable.

An hour later, I was in a pizzeria with my family discussing the next stage of my treatment. This was where the lasers came in. Having dealt with the suspected source, it was time to remove the varicose veins themselves. This involved two "walk in, walk out" procedures: EVLA (endovenous laser ablation) to treat the major veins and TRLOP (transluminal occlusion of perforators) to get rid of the perforator veins linked with skin discolouration and the development of leg ulcers.

Given the complex nature of my varicose veins, I was on the table for two hours in the morning and another two after lunch.

The good thing about being awake for these procedures is that you can speak up if you feel any pain. Mark prefers you to simply say "Stop" - although I can confirm he will also accept other four-letter words.

There was mild discomfort as the laser burned the veins away but in general, the anaesthetic did its job.

I'm not saying I needed a lot but by the end, my leg was so pumped full it resembled a giant ham you see hanging behind Spanish deli counters.

Two weeks later, I was back to have the other leg treated. Once that was over, I was able to complete my new look: black compression stockings teamed with black compression shorts.

As my wife pointed out, I looked very much like a young Nureyev.

There was a serious side to it, though. The stockings help control inflammation and reduce the risk of DVT - a risk that had already been substantially lowered by me being able to walk around post-op.

I had to keep the stockings on for two weeks, at which point I was able to pose for my "after" pictures.

I wasn't allowed to burn the stockings, though. I needed them again eight weeks later as I underwent my final procedure, ultrasound-guided foam sclerotherapy. This was an hour-long procedure which enabled Mark to deal with the smaller veins that could cause problems in the future if left untreated.

It involved the injection of a special foam into the veins to destroy them by inflammation.

Thanks to the discomfort caused by the inflammation, it was by far the least enjoyable procedure. But that was to be expected given my historical scar tissue and imminent leg ulcers.

I'm certainly not complaining. In the space of four months, I've gone from having chronic varicose veins, undiagnosed pelvic congestion syndrome and imminent leg ulcers to having no varicose veins, no PCS and a greatly reduced risk of developing leg ulcers.

More importantly, the probability of my veins coming back is now the same as anyone's chances of getting them in the first place - three per cent. Not even mum could argue with that.

. ?The Whiteley Clinic has branches in London, Guildford and Bristol.

For details, go to thewhiteleyclinic.

FACTS co.uk or call 0330 058 1850.

and enlarged veins one in three of us at

I've had to skip music gigs because standing for long periods was an issue and I'm often woken up by leg crampsWHAT ARE THEY? Swollen and enlarged veins on the legs which can affect one in three of us at any age. Other symptoms include aching, heavy legs, swollen feet and ankles, muscle cramps, dry skin and colour changes in the lower leg. CAUSES: Poorly functioning valves in the veins cause blood to leak and flow backwards. The blood collects in the veins, which become swollen and enlarged. Gender, genetics, age, excess weight and pregnancy can increase your risk of developing them. TREATMENT: The NHS is unlikely to treat varicose veins if you are not in immediate danger of leg ulcers. If your symptoms are considered severe, your GP can refer you to a vascular specialist who may recommend one or more of these treatments: stripping, ultrasound-guided foam sclerotherapy, endovenous laser treatment, radiofrequency ablation and endothermal ablation. COMPLICATIONS: Bleeding, blood clots, hardening of the skin, swelling, deep vein thrombosis and venous leg ulcers. even mum could argue with . ?The Whiteley Clinic has branches in London, Guildford and Bristol. For details, go to thewhiteleyclinic.co.uk or call 058 1850. VARICOSE VEINS: THE FACTS
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Title Annotation:Features
Publication:Daily Record (Glasgow, Scotland)
Geographic Code:4EUUK
Date:Jul 2, 2019
Words:1462
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