Ultrasound-Guided Foam Sclerotherapy varicose vein treatment

Ultrasound-Guided Foam Sclerotherapy testimonial for Mr Michael Gaunt

Cheryl’s story

Due to her injection sclerotherapy treatment with Mr Michael Gaunt, Cheryl has been able to resume her travels, discovering new shores and living life to the full.

During an initial consultation Cheryl discussed her Ultrasound-Guided Foam Sclerotherapy varicose vein treatment plan with Mr Michael Gaunt, who explained the treatment options and the techniques and costs involved, as well as discussing which of his clinic locations she would prefer to attend.

Consequently Cheryl decided to proceed with Ultrasound-Guided Foam Sclerotherapy, which takes place in the Outpatient Clinic, and she had her treatment over the course of several sessions.

Cheryl’s treatment for varicose veins and her subsequent adventures across the world offer hope for those experiencing symptoms

“On the coast of Walvis Bay I walked along the beach – I was looking forward to touching the waters of the Atlantic Ocean again. Across the Ocean from where I am pointing in the photo is the coast of Brazil and Sao Paolo.

I truly cannot thank Mr Gaunt enough for my Sclerotherapy treatment. Without this I would not be exploring the world as I am.” Cheryl

A walk-in, walk-out varicose vein treatment 

Ultrasound-Guided Foam Sclerotherapy is performed in the Outpatient clinic as a walk-in, walk-out procedure. Mr Michael Gaunt offers this to treat suitable varicose veins as well as saphenous veins causing underlying problems.

“Gently injecting the sclerosant into varicose veins, I work across the patients’ legs using ultrasound to identify exact placement”  Mr Michael Gaunt

Each patient requires a bespoke treatment plan to ensure different sized varicose veins receive the correct strength of sclerosant. One leg is treated at a time with the second leg treated a couple of weeks later if needed. A review is performed 3 – 4 weeks after a course of treatment, when further treatment is scheduled only if required.

Varicose vein treatments and clinics near you

Ultrasound-Guided Foam Sclerotherapy is just one of the treatments available at any of Mr Michael Gaunt’s varicose vein clinics in London, Cambridge and Bury St Edmunds.

If you are concerned about varicose veins, have skin changes and suffer with painful legs, contact Mr Michael Gaunt for advice and a thorough varicose vein consultation to include a venous Duplex ultrasound scan.

Private Consultation Appointments with Mr Michael Gaunt:

  • 9 Harley Street, London: 01223 305858
  • Circle St Edmunds Hospital: 01223 305858
  • Spire Cambridge Lea Hospital: 01223 266990
  • Nuffield Health Cambridge Hospital: 01223 370922

Book a consultation with leading vascular surgeon Mr Michael Gaunt for expert medical advice and treatment options contact us>

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Venous Leg Ulcers: Causes, Symptoms and Treatment

Photo: Keith Tanner

What are the risks, signs and symptoms of venous leg ulcers? Mr Michael gaunt offers his top tips on how to combat infection and the treatments available. 

Venous ulcers are painful open sores that appear around the lower leg and ankles.  Many sufferers do not realise that they can be caused by varicose veins and poor circulation. Damaged vein valves cause sustained venous hypertension when blood pressure inside your legs isn’t regulated, toxins build up and poison the skin.

“Swelling and ulceration can be caused by venous abnormalities in the leg veins such as leaky valves” – Michael Gaunt 

High venous blood pressure causes inflammation and swelling. Persistent inflammation due to varicose veins weakens the skin making it vulnerable to injury. Venous ulcers appear as skin breaks open as a sore. Venous eczema often precedes ulceration and is another complication of varicose veins where the lower leg skin becomes inflamed, itchy, flaky and discoloured in the affected area.

Venous leg ulcer symptoms

  • Painful, swollen skin on lower leg and ankles
  • Discoloured or hardened skin in the affected area
  • Open wound or sore that doesn’t heal
  • Heavy feeling in your legs
  • Bumpy enlarged varicose veins on your legs and ankles
  • Itchy, dry skin: varicose eczema

What causes venous leg ulcers? 

  • Varicose Veins: Raised veins, bulging or twisted in appearance.
  • Chronic venous insufficiency: Poor circulation allowing blood to collect in lower legs causing swelling and discomfort.
  • High venous blood pressure in your legs: Skin becomes fragile and thin, breaking open to form a sore.
  • Poor venous circulation: When damaged vein valves struggle to pump the blood back to your heart.
  • Inactivity: Lack of movement promotes poor circulation and blood flow.

Risk factors

Certain factors increase your chances of developing venous leg ulcers, including surgery, and following a fracture or break to the leg.

  • Varicose veins: Leaky malfunctioning vein valves.
  • Post-surgery: Replacement knee, leg or hip surgery.
  • Post trauma: Following a break or fracture to leg, ankle, knee or hip.
  • DVT: Previous history of deep vein thrombosis.
  • Poor mobility: Inactivity impacts your blood circulation.
  • Overweight: being overweight increases leg blood pressure. 

How long does a leg venous ulcer take to heal?

A leg venous ulcer typically takes months, sometimes years, to heal and is open to infection. A small number may never heal completely and unless the underlying venous problems are addressed you may become susceptible to repeated leg sores and ulcers.

What is the best treatment for venous leg ulcers?

The main treatments for chronic leg ulcers are compression bandages or stockings to improve circulation and Keyhole endovenous ablation treatment to treat any leaky varicose veins. read more> 

“I perform a thorough vascular assessment utilising Duplex ultrasound scan and other specialised tests to diagnose the condition and apply the correct treatment”

 Leg ulcers resistant to standard compression treatment require more specialised therapy with Manual Lymphatic Drainage (MLD). read more> 

Michael Gaunt works in conjunction with specialist therapists  to provide effective relief and treatment of lymphoedema co-ordinating MLD massage and specialised medications.

How do I manage a sore leg ulcer?

Regular care will help prevent infection and promote healing. An open sore must be kept clean. It’s important you contact your GP for regular specialist treatment and you may need prescribed antibiotics to prevent or treat an infection.

  • Keep the wound clean.
  • Regularly apply a clean dressing to the ulcer.
  • Wear compression stockings or bandages to improve circulation.
  • Remain as active as possible to encourage good blood flow.

Complications associated with leg ulcers

Chronic leg ulcers can result in additional health risks including localised infection and damaged lymph vessels causing a build-up of fluid and swelling.

  • Leg ulcer infection
  • Leg lymphoedema

Signs and symptoms of venous leg ulcer infection 

Infected leg ulcers are a serious health concern. You will need immediate treatment to fight the infection.

  • Red, hard swelling around the ulcer.
  • Weeping sore.
  • Hot skin in affected area.
  • Painful inflammation.
  • Generalised flu-like symptoms.

Signs and symptoms of lymphoedema

Lymphoedema develops when damaged lymph vessels cause a build up of fluid. Manual Lymphatic Drainage (MLD) can help promote circulation and clear toxins. Early MLD treatment can help prevent it getting worse.

  • Generalised swelling of toes, foot and leg.
  • Pitting oedema: swelling becomes indented with your finger.
  • A feeling of heaviness in the affected limb.
  • Tight swollen skin.
  • Aching or tingling feeling.

I want to treat my varicose veins before I develop a leg ulcer

If you have varicose veins and are concerned about your skin and developing leg ulcers, contact consultant vascular surgeon Mr Michael Gaunt for professional advice and a thorough vascular assessment.

A consultation with Mr Michael Gaunt 

Mr Michael Gaunt will review your medical history, and any underlying medical conditions before assessing your varicose veins using a Duplex ultrasound scan. He will talk you through the assessment, highlighting any issues and recommending a personal treatment plan; explaining any procedures needed.

Book a consultation at a clinic near you 

Book a consultation with leading vascular surgeon Mr Michael Gaunt for expert advice and treatment contact us> 

  • Harley Street, London
  • Cambridge
  • Bury St Edmunds
  • 01223 305858

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Flying with Varicose vein symptoms

Varicose veins can be problematic on long journeys. Micheal Gaunt offers his advice and support to help you manage varicose vein symptoms.

Recently featured in The Great British Life  you can read  Michael Gaunt’ professional advice to help make your holiday travelling more comfortable:  read more>

Keep moving

Travelling and inactivity needn’t go hand in hand. Making the most of every opportunity to move your legs, ankles and feet will help boost circulation and improve blood flow.

By stimulating your circulation you immediately minimise varicose vein symptoms and the risk of complications such as DVT, deep vein thrombosis.

Simple excercises you can manage whilst travelling include ankle rotations, lifting your heels off the floor, raising your legs and short walks. Repeat intermittently during travel.

Pre-flight assessment

You can book a consultation with Mr Michael Gaunt to assess your varicose veins and vascular health before you travel. He will listen to your concerns, personally talk you through any required treatments and offer his expert advice on managing symptoms.

Before travelling it’s wise to consider a vascular health assessment, especially if you suffer with painful legs and varicose veins.



Travelling with varicose veins: embark on your next adventure with confidence

Healthy legs: varicose vein treatment

Can I fly with varicose veins? Discover how to keep your legs healthy while travelling and learn valuable tips to prevent varicose veins from dampening your wanderlust.

“I paid for a pre-travel assessment with Michael Gaunt, it was the best money I spent”

Concerned about managing leg cramps and  varicose veins? From long flights to scenic hikes, we’ve got you covered. Read our blog now and start planning your next journey with peace of mind!

Walking barefoot along a beach on holiday
Photo: Lia-Stepanov

Work life balance

So many of us are setting out on new adventures as we regain our work life balance, working remotely or retiring early. The zest for life is multi-generational with retirement no longer seen as an opportunity to slow-down. Baby boomers are into self-care, active holidays, cultural tours, luxury stays and cruises, they are no longer the stay-at-home generation. Far from it.

“Nothing beats the feeling of freedom and the opportunity to see the world”

Embracing adventure at any age! 

Getting older doesn’t mean slowing down. In fact, it can be the perfect time to embrace new adventures and experiences. Whether it’s trekking through the Amazon rainforest, exploring ancient ruins in Greece, or simply relaxing on a pristine beach in the Caribbean, the world is yours to discover.

Now you can plan longer trips, take spontaneous getaways, or pursue hobbies and interests that align with your travel aspirations.

Prioritising Vascular Health

While the allure of travel is undeniable, it’s crucial to pay attention to your vascular health, especially as you age. Vascular conditions, such as varicose veins, can affect individuals of any age but become more prevalent as you get older. Varicose veins are enlarged, twisted veins that often appear blue or dark purple and can cause discomfort, swelling, and aching in the legs.

“I was anxious about flying with painful, lumpy varicose veins” 

Flying with varicose veins: before and after varicose vein treatment by Mr Michael Gaunt.
Photo: Before and after varicose vein treatment by Mr Michael Gaunt

Varicose veins signs and symptoms

Bulging, twisted faulty veins in the lower leg and ankles, allowing blood to travel in the wrong direction.

  • Raised bulging veins on skin
  • Swollen feet and ankles
  • Aching, heavy legs
  • Muscle cramps, twitching in your legs
  • Red or darkened skin over the affected area
  • Blue veins under the skin surface

Tips for travelling with varicose veins

Long hours of sitting during flights or car rides, coupled with dehydration and changes in altitude, can exacerbate vascular issues. Prolonged inactivity can increase the risks of developing DVT, deep vein thrombosis. Therefore, it’s essential to take pro-active steps to care for your vascular health while travelling.

Travelling with varicose veins top tips:

  1. Stay Active: Incorporate regular movement into your travel itinerary. Take breaks during long journeys to stretch your legs, go for short walks, or engage in low-impact exercises like yoga or swimming.
  2. Hydrate: Proper hydration is vital for maintaining healthy blood circulation. Drink plenty of water, especially during flights or in hot climates, to prevent dehydration and reduce the risk of blood clots.
  3. Wear Compression Socks: Compression socks can help improve circulation and alleviate symptoms associated with varicose veins. Wear them during long flights or extended periods of sitting to minimize discomfort and swelling in your legs.
  4. Elevate Your Legs: Whenever possible, elevate your legs to reduce swelling and improve blood flow. Use pillows or footrests to prop up your legs while resting, whether you’re on a plane, train, or in your hotel room.
  5. Choose Comfortable Footwear: Opt for shoes with good arch support and cushioning to minimize strain on your feet and legs. Avoid high heels or tight-fitting shoes, as they can exacerbate circulation issues and contribute to discomfort.
  6. Practise Healthy Habits: Maintain a balanced diet, limit alcohol consumption, and avoid smoking, as these lifestyle factors can impact vascular health. Incorporate nutrient-rich foods, such as fruits, vegetables, and lean proteins into your meals to support overall wellbeing.

Find out out to book a consultation>

Pre-travel varicose vein and vascular health assessment

Contact Mr Michael Gaunt, consultant vascular surgeon, for an in-depth review of your varicose veins and vascular health. He will personally answer your concerns, examine your legs, perform a Duplex ultrasound scan and organise a bespoke treatment plan and varicose vein surgery if needed.

Going on holiday when you have painful varicose veins?

Are you planning a holiday, but are worried about long distance travel with varicose veins? Share your experience:

Book a consultation>  Call 01223 305858 and Mr Gaunt’s administrative team will book a consultation for you.

Varicose veins during and after pregnancy – what you need to know.

Photo by Pelayo Arbués on Unsplash

Why am I susceptible to varicose veins during pregnancy?

Many women first notice varicose veins during pregnancy, when significant weight fluctuations and hormone changes impact on the development and symptoms of varicose veins. Unfortunately, broken veins and spider veins may also develop, with some mothers-to-be experiencing uncomfortable swollen ankles and suffering from poor circulation.

With the increase of blood during pregnancy, progesterone levels rise, prompting the walls of your blood vessels to relax. Your body has to work harder to return blood back to your heart, significantly increasing the risks of developing varicose veins in your legs.

Will varicose veins affect my pregnancy?

The good news is that varicose veins do not affect your baby and most certainly do not put your unborn child at risk.  However, they can be troublesome, with on-going symptoms, often worse at night and increasing as the pregnancy reaches full term.

What causes varicose veins?

Varicose veins are caused by weaknesses in veins’ valves which prevent blood flowing properly between each of the vessels. If a one-way valve fails, the blood refluxes and gets stored in the veins near the surface of the skin. This makes the vein expand, causing it to twist and protrude, presenting as a lumpy raised vein, either deep blue or red in appearance.

Top symptoms of varicose veins

  • Aching or heavy feeling in your legs
  • Painful throbbing, muscle cramping and swelling in your lower legs
  • Swollen ankles
  • Worsened pain after sitting or standing for a long time
  • Restless legs, especially at night
  • Persistent leg itching
  • Skin discolouration around the ankles

How can I reduce varicose vein discomfort?

  •  Move around as much as possible and take frequent breaks if you have to stand or sit for long periods of time
  • Wear maternity support or compression tights

What varicose vein treatments are available?

 Successful treatment depends on careful pre-operative assessment. Reviewing visible swollen veins are just the tip of the iceberg. Mr Michael Gaunt assesses the underlying vascular condition before deciding upon the most suitable treatment for each patient.

“I perform a full diagnostic assessment with a Duplex ultrasound scan to identify the problematic veins and underlying problem before recommending the best procedure and treatment plan for you”

 As one of the most experienced and respected surgeons in the UK, Michael Gaunt takes pride in delivering the highest quality of award-winning patient service and he specialises in minimally invasive treatments for varicose veins using:

  • Endovenous Laser Ablation (EVLA)
  • VNUS Closure
  • ClariVein
  • Sclerotherapy
  • Microsclerotherapy
  • VeinWave

Recommended after the birth, these procedures can be performed under local anaesthetic as walk in / walk out treatments, allowing you time to enjoy your new family with little impact on your busy lifestyle.

To learn more or to book an appointment with Mr Michael Gaunt call his specialist team on 01223 305858


Photo by Pelayo Arbués on Unsplash