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Questions and answers

"Questions and Answers"

“The Clacs technique for treating varicose veins is a new and innovative technique.” “And its success rate is high.” “And doctors have increasingly relied on it in recent years for treating varicose veins.” “In this article, we will explore the reasons why the Clacs technique is considered the best solution for treating varicose veins.”

“What is the Clacs technique?”
“It is a modern technique used to treat varicose veins and spider veins. It involves a powerful combination of multiple treatment methods, including intense laser therapy, sclerotherapy via injection, and cooling to prevent pain sensation. In Clacs vein treatment, the affected vein is treated by directing intense laser beams onto it, followed by sclerotherapy using a special solution for treating varicose veins. All of this is done while directing cooling rays to the treatment area to completely prevent any pain sensation.”
Why is the Clacs technique considered the best for treating varicose veins and spider veins?
It effectively treats varicose veins and spider veins by employing multiple techniques simultaneously, ensuring irreversible improvement.
During the session, the patient does not feel any pain due to the use of cooling rays.
It does not leave any marks on the body or the skin, as the laser used selectively targets the veins’ walls without causing any harm or damage to the skin tissues.
Varicose vein treatment sessions are conducted in the clinic. As a result, the patient can return to their daily activities within a few hours.
It does not require general anesthesia like surgery. As it does not involve any surgical incisions.
The session typically lasts from 30 minutes to an hour. Afterward, the patient can return home. And resume their daily activities without the need to stay in the hospital.
Spider veins disappear completely within 4-6 weeks. Some of them disappear immediately after the first treatment session.
“If you suffer from varicose veins,” And if traditional treatments such as laser therapy alone or injection therapy alone have failed, You can schedule an appointment for examination and permanent removal of varicose veins with Dr. Hossam El Mahdi, a consultant in vascular surgery and advanced varicose vein treatment using the Clacs technique. Where he has been able to provide all the necessary devices and technology to execute this procedure professionally and offer an innovative solution. And effectively address the problem of varicose veins

Diabetic foot is one of the complications of diabetes. And occurs as a result of high blood sugar levels and uncontrolled diabetes over long periods. Leading to damage to the nerves in the feet and impaired blood flow. Resulting in feelings of numbness and tingling in the feet And the patient may not feel if they have a wound on their foot And consequently, increasing the risk of infection, inflammation, and ulcers. and severe complications may lead to diabetic foot amputation if not treated early

But there are some preventive measures you can take to reduce the occurrence of diabetic foot complications and control them by following the following advice:
Controlling the factors causing diabetic foot. And the most important of these is controlling blood sugar levels. And controlling high blood pressure.
Adhering to a healthy diet rich in fiber and proteins. And healthy fats
Quitting smoking
Maintaining foot hygiene
Committing to daily foot examinations By the patient or someone else To note any changes in them.
Taking care to trim the nails carefully.
Wearing appropriate footwear And avoiding tight shoes
Taking care of moisturizing the feet And especially after a bath
Be sure to use cotton socks
Treat fungal infections between the toes and on the nails if they occur.
Regular visits to the doctor for foot check-ups. As early detection helps prevent any complications.
Do not neglect treating minor wounds to prevent bacteria from spreading to the surrounding tissues. And forming ulcers.
Diabetes patients must adhere to medications that help prevent blood clotting and improve blood circulation. And ensure blood reaches the legs to aid in healing wounds and ulcers.
Elevate your feet when sitting. And make simple circular movements to improve circulation and increase blood flow to the feet.
Treat wound infections with antibiotics, and use therapeutic techniques like laser or hyperbaric chamber therapy.
Take care to remove dead tissue, clean wounds, and cover them to avoid re-contamination.
“If you suffer from diabetic foot, book an appointment with Dr. Hossam El Mahdi, the best doctor for treating diabetic foot in Egypt. And specializes in the treatment of diabetic foot and diabetic foot gangrene. And the treatment of deep vein thrombosis and varicose veins with laser therapy.
What is ultrasound?
Ultrasound, or what is called duplex, is the most common type of examination that uses high-frequency sound waves to evaluate patients with vascular diseases. It simultaneously displays arteries and veins on the computer screen. An ultrasound examination is a non-invasive and painless procedure, as it does not require the use of tubes or painful needles, It also doesn’t require the use of dyes or exposure to potentially harmful radiation, and there are no known side effects or complications. Therefore, it can even be performed during pregnancy.
What are the uses of ultrasound in the field of vascular medicine?
Ultrasound contributes to the diagnosis of many vascular diseases, for the following reasons:
1- تُحدد الموجات فوق الصوتية موقع ودرجة انسداد الشريان وتصلبه.
2- Ultrasound reveals the degree of aneurysm and arterial dilation.
3- Ultrasound diagnoses blood clots in the veins.
4- Ultrasound assesses abnormal blood flow through the veins.
5- Ultrasound determines the speed and direction of blood flow.
5- It tracks disease progression in patients who do not yet require therapeutic intervention, to monitor the progression of their condition.
6- It can also be used as a tool to monitor patients who have undergone a vascular procedure, to ensure the effectiveness of the treatment plan being followed.
Are there other tests required for patients with vascular diseases?
Ultrasound is the best method for initially diagnosing suspected vascular diseases, but a specialized vascular doctor might recommend more detailed examinations, such as angiography or computed tomography (CT) scans, to establish an effective treatment plan.
How should I prepare for an ultrasound?
When undergoing ultrasound to diagnose varicose veins, please follow these instructions:
– Do not wear compression stockings for 24 hours before the examination.
Do not apply skin moisturizers on the day of the examination.
– Remove any bandages used for ulcers before the examination and replace them with a simple, clean dressing.
Remove all jewelry and wear loose, comfortable clothing to facilitate access to the area targeted for ultrasound.
Early detection of peripheral artery disease is extremely important, as it allows for appropriate treatment before the disease becomes severe enough to cause complications, such as heart attacks or strokes.
When consulting a specialized vascular doctor, he diagnostic steps begin with a clinical examination and a review of medical history and risk factors. Your doctor might request some tests to help diagnose peripheral artery disease and determine its severity. And some of the most common of these tests are:
Ankle-brachial index (ABI):
It measures the blood pressure in your lower ankles compared to the blood pressure in your arms. During this test, an inflatable cuff is placed on your arms and legs. While inflating them, a Doppler device is used to listen to blood flow, and you can also hear the pulse in the ankle arteries after deflating the cuff. “The ABI test helps evaluate the amount of blood flow to your legs and feet, which decreases in cases of peripheral artery disease. The ABI is an extremely accurate method for detecting peripheral artery disease.
Pulse Volume Recording (PVR):
is a non-invasive test that measures changes in blood volume occurring in your legs. During this test, a blood pressure cuff is placed on your legs. The cuff is slightly inflated while you lie down. The cuff is slightly inflated while you lie down. The blood vessels expand, causing changes in the volume of air inside the cuff. The recording device displays these changes in pulse volume as a waveform on the screen. Blood pressure is measured before and after exercise using a treadmill to help determine if the pain is due to peripheral artery disease or other causes. The PVR test also helps locate the area of blockage in your legs.
Vascular ultrasound:
High-frequency ultrasound is used to examine blood circulation. During a vascular ultrasound examination, a small handheld device is placed on the skin above the artery to be examined and is moved from one area to another as needed.
This device emits sound waves that bounce off the artery. The reflected sound waves are recorded, and a visual image of the blood vessel is created and displayed on the screen. This test can be used to provide details about arterial blockages, such as its location and the extent of the blockage, with the ability to evaluate blood flow speed by measuring the rate of frequency change.
Charcot foot is a condition resulting from weakened bones in the foot, which can occur in patients with neuropathy due to diabetes, This bone weakness can lead to fractures in the foot bones, “and with continued walking, the shape of the bones changes, And as the disease progresses, the joints are affected, and the foot takes on an abnormal shape, which is usually arched downward in most cases, Charcot foot is a very serious condition that can lead to severe deformity and limping, and its complications can result in amputation of the affected leg, so patients with diabetes should take preventive measures if any signs or symptoms of Charcot foot appear.
What are the symptoms of Charcot foot?
– The temperature of the affected foot is higher than that of the other foot.
– Swelling and slight redness in the foot.
– Changes in the shape of the foot, with increased flattening.
– The appearance of ulcers on the affected foot.
– Loss of the arch in the sole of the foot.
– Feeling pain in the affected foot.
How can Charcot foot be prevented?
Prevention is the most important factor in this disease, so care must be taken to avoid injury or bone fractures. However, in the event of any fractures or injury, the patient must remain rested, wear a splint for a period ranging from one to three months depending on the condition of the injury, and not put pressure on the affected foot. It is not subject to deformation or fragmentation while controlling blood sugar levels.
The primary goal of non-surgical treatment is to prevent the development of new injuries or complications in the foot and joints. If you do not begin treatment early, the possibility of developing foot ulcers is high. Therefore, wearing medical shoes reduces the pressure on the foot and skin to avoid the occurrence of ulcers. As for In advanced cases in which a significant change occurs in the shape of the foot, and the patient becomes unable to walk and practice his daily activities, the doctor may perform surgery in order to repair the bones and make the foot strong and able to bear the weight of the body.
Is Charcot’s foot amputated?
Leg amputation is resorted to in severe cases that were not diagnosed early and cannot be treated with other therapeutic methods, and when permanent ulcers occur that lead to the spread of infection and gangrene in the internal tissues of the foot.
Great saphenous vein insufficiency is the most common type of varicose veins that we see. The vein is inefficient and no longer works normally, as a result of a defect in the functioning of the valves inside the vein, which leads to blood pooling inside the vein. When the blood pool increases, swelling of the vein occurs. It is best to The therapeutic methods are thermal cauterization via a catheter. In this article, we will learn how this procedure is performed and how effective it is.
What is the thermal frequency technique to treat varicose veins?
It is a simple therapeutic procedure in which the energy of thermal frequency waves is used to treat patients suffering from varicose veins by applying heat to the varicose veins in the affected areas, and the veins shrink until they disappear completely.
What happens during the procedure?
This procedure is usually done under the influence of local anesthesia. A small needle is inserted through the skin, usually next to the knee or in the leg, and then a narrow tube is inserted into the vein. The vein, and the thermal frequency device is turned on and it is connected to a small catheter inside the vein, which in turn delivers heat to the wall of the vein. During the conduction of heat, a contraction occurs in the wall of the vein until it disappears completely, after which the catheter is slowly removed, and then sound waves are used to ensure The procedure is successful, and a dressing is placed on the small wound, then a compression bandage is placed on the leg.
How long does this procedure take and how effective is it?
This procedure takes from half an hour to an hour, and studies have shown great results for catheter treatment, as the vein is almost completely closed in all cases. They have also shown that the rate of feeling pain is much less than traditional surgery, and the patient can return to practicing his daily activities, and he can return to work after… 24 hours.
Dr. Hossam Al-Mahdi, a consultant in vascular surgery and varicose veins treatment, confirms: This method is one of the best treatment methods for saphenous varicose veins, as treating saphenous varicose veins with laser or thermal frequency only takes a short time to close the vein, and is done without general anesthesia. It also does not leave any surgical effects, and is considered the safest treatment method for the patient’s health.