News, Updates and Opinion

I regularly post about:

  • the business aspects of running a successful and profitable healthcare clinic

  • my educational and training activities

  • updates on treating veins

I hope they interest you and that the information benefits you in your practice.

I am always delighted to receive your comments or opinions, please get in touch.

Graphic titled "How to Choose a Microsclerotherapy Training Course in the UK: A practical checklist for doctors, nurses and aesthetic practitioners" by Dr Haroun Gajraj | VeinCare Academy.

  • Wednesday

Best Microsclerotherapy Training Courses in the UK: 2026 Comparison & BAS Standards Guide

An independent 2026 review of UK microsclerotherapy training providers evaluated against the British Association of Sclerotherapists (BAS) draft standards. Explore a complete breakdown of active course providers across five categories—from regulated medical-only courses with named trainers to non-medical entry and theory modules. Learn how entry requirements, trainer patient volumes, CQC venue status, and practical assessments vary across the market before booking your training
Post-sclerotherapy pigmentation prevention and management strategies

  • Jul 29

Preventing and Managing Post-Sclerotherapy Pigmentation (Brown Staining): Evidence-Based Algorithm

  • Haroun Gajraj

An evidence-based clinical guide to post-sclerotherapy pigmentation (PSP). Review risk factors, 6 prevention strategies, and a staged management algorithm.
Featured header graphic titled "Topical Agents for Post-Sclerotherapy Pigmentation" with a patient quote box reading '"What cream will get rid of this?"'. The graphic features a clinical photograph of a leg showing post-sclerotherapy brown staining and hyperpigmentation following spider vein treatment. VeinCare Academy article header.

  • Jul 22

Topical Agents for Post-Sclerotherapy Pigmentation: What the Evidence Supports

Topical agents for post-sclerotherapy pigmentation: a clinical review.
The ankle is a bad place to start learning Microsclerotherapy.

  • Jul 15

Why the Ankle is a Bad Place to Start Learning Microsclerotherapy

This review is written for healthcare professionals learning Microsclerotherapy for leg telangiectasia. It looks at spider veins around the ankle, why this site behaves differently from the rest of the leg, and why it is a poor place for a beginner to start injecting.

  • Jul 8

How to Choose the Right Needle for Radiofrequency Thermocoagulation: A Clinician’s Guide

Which Needle for Radiofrequency Thermocoagulation? A Practical Guide for Clinicians | VeinCare Academy Meta description: A practical clinical guide to electrolysis needle selection for radiofrequency thermocoagulation of facial and leg telangiectasia, covering probe anatomy, shaft sizing, insulation rationale, and the evidence behind common practice recommendations.

  • Jul 1

Is 4 MHz the Optimum Frequency for Radiofrequency Thermocoagulation of Spider Veins?

Clinical review of 4 MHz radiofrequency thermocoagulation for spider veins. Compare devices and explore adjuvant microsclerotherapy evidence
Is laser the best treatment for my leg spider veins? A question that's often answered by patients. This blog is a comprehensive review of the published evidence.

  • Jun 24

Is Microsclerotherapy Still the Gold Standard for Leg Thread Veins? A Review of the Evidence and Alternatives

An evidence-based clinical review of microsclerotherapy alternatives for leg telangiectasia & reticular veins, covering laser, RF, CLaCS, and IPL frameworks.
Why Some Spider Veins Resist Microsclerotherapy: The Role of Vessel Size and When to Change Your Approach

  • Jun 17

Why Some Spider Veins Resist Microsclerotherapy: The Role of Vessel Size and When to Change Your Approach

  • Haroun Gajraj

A clinical evidence review for healthcare professionals on why some leg telangiectasia resist microsclerotherapy, how vessel size determines treatment response, and when to consider radiofrequency thermocoagulation as an alternative.
Duplex ultrasound scanning before Microsclerotherapy. Is it mandatory or should it be selective?

  • Jun 10

Do You Need a Duplex Scan Before Microsclerotherapy? A Review of the Evidence

  • Haroun Gajraj

A clinical evidence review of whether duplex ultrasound scanning is required before microsclerotherapy for leg telangiectasia, covering guideline positions, reflux prevalence, and a selective screening policy for clinicians
Dark navy slide with yellow headline reading 'Why Sclerotherapy Alone Isn't Always Enough for Leg Spider Veins.' Three key points highlight RF thermocoagulation for fine veins under 0.5mm, microsclerotherapy for reticular feeders, and the Diken 2021 RCT showing better outcomes with combination therapy. Right panel lists four clinical limitations of sclerotherapy alone, with a yellow callout: 'Solution: RF + Sclerotherapy — treat every vessel, every size.' VeinCare Academy branding throughout.

  • Jun 3

Combination Therapy for Leg Spider Veins

  • Haroun Gajraj

Combining RF thermocoagulation with microsclerotherapy treats the full spectrum of leg spider veins — including the fine vessels sclerotherapy alone cannot reliably reach.
Microsclerotherapy technique, aftercare, and how to reduce complications

  • May 27

Microsclerotherapy: Technique, Aftercare and How to Reduce Complications

Evidence-based clinical guide to microsclerotherapy: sclerosant choice, technique, compression, pigmentation and complications for healthcare professionals seeking safer, better outcomes.
Dr. Haroun Gajraj explaining how to prevent brown marks after sclerotherapy in a VeinCare Academy video

  • May 20

Brown Marks After Microsclerotherapy:Causes, Prevention and Treatment.

  • Haroun Gajraj
  • 0 comments

A comprehensive clinical guide to post-sclerotherapy hyperpigmentation for healthcare professionals. Covers incidence, haemosiderin and melanin pathology, 6 prevention strategies, and evidence-based treatments including deferoxamine and laser.

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