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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.

Duplex ultrasound scanning before Microsclerotherapy. Is it mandatory or should it be selective?

  • Wednesday

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
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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.
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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.
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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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Microsclerotherapy-Training-Masterclass

  • May 16

Microsclerotherapy: A Practical Training Guide for Doctors and Nurses Learning to Treat Spider Veins

Microsclerotherapy guide for doctors and nurses: learn safe sclerosant use, precise injection technique and aftercare to treat leg spider veins effectively.
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profitable-cosmetic-vein-practice-mentorshiip

  • May 13

Profitable Cosmetic Vein Practice Mentorship: How Clinicians Can Launch and Scale Microsclerotherapy & Facial Vein Treatments by Short Wave Diathermy

Mentorship can accelerate the journey from novice to launching a profitable cosmetic vein practice treating leg and face spider veins
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15-essentials-every-medical-website-needs

  • May 6

“The One Vital Element Most Private Medical Websites Miss: Serving Patients and AI Search”

Discover 15 essentials every private medical website needs in 2026 to build patient trust, work with AI search and turn more visitors into paying private patients.
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EVRA-Trial-Venous-Leg-Ulcers

  • Jan 31, 2025

The EVRA Trial: 7 Years Later, Are We Finally Getting Venous Leg Ulcer Treatment Right?

  • Haroun Gajraj
  • 0 comments

If you treat venous leg ulcers you know about the EVRA Trial. It was published nearly 7 years ago in the New England Journal of Medicine and nearly every publication since makes reference to it.
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What-Causes-ankle-Veins

  • Nov 30, 2024

Ankle Veins: More Than Just a Cosmetic Issue

  • Haroun Gajraj
  • 0 comments

Ankle Veins are More Than Just a Cosmetic Issue. Venous insufficiency in the lower limbs is not merely an aesthetic issue. If left unmanaged, it can lead to a cascade of complications
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Class-tria-vein-treatment

  • Oct 8, 2024

The CLASS Trial: Why This Vein Study is Misleading Doctors and Patients (My Own Personal Opinion)

  • Haroun Gajraj
  • 0 comments

Can we trust published medical research? The CLASS TRIAL, a cornerstone of vein treatment, raises serious questions about the reliability of medical studies.
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  • Sep 3, 2024

Professor Campbell's unwavering support for Cyanoacrylate Glue left me AMAZED 😮

  • Haroun Gajraj
  • 0 comments

Is Cyanoacrylate Glue the Future of Varicose Vein Treatment? Discover why Professor Bruce Campbell, a leading UK vein expert, strongly advocates for this method despite the ongoing debate.
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intra-arterial-inection-during-sclerotherapy

  • Aug 26, 2024

The Hidden Dangers of Sclerotherapy: New Guidelines for Medical Practitioners

  • Haroun Gajraj
  • 0 comments

While inadvertent intra-arterial injection is a rare complication, it's crucial for medical practitioners to be aware of the risks and know how to manage this adverse event
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