Leg Venous Disease

A review of peripheral venous disease.
0:00 Veins and venous disease
0:27 Causes of chronic venous insufficiency
17:59 A column of blood causes raised venous pressure
23:02 Clinical features of chronic venous insufficiency
45:15 Chronic venous insufficiency and tissue viability

[@vaishnaviramakrishna265]

Honestly searched for many videos across youtube to gain some basic knowledge about the theories behind the chronic venous hypertension and I will say this for sure now.... YOU ARE THE BEST sir! Thank you!

[@jimb8830]

MAGNIFICENT Presentation. Articulate, easy to understand, SO importantly informative! Thank You! August 2023

[@jazzlikesyoochoob]

i can’t tell you how much i appreciate your videos. they got me through my biomedical science degree and now they’re getting me through medical school. i love your tone and your pacing. thanks so much for being such a great contributor to medical education :)

[@yogawithkali1528]

This was an absolutely beautiful review.

[@pobox411]

Used to be a medical student and I find your lecture very helpful, thank you for your time and sharing this very important knowledge about venous insufficiency and the other pathological issues associated such as ulcers and the likes that you have mentioned as secondary and conversely , THANK YOU!

[@Campbellteaching]

Leg ulcers are a common problem unfortunately.

[@cindybogart6062]

Thanks for this!! Never had it explained so clearly.

[@jhejanx]

Doctor so nicely explained.... Students must have been very lucky to have such a brilliant teacher

[@amaris3848]

This is magnificent!! You're wonderful!!! Thank you!! You've really helped me understand like never before!

[@dwaynehenry8337]

So awesome listening to this lecture as a newly diagnosed. I'm also worried a whole lot at my age

[@CoffeeWineAndWater]

Hello, I am newly diagnosed and found your comment after 2 years. I am also worried at my age as well (51), did you have treatments and how did it go?

[@inorigomez7321]

Excellent lecture!!

[@romulobanaag5314]

Awesome!!! I'm a NP and I find this video very informative abs well explained!! Thank you Dr. John

[@JamesSBunting]

A really great Teacher!

[@rameedmobark4205]

thanks alot dr.john its the most helpful lecture

[@hayahmed5057]

one of the best explanation in my life thank you very much sir

[@suvershagupta2080]

Thanku sir! Highly appreciate the amount of effort u hv put to explain the topic 😇

[@DivineMisterAdVentures]

VERY IMPORTANT: Also at least one other factor, I'm trying to investigate, which is the blood itself, it's viscosity and other factors, that may preclude efficient return. Also would like a video looking at anti-clotting efficacy, other than EDTA which is well covered. Hint: Focus on Lumbrokinase.

[@srirambhardwaj2343]

Very.informative.and.expensive.lecture.thank.you.sir.

[@junczhang]

very good video. thank you very much!

[@genevievebourne3073]

Some people have the gift of being able to communicate simply about very complicated matters (think E=MC squared). Dr. Campbell is clearly such a one. Brilliant!

[@laurajanelewington5966]

Absolutely wonderful video! I’m a new district nurse and leg ulcers are my bread and butter so I wanted a thorough understanding of the pathophysiology and this was just perfect. Thank you!

[@jafshinafshin6312]

Hi I appreciate the doctor explaining the whole problem with the blood circulation. Any one knows what’s the doctor address and his contact no please. As my son have serious similarity problem and I need his help for treatment for my son. Please replay to me as soon please. My name is Iraj my email is jeshin886@gmail. com And my tel no is 07405225375. Thanks

[@eveoakley6270]

Well meaning NHS leg ulcer nurses are still treating venous leg ulcers just like they did one hundred years ago. You shouldn’t be just managing the symptoms, you need to be advising them that they can have the underlying cause treated and referring them to a Vascular Service. I had two large incompetent truncal veins and four incompetent perforator veins treated at a specialist vein clinic in London by a Vascular Specialist, who is also a Vein Scientist (Phlebologist) it was the best money I ever spent after suffering with horrific venous ulcers through a past, long misdiagnosed DVT in my left leg and I haven’t looked back since. I have met people who have suffered forty years with venous leg ulcers, going back and forth to one of these clinics, who are now cured because of my experience. Incidentally I was rated a C6, which was just about the worst you could get. The Professor who’s clinic I had my treatment at actually pioneered Laser surgery and performed the first surgery in 1999. The NHS has this procedure written into their NICE Guidelines yet they will not offer it to any of these poor leg ulcer suffering patients. Even if they did offer it the NHS do not employ Phlebologists they only employ general Vascular Surgeons who are NOT Phlebologists and are unable to work on Perforator veins. It really is a travesty because the NHS spends 3 billion per year on these clinics, which is an absolute travesty.

[@nicholefrancis8767]

Brilliant! Thank you so much!

[@shashimoghe3920]

Thanks dr john Campbell sir for such a nice and easy explanation of the topic 11/06/2022

[@daustin439]

Please stop saying “patients complain”. If we bring it up, it’s because it hurts or makes us concerned. Doctors can have a bad habit of anything not good as a complaint. They are opportunities to help us and to help them with the knowledge of tending to someone with this condition.

[@maryr7593]

Unfortunately I think in medical terms, the words they use are complaints. If you look at dr notes in electronic medical records, it will say list of complaints as far as the visit. If you say no to a question, the dr will say patient denies x, y, z. It's unfortunate they use the word in this way but medicine has a long history and back then you wouldn't see a dr unless you had a problem. Suggest other words...

[@latifatolusesi9453]

Great video thanks for sharing the important informations which I find very useful 🙏👍🏾

[@declanbeattie6201]

Finals soon. This is helpful, thank you!

[@jafshinafshin6312]

Hi need doctor address please. Any one can help? My email is [e-mail]

[@ABC-fv7ow]

Excellent presentation 🎉

[@mohanaapriyad1882]

Ty so soo much sir that's really helpful and understandable

[@ranaelreedy5753]

Thank you very much doctor🤗

[@gulnaram.6145]

Thank you Doc soo much!!

[@limitetituimana3837]

Thank you 😊 ❤️

[@Levandetag]

Thank you!

[@francampbell4097]

Thank you!!!

[@HektorBandimar]

That is the best description I have ever seen regarding Chronic venous insufficiency, thank you. I have had this condition for several years now, I have quite severe hemosiderosis and eczema on my lower legs. I wonder should I seek a vascular surgeon for laser and foam treatment, I have seen some surgeons advertising on KZbin, I would dearly love some relief from this condition.

[@toma.6942]

Did u get treatment?

[@HektorBandimar]

@@toma.6942 Not yet, I'm still seeking for the right Doctor to treat my condition.

[@toma.6942]

@@HektorBandimar same. I been to two vascular surgeon one in 2021 but it was so rushed I felt uneasy and postponed it. He closed his practice 2 months later. Next one I waited 6 months for. I only got to see the nurse. That was Jan he sent me a letter in March saying he no longer works for hospital. I don't know what to do

[@HektorBandimar]

@@toma.6942 I saw a vascular surgeon and he said there was nothing that could be done to improve the redness and skin condition in my lower legs, he prescribed me surgical support socks up to my knees, fat lot of good that did.

[@toma.6942]

@@HektorBandimar I don't have that yet I have varicose veins... But I'm very apprehensive about the procedures to remove. When I hear stuff about cvi and amputation I get really scared to be honest. Vitamin e cream can help any moisturizer Vaseline I read can help

[@seyedomidhashemifard7187]

Fantastic

[@DivineMisterAdVentures]

By the end of this video it's clear that amputation becomes the only viable option. But I have also treated someone using a paste of precisely those missing elements that you detail, and 1-2% antioxidant, and 20% or so DMSO and 10% ethanol. The severe contusions that would have produced virtually the entire late stage effect if left untreated, but this in the arm and hip with a hospital patient (64 YO female) - it all vanished within 48hours. So this is prior to the scarring becoming permanent. Then worth trying in a chronic case (my own) adding something like Lumbrokinase locally - world reverse some of the long-term damage by digesting fibrin based scar tissue. Of course there are always side-effects to consider - but amputation cannot be the only outcome.

[@toma.6942]

How often does varicose veins end in amputation? If you have cvi

[@eveoakley6270]

@@toma.6942there are now procedures available that can cure or the very least HUGELY improve CVI. I have had this done after mine was caused through a long misdiagnosed blood clot in my left leg through the contraceptive pill. Look up Professor Mark Whiteley.

[@bayadsaeed3835]

thanksp

[@andrewogang7905]

You are my best

[@sg5368]

I had brown colourings on back of my knees 4 years ago when on a prolonged bedrest. they cleared up in time though.

[@phartsky]

As a patient, this makes so much sense!! Thank you!!

[@eveoakley6270]

There are now treatments out there that can cure or at least greatly improve venous insufficiency. It’s a shame that many do not know this.

[@phartsky]

@@eveoakley6270 You've stated this twice.. please elaborate.. add links.. please.

[@dwaynehenry8337]

Ive just been diagnosed at age 41. I really need some help and directions with this. Just the shock of it all is hurting ... Together with the pathology of it all.

[@patrickmorrissey9146]

what treatments do you recommend, stripping ?

[@mrc4912]

I got this crap around 15 years ago (I'm currently 78 YO) and it seems like it's impossible to get rid of. I quit drinking 10 years ago, never smoked in my entire life but now, I seem to be stuck with this garbage. I even had to be treated at the Wound Center for several months because I developed a foot ulcer that looked scary. I have some heart issues (AFib) and also have bad varicose veins on my 'bad leg' (it seems to only affect my left leg/foot). But this stuff is no joke, for sure.

[@toma.6942]

Did u ever go to a vascular surgeon? So it's definitely not worth getting older with this asking for my own sake

[@genevievebourne3073]

I'm in California, USA, having radio-frequency ablation of the great saphenous vein treatments. Just had the first of what I think will be two on the left leg and one on the right. Hoping for the best. It's done on an out-patient basis and takes about one hour. I didn't need any pain medicine, but it was offered. Maybe something you can get. Like you, I have Afib, for which I take a blood thinner. I've also got PAD that was treated with stents. Lots going on when we're lucky enough to get old!

[@srhu-103-harneetkaur2]

Thankyou sir. Sir could you explain the color change from alba dolens to cerulea dolens?

[@DivineMisterAdVentures]

I spent days looking for this explanation to get at the root cause of the tissue changes in pitting edema and just could not find it. This is what I needed. Only sorry I could not find it sooner. Now, I am sure you agree, to move into the repair arena by all means of science and integrative medicine.

[@nancykennedy8982]

very interesting but I still don’t no.. should I wear support hose

[@jhejanx]

Doctor I'm suffering from this disease..... Searched so much articles...... Can you suggest about taking bioflavonoids like aescin, diosmin, hesperidin.........? Does it helps?

[@shahwaliafghan102]

Long life Dr John Campbell

[@Campbellteaching]

God willing, for both of us.

[@jafshinafshin6312]

Dr. John Campbell Hi Doctor can you please contact me as my son need treatment regent. My name is Iraj and tel no 07405225375 and my email is [e-mail]. Regards Iraj

[@dwaynehenry8337]

@@Campbellteaching Hi Dr. At age 41 I've just been diagnosed but I've had symptoms for some time now. I'm fretting about it and I really need some experienced help to begin treatment. I now realize after watching your video that my high levels of bilirubin coming from some years ago may be directly linked to my venous insufficiency. Sigh. I need help ASAP

[@sg5368]

I had sudden onset inflammation and started deep vein reflux years ago. both my legs. chronic and advanced vein insufficiency. 5 years later I got in my both arms same symptoms now. not progressing in years, it just started as Sudden. I am so perplexed now. 100% sure this is autoimmune but how and what causes this so overwhelmed now as the stories I read are not congruent to mine and dont know what to do or eat. wonder if it is celiac??? wish I had gone gluten free years ago. or maybe I used iron supplements now for 2 months 80mg a day wonder if iron inflammation made it this time????

[@toma.6942]

Why do we have valves in veins in the beginning. But if you have a gsv stripped and if neovasculazation occurs. Why does the gsv grow back with out any valves at all

[@maryr7593]

@dr john campbell, regarding the reduced waste products, could this contribute to becoming sensitive to chemicals? (Mast cells behaving errantly thinking that chemicals (perfumes, smoke, cleaning products, deodorants, etc) inhaled usually are invaders and thus producing allergic like reactions?) Also can you discuss how a tissue disorder like Ehlers-Danlos Syndrome could complicate venous insufficiency? Pls Your videos are so well explained, it would be awesome if you could explain more things.

[@marjorieking1402]

What does it mean leaky veins

[@karensheridan4682]

I have a red rash on lower right calf I was given fucibet cream and strong antihisterme for itching Dr said it was a allergy or infection meds never worked why didn't I get antibiotics for bacterial infection is it caused by worms

[@jeanmulligan4168]

Ultrasound any use doc for champagne leg

[@toma.6942]

So nothing can be done once you have this? why is it that it manifests in different ways?? Some get varicose veins some don't ylhave any visible veins... Yet have swelling and skin changes. Some have visible veins yet none of that yet. If im doomed i need to know for plan b. Hello??

[@nancykennedy8982]

It sounds like I am way sicker than I thought😳

[@cherry-annfrancis-lau3392]

In addition I have neuropathy, when I put my legs down the burning stops, so now I am not sure what to do. Put up legs or put down legs

[@jaydenwilliam7155]

I was cured within 14 Days with pure herbal treatment by an herbalist Dr WINA on KZbin, link:kzbin.info/door/LdMmK0VN_tquimOG-9t7Dw.

[@annmariemorgan8518]

Damn I didn't know that Back Pressure could cause so many damage

[@eveoakley6270]

Venous insufficiency can now be cured or at least greatly improved.

[@nicholep7559]

Wow this is amazing it really helps me understand so much just diagnosed with venous insufficiency I also have cold hands and feet I'm not sure if it has to do with venous insufficiency does anyone know if this condition can make your feet and hands cold all the time I'm about to have a endovenous laser ablation evlt done just waiting for approval of my insurance

[@eveoakley6270]

Let’s hope you have the correct veins identified and treated. Many vascular doctors can only treat large truncal veins, and most of the time this will suffice, but if you also have perforator (small veins) damage and they are not treated at the same time, your problem will only come back. I hear many times ‘I had laser treatment but it did not work’ that is the reason, because the correct damaged veins have failed to be identified. I’m from the UK and have been through all this. Our NHS failed to identify the correct veins to be treated and it did not work. I discovered that our NHS does not employ Phlebologists (vein scientists) they only employ vascular surgeons who can only work on large veins. I ended up having to pay privately at a clinic in London, completely independent of our NHS. In 2018 I had Endovenous laser ablation therapy together with Transluminal Occlusion of 4 damaged Perforators, followed 8 weeks later by ultrasound foam guided sclerotherapy. Best money I ever spent and have not looked back.

[@toma.6942]

Make sure it's treated by a vein specialist. So e vascular surgeons only treat arteries mostly. I've heard some scary stories after treatment

[@malwaicreations3082]

Hlo... I'm having red rashes on my leg... Nd I hv done my doppler test ... My sfj is incompetent in right leg and in left leg my lower valve is incompetent Do u hv any solution?

[@AB-cn6iu]

I'm 31 and I've had this for 12 years. Is there anything you can do to help me? I wear class 2 compression and have had 4 leg ulcers too. I'm based in London.

[@dwaynehenry8337]

I'm 41 and I'm just diagnosed. Apparently it was there silently building up until my legs started swelling every day now. I too need a lot of help right now .

[@toma.6942]

​@@dwaynehenry8337 is there anything that can be done??

[@dwaynehenry8337]

I am not sure. I am just taking my time to learn my body's responses to the condition. I removed peanut from my diet because I believe it has a negative effect on the condition. Otherwise, I just play some football now and then to increase blood flow and watch it. Otherwise I just ignore it since i am not sure how to get rid of it . And I don't want to be stressing over it either.

[@toma.6942]

@@dwaynehenry8337 yeah I hear ya I changed my diet also. Didn't know peanut were bad though. I really don't want to do the procedures.

[@nicolecross4834]

how do you treat extreme enema with skin break down am extremity worried my legs will ulcerate and loose my legs

[@Campbellteaching]

Do you mean oedema (or edema in American English). Hopefully your Doctor can diagnose if the oedema is caused by venous disease and if it is prescribe the correct compression therapy. Doctors can also check if there is a systemic cause for any swelling. Is it worse in one leg or are both legs swollen?

[@eveoakley6270]

Your doctor should be sending you for an Endovenous Duplex Scan. Then determine which veins need treatment. If the underlying cause is treated you should not need compression. I’m from the UK and have been through all this and more. Unfortunately here in the UK very few patients get sent to expert doctors who do these scans that show that your venous insufficiency can be cured. Thus the end up just being offered compression hose or if they have ulcers end up having maggots or honey, which only effects the surface and not the underlying cause.

[@krugmeister7301]

Just eat Healthy and AVOID SMOKING AND FAST FOOD JUNK..😑😑👏🏻👏🏻💪🏼💪🏼💪🏼💪🏼💪🏼💪🏼💪🏼💪🏼💪🏼

[@sg5368]

haemosiderosis...