Mr Jag Naik MBChB FRCS MD FRCS(Gen)
This section will endeavour to show you some of the treatments that Mr Naik offers and related background information that you might find useful and relevant to the conditions of interest to you.
The most common condition that Mr Naik treats is varicose veins. Varicose veins can affect any adult and range from small cosmetically unsightly areas to large prominent cords that snake down the leg.
For some years now, and worsened by the recent pandemic the NHS has not prioritised treatment for varicose veins except those with serious complications such as skin changes and ulcers. Regular cases, and all cosmetic veins are considered procedures of low clinical priority (PLCP) and are offered a long term stocking for daily use. This is an unfortunate state of affairs as there are treatments available for the smallest to the largest veins and hopefully an area that the NHS can focus resources on, in the future.
To achieve the best results in treating varicose veins, the first steps are to have a consultant surgeon assessment and then for them to organise a Duplex scan (jelly) by an experienced sonographer. Some doctors do their own scans but don't always have access to a professional machine which is much more powerful and hence accurate than a basic laptop type. The Duplex scan then provides a road map and allows accurate safe treatment. However, here is where the skill of the vascular surgeon becomes critical in determining which of the numerous techniques is best for an optimal result. An important consideration in the process is informing the patient so that a frank and honest understanding of the procedure can be gained, and the individual has time to think and chose what they want and decide if private treatment is something they would like to consider. Almost all procedures can be done as a daycase or office-based episode, even for large veins where a micro cut may yield the best cosmetic results, long term. All surgical interventions need time to heal and time to attain the very best outcomes and it is the duty of an experienced surgeon to inform you of the post treatment road map and guide you to the end of the treatment and not just the intervention.
Check out this great video
Varicose veins generate abnormally high blood pressures in the leg veins (venous hypertension) because the valves are broken and this can subsequently lead to skin damage. The first manifestation of skin damage is brown pigmentation around and above the ankle. This can become permanent and progressive without appropriate intervention.
The treatment types include catheters that heat-shrink the veins painlessly after local anaesthetic use, laser heat-treatment, foam injections (good for medium veins but not large ones), microcuts, and occasionally vein stripping.
Even the best surgeons have to deal with complications (their own or those of others) and this is where experience plays its part. The most common issue is infection and this needs prompt identification to treat to get back on track.
This image, of their leg veins was taken by David, a varicose vein patient and an engineer with access to a professional thermal camera. The fascinating image that he shared with Mr Naik, his vascular surgeon shows the skin effects and heat of the right leg compared to the left because of large veins, which was the reason for the heaviness, swelling and skin damage that David was suffering. He has been since been treated and was delighted with the procedure. We await his follow up and an updated image of the improved right leg.
(Permission for image use provided by patient)
This is a major area of work for vascular surgeons and they are expert in dealing with leg arteries. These can be affected by a number of conditions that can lead to narrowing or blockage. These problems can lead to cramp on walking ( intermittent claudication) in the calf, thigh or buttock, pain in the toes, swelling of the leg or if advanced discoloration and ulcers. The more serious end of the spectrum needs prompt care and the National Institute of Healthcare Clinical evidence (NICE) has suggested standards for time to treatment as the sooner the assessment the sooner appropriate care can take place.
Treatments range from optimised best medical therapy and lifestyle changes to keyhole endovascular interventions to reconstructive operations. Mr Naik has experience in the full range of options and is known for the quality of his work.
This is another index procedure of work for vascular surgeons and they work on carotid (neck arteries). Disease in the carotids is removed (endarterectomy) for stroke prevention. Mr Naik is the carotid lead surgeon in his department and has one of the lowest complication rates in the region. Please have a look in the UK Vascular society website to check his figures.
Mr Naik has been managing aortic disease for over a decade and knows the full range of options for assessment and treatment. Treatments for these conditions are complex and involve large teams mostly in the NHS. However opinions both primary and second opinions are available and treatments can be explored.
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