Prehabilitation services by Richard Evans Vascular, New Zealand, helping patients prepare their bodies before surgery to enhance recovery and improve outcomes.

Prehabilitation – is a thing – you may love the results

Prehabilitation – or prehab may help prepare your body before a treatment or surgery.

It can help reduce the impact and improve the tolerance of surgical treatments. Enhancing a patient's physical condition may lead to better post-operation recovery, less pain and better outcomes.

By improving muscle strength, flexibility and cardiovascular fitness, recovery after surgery or treatment is often faster. Stretches and mobility exercise also mean less stiffness and soreness after a treatment.

Doing prehab may help show up other health issues

Prehab may help show up any other health issues, such as high blood pressure, diabetes or obesity. All can increase the risk of complications during arterial surgery. As well, patients having arterial treatments may have other conditions such as peripheral artery disease (PAD), diabetes or obesity. Prehab may help manage these conditions through lifestyle changes, which may improve outcomes.

What will help a patient with lymphoedema?

For a patient at risk of lymphoedema, or who already has lymphoedema, lymphatic drainage by gentle exercise, movement techniques or manual massage can help reduce the severity of symptoms and help prevent certain complications.

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Manual massage can help reduce symptoms.

Exercises of movement and using strength can help with lymphatic drainage. This helps to remove waste products, toxins and fluids from the body, reducing the risk of swelling and inflammation post treatment.

What is Manual Lymphatic Drainage (MLD) for prehabilitation?

Manual Lymphatic Drainage (MLD) is a specialised massage to stimulate the flow of lymphatic fluid throughout the body and is used for prehab. It is especially helpful for patients with lymphoedema as it promotes fluid to drain away from areas where it collects.

Therapists use gentle, strokes and light pressure to stimulate the lymphatic vessels and promote the drainage of lymph fluid. The massage is usually directed towards lymph nodes, which act as filtration stations where lymphocytes (a type of white blood cell) can remove toxins and foreign bodies from the lymph fluid.

Doing exercise before a treatment or surgery will give patients some control over their results and recovery.  Longer term the patient may be more likely to add exercise to their daily life and so get the benefits of a healthier lifestyle into the future.


Sclerotherapy treatment for varicose veins and spider veins by Richard Evans Vascular, New Zealand. Minimally invasive solution to improve vein health.

Is it sclerotherapy you need to fix your veins?

Using sclerotherapy the surgeon treats small varicose veins and spider veins. It means injecting a solution, known as a sclerosant, right into the affected veins. The sclerosant irritates the lining of the blood vessel and it swells and sticks together. Over time, these veins will fade.

When does the surgeon use sclerotherapy over other methods?

Most often our surgeon will give these injections straight after varicose vein treatment with Venaseal®. Treating the smaller visible veins. Sometimes you will need another lot of these injections.

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Mostly the surgeon uses sclerotherapy after varicose vein treatment

The choice between sclerotherapy and Venaseal (a medical adhesive that shuts down the varicose vein by glueing the walls together) depends on the size and where the varicose veins are. Ultimately, our vascular surgeon will decide the best option for patients. The first step is to book the patient in for an ultrasound scan. This will give the surgeon a map of the patient's veins. Because varicose veins are not always able to be seen.

Sclerotherapy will be used to treat smaller veins, while Venaseal will be used to treat the ropey varicose veins you see on the surface. Usually on the legs.

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Sclerotherapy is suitable for treating smaller veins.

Recovery time for both treatments is much the same, with little down time. Some side effects may be bruising, redness and a little pain where the injections went in. Sclerotherapy are injections into the veins. Venaseal will start with a local one but there are no others.

How can it improve the appearance of small veins?

Sclerotherapy can improve the look of varicose veins and spider veins and help reduce aches and pains. As well as other symptoms like puffy legs. Also, when other things such as wearing compression stockings and making healthy lifestyle changes (like doing more exercise and keeping to a healthy weight) don't help. However, it's vital to talk with a vascular surgeon to find out if sclerotherapy is what you need.