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Enquiry/Appoinments: +91-974 660 0600 / 2941000


KIMS Hospital, Pathadipalam, Changampuzha Nagar Post, Edappally, Cochin - 682033
KIMS Specialty Clinics

1. KIMS HEADACHE CLINIC- Multi Disciplinary Headache Management

Headaches may be caused by several contributory factors and at times may not respond to one single modality of treatment. Hence it becomes important to work with more than one specialist clinician to develop an effective and individually-tailored treatment plan. The Headache Clinic involves several clinicians, all highly experienced in their different fields, working together to develop a different, more comprehensive way of managing headaches. By pooling their professional expertise and experience, they are able to offer a new, integrated approach, recognizing that, by working together, they could help patients who could not be 'cured' by any one clinician working in isolation.

The Headache Clinic is set up specifically to manage patients needing a multi-specialist approach. We assess each patient both as a whole, and also look in detail at Neurological, Ear Nose Throat – Head & Neck , Psychological, Ophthalmological and whenever indicated - dental aspects using our individual expertise.

We offer a full multidisciplinary approach for complex cases.

Who would benefit ?

Patients with long term recurrent headaches that have not responded to treatment in the past would benefit from the multidisciplinary team approach as they may have failed multiple prior treatment attempts and the headaches may be very severely impacting their daily living. The major aims of multidisciplinary treatment programs are to inform and educate patients better in handling headache and to improve therapy in order to reduce headache frequency and enhance quality of life.

 What to expect at the KIMS Headache Clinic :

Once you register there would be an initial screening –

  •     Nurse administrated questionnaire
  •     Neurologist consultation
  •     ENT Consultation
  •     Psychiatry Consultation
  •     Ophthalmology Consultation
  •     Additional specialist consultation

Continuous follow-up after the initial diagnosis and initiation of a multidisciplinary treatment plan can also be recommended for improving the outcome.


Varicose veins are caused by increased blood pressure inside the superficial leg veins. Two main types of veins are present in the legs. Superficial veins are near the surface of the skin, whereas deep veins are located in the muscle tissue. Varicose veins occur in the superficial veins in the legs. In contrast, deep veins lead to the vena cava, a large vein that transports blood to the heart.

The blood in the veins of the legs works against gravity in order to return upwards to the heart. When the leg muscles contract, the valves close, there by allowing the blood in the deep veins to go towards heart and when the muscle relax, it opens up to allow the blood to flow from the superficial veins to the deep veins.

When the one-way valves become weakened or damaged, blood can collect in the veins, causing the veins to become enlarged. Sitting or standing for long periods can cause blood to pool in the leg veins, increasing the pressure within the veins. In persons who are prone to varicose veins, the veins can stretch as a result of increased pressure. This stretching of the veins may weaken the walls of the veins and damage the valves. Thick varicose veins or spider veins may result.

Other factors that may lead to weakened vein valves and the development of varicose veins include obesity, aging, leg injury, pregnancy, smoking, hormones, and heredity (being born with weak vein valves). While varicose veins are not considered a severe medical condition, venous insufficiency is neither uncommon nor benign. They can be uncomfortable and can lead to more serious problems such as phlebitis (inflammation in the leg) or blood clot. Varicose veins can also be a cosmetic concern to some people.

Varicose veins, because they occur in superficial veins, are not generally linked to a serious condition called deep vein thrombosis (DVT). However, with severe varicose veins, there is an increased chance of developing DVT. DVT requires immediate medical attention. Symptoms of DVT include sudden, severe leg swelling and can result in blood clots that travel to the lungs, brain or the heart (embolism).

Treatment for varicose veins:
Specific treatment for varicose veins will be determined by your physician based on:

  • Your age, overall health, and medical history
  • Extent of the condition
  • Your signs and symptoms
  • Your tolerance of specific medicines, procedures, or therapies
  • Expectations for the course of the condition
  • Your opinion or preference

Medical treatment may not be necessary if there are no symptoms. However, varicose veins may sometimes worsen without treatment. Treatment for varicose veins involves both surgical and nonsurgical approaches.
The examination for Varicose Veins is done by taking an Ultrasound test. This test confirms the superficial, malfunctioned veins along with ruling out deep venous reflux and excluding DVT.
Before the innovative technology, Varicose Veins used to be treated with surgical stripping of the dilated faulty vein. That was the only treatment available in past. But as times have changed, there are minimally invasive treatments like Laser ablation and Radiofrequency Ablation, which are now considered to be the best choice of treatment.
The treatment lets the patient move freely and it takes less than an hour’s time while being under local anaesthesia. The patient can return to daily activities almost immediately. There are no visible scars and we have 98% success rate. Your physician will further detail you depending on your individual condition.

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