03/12/2025
Why I Am Uniquely Positioned to Care for Patients With Vital Vascular Syndromes
Most people think of vascular surgery as “arteries and veins”. But the vascular system sits at the centre of almost every chronic condition we diagnose and treat.
For over two decades, I have worked across venous disease, lymphatic disorders, ulceration, clotting syndromes, microvascular compromise, autonomic dysfunction and complex metabolic–circulatory conditions that do not fit neatly into one specialty.
What I recognised early is that many of these “vital vascular syndromes” are not simply mechanical. They are whole-system problems shaped by inflammation, metabolic imbalance, gut dysfunction, hormonal disruption, sleep disturbance, toxin exposure, stress physiology, and environmental mismatch.
This is especially true with dysautonomia. Many patients are told it is anxiety or “overactive nerves”, yet what I see repeatedly is a high-histamine, mast-cell–reactive state driving unstable vascular tone, heart rate variability, and blood volume regulation. When this is layered with cortisol–melatonin mismatch, nutrient deficits and chronic inflammation, the autonomic system simply cannot maintain equilibrium.
This is why I now combine:
• Specialist vascular and endovascular surgery (nearly 20 years of consultant practice, thousands of procedures, guideline authorship, national education roles)
• Advanced vascular imaging expertise (as Director of a leading vascular imaging centre)
• Functional and lifestyle medicine (IFM-trained, systems-biology approach)
• A whole-body model linking circulation with energy, immunity, assimilation, stress, detoxification and the microbiome
This integrated lens allows me to see patterns others often miss:
– Chronic oedema and “venous symptoms” driven by metabolic inflammation
– Non-healing ulcers linked to mitochondrial dysfunction or nutrient depletion
– POTS and dysautonomia worsened by histamine load, cortisol disruption or low sodium
– Microvascular syndromes requiring both investigative precision and lifestyle correction
Vascular health is whole-body health, and patients deserve a clinician who can operate in both domains: advanced intervention where needed, and root-cause repair everywhere else.
Hashtags:
Chronic lower limb vein problems (Chronic venous disease CVD) affects up to 60% of the population. “..there is evidence that physician awareness of CVD is suboptimal and that many patients with CVD are not being treated or referred to spe... (Infographic) by CLAIRE CAMPBELL You are in experienced ...
