Vascular diseases and metabolic disorders
Preventing - Recognizing - Treating
Avoiding cardiovascular diseases
Specialist for internal medicine, vascular medicine (angiology), diabetolgy (member of the German Diabetes Society (DDG)), general medicine, emergency medicine, and psychosomatic primary care
Services in the field of internal medicine:
In addition to specialist treatment, we offer the following services in the field of internal medical care:
- Comprehensive review of the patient’s medical history and a clinical-internal full-body examination
- Measuring the blood pressure, the pulse and the blood oxygen levels
- Recording ECGs and exercise ECGs
- Recording 24-hr ECGs and long-term blood pressure measurements
- Blood tests, in particular, with regard to the metabolism of blood sugar and blood lipids
- Ultrasound examination of the abdominal organs and of the thyroid gland
Ultrasonic examination of the vascular system (color-coded duplex sonography):
In order to early detect, treat and prevent the development of serious damage to cardiovascular organs as a result of vascular changes, we offer the following specialist services:
- Carotid arteries (brain-supplying arteries):
For the prevention of strokes and for follow-up examinations after strokes and after carotid artery treatments (surgeries or stent placements)
- Arm vessels:
To trace and assess arterial vasoconstrictions, inflammatory vascular diseases and arm vein thromboses
- Abdominal artery:
To detect, follow up and to coordinate the treatment of abdominal aortic aneurysm (BAA, abnormal dilatation of the abdominal artery) in good time in order to avoid internal bleeding, which is often fatal
For the early detection as well as for the follow-up examinations and for the coordination of the treatment of renal artery constrictions (renal artery stenoses, RAS) as a possible cause of arterial hypertension at an early stage
- Pelvic and leg arteries:
For the early detection of a disturbed arterial circulation and to avoid the amputation of foot and limb
- Pelvic and leg veins:
For the detection and treatment of a deep pelvic and leg vein thrombosis in order to avoid a life-threatening condition
For the early detection and treatment of varicose veins (chronic venous insufficiency, CVI) to avoid complications such as deep vein thromboses, varicose vein inflammation (varicophlebitis) and an open leg (ulcer cruris)
Ultrasound-controlled varicose vein treatment using laser light energy (endovenous laser therapy, EVLT):
For the treatment of diseased truncal veins, we offer this modern, less invasive (minimally invasive) therapy method – an "internal welding" (endoluminal) by means of laser energy.
95 percent of our patients from all age groups are treated with this method, a surgery that can be performed under local anesthesia and on an outpatient basis, with excellent medical and cosmetic results.
Since 2001, this treatment method has evolved as a very gentle, safe and effective alternative to conventional surgical procedures (mini-phlebectomy, vein stripping, and CHIVA method).
Detecting and treating diabetes and controlling its secondary diseases:
We offer the following services to prevent and to detect and treat diabetes at an early stage, and to avoid the development of secondary diseases (eye, kidneys, heart, nerves, brain, blood circulatory problems in the legs and nerve disorders, diabetic foot syndrome):
- Laboratory chemical analysis of metabolic parameters (sugars, blood fats)
- Advice and support during the change of living and eating habits
- Outpatient treatment for all forms of diabetes and coordination of outpatient training as well as structured and targeted training courses in cooperation with large diabetes centers
Diabetic foot syndrome (DFS):
The cause for developing DFS may be a nervous disturbance, a circulatory disorder or a combination of both.
The damaged nerves lead to a weakening of the muscle tone in the feet and ligaments, and the arch of foot will sag. The results are numbness and painless pressure spots on foot soles or toes. The skin becomes dry and vulnerable. Foot ulcers may develop and become infected and will heal only with difficulties.
Due to the disturbed arterial circulation, entire tissue areas may die. A differentiating examination and a treatment that takes account for the level of severity can prevent the amputation of foot and limb.
On the basis of clinical and vascular ultrasound examinations, we can identify the cause (arterial, venous, lymphatic vessels) of the protracted healing of wounds (open legs, diabetic foot syndrome).
A healing-up can be achieved by means of adequate treatment options appropriate to the underlying disease (arterial and venous interventions, leg and/or foot relief, special wound dressings, compression therapy).
Mechanical compression therapy for disorders of the flow of the lymphatic fluids:
As an alternative and/or effective supplement to manual lymphatic drainage, we also offer mechanical lymphatic compression therapy; this procedure exerts a directional pressure on the affected extremities by means of air pressurized sleeves.
The lymphatic system carries up to two liters of lymphatic fluid per day through larger lymph vessels back to the venous system. Waste products, dead cells and even protein molecules are drained via these so-called lymphs. If the excess fluid cannot be discharged, very large fluid buildups may occur anywhere in the body.
A clear differentiation between lipohyperthrophy, lipoedema and lymphedema and the secondary lymphatic drainage disorder can be made on the basis of a comprehensive check of the patient’s medical history and the clinical examination, and then the appropriate treatment can be initiated.
Dr. med. Taher Nazary, specialist for internal medicine, vascular medicine (angiology), diabetolgy (member of the German Diabetes Society (DDG)), general medicine, emergency medicine, and psychosomatic primary care, founded this practice in Königstein im Taunus in 2012 as a referral-only practice, and the catchment area of patients rapidly expanded beyond the borders of the districts of the Hochtaunuskreis and Main-Taunus-Kreis.
Our services are based on the guidelines of the relevant German medical associations and are carried out in close collaboration with family doctors and a large network of specialists for vascular and cardiovascular diseases.
The services offered by the practice can also be used by privately insured and self-paying patients.
Specialist for internal medicine, angiology (vascular medicine), diabetolgy (member of the German Diabetes Society (DDG)), general medicine, emergency medicine
Dr. med. Taher Nazary
Preventive care:For the early detection of risks of developing cardiovascular diseases, we offer the following examinations of arteries and veins as free health services:
Measuring the pulse wave velocity:
By measuring the pulse wave velocity it is possible to determine the stiffness of the arterial vascular wall and, as a result, the risk of developing cardiovascular diseases.
The pulse wave velocity increases as the vascular wall becomes more rigid.
Ankle brachial pressure index:
Measuring the arterial closing pressure enables measuring the arterial blood circulation in the legs and to assess the risk of a sclerosis of the walls of the coronary arteries and of the cranial vascular system.
These two examinations are especially recommended for people that are exposed to the following cardiovascular risk factors:
- high blood pressure
- adiposity or overweight
- elevated cholesterol levels
- family predisposition
Venous occlusion phlethysmography:
By measuring volume changes based on the venous capacity and venous return, deep pelvic and thigh thromboses can be excluded, and the severity of damage during the post-thrombosis condition and the severity of the varicose vein disease can be assessed.
Light reflection rheography:
Assessing the venous elasticity and the closing ability of venous valves enables the assessment of the development of varicoses.
These two examinations are particularly recommended:
- for thrombosis cases in a patient’s own medical history or in the medical history of the patient’s family
- when hormone products containing estrogen, such as the "pill”, are used
- when a hormone replacement therapy is made during the menopause
- blood coagulation disorders – hereditary or acquired
- if the calf muscle pump is restricted due to prolonged periods of confinement to bed or if longer flights or bus journeys are made
- in the case of tumor diseases
- in the case of infectious diseases
- in the case of familial predisposition for varicosis
- in the case of overweight and smoking
Contact and consultation hours:
Monday to Friday: 08.00 am to 01.00 pm
Mondays, Tuesdays and Thursdays: 02.30 pm to 06.00 pm
Dr. med. Taher Nazary
Frankfurter Straße 9a (former Post Officet)
61462 Königstein i.T.
Phone: +49 6174-961870
Telefax: +49 6174-9618711