Oxford University Press releases The Vein Book

The second edition of The Vein Book, edited by Dr. Nisha Bunke Paquette and Dr. John Bergan will be released on January 30th, 2014 by the Oxford University Press.

Since its initial publication nearly a decade ago, The Vein Book continues to serves as the ultimate comprehensive resource on venous disease. Upholding its reputation as the go-to reference for complete, authoritative, and up-to-date information about venous function and dysfunction, this second edition effectively bridges the gap between clinical medicine and basic science, suitable both for the seasoned surgeon as well as the medical student.

La Jolla Vein Care's Dr. Bunke releases The Vein Book

La Jolla Vein Care’s Dr. Bunke releases The Vein Book

The book is divided into five essential sections: basic considerations, primary superficial venous insufficiency, venous thromboembolism, chronic venous insufficiency, and congenital venous malformations. The book covers the entire spectrum of venous conditions from clarification of the pathophysiology of venous insufficiency, molecular mechanisms in the cause of varicose veins, new treatment options for varicose veins and spider veins, startling new treatment for venous thromboembolic disease, and effective treatment for leg ulcers.

More user-friendly and encyclopedic than ever, The Vein Book is still a must-have for vascular surgeons, phlebologists, interventional radiologists, research scientists, epidemiologists, and surgeons at all levels.  It is available for pre-order at Amazon.com.

Procedures For Youthful Hands: Hand Veins and Fillers

hand-rejuvenation-proceduresThe hands can show signs of aging, such as enlarged veins, thinning skin, bony appearance and age spots. Hand veins tend to appear more prominent as one ages due to decreased collagen in the skin. Hand rejuvenation procedures in the past have focused on the removal of hand veins with sclerotherapy. The new concept today is to use an injectable filler

Youthful Hands

such as Radiesse to stimulate collagen production in the hands to add volume and plump up the skin on the back of the hands, making them appear younger. Radiesse can be used alone to improve the appearance of the hands, or in combination with sclerotherapy of hand veins.
It’s important to see a highly trained physician who is familiar with the anatomy of the hand veins.

Olympic Athlete Struggles With Varicose Veins

Olympic Gold Medalist Summer Sanders

Patients sometimes tell us that they feel isolated or alone as a result of their varicose veins. The fact is, however, that they are not alone- one in four Americans have some form of vein disorder. Olympic athletes get varicose veins too! Olympic swimmer and gold-medalist, Summer Sanders shares her story of suffering with varicose veins. “As a life-long athlete and Olympic swimmer, I never thought a condition like varicose veins or chronic venous insufficiency (CVI) would affect me. It soon hit me that, even though I was active, I was starting to get my mother’s legs.
It’s important for people to realize that varicose veins and CVI can happen to anyone and they are more than just a cosmetic issue. But you don’t have to live with the uncomfortable and painful symptoms. There are minimally-invasive treatments available that are covered by many insurance plans.
It’s time to Rethink Varicose Veins. I’m glad that I did.” Read all of Summer’s story at www.rethinkvaricoseveins.com

When Diabetic Patients Need Compression Socks

People with diabetes often have circulation problems that can cause swelling in their feet, ankles and legs.  There are many causes of leg swelling, not necessarily related to diabetes.  Leg swelling can be caused by more serious conditions- many of which can be associated with diabetes complications such as heart disease, venous insufficiency, and kidney disease.  Certain diabetes medication can also cause swelling.

Now, Sigvaris has introduced a compression sock for diabetic patients.  There is a difference between the diabetic compression sock and a mere diabetic sock without compression.  New research shows that for many diabetic patients, compression socks can help keep legs and feet healthy, as well as allow the patient to have a more active lifestyle.  Foot and skin care is important to the diabetic patient.  Keeping swelling under control is important in improving the skin condition and reducing complications related to leg swelling.

Is Multiple Sclerosis Caused by Venous Insufficiency?

Multiple Sclerosis, also known as MS is an autoimmune disease that affects the brain and spinal cord. It affects women more than men and is most commonly diagnosed between ages 20 and 40, but can be seen at any age.
MS is caused by damage to the myelin sheath, the protective covering that surrounds nerve cells. When this nerve covering is damaged, nerve impulses are slowed down or stopped.
Researchers are not sure what triggers the inflammation. The most common theories point to a virus or genetic defect, or a combination of both. Recently, however, venous insufficiency has been implicated as a cause of MS.
Venous insufficiency refers to the backflow of blood within veins due to faulty valves. In people with varicose veins, the leg veins are affected. But, in patients with MS, the cerebral veins may be insufficient. Impaired venous drainage from the central nervous system is termed chronic cerebrospinal venous insufficiency. There are some studies that implicate chronic venous insufficiency of the cerebral veins as a cause for MS. But, there have been recent studies which refute this. At this point, it is an area of investigation, but further studies are required.

Deep Venous Thrombosis Afflicts Serena Williams, Richard Nixon and more….

What do Serena Williams, Richard Nixon, Dan Quayle, Dick Cheney and David Bloom have in common? They have all suffered a potentially fatal deep venous thrombosis (DVT).

Deep venous thrombosis (DVT) mainly affects the large veins in the lower leg and thigh. The clot can block blood flow and cause swelling and pain. When a clot breaks off and moves through the bloodstream, this is called an embolism. An embolism can get stuck in the brain, lungs, heart, or other area, leading to severe damage.

Blood clots may form when something slows or changes the flow of blood in the veins. Risk factors include:

  • After a pacemaker catheter has been passed through the vein in the groin
  • Bedrest
  • Cigarette smoking
  • Family history of blood clots
  • Fractures in the pelvis or legs
  • Giving birth within the last 6 months
  • Heart failure
  • Obesity
  • Recent surgery (especially hip, knee, or female pelvic surgery)
  • Too many blood cells being made by the bone marrow (polycythemia vera), causing the blood to be thicker and slower than normal

You’re also more likely to develop DVT if you have any of the following conditions:

  • Blood that is more likely to clot (hypercoagulability)
  • Cancer
  • Taking estrogens or birth control pills.
  • Long airplane flights: London’s Heathrow Airport reports one passenger death a month from DVT. One nearby hospital recorded thirty passenger deaths from DVT in the past three years including a 28-year-old man. To reduce the risk of DVT during air travel,  passengers are advised to wear compression stockings on flights, frequent moving aroudnt he cabinand pumping the calf muscles, leg elevation and avoidance of sedentary positions for long periods of time without moving.

Why Me?

Perhaps you’re wondering why you’ve developed varicose veins. While heredity might be the leading cause, age, weight, gender, hormones, and occupation can also play a role. Although they can develop at any age, varicose veins tend to worsen with the more birthdays you celebrate. With each year, it might also be more difficult to maintain your ideal body weight, thus making you more susceptible to the onset of certain venous conditions. Moreover, as many as 70% to 80% of pregnant women develop varicose veins during the first trimester—and other hormonal factors related to menopause and birth control can also contribute. Even a job that requires excessive standing or sitting can increase the chances of developing a vein-related problem.  So whether you’re standing all day work or you’re genetically predisposed to a particular condition, advancements in medicine make it no longer necessary to ask yourself a worried question such “why me?” Instead, you can simply get treated.


Executive Team

Skin Deep?

An estimated 80 million Americans suffer from a vein-related condition. Since most veins lie deep under the skin’s surface, vein disorders are not always visible to the naked eye. As a result, it’s important to be aware of the symptoms that might reveal an underlying vein condition. If you’re experiencing pain, fatigue, heaviness, cramping, or restlessness in your legs, you should seek expert consultation. Today, a venous duplex scan is used to view internal images of your veins, even the veins beneath the muscles (deep veins). The ultrasound exam, which is painless and takes fewer than 30 minutes, allows a trained specialist to examine your venous system to determine if your symptoms are connected to a vein-related condition. The good news is that many vein conditions can be easily treated. Often, you just need to look beneath the surface to get moving in the right direction.


Executive Team

Industry Insights

Get downtown for the San Diego Health and Beauty Expo on September 8, 2010. The event provides an interactive forum that allows attendees to learn about the latest technologies and treatments in the areas of Cosmetic Surgery, Skin Care, Spa, Wellness, and more. Among the featured speakers is La Jolla Vein Care’s Dr. Nisha Bunke. Dr Bunke will share her knowledge with the public and provide the latest  insights into a rapidly evolving field of medicine. With easy access to the experts along with product demos, appetizers, and giveaways, the event is the place to be for anyone with an interest in healthy living—and it’s at the lavish Se Hotel.


Executive Team

Beyond Saline

If you’re looking to remove spider veins or varicose veins, you may find that saline injections are infrequently used. Why? They’re unnecessary. Today, more effective solutions are available for treating damaged veins. In short, saline injections cause stinging upon injection.  The saline solution mixes with the blood in larger veins, never making contact with the vein wall.  As a result, saline injections are only effective for tiny spider veins.  If sclerotherapy failed to remove your larger veins in the past, this is probably why. The good news? More effective and painless solutions are now available. Ask a board certified vein specialist (Phlebologist) which type of solution you should you use—and see if you’re ready to move beyond saline.


Executive Team