31, 10, 2023

Varicose Veins: Understanding, Preventing, and Treating the Unsightly Bulges

2023-09-29T22:36:33-07:00

Varicose Veins: Understanding, Preventing, and Treating the Unsightly Bulges

Varicose veins, those twisted and bulging veins beneath the skin’s surface, affect countless individuals, often causing discomfort and concern. In this informative blog post, we’ll delve into the intricacies of varicose veins and the underlying venous reflux disease. From understanding the causes to exploring symptoms and treatment options, let’s embark on a journey to vein health and relief.

Understanding Varicose Veins

Varicose veins, prominently visible on the skin’s surface, particularly in the legs, are swollen and twisted veins. While common, these veins can cause pain and aesthetic concerns, making proper understanding and treatment vital.

The Culprits: Causes of Varicose Veins

The root cause of varicose veins lies in leaky vein valves, which result in blood pooling within the veins. This pooling causes the veins to stretch and enlarge, leading to their characteristic appearance. Venous reflux disease, also known as venous stasis, venous insufficiency, or venous incompetence, is a common underlying condition contributing to varicose veins. This occurs when blood refluxes in the deep and/or superficial leg veins.

Research Insights

Dr. Nisha Bunke, leading our study published in the Journal of Vascular Ultrasound in 2018, examined over 1,000 legs with varicose veins. The study highlighted that a significant majority—over 90%—of varicose veins’ sources were the great and small saphenous veins. The Great Saphenous Vein (GSV) courses along the middle of the thigh and calf, while the small saphenous vein (SSV) travels along the back of the calf.

Unraveling Symptoms

Varicose veins and venous reflux disease present an array of symptoms, including aching, tenderness, heaviness, fatigue, restlessness in the legs, burning and throbbing pain, itching, leg cramps (especially at night), ankle swelling, skin discoloration, and even skin ulcers above the ankle. Ignored over time, complications can emerge, such as painful inflammation of the veins (superficial phlebitis), blood clots within varicose veins (superficial thrombophlebitis), and skin issues like discoloration, eczema, or ulcers.

The Power of Ultrasound Diagnosis

A cornerstone of effective diagnosis, duplex ultrasound technology is used to evaluate veins beneath the skin’s surface. This technology not only detects leaky valves and blood flow direction but also identifies blockages or scars within veins, providing essential information for devising a tailored treatment plan.

Customized Treatment Approach

A comprehensive approach to treating varicose veins involves multiple steps:

Step 1: Treating the Underlying Issue
The foundation of treatment lies in addressing venous reflux. This involves targeting the saphenous veins—typically the origin of the issue. Innovative vein ablation procedures like radiofrequency ablation (RFA), laser ablation, mechanico-chemical ablation (MOCA), and Varithena Foam are employed to restore proper blood flow.

Step 2: Addressing Varicose Veins
Following successful treatment of underlying reflux, the focus shifts to varicose veins. Foam sclerotherapy, where a foamed medication is injected to cause scarring and eventual dissolution, and phlebectomy, involving tiny incisions to remove the veins, are common methods.

Varicose veins and venous reflux disease impact countless lives, causing discomfort and concern. By understanding their causes, recognizing symptoms, and exploring innovative treatments, individuals can take charge of their vein health. At La Jolla Vein & Vascular, we’re dedicated to providing personalized care and effective solutions to alleviate symptoms and enhance quality of life. If you’re ready to embark on the journey to healthier veins, contact us today and take the first step towards lasting relief and wellness.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts

Varicose Veins: Understanding, Preventing, and Treating the Unsightly Bulges2023-09-29T22:36:33-07:00

24, 1, 2023

Venous Insufficiency and Leg Ulcers

2023-01-14T13:06:34-08:00

What is chronic venous insufficiency?

Chronic venous insufficiency (CVI) is an inflammatory condition caused by long standing, untreated venous reflux disease.  Commonly, venous reflux disease causes a collection of symptoms such as leg swelling, heaviness, fatigue and varicose veins. But, over time, when blood is no longer circulating properly in the leg veins, skin changes can also appear. When skin changes appear, this is termed, chronic venous insufficiency (CVI). Venous stasis is another term used for this condition.   Chronic inflammation from CVI causes the skin around the ankles to darken, become dry, itchy, and firm. In severe cases, the skin can start to break down and ulcerate. The ulcer (wound) occurs in the inner or outer ankle and is also referred to as a stasis ulcer or venous ulcer.

Venous stasis skin changes associated with venous insufficiency include:

  • Darkening of the skin along the ankles
  • Itching and dry skin around the ankles (venous eczema)
  • Development of wounds around the ankles, called venous leg ulcers

HOW IS CVI TREATED?

The treatment of CVI cannot reverse the skin changes but it can prevent it from worsening and ulceration. In our experience, treatment of underlying venous reflux reduces the inflammatory changes and the skin may become less itchy and dry, but the permanent skin discoloration does not disappear. Treatment involves correction of the underlying venous reflux.

HOW ARE LEG ULCERS TREATED?

Venous leg ulcers, depending on the severity, can be healed with a combination of correction of the underlying venous reflux, wound care clinic referral, and compression therapy. A detailed ultrasound will determine what specific treatment is needed depending on where the underlying reflux lies (for example, in the saphenous veins, perforator veins and tributaries). Deep vein reflux is also present in many individuals with ulcers.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

Venous Insufficiency and Leg Ulcers2023-01-14T13:06:34-08:00

Chronic Vein Insufficiency

2023-01-14T13:00:57-08:00

Chronic venous insufficiency 

What is chronic venous insufficiency?

Chronic venous insufficiency (CVI) is an inflammatory condition caused by long standing, untreated venous reflux disease.  Commonly, venous reflux disease causes a collection of symptoms such as leg swelling, heaviness, fatigue and varicose veins. But, over time, when blood is no longer circulating properly in the leg veins, skin changes can also appear. When skin changes appear, this is termed, chronic venous insufficiency (CVI). Venous stasis is another term used for this condition.   Chronic inflammation from CVI causes the skin around the ankles to darken, become dry, itchy, and firm. In severe cases, the skin can start to break down and ulcerate. The ulcer (wound) occurs in the inner or outer ankle and is also referred to as a stasis ulcer or venous ulcer.

Venous stasis skin changes associated with venous insufficiency include:

  • Darkening of the skin along the ankles
  • Itching and dry skin around the ankles (venous eczema)
  • Development of wounds around the ankles, called venous leg ulcers

HOW IS CVI TREATED?

The treatment of CVI cannot reverse the skin changes but it can prevent it from worsening and ulceration. In our experience, treatment of underlying venous reflux reduces the inflammatory changes and the skin may become less itchy and dry, but the permanent skin discoloration does not disappear. Treatment involves correction of the underlying venous reflux.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

Chronic Vein Insufficiency2023-01-14T13:00:57-08:00

22, 8, 2022

Results of non surgical vein treatment

2022-07-20T14:37:06-07:00

At La Jolla Vein and Vascular, we treat venous reflux disease which includes varicose veins. Venous reflux disease is also known as venous stasis, venous insufficiency or venous incompetence. Venous reflux disease refers to ‘leaky valves’ in the veins of the legs. Reflux may occur in the deep and/or superficial leg veins. The deep veins are those within the muscle; they bring at least 80-90% of the blood from the legs back to the heart. The superficial veins are outside of the muscle and under the skin.

The main superficial veins are the Great Saphenous Vein that courses up the middle of the thigh and calf and the small saphenous vein, which courses up the back of the calf. Normally, there are one-way valves within the leg veins, which help blood flow in one direction: toward the heart. This means blood is traveling against gravity.

The calf muscle also helps move blood toward the heart. When vein valves are leaky, blood flows backward (reflux) towards the feet. Blood pools in the lower legs, causing bulging veins at the surface. Symptoms include leg heaviness, leg fatigue, leg pain, ankle swelling, phlebitis (inflamed and painful veins), restless legs at night, and night cramps.

Venous reflux disease is progressive and worsens over time. Skin changes may also develop, including darkening of the skin around the ankles. The darkening of the skin is sometimes referred to as venous stasis skin changes. The skin can become dry and itchy (venous eczema). Eventually, the skin can break down causing a wound, called a venous leg ulcer.

 

Below you will see various before and after pictures of non-surgical removal of varicose veins at La Jolla Vein and Vascular. The before picture shows bulging varicose veins that arise from an incompetent great saphenous vein (this vein is not visible to the naked eye). In the past, these veins would have been stripped with vein stripping surgery. Fortunately, new technology allows for even large varicose veins to be removed without surgery. This patient underwent radiofrequency ablation (or endovenous ablation) of the great saphenous vein and foam sclerotherapy of the bulging varicose veins at La Jolla Vein and Vascular. 

varicose veins varicose veins 9 10 11 12 1

If you experience any vein disease symptoms, please call our office at (858)-434-5998 to schedule a consultation with one of our knowledgeable doctors at La Jolla Vein and Vascular. 

 

For more information on vein health please check out our Youtube Channel or visit our helpful guide of resources. 

 

Results of non surgical vein treatment2022-07-20T14:37:06-07:00

7, 11, 2011

Is Multiple Sclerosis Caused by Venous Insufficiency?

2011-11-07T04:59:45-08:00

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.

Is Multiple Sclerosis Caused by Venous Insufficiency?2011-11-07T04:59:45-08:00
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