The Vein Doctor treats Varicose Veins
What are Varicose Veins?
Veins are thin-walled blood vessels that carry blood from the body tissues back to the heart. Varicose veins are blood vessels close to the surface of the skin that have enlarged and twisted due to failure of the valves within the veins. Blood collects and pools in sections of the vein, causing the vein to bulge and swell. The veins are visible and can be felt as ropy structures under the skin. Although varicose veins usually occur in the legs and feet, they can occur on any part of the body.
Varicose veins may result in some discomfort and in some cases can cause serious medical problems. For some people, varicose veins only cause a problem in terms of appearance where they choose not to wear shorts or skirts that may show their legs.
The Vein Doctor treats Varicose Veins
Symptoms of Varicose Veins
Pain in the affected area
Swelling of the feet and ankles
A feeling of heaviness, tiredness, and aching, especially at the end of the day or after periods of prolonged standing
Restless legs at night
Persistent itching of the skin over the affected area
Changes in the skin including darkening and scaling, particularly around the ankles
How would The Vein Doctor treat Varicose Veins?
Ambulatory phlebectomy or “hook” phlebectomy is a micro-extraction procedure which allows for the removal of large and small surface varicose veins through very small incisions that need no stitches.
Skin incisions or needle punctures as small as 1 mm are used to extract veins with a phlebectomy hook. A hook is inserted into a micro-incision in the leg. A section of the vein is hooked and then removed through the incision. With this procedure, a compression bandage is worn for two weeks. This minimizes swelling and discomfort and allows for proper healing.
A minimally invasive treatment for varicose veins where a thin fiber is inserted into the damaged vein to deliver a targeted laser beam to close and seal the vein. An abnormal vein will never heal and become normally functioning, so closing of the vein eliminates the increased venous pressure and swelling that causes symptoms in your legs. Blood is automatically routed to other veins.
The entire procedure lasts anywhere from 45 minutes to an hour, is performed in our office, requires only a local anesthetic, causes minimal scarring, with up to a 98% success rate (anyone who says 100% success at anything is exaggerating).
After treatment you are encouraged to walk and can resume limited activity the same day.
There are two vein systems in the body:
Deep veins: These are not visible through the skin and are deep adjacent to the muscles. These carry about 90 percent of the blood.
Surface (superficial): These are veins which are often visible just beneath the skin. Surface veins do not have the protective muscular surrounding that the deep veins do; therefore, they are weaker and more likely to become varicose. Surface veins carry blood from the skin and surface areas to the deep veins through connecting channels called perforator veins.
Pathway of blood to the heart:
The leg muscles squeeze the deep veins, forcing the blood upward.
The veins have one way valves to prevent the blood from flowing backwards.
As the blood is pushed upward, the valves open to allow the blood to pass.
After each heartbeat, the valves close momentarily to prevent backward-flow.
Valve failure results in the following:
Blood flowing the wrong way
Deep veins may pump blood into surface (superficial) veins
Increases pressure in surface (superficial) veins
Surface veins swell from excess blood and increased pressure resulting in varicose veins
Why valves fail:
There may be too few valves
The valve may be shaped incorrectly
The vein walls may be weak
The valves may be damaged by blood clots
Increase of pressure on the veins caused from:
The more in-depth symptoms of Varicose Veins
Bleeding: The thin-walled varicose veins protrude just under the skin. Minor trauma from bumping or scratching a large varicose vein may cause severe bleeding. Varicose veins bleed more than healthy veins because of high pressure within the damaged veins.
Phlebitis- or inflammation of a vein: Superficial thrombophlebitis is inflammation of a vein just below the surface of the skin. This usually happens when a small blood clot forms in the varicose vein. The vein will be painful and the overlying skin will be reddish in color and may feel warm to the touch.
Post-phlebetic leg – or stasis syndrome: This is a consequence of phlebitis and can result in long-term phlebitis involving deeper veins. The involved area of a post-phlebitic leg may become discolored, scaly, and swollen, with hardened areas beneath the skin and the development of painful ulcers.
Ulcers- These are open sores that develop from poor vein flow and may take weeks or months to heal. If you form ulcers, you need to consult with your physician as soon as possible. Most likely, they would refer you to a wound care physician. Patients with ulcers heal much quicker if they concurrently see us to treat their vein disease while also being treated for their wound management. We have longstanding relationships with local wound clinics that refer their ulcer patients to us for treatment.