Is there a treatment for Non-Healing Wounds & Ulcers?
Gallery

Is there a treatment for Non-Healing Wounds & Ulcers?

Treatment of Non-Healing Wounds & Ulcers

As we've seen, there is a very wide range of causes that may contribute to the formation and persistence of non-healing ulcers and wounds. It follows that the methods or treatment options at the disposal of healthcare professionals will also be varied. Doctors will discuss the available options with their patients in order to arrive at the best possible options, but the type and severity of the wound will be the decisive point of consideration. These measures include:

Compression Wrapping

Specialized Dressings and Topical Medication

Patient Self-Care and Education

Negative Pressure Therapy (NPWT)

Surgery

Growth Factor Therapy

Debridement (removal of dead tissue)

Compression Wrapping

This involves the application of tightly bound wraps to the affected limbs or regions in order to provide support to the vascular system, which might be operating under lower pressure than it should due to the wearing out of the vascular walls and muscles that support the efficient flow of blood to and fro the tissues that need it.

The doctor will start by doing a thorough physical examination. The doctor will also want to learn about your signs, symptoms, personal health history, risk factors, and family health history. The doctor will ask you several questions regarding your medical conditions, such as diabetes, heart disease, and kidney disease. They will also ask you whether you experience pain or cramps in your leg while walking or exercising.

The doctor will also ask about your family history of PAD and other heart diseases. You will also discuss your smoking habit, either current or in the past. After gathering the information, the doctor will proceed to perform a detailed physical examination. The process involves checking for weak pulses in your leg, listening for poor blood flow in the legs using a stethoscope. The physician will also check for any problems on your legs, such as sores, swelling, and pale skin.

Specialized Dressings and Topical Medication

Technological progress has made it possible to develop special dressing materials made out of smart polymers that work by adjusting their absorptive qualities depending on the hydration levels of the wound area, among other specialized positive actions. Antibiotics may also be employed topically to non-healing ulcers and these help by reducing the bacterial levels present in the wounds in question while maintaining the optimal levels of environmental moisture suitable for wound repair.

ose PAD. This test usually compares the blood pressure in your arm with the blood pressure in your ankle. The doctor usually uses a pressure cuff together with an ultrasound device. Sometimes, the physician may request you to walk on a treadmill and have the doctor take the readings before and immediately after the exercise. The procedure will help the doctor to capture the severity of the narrowed arteries.

Patient Self-Care and Education

There are plenty of measures that patients will be able to implement in the treatment and management of non-healing ulcers if armed with the proper knowledge and aids where required. Regular cleaning and disinfecting of wounds, proper bandage care, manual repositioning of paralyzed limbs, and avoidance of habits that contribute to the incidence or severity of these types of ulcers will be of significant benefit to many.

Negative Pressure Therapy (NPWT)

This treatment method works by pulling away the fluid in the wound that nourishes bacteria by the application of negative pressure. It is also known as vacuum-assisted wound closure for this reason. This action will also reduce tissue swelling and bring up fresh blood and nutrients to the problem area, which assist in the healing processes.

Surgery

In many cases, surgical procedures may be called for to rectify any underlying conditions that might be remedied in this way. Patients with atherosclerosis or blood clots in their vascular system, for example, might undergo surgical procedures to remove these clots or clear built-up cholesterol plaques in their system, thus removing the condition that encourages the formation and persistence of non-healing ulcers.

Growth Factor Therapy

Growth factors refer to the biomaterials generated naturally in our bodies that play the role of replacing tissues as they are damaged or degraded, as in the case of wounds and infections. These factors include epidermal growth factor, insulin-like growth factor (IGF), vascular endothelial growth factor (VEGF), and more. What your medical practitioner will do is introduce or stimulate these factors directly onto the wound in order to speed up the healing and re-growing processes.

Skin Graft Therapy

Skin grafts taken from donors (cadaver, usually) are another option here referred to as allografts. These grafts provide a covering to the wound without integrating with the host body and work by encouraging and providing a structure for the growth of epithelial cells. Severe cases might not be suitable for this intervention, however, and will do better with grafts taken from elsewhere on the patient's own body.

Debridement (removal of dead tissue)

Debridement more simply refers to the removal of dead or dying (necrotic) tissue from the site of a non-healing wound. The goal is to minimize the risk or opportunity for infection by eliminating the necessary medium for bacterial growth and proliferation, which such tissue provides. This is an especially relevant measure undertaken in the fight against diabetic non-healing ulcers, as amputation will usually be carried out in cases where infection has progressed past a certain limit.

This is the idea behind the rather outlandish yet scientifically sound application of maggot therapy in the management and treatment of chronic wounds. Here, live, disinfected maggots will be introduced to the wound by a medical professional. Maggots will happily devour necrotic tissue while not touching healthy tissue. This directly leads to a reduction in the bacterial presence in the wound, thus encouraging rapid healing as well as pain and odor mitigation.

La Jolla Vein & Vascular Treatments for Non-Healing Ulcers

The treatment for PAD has two main goals. One is to manage the symptoms, including leg pain, allowing you to resume your normal physical activities. The second one is to top the progression of atherosclerosis in the body

"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 and to book a consultation, please give our office a call at 858-550-0330.

For more information 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.

Is there a treatment for Non-Healing Wounds & Ulcers?LJVascular2022-08-18T15:54:05-07:00

What are the causes of non healing ulcers and wounds?
Gallery

What are the causes of non healing ulcers and wounds?

Causes of Non-Healing Ulcers & Wounds

Non-healing wounds or ulcers do not follow the usual healing process and are referred to as chronic wounds should they persist beyond 3 weeks. Such wounds can be a heavy burden to live with for anyone. Still, the board-certified vascular surgeons and specialists at La Jolla Vein & Vascular are dedicated to administering effective treatment and management solutions to all patients so they may resume a healthy, productive, and pain-free life.

Types of Non-Healing Ulcers

In general, patients will present with one of three categories of non-healing ulcers, with these categories being broadly defined by the major causative factors allowing for their development. These are:

Arterial or Venous Ulcers

These are found to account for between 70% up to 90% of non-healing wounds or non-healing ulcers. Mostly occurring in elderly patients, they are believed to come about as a result of a failure of the valves in a person's blood vessels of both arteries and veins. These valves are responsible for preventing the backflow of blood as it passes within them. The consequent outcome is a lack of nutrient and oxygen-rich blood from reaching the affected tissues and sets up the conditions favoring non-healing wounds.

Pressure Ulcers

These are ulcers that are brought about by the restriction of blood flow to certain regions of the body due to the persistent and prolonged application of pressure upon them. It is mostly encountered among patients with full or partial paralysis and those who are bedridden for extended periods.

Diabetic Ulcers

These are also highly prevalent chronic wounds, and are on the increase among patients owing to the ever-increasing cases of diabetes among the population. In fact, the prevalence of chronic wounds among diabetics makes this demographic 15% more likely to have to undergo limb amputation as a complication of the condition.

The causes of non healing ulcers & wounds:

The underlying factors contributing to the risk of developing a non-healing ulcer or wound are widely varied. What they have in common is their ability to interfere with the way the body normally functions with regard to wounds.

–Nerve Damage (Neuropathy)

–Circulatory System Issues

–Underlying Health Conditions

–Nerve Damage (Neuropathy)

Non healing ulcers & wounds are prevalent in people living with certain circulatory ailments such as atherosclerosis, diabetes, alcoholism, etc. In a healthy person, the nerves will send signals to the brain whenever pain or discomfort is experienced in any body tissues. Neuropathy makes this system non-functional; tissue can be damaged without warning signals being sent to the brain. This will prompt the person to change position or remove the object, causing injury. Over time, the affected area might see the development of an ulcer.

Circulatory System Issues

A person's circulatory system is responsible for delivering blood rich in oxygen and nutrients to all the tissues in the body that need it. Without it, tissues will begin to die. Due to their extremity (distance from the heart) and the effect of gravity, a person's feet will often be the first problem area for a person with an impaired circulatory system. Peripheral artery disease (PAD) is a particularly culpable condition in this instance as it may lead to numbness, skin discoloration, severe pain, ulcers, or even the patient's demise if left unchecked.

Underlying Health Conditions

The formation of non-healing ulcers will indicate that an advanced stage of certain conditions has been reached in a patient. These conditions include high blood pressure, diabetes, kidney failure, high cholesterol, or peripheral artery disease (PAD). These conditions contribute to the formation of ulcers by causing ischemia, or the interruption of oxygenated blood to all parts of the body, or by damaging the nerves in the wound areas.

Contributing Lifestyle Habits

Some various habits and lifestyles will place patients at a heightened risk of developing non-healing ulcers. Smoking, for instance, has the effect of narrowing the vessels carrying blood to body tissues, thus increasing one's chances of developing ulcers. A sedentary lifestyle involving little to no active movement will also carry the risk of encouraging ulcer development due to the constant pressure applied to certain tissues. Old age is also a factor here, as our skins will gradually lose their ability to repair themselves as quickly and efficiently as they once did.

"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 and to book a consultation, please give our office a call at 858-550-0330.

For more information 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.

What are the causes of non healing ulcers and wounds?LJVascular2022-08-18T15:54:33-07:00

Symptoms to look out for: non healing ulcers and wounds
Gallery

Symptoms to look out for: non healing ulcers and wounds

Symptoms of Non-Healing Ulcers

As we've seen, there is a very wide range of causes that may contribute to the formation and persistence of non-healing ulcers. It follows that the methods or treatment options at the disposal of healthcare professionals will also be varied.

You shouldn't allow a wound to fester for weeks on end before seeking professional assistance, especially if you fall under one or more of the risk categories we've outlined above. The following are some warning signs to look out for:

-Darkening or bluish discoloration around the wound edges
-Significant pain around the wound that persists without improvement or progressively grows worse
-Foul odor or smell emanating from the wound
-Swelling and redness emanating from the wound and spreading to surrounding skin and tissue
-Continuous leaking, draining, or weeping from the wound

Notice that these symptoms are mostly indicative of infection. This is a good measure as it often indicates a failure of the body's natural mechanisms to deal with the wound through its normal processes. The rapid and timely intervention will be called for to forestall further tissue damage and complications.

Treatment of Non-Healing Wounds

Doctors will discuss the available options with their patients in order to arrive at the best possible options, but the type and severity of the wound will be the decisive point of consideration. These measures include:

Compression Wrapping

Specialized Dressings and Topical Medication

Patient Self-Care and Education

Negative Pressure Therapy (NPWT)

Surgery

Growth Factor Therapy

Debridement (removal of dead tissue)

"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 and to book a consultation, please give our office a call at 858-550-0330.

For more information 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.

Symptoms to look out for: non healing ulcers and woundsLJVascular2022-08-18T15:54:57-07:00

What you need to know about: Non-Healing Ulcers & Wounds
Gallery

What you need to know about: Non-Healing Ulcers & Wounds

Non-Healing Ulcers & Wounds

We might all be familiar with ulcers in a general manner, but certain types of ulcers behave quite differently due to various contributing factors. These are non healing ulcers or non healing wounds, and if not treated with care and in good time, such wounds can pose a serious risk to the patient's health. Severe cases may lead to amputation of the affected limbs or loss of life in the most extreme circumstances. The nonhealing ulcers cases we treat here at La Jolla Vein & Vascular fall under peripheral arterial disease (PAD) and a subcategory of arterial disease.

Types of Non-Healing Ulcers

Arterial or Venous Ulcers

Pressure Ulcers

Diabetic Ulcers

The high amputation rate among diabetics is attributable, in part, to the neuropathic effects of the ailment. Neuropathy leads to a lack of pain perception in the affected individual, meaning that they may be entirely unaware of minor wounds on their feet and legs in good time, allowing for their infection or repeat injury. It is also made more likely by the immunosuppressive effects of the condition, which makes the patient more vulnerable to infection.

"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 and to book a consultation, please give our office a call at 858-550-0330.

For more information 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.

What you need to know about: Non-Healing Ulcers & WoundsLJVascular2022-08-18T15:55:24-07:00

What you need to know about Carotid Artery Disease?
Gallery

What you need to know about Carotid Artery Disease?

What is carotid artery disease?

Your carotid arteries are two main arteries that carry blood from your heart, up through your neck, to your brain. Healthy carotid arteries are smooth and unobstructed, allowing blood to flow freely to the brain and provide oxygen, glucose and other nutrients that your brain cells need. Carotid artery disease is a vascular disease.

Typically with age, the carotid arteries build up plaque, made up mostly of fat and cholesterol. Plaque narrows the insides of the arteries and makes them stiff. This process is commonly referred to as "hardening of the arteries," or atherosclerosis. Carotid artery disease results when the carotid arteries become narrow or obstructed and provide a risk of the plaque traveling to the brain and causing a stroke.

What is a stroke?

Strokes are the third leading cause of death in the United States and the leading cause of perma- nent disability in older Healthy Plaque Build Up adults. Approximately 25% of strokes occur when bits of carotid plaque or clot break off and flow to the brain. If left untreated, carotid artery disease may lead to stroke, where lack of oxygen and other essential nutrients cause damage to the brain. Depending on its severity, a stroke can be fatal.

Symptoms of carotid artery disease:

• There may be no symptoms in the early stages of carotid artery disease, and stroke could be the first sign of the condition.

• Stroke, however, typically has warning signs, referred to as mini-strokes or transient ischemic attacks (TIAs).

• Mini-stroke symptoms are usually temporary, lasting a few minutes to a few hours, and should be treated as serious medical emergencies requiring immediate treatment because they are strong predictors of future stroke.

Some symptoms of stroke or TIA may include:

– Weakness, numbness, or tingling on one side of the body

– Inability to control movement of a body part

– Loss of vision or blurred vision in one or both eyes

– Inability to speak clearly

– Difficulty talking or comprehending what others are saying

Causes and risk factors of carotid disease:

• High blood pressure and age

• Diabetes

• Smoking

• High cholesterol and obesity

• Lack of exercise

• Family history of hardening of the arteries and/or stroke

Diagnosis of carotid artery disease:

If your doctor suspects carotid artery disease, it can be confirmed by undergoing a noninvasive duplex ultrasound examination. The ultrasound can also show how severe the disease is. If you experience symptoms of a mini-stroke, seek medical attention immediately. Your physician may then ask you to see a vascular specialist since they are highly trained in every type of vascular procedure.

Treatment:

Depending on the severity of your condition, treatment options may include lifestyle changes, medications, or procedures such as carotid endarterectomy (cleaning out the plaque with surgery), or in select cases, carotid artery stenting. Some patients benefit from surgery even if they are having no symptoms based upon life expectancy and degree of narrowing.

"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 and to book a consultation, please give our office a call at 858-550-0330.

For more information 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.

What you need to know about Carotid Artery Disease?LJVascular2022-08-18T15:58:59-07:00

What you need to know about Peripheral Arterial Disease
Gallery

What you need to know about Peripheral Arterial Disease

What is PERIPHERAL ARTERIAL DISEASE?

You probably are familiar with the terms angina and heart attack, which are related to a blockage of blood flow to the heart. That same sort of blockage can occur elsewhere in the body, depriving the limbs (the peripheral parts of the body) of oxygen and nutrients. Left untreated, the disease can lead to amputation.

Healthy peripheral arteries are smooth and unobstructed, allowing blood to freely provide the legs with oxygen, glucose and other nutrients. As we age, peripheral arteries build up plaque, a sticky substance made up mostly of fat and cholesterol. Plaque narrows the passageway within the arteries and causes them to become stiff.

A moderate blockage in one of arteries in a major leg muscle, such as the calf or thigh, can cause pain when walking.This pain can be temporarily decreased with rest, but will act up again with more walking or activity.

Lower extremity pain, similar to angina, is called claudication by medical providers. The pain itself is not limb-threatening but it is a sign that the person should make lifestyle changes and see a doctor.

Examples of possible treatments include:

Smoking cessation
Daily exercise
Medical management

If the disease becomes more severe, the limb can be starved of basic nutrients and the patient begins to suffer pain at rest (especially at night). Sores that won't heal may develop on the feet. This is a very concerning sign for losing toes or even amputation of the leg. An urgent referral to a vascular surgeon is necessary to prevent limb loss in this situation.

Causes and risk factors of Peripheral Arterial Disease

• Age

• Gender—males are more prone to the condition than females

• Hypertension (high blood pressure)

• Diabetes

• Smoking

• High cholesterol

• Obesity

• Lack of exercise

• Family history of vascular problems

Leg pain does not always indicate PAD, but older patients, especially those who are at risk, should see a physician. A simple, noninvasive ultrasound and leg blood pressure examination can diagnose peripheral arterial disease and determine its severity.

If you experience symptoms of peripheral arterial disease, ask your primary care physician to refer you to a vascular surgeon. Vascular surgeons can perform any necessary treatments, including medication management, minimally invasive endovascular angioplasty and stent procedures, and open bypass surgery.

TREATMENT

Depending on the severity of your condition, treatment options may include lifestyle changes, medications, minimally invasive angioplasty/stenting, or open bypass surgery.

"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 and to book a consultation, please give our office a call at 858-550-0330.

For more information 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.

What you need to know about Peripheral Arterial DiseaseLJVascular2022-08-18T15:59:31-07:00

What you need to know about Vascular Disease
Gallery

What you need to know about Vascular Disease

What is Vascular Disease?

Your body contains an amazing, intricate system of arteries and veins. Arteries bring oxygen-rich blood from the heart to every inch of the body; veins return the blood back to the heart and lungs for more oxygen.

Most people know that heart disease can occur when blood vessels become clogged with plaque and cholesterol, but many are unaware that the same problem, often called hardening of the arteries (or atherosclerosis), can occur in any artery of the body.

Venous problems occur in the veins, often resulting in leg swelling, deep vein thrombosis (blood clots) and chronic leg problems.

Common types of artery disease include:

Carotid artery disease and stroke

Carotid arteries in the neck bring oxygen to the brain. Patients who have had a stroke, a transient ischemic attack

(TIA) or have been told they have an abnormal sound in that artery, will be referred to a vascular surgeon for diagnosis and possible treatment.

Aneurysms

Aneurysms are bulges that develop in a weakened part of an artery. While these can occur in the brain, they are most common in the aorta, which is the body's biggest artery, running from the heart through the abdomen. Aneurysms can also occur in the pelvis or the knee. They can enlarge when the heartbeat pushes against the weakened wall. In the aorta and pelvis, ruptured aortas can be fatal.

Peripheral arterial disease (PAD)

Patients with hardening of the arteries start to lose blood flow to the limbs. Early on, this may cause pain when walking, but as the disease progresses, it can cause painful foot ulcers, infections, and even gangrene, which could require amputation. People with PAD are three times more likely to die of heart attacks or strokes than those without PAD.

Common Venous Problems:

Varicose veins which are often cosmetic, but can also be a sign of a more serious venous disease.
Chronic venous insufficiency is a potentially painful condition that is caused by blood reflux or clotting.
Deep vein thrombosis a blood clot in a deep leg vein.

Who are Vascular Surgeons:

Vascular surgeons train in this specialty for five to seven years after medical school. Board certified vascular surgeons can treat any vascular condition with any treatment—medication, minimally invasive endovascular surgery, or open surgery. Many vascular conditions are lifelong, and your vascular surgeon may become a lifelong care partner. Be sure to ask to be referred to a board certified vascular surgeon.

"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 and to book a consultation, please give our office a call at 858-550-0330.

For more information 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.

What you need to know about Vascular DiseaseLJVascular2022-08-18T16:00:02-07:00

Osteoarthritis: What you need to know
Gallery

Osteoarthritis: What you need to know

Osteoarthritis is the most common arthritis form that affects millions of people across the globe. While OA can affect any joint, it often damages the knees, hands, spine, and hips. Also known as wear and tear arthritis, the condition develops when the protective cartilage cushioning the ends of the bone in a joint wears away over time. Joints are parts of the body where two or more bones meet. These parts include your knee, hip, hands, backbone (any part of the body that you can bend has a joint).

The ends of the bones in a joint have a smooth, slippery surface referred to as the cartilage. This protective covering allows the bones to rub against each other without friction. Osteoarthritis causes the wear and tear of the cartilage between the bones, making the joint rough. The increased resistance at the joint causes stiffness, pain, swelling, and decreased ability to move.

While various treatments help in managing the OA symptoms, damaged joints are not reversible. Maintaining a healthy weight and staying active c will also help in slowing the disease progression. Although OA can affect both men and women at any age, individuals aged over 45 years are at an increased risk. Based on the research done by the Arthritis Foundation, osteoarthritis affects more than 27 million people in the USA alone, with the knee being the most susceptible part. Research also shows that women are at an increased risk of developing OA than men.

Osteoarthritis of the knee:

The most common cause of knee pain is knee osteoarthritis. The pain may come and go, become worse over time, or come accompanied by other symptoms, including knee stiffness. The condition develops due to degeneration of the cartilage. While the cartilage does not contain any nerves, damage or missing cartilage in the knee causes friction between bones and bone tissue changes, leading to pain.

For example, damaged cartilage can lead to various bone changes such as:

-Bone Spurs:

Bone spurs, also known as osteophytes, are abnormal bony growth at the knee joints with damaged cartilage. The joint bones produce the bone spurs to compensate for missing or deteriorated cartilage. Bone spurs have an irregular shape that creates more friction in the knee joint, causing discomfort and pain.

-Subchondral Bone Sclerosis:

Due to undistributed weight loads, the tibia and femur surfaces, which lie beneath the cartilage, can change in composition, making it harden.

-Cysts and Bone Marrow Lesions:

Missing or deteriorated knee cartilage can also lead to cysts development and bone marrow lesions (areas of abnormal swelling). These cysts and lesions lead to knee discomfort and pain.

"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 and to book a consultation, please give our office a call at 858-550-0330.

For more information 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.

Osteoarthritis: What you need to knowLJVascular2022-08-18T16:00:26-07:00

Restless Leg Syndrome & Venous Insufficiency
Gallery

Restless Leg Syndrome & Venous Insufficiency

Patients with varicose veins often report a feeling of restless legs, especially at night when in bed. In our study, about 30% of patients with varicose veins complained of restless legs.

Restless legs syndrome (RLS) is a sensorimotor movement disorder characterized by uncomfortable sensations in the legs and an urge to move them. There are other causes of restless legs syndrome such as, neurological disorders, anemia, and kidney disease to name a few and are often treated with medication. Venous insufficiency is often neglected as a cause of Restless Legs Syndrome. However, when recognized, it is easily treatable leading to resolution of symptoms.

Treatment is aimed at correcting the underlying venous insufficiency. This usually is accomplished by removing the varicose veins or incompetent veins by new, minimally invasive, non-surgical methods. In our study, 98% of the patients with venous insufficiency and restless legs, had resolution of symptoms following treatment.

In another study, by Hayes, CL et. al, 35 patients with RLS and superficial venous insufficiency underwent endovenous ablation of refluxing superficial veins and ultrasound-guided sclerotherapy of varicose veins. 89% of patients reported alleviation of symptoms.

If a patient has restless legs symptoms and evidence of varicose veins of the legs, a work-up for venous insufficiency should be considered. The work-up involves a duplex ultrasound evaluation of the leg veins. This may eliminate the need for medication for RLS.

"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 and to book a consultation, please give our office a call at 858-550-0330.

For more information 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.

Restless Leg Syndrome & Venous InsufficiencyLJVascular2022-08-18T16:00:48-07:00

Flying after vein treatment
Gallery

Flying after vein treatment

Patients traveling and flying from different states or countries to seek treatment at La Jolla Vein & Vascular can return to the air within 24-hours after the procedure (although it's understandable if the stay is extended to take in the beautiful sights of San Diego). Although a patient can easily resume most day-to-day activities right after treatment, it's recommended to avoid air travel for the first 24-hours. Once in the air, however, it's important to wear the prescribed compression stockings and work on increasing the circulation in your legs. To do this, please make sure to pump the calf muscles regularly and get up from your chair every two hours. It's the best way to facilitate healing in the air—and it's a sure fire way to avoid economy class syndrome.

There are risks of flying after vein treatment that you need to know about.

Factors that influence the risks after vein treatment include:

The length of the flight
How soon after treatment
The type of vein procedure

For flying longer than 4 hours:

If patients have been treated with endovenous laser ablation (EVLA) or ultrasound guided sclerotherapy (UGS), there is an increased risk in development of in-flight deep vein thrombosis (DVT, a leg blood clot).

If patients have had varicose veins treated, the risk of deep vein thrombosis increases when flying on long-haul flights.

Although waiting to fly long distances for 3-4 weeks is ideal, sometimes there is no choice. If it cannot be avoided, here are some preventative measures to follow.

1.Wear compression stockings or compression socks: wearing compression helps support consistent blood flow, prevents blood settling in the lower legs because of gravity, and improves lymphatic drainage preventing swelling.

2.Keep moving: Movement is key. It helps contract the calf muscle which helps to move blood around the legs.

3.Hydrate well: Drink water and avoid alcohol (which causes dehydration).

4.Blood thinners: Patients at a particularly high risk of DVT may be prescribed and be taking blood thinners.

5.Most importantly, if you have any questions or concerns to discuss about flying during this time, please contact our office, so you can both be well informed and prepared.

"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 and to book a consultation, please give our office a call at 858-550-0330.

For more information 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.

Flying after vein treatmentLJVascular2025-09-04T12:25:13-07:00

Vascular information from Dr. Bunke

Vein & Vascular News, Tips, Treatments and More!

Treatment of Non-Healing Wounds & Ulcers

La Jolla Vein & Vascular Treatments for Non-Healing Ulcers

Causes of Non-Healing Ulcers & Wounds

Types of Non-Healing Ulcers

–Nerve Damage (Neuropathy)

–Circulatory System Issues

–Underlying Health Conditions

–Nerve Damage (Neuropathy)

Contributing Lifestyle Habits

Symptoms of Non-Healing Ulcers

Treatment of Non-Healing Wounds

Non-Healing Ulcers & Wounds

Types of Non-Healing Ulcers

La Jolla/UTC

Vista

Patient Privacy Practices

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

La Jolla/ UTC

North County San Diego/ Vista Now Open! Call/Text for Appointments

La Jolla/UTC

Vista

Patient Privacy Practices

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

La Jolla/ UTC

North County San Diego/ Vista — Endovascular Center Now Open! Call/Text for Appointments

informacion en español

North County San Diego/ Vista
Now Open! Call/Text for Appointments

North County San Diego/ Vista — Endovascular Center
Now Open! Call/Text for Appointments