Vascular information from Dr. Bunke

Vein & Vascular News, Tips, Treatments and More!

Self Care 101 for Varicose Veins

Conservative Management and Self-Care for Varicose Veins

Varicose veins can cause discomfort and lead to complications such as thrombophlebitis (blood clots within veins) and vein rupture. While conservative management and lifestyle changes can’t make varicose veins disappear, they can ease symptoms and help reduce the risk of complications. These measures are especially helpful for individuals who are not candidates for vein procedures or wish to delay interventional treatments.

Compression Stockings

One of the most effective conservative treatments for varicose veins is wearing compression stockings. These elastic stockings apply pressure to the veins, aiding in blood circulation and preventing blood from flowing backward and pooling in the legs. It’s important to use graduated, medical-grade compression stockings for maximum benefit, as regular TED hose are not sufficient for active patients with venous disease.

Compression stockings come in different strengths, with 20-30 mmHg being the most common for treating varicose veins. Your doctor can recommend the appropriate strength for your condition. It’s also worth noting that in patients with peripheral arterial disease (PAD), diabetes, or neuropathies, compression may be contraindicated or a lesser strength may be advised.

Avoiding Inactivity

Prolonged periods of standing or sitting can worsen varicose vein symptoms. To keep blood moving during these times, try the following tips:

  • At Work: Take walking breaks and incorporate walking into your lunch hour.
  • While Sitting: Flex your feet up and down 10 times an hour.
  • While Standing: Raise yourself up and down on your toes or rock back and forth on your heels.

These simple activities can help improve circulation and alleviate some of the discomfort associated with varicose veins.

Exercise and Varicose Veins

Regular exercise can significantly benefit individuals with varicose veins. Engaging in activities such as walking, swimming, and cycling promotes blood circulation and helps reduce symptoms. Avoid high-impact exercises that put excessive strain on your legs, as they might worsen the condition.

Dietary Supplements

Certain dietary supplements can help manage the symptoms of venous disease. For example, horse chestnut and grape seed extract are known to be beneficial. Vasculera, a prescription medication, may also be helpful for some individuals. However, it’s crucial to consult with your primary care physician before starting any new supplements or medications, as they may have side effects or interact with other medications.

Heat Management

Heat can exacerbate symptoms of leg pain and varicose veins. During hot weather or while using heat sources like hot baths or saunas, be mindful of your condition and take steps to keep your legs cool to prevent worsening symptoms.

Conclusion

While conservative management won’t eliminate varicose veins, these strategies can help ease symptoms and prevent complications. Compression stockings, staying active, regular exercise, and the careful use of dietary supplements can all contribute to better vein health. Always consult with your healthcare provider to develop a personalized plan that’s right for you. If you’re not a candidate for vein procedures or prefer to delay them, these self-care measures can make a significant difference in managing your varicose veins.

“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 for more fun videos and educational information. 

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

Self Care 101 for Varicose Veins2024-06-09T01:42:36-07:00

What do I need to know about removing Spider Veins?

Unveiling Crucial Insights on Spider Veins

Spider veins, those delicate reddish veins visible just beneath the skin’s surface, often pose a bothersome cosmetic concern for many individuals. Though commonly seen as a minor issue, spider veins may hint at underlying problems extending beyond mere aesthetics. This article delves into the realm of spider veins, exploring their causes, symptoms, and the most effective spider vein treatment options available. Let’s uncover the true nature of these tiny veins and discover how to manage them effectively.

Understanding Spider Veins

Spider veins, also termed telangiectasias, are fine thread-like veins that create a web-like pattern on the skin’s surface. Presenting in hues of red, blue, or purple, these veins might hold more significance for your vein health than their innocent appearance suggests.

Exploring the Link to Feeder Veins and Venous Insufficiency

While spider veins themselves may not raise significant health concerns, they could be linked to underlying feeder or reticular veins not immediately visible. These feeder veins are often associated with larger veins, potentially indicating venous insufficiency—a condition where veins struggle to efficiently transport blood back to the heart. Specific placements of spider veins, such as those near inner ankles or thighs, might signal an issue with the saphenous vein. Medical experts may recommend ultrasound examinations to precisely identify and address the origin of these veins.

Recognizing Symptoms

Spider veins can impact individuals differently. While some experience them solely as a cosmetic concern, others might endure symptoms like burning, throbbing, localized pain, itchiness, and occasional bleeding. Awareness of these symptoms is crucial in determining suitable steps for managing and treating spider veins.

Unveiling the Causes

These leg veins often share causative factors with varicose veins: malfunctioning vein valves. When these valves fail to prevent blood pooling within veins, it leads to their enlargement and stretching. Spider veins on other body parts, like the face and chest, may arise due to factors such as sun damage, hormonal changes, or liver disease. Hormonal fluctuations stemming from pregnancy, birth control, or hormone therapy can weaken vein walls, making them prone to spider vein formation.

Identifying Risk Factors

Several factors contribute to an individual’s susceptibility to developing spider veins, including genetics, pregnancy, female gender, aging, obesity, hormonal imbalances, and prolonged sitting or standing. Understanding these risk factors aids in both prevention and early intervention.

Effective Treatment Options

For relief, various treatment options are available. Sclerotherapy is the primary approach for treating spider veins on legs, involving injections of a liquid sclerosant medication into affected veins to close and fade them. Multiple sessions are often recommended for optimal results. While lasers can address fine spider veins, sclerotherapy remains the gold standard due to its effectiveness.

Despite appearing minor, spider veins can offer crucial insights into vein health. Whether for cosmetic concerns or discomfort, understanding their potential underlying causes and seeking appropriate treatment is essential. Early intervention and effective treatments like sclerotherapy not only enhance appearance but also promote better overall vein health. Remember, caring for your veins is an investment in your well-being, paying dividends in comfort and confidence. Looking for the best spider vein treatment in San Diego? La Jolla Vein & Vascular is here to assist.

“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 for more fun videos and educational information. 

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

What do I need to know about removing Spider Veins?2024-07-06T11:06:29-07:00

Is cryosclerotherapy painful?

Cryosclerotherapy: A Painless Alternative to Traditional Sclerotherapy

If you’ve been offered cryosclerotherapy to treat spider veins and small varicose veins, you’re on your way to experiencing a less painful and highly effective treatment option. This innovative procedure combines traditional sclerotherapy with the use of a cryo device, providing a comfortable and efficient solution for vein issues.

What is Cryosclerotherapy?

Cryosclerotherapy treats spider veins and reticular veins, which are small varicose veins located near the skin’s surface. Traditional sclerotherapy involves injecting a medication into the vein using a tiny needle, causing the vein to collapse and eventually fade away. Depending on the size of the veins, the medication can be administered in a liquid or foam formulation.

Cryosclerotherapy enhances this process by incorporating a cryo device that delivers puffs of cold air simultaneously during the injections. The cold air anesthetizes the skin, making the treatment relatively painless. This is particularly beneficial for sensitive areas like the inner ankles and thighs. Instead of feeling the needle prick, you will experience puffs of cold air, which can also help reduce bruising and pain.

What to Expect on Treatment Day

Here’s what you can expect during your cryosclerotherapy treatment:

  1. Consent and Preparation: You’ll start by signing a consent form and changing into shorts provided by the office. Your skin will be cleaned with alcohol to ensure a sterile environment.
  2. Injection Process: The sclerosant medication will be injected into your veins using a fine needle. Just before the needle is used, you will feel puffs of cold air from the cryo device. This cold air will anesthetize the skin, making the needle prick barely noticeable or entirely painless. Each time the needle is used, you’ll feel the comforting puffs of cold air.
  3. Post-Treatment Care: After the injections, you’ll be assisted into your compression stockings. To promote circulation and aid in the healing process, you will be asked to walk for 30 minutes before getting into your car. It’s normal for your legs to feel achy and tender to the touch after the treatment, indicating that the procedure is working.

Benefits of Cryosclerotherapy

Cryosclerotherapy offers several advantages over traditional sclerotherapy:

  • Pain Reduction: The use of cold air significantly reduces the pain associated with the needle pricks.
  • Comfort: The procedure is more comfortable, especially in sensitive areas.
  • Reduced Bruising and Pain: The cold air can help minimize post-treatment bruising and pain.
  • Effective Results: Like traditional sclerotherapy, cryosclerotherapy effectively collapses and fades spider and small varicose veins.

Take the Next Step Toward Healthier Veins

If you’re considering treatment for spider veins or small varicose veins, cryosclerotherapy offers a painless and effective alternative to traditional methods. Schedule a consultation with a vein specialist to see if this innovative treatment is right for you. Enjoy the benefits of clearer skin and improved vein health with minimal discomfort.

“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 for more fun videos and educational information. 

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

Is cryosclerotherapy painful?2024-06-09T01:53:52-07:00

Why do Varicose Veins occur?

Unveiling Key Insights: Your Comprehensive Guide to Understanding Varicose Veins

Varicose veins, those twisted and bulging veins beneath the skin’s surface, affect numerous individuals, often causing discomfort and aesthetic worries. This informative blog post aims to explore the intricacies of varicose veins and the underlying venous reflux disease. From comprehending the causes to investigating symptoms and potential treatments, let’s embark on a journey toward vein health and relief.

Understanding Varicose Veins

Easily visible on the skin’s surface, particularly in the legs, varicose veins are swollen and twisted veins. Despite their commonality, these veins can induce pain and aesthetic concerns, underscoring the importance of proper understanding and treatment.

Identifying the Culprits: Causes of Varicose Veins

The primary cause of varicose veins resides in malfunctioning vein valves, leading to blood accumulation within the veins. This pooling causes the veins to stretch and expand, resulting in their distinctive appearance. Venous reflux disease, known as venous stasis, venous insufficiency, or venous incompetence, is a prevalent underlying condition contributing to varicose veins. This condition involves the backward flow of blood in deep and/or superficial leg veins.

Insights from Research

Dr. Nisha Bunke, spearheading our study published in the Journal of Vascular Ultrasound in 2018, scrutinized over 1,000 legs with varicose veins. The study underscored that a significant majority—over 90%—of varicose vein sources were the great and small saphenous veins. The Great Saphenous Vein (GSV) courses through 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. Left untreated, complications such as painful vein inflammation (superficial phlebitis), blood clots within varicose veins (superficial thrombophlebitis), and skin issues like discoloration, eczema, or ulcers may arise.

The Importance of Ultrasound Diagnosis

Duplex ultrasound technology is crucial for effective diagnosis, evaluating veins beneath the skin’s surface. This technology detects leaky valves, determines blood flow direction, and identifies blockages or scars within veins, providing essential information for tailored treatment plans.

Customized Treatment Approach

Comprehensive treatment of varicose veins involves multiple steps:

Step 1: Addressing the Root Issue

Effective treatment begins with targeting venous reflux, often focusing on the saphenous veins, the common source of the problem. 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: Managing Varicose Veins

Post successful treatment of underlying reflux, attention shifts to managing varicose veins. Methods like foam sclerotherapy, injecting foamed medication to cause scarring and eventual vein dissolution, and phlebectomy involving tiny incisions to remove veins, are commonly employed.

Varicose veins and venous reflux disease impact numerous lives, causing discomfort and concern. By comprehending their causes, identifying symptoms, and exploring innovative varicose vein treatments, individuals can take control of their vein health. At La Jolla Vein & Vascular, we’re committed to providing personalized care and effective solutions to alleviate symptoms and enhance the quality of life. If you’re ready to embark on the journey toward healthier veins, contact us today and take the initial step toward 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 for more fun videos and educational information. 

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

Why do Varicose Veins occur?2024-07-06T16:37:07-07:00

Exploring Arterial Exams: Comprehensive Vascular Care at La Jolla Vein and Vascular

Exploring Arterial Exams: Comprehensive Vascular Care at La Jolla Vein and Vascular

Exploring La Jolla Vein & Vascular Arterial Assessments and Vascular Diagnostic Center

When it comes to preserving vascular health, the keys are early identification and precise diagnosis. At our facility, we present an all-inclusive solution for vascular imaging and consultations with expert physicians, all conveniently under one roof. With our cutting-edge non-invasive vascular diagnostic center, we leverage advanced imaging technology to detect and evaluate vascular conditions affecting blood circulation within arteries and veins. This blog post will take you through the advantages and expertise of our vascular diagnostic center, the array of conditions we diagnose, and the range of ultrasound testing we provide.

The Perks of Our Vascular Diagnostic Center

Our dedication to your vascular well-being transcends conventional healthcare. We offer an array of advantages to ensure your comfort and convenience:

Non-Invasive Testing: Our vascular diagnostic center specializes in non-invasive testing methods, guaranteeing a comfortable experience for our patients.

Same-Day Imaging Appointments: We acknowledge the importance of swift diagnosis. Thus, we provide same-day imaging appointments to promptly address your vascular concerns.

Comprehensive Care Under One Roof: Bid farewell to the hassle of juggling multiple locations for imaging, diagnosis, and treatment. At our facility, you can undergo vascular imaging and consult with a healthcare provider all in one place.

Private, Tranquil Rooms: Your comfort takes precedence in our book. Our private examination rooms are thoughtfully designed to offer a serene environment for your vascular tests.

Conditions We Identify

Our vascular diagnostic center is equipped to identify a wide spectrum of vascular conditions, including, but not limited to:

Venous Ailments:

  • Varicose Veins
  • Chronic Venous Insufficiency
  • Deep Vein Thrombosis (DVT)
  • Carotid Artery Disease and Stroke (Transient Ischemic Attack or Stroke)*

Arterial Disorders:

  • Peripheral Arterial Disease (PAD)**
  • Abdominal Aortic Aneurysm (AAA)
  • Upper Extremity Arterial Disease
Unpacking Duplex Ultrasound

Duplex ultrasound stands as a powerful diagnostic tool deployed in our vascular diagnostic center. It melds Doppler flow data with traditional imaging (B-mode) to deliver a comprehensive picture of your blood vessels. Essential elements of duplex ultrasound encompass:

Visualization of Structure: Duplex ultrasound empowers us to visualize the structure of your blood vessels, including their diameter and any obstructions.

Assessment of Blood Flow: It ascertains the velocity of blood flow within your vessels, examines the direction of blood flow, and identifies any impediments or blood clots.

Valve Function: This technology also evaluates the functionality of valves within your veins and arteries.

Deep Vein Evaluation: Duplex ultrasound has the capability to visualize deep veins nestled within the muscles, furnishing invaluable data for diagnosing conditions like varicose veins.

Varieties of Ultrasound Testing on Offer

Our vascular diagnostic center extends a diverse array of ultrasound testing options, including:

Direct Testing (Duplex Imaging):

  • Venous Assessments for Deep Vein Thrombosis and Venous Reflux
  • Arterial Examinations for the Abdominal Aorta, Abdominal Aortic Aneurysm (AAA) Screening, and Carotid Duplex
  • Lower Extremity Duplex

Indirect Testing (Non-Imaging):

  • Arterial Testing like Ankle Brachial Index (ABI) with waveforms and Segmental pressures with waveforms (P&Ws) for the upper or lower extremity
  • Venous Reflux or Venous Insufficiency Evaluation

Our Duplex Ultrasound examination empowers us to visualize blood vessels that remain concealed to the naked eye, even when they’re tucked deep within the muscles. This examination plays a pivotal role in evaluating the underlying cause of varicose veins by identifying veins with malfunctioning valves and mapping out their anatomical structure, ultimately charting a path for a precise assessment and an effective treatment strategy.

Preparing for Your Examination

Getting ready for our ultrasound study is a straightforward affair. Just keep these pointers in mind:

  • No specific preparation is needed for this study.
  • On the day of your examination, avoid wearing compression stockings.
  • Stay hydrated to ensure the best possible experience.

Our vascular diagnostic center is steadfast in delivering top-tier vascular imaging services in a setting that is both convenient and comfortable. Through non-invasive testing, same-day appointments, and a comprehensive approach to vascular health, our goal is to guarantee your well-being and peace of mind. Entrust us with your vascular concerns, and let us guide you on the path to enhanced health.

“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 the #1 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

Exploring Arterial Exams: Comprehensive Vascular Care at La Jolla Vein and Vascular2024-07-07T05:05:33-07:00

What are 3 highly effective cosmetic laser procedures for youthful skin?

Unveiling the Powerful Advanced Cosmetic Laser Procedures in Our Vista Practice

In the quest for radiant and youthful skin, advanced cosmetic laser procedures stand at the forefront, offering remarkable solutions to a myriad of skin concerns. La Jolla Vein & Vascular proudly introduces our state-of-the-art laser treatments, performed by our esteemed physicians, Dr. Amanda Steinberger and Dr. Heidi Busch, at our Vista location. Let’s delve into the transformative capabilities of our advanced laser technology and how it can address a wide range of conditions with precision and efficacy.

Personalized Treatment for Every Concern

Our laser treatments are meticulously designed to cater to the unique needs of each individual, offering customized solutions for a variety of skin concerns. Whether you’re troubled by broken blood vessels, sun spots, precancerous lesions, or wrinkles and enlarged pores, our physicians will craft a tailored treatment plan to address your specific concerns. Utilizing lasers and light technology, we can effectively treat conditions such as rosacea, telangiectasias, sun damage, and brown sun spots, restoring your skin’s natural beauty and vitality.

Revolutionizing Resurfacing with Laser Technology

One of the cornerstone treatments in our arsenal is laser skin resurfacing, a highly effective solution for reducing wrinkles, scars, pigmentation, and other imperfections caused by aging, sun damage, and hormonal changes. Our preferred method for resurfacing is the Erbium Yag Laser, renowned for its ability to achieve dramatic improvements in skin appearance with minimal downtime. By targeting surface pigmentation and fine lines on various body parts, including the face, hands, neck, and chest, this procedure delivers impressive results for mild to moderate skin wrinkling and discoloration, revitalizing your skin from within.

Combatting Vascular Skin Issues and Red Discoloration

Vascular lesions on the skin, such as broken blood vessels, red discoloration, and spider veins, can detract from the overall appearance of your skin, causing aesthetic concerns and discomfort. Our Vascular Reduction treatment harnesses the power of Yag energy to heat and collapse blood vessels, effectively treating unwanted vascular lesions and creating a more smoother, more youthful-looking body. Utilizing the Long Pulsed Yag Laser handpiece, we can target unsightly spider veins and various vascular lesions, matching the laser wavelength to the hemoglobin color to achieve optimal results. With minimal downtime and impressive efficacy, our vascular reduction treatment offers a non-invasive solution to common aesthetic issues, restoring confidence and beauty.

Harnessing the Versatility of Intense Pulsed Light (IPL)

Intense Pulsed Light (IPL) therapy emerges as a versatile and effective solution for treating a myriad of skin conditions, including rosacea, sun spots, photodamage, and melasma. Unlike traditional lasers, IPL utilizes a broad-band light source and multiple laser wavelengths to target brown and red discoloration, resulting in a more even and radiant complexion. With its gentle and non-ablative nature, Spectrum IPL treatments offer a “no downtime” source of photorejuvenation, allowing patients to relax and enjoy the transformative effects of this innovative technology.

Embark on Your Journey to Radiant Skin Today

Are you ready to unlock the full potential of your skin? Schedule a consultation with our experienced physicians at La Jolla Vein & Vascular to explore the transformative power of advanced cosmetic laser procedures. Let us create a customized treatment plan tailored to your unique dermatologic care needs, and embark on a journey to healthier, more vibrant health today. With our cutting-edge laser technology and personalized approach to skincare, the radiant complexion you’ve always dreamed of is within reach.

“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 for more fun videos and educational information. 

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

What are 3 highly effective cosmetic laser procedures for youthful skin?2024-06-10T11:30:00-07:00

Understanding Venous Disease: Beyond Myths and Realities

Understanding Venous Disease: Beyond Myths and Realities

Venous reflux disease, known by various names like venous stasis, venous insufficiency, or venous incompetence, is a complex condition that impacts the veins in the legs. This article aims to unravel the intricacies of venous reflux disease—its causes, symptoms, and its progressive nature. Additionally, we’ll delve into the pivotal role played by ultrasound technology in diagnosing this condition and formulating personalized treatment plans.

Deciphering Venous Reflux

Venous reflux disease is centered around the concept of ‘leaky valves’ within leg veins. These valves, responsible for maintaining proper blood flow, may malfunction, leading to the backward flow (reflux) of blood instead of its intended route towards the heart. This reflux can affect both deep and superficial leg veins, hampering efficient blood circulation.

Unveiling the Anatomy of Reflux

Leg veins can be categorized into two main types: deep and superficial. Deep veins, nestled within the muscles, primarily transport blood from the legs back to the heart. Meanwhile, superficial veins reside just beneath the skin, playing a significant role in this condition. Notably, the Great Saphenous Vein (GSV) coursing through the thigh and calf, along with the small saphenous vein along the back of the calf, are key players in superficial vein issues.

Impact of Leaky Valves

Normally, one-way valves in leg veins assist blood flow against gravity, aided by the contraction of calf muscles. When these valves malfunction, blood backflows, resulting in pooling in the lower legs. This leads to symptoms such as leg heaviness, pain, fatigue, ankle swelling, and even restless legs at night. Over time, this condition progresses, leading to skin changes like darkening, dryness, itching, and the potential development of venous leg ulcers.

Diagnosis through Ultrasound

The diagnosis of venous reflux disease demands specialized tools, with ultrasound technology being pivotal. Many vein issues aren’t visible to the naked eye, as they arise beneath the skin’s surface. Ultrasound examinations provide insights into blood flow direction, valve functionality, and the presence of blockages or scars in the veins.

Personalized Treatment Approach

Effectively managing venous reflux disease involves a tailored strategy for each patient. The treatment typically involves three key steps:

Step 1: Addressing Underlying Reflux

Treatment starts with addressing the root cause—venous reflux—often focusing on the saphenous veins. Innovative vein ablation procedures like radiofrequency ablation, laser ablation, mechanico-chemical ablation (MOCA), and Varithena Foam are employed to restore proper blood flow.

Step 2: Handling Varicose Veins

Once the underlying reflux is resolved, the focus shifts to varicose veins. Foam sclerotherapy or minimally invasive removal methods are employed to eliminate bulging veins.

Step 3: Managing Spider Veins

For those seeking cosmetic enhancement, spider vein treatment through sclerotherapy completes the comprehensive treatment journey.

Venous reflux disease demands specialized care for effective management. Our approach encompasses cutting-edge diagnostics, advanced treatments, and personalized care to address the diverse aspects of this condition. Through our expertise and commitment, we strive to provide transformative outcomes that enhance both the health and quality of life of our patients. If you’re ready to embark on the journey towards healthier veins, reach out to us to take the first step towards comprehensive vein and vascular 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 for more fun videos and educational information. 

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



Understanding Venous Disease: Beyond Myths and Realities2024-07-06T16:54:45-07:00

Can sclerotherapy lead to clearer skin?

If you have been recommended for sclerotherapy injections to treat your spider and reticular veins, you’re on the path to healthier-looking legs. Sclerotherapy is a tried-and-true method for addressing these common vein issues, involving the injection of a specialized medication directly into the affected veins. This process causes the veins to collapse and gradually fade away.

The Sclerotherapy Process

Sclerotherapy has been a popular treatment for spider veins for decades. Modern solutions like Asclera™ have made the process more comfortable, allowing for minimal discomfort and a quick return to daily activities. Unlike older saline solutions, newer alternatives are less painful and better tolerated, making the treatment experience much smoother.

Many vein specialists prefer sclerotherapy over laser treatments. This is because spider veins often have underlying feeder veins that can be effectively treated with sclerotherapy but are not addressed by laser treatments. For optimal results, most people require multiple treatment sessions. The national average ranges from 2 to 5 sessions, typically spaced a month apart. Your healthcare provider will create a personalized care plan to suit your specific needs.

To enhance the results, wearing compression stockings after the treatment is recommended. These stockings help improve blood flow and aid in the healing process.

Foam Sclerotherapy for Larger Veins

For larger veins, foam sclerotherapy is an advanced option. This method is similar to traditional sclerotherapy but uses a foamed solution instead of a liquid. The foam is injected directly into the vein through a small needle and can be monitored via ultrasound. This allows for precise targeting of nearby varicose veins, ensuring they seal shut and are gradually absorbed by the body.

What to Expect on Treatment Day

On the day of your sclerotherapy treatment, you can expect the following steps:

  1. Consent and Preparation: You will start by signing a consent form and changing into shorts provided by the office. Your skin will be cleansed with alcohol to ensure a sterile environment.
  2. Injection: The sclerosant medication will be injected into your veins using a fine needle. If you’re undergoing foam sclerotherapy, the foamed solution will be used.
  3. Post-Treatment Care: After the injections, you will be assisted into your compression stockings. To aid in circulation and prevent complications, you will be asked to walk for 30 minutes before getting into your car.

It’s normal to experience some aching and tenderness in your legs following the treatment. These symptoms are typically mild and temporary, and they indicate that the treatment is working.

Why Choose Sclerotherapy?

Sclerotherapy is a preferred method for many due to its effectiveness and minimal downtime. Whether you’re dealing with small spider veins or larger varicose veins, sclerotherapy offers a reliable solution that allows you to quickly return to your everyday activities with improved leg appearance and comfort.

If you’re ready to address your spider veins and enhance the look and health of your legs, consider scheduling a consultation with a vein specialist to discuss if sclerotherapy is the right choice for you.

“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 for more fun videos and educational information. 

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

Can sclerotherapy lead to clearer skin?2024-06-09T02:18:50-07:00

Taking the Conservative Route: Managing Venous Disease with Non-Invasive Methods

Taking the Conservative Route: Managing Venous Disease with Non-Invasive Methods

Nurturing Health Naturally: Embracing Conservative Approaches for Effective Vein Care. Varicose veins often cause discomfort and raise concerns among many individuals. While there are medical treatments available, the incorporation of conservative management techniques and lifestyle adjustments can play a pivotal role in mitigating symptoms and averting complications. This blog post aims to delve into these conservative alternatives, which can significantly alleviate the discomfort associated with varicose veins, reduce potential complications, and enhance overall quality of life.

Comprehending the Essence of Conservative Management

Conservative management introduces a non-invasive paradigm for addressing varicose veins. This approach is particularly valuable for individuals who may not be eligible candidates for vein procedures or those who opt to postpone interventional treatment. While it may not miraculously make varicose veins vanish, it undeniably offers substantial relief from symptoms and contributes to improved vein health.

Harnessing the Power of Compression Stockings

One of the most potent and readily accessible conservative options involves the use of compression stockings. These specially designed elastic stockings gently apply pressure to the veins, facilitating blood circulation. The significance of compression stockings lies in their role in preventing blood from retrogressing and pooling in the legs.

Graduated, Medical-Grade Compression: To derive the maximum benefit, it’s imperative to utilize graduated, medical-grade compression stockings. In contrast to TED hose, which may not be suitable for active patients with venous conditions, medical-grade compression stockings offer the requisite level of compression necessary for symptom alleviation.

Optimal Compression Strength: Compression stockings come in various strengths, with 20-30mmHg being the most prevalent for managing varicose veins. It is crucial to consult with your healthcare provider to ascertain the appropriate compression strength that aligns with your specific condition. Adhering to your physician’s recommendations concerning compression stockings is paramount.

Special Considerations: Individuals contending with conditions like peripheral arterial disease (PAD), diabetes, or neuropathies should engage in a consultation with their healthcare professionals before donning compression stockings. This is essential, as these conditions may have contraindications or necessitate the use of compression stockings with lower compression strengths.

Combatting Inactivity

Extended periods of inactivity, whether in a standing or sitting position, can exacerbate the symptoms of varicose veins. To maintain the flow of blood and alleviate pressure on your veins, contemplate adopting the following strategies:

Regular Walking Breaks: If your occupation entails prolonged sitting or standing, proactively schedule brief walking breaks into your routine. A short walk around your office or during your lunch break can substantially enhance circulation.

Seated Exercises: While in a seated position, engage in foot flexing exercises by moving your feet up and down ten times every hour. This uncomplicated exercise can effectively stimulate blood flow within your legs, ameliorating any discomfort.

Movement When Standing: If your duties necessitate standing for extended durations, periodically elevate yourself on your toes and then gently rock back and forth on your heels. These simple motions are instrumental in promoting circulation and relieving vein pressure.

The Role of Dietary Supplements

Certain dietary supplements have demonstrated potential in mitigating the symptoms of venous diseases. Horse chestnut and grape seed extract are among those that have garnered attention. Furthermore, Vasculera, a prescription medication, may hold promise for specific individuals. Nevertheless, it is vital to consult your primary care physician (PCP) before introducing any supplements or new medications into your daily regimen, as they may have potential side effects or interactions with other treatments.

Consultation with Your PCP: It is strongly advisable to seek the counsel of your PCP prior to incorporating any supplements or medications into your daily routine. Your PCP can provide personalized guidance, grounded in your medical history and current health status.

Conservative management strategies and lifestyle modifications stand as robust allies in the battle against varicose veins. By integrating measures such as compression stockings, regular physical activity, and carefully selected dietary supplements under the guidance of your healthcare provider, you can experience relief from symptoms and potentially thwart complications. While conservative management may not induce the complete disappearance of varicose veins, it undoubtedly elevates your overall well-being and promotes vein health.

“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 top-rated vein and vascular care in San Diego

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

Taking the Conservative Route: Managing Venous Disease with Non-Invasive Methods2024-07-07T05:08:19-07:00

What does spider vein removal look like?

What does spider vein removal look like?

At La Jolla Vein Care, we take pride in our pioneering non-surgical vein treatments for spider vein removal, that deliver outstanding results, transforming the vein health and overall well-being of our patients without the need for invasive procedures. With a highly qualified staff proficient in non-invasive techniques, we offer a comfortable environment where patients can undergo treatments free from incisions or cutting. Our modern vein treatments focus on collapsing problematic veins, allowing them to dissolve naturally over time, eliminating the discomfort and downtime associated with invasive procedures.

One of the most effective treatments we offer for spider vein removal is sclerotherapy. This minimally invasive procedure involves injecting a special solution directly into the affected veins, causing them to collapse and fade from view over time. Sclerotherapy is highly effective for treating spider veins and small varicose veins, and it can be performed in-office with little to no downtime. Many of our patients have experienced remarkable improvements in the appearance of their legs after undergoing sclerotherapy treatments.

The key advantage of our surgery-free treatments lies in their ability to be performed in-office without the need for general anesthesia. This means that patients can undergo vein treatments with confidence, knowing they can swiftly return to their normal activities post-appointment. Whether it’s maintaining a busy work schedule or enjoying an active lifestyle, our patients can resume their daily routines without significant disruption.

The results of our surgery-free spider vein removal treatments are truly transformative. As treated veins collapse, damaged veins vanish from the skin’s surface, while blood flow is redirected through healthier veins. This not only enhances the appearance of the legs but also alleviates symptoms associated with vein issues, such as pain, swelling, and discomfort. Many of our patients experience a renewed sense of confidence and vitality, enabling them to fully embrace an active and healthy lifestyle.

But don’t just take our word for it – our patients’ testimonials and before and after photographs vividly illustrate the effectiveness of our surgery-free treatments. From individuals who have grappled with spider veins for years to those seeking preventive care, our patients consistently report positive outcomes and life-changing experiences. Their stories serve as a testament to the power of non-surgical vein treatments in restoring vein health and enhancing overall quality of life.

Just take a look at these remarkable transformations below:

spider vein removal spider vein removal spider vein removal 10 BA SV spider DSCF4737 Fotor Collage scaled 1

By sharing our patients’ before and after transformations, we aim to inspire hope and confidence in others who may be struggling with vein issues. Whether it’s the disappearance of unsightly spider veins or the relief from painful symptoms, our patients’ success stories demonstrate that there is a solution to vein problems that doesn’t involve surgery or lengthy recovery times. With the guidance of our experienced team at La Jolla Vein & Vascular, individuals can take control of their vein health and enjoy the benefits of surgery-free treatments.

Our commitment to providing exceptional care and delivering outstanding results sets us apart as leaders in non-surgical vein treatments. With our surgery-free approach, patients can achieve remarkable transformations in their vein health and overall well-being, without the need for invasive procedures. From improved appearance to symptom relief, the benefits of our treatments are truly life-changing. If you’re ready to experience the difference for yourself, schedule a consultation with us today and take the first step toward healthier, happier veins.

“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 for more fun videos and educational information. 

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

What does spider vein removal look like?2024-06-09T03:00:55-07:00
Go to Top