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15, 9, 2023

Unlocking wellness: Navigating chronic venous insufficiency with expert insights

2023-08-30T18:18:41-07:00

Unlocking wellness: Navigating chronic venous insufficiency with expert insights

Chronic Venous Insufficiency (CVI) is a medical condition that arises from untreated venous reflux disease. It leads to a range of uncomfortable symptoms and, if left untreated, can cause significant skin changes and complications. In this blog post, we’ll delve into what CVI is, its symptoms.

What is Chronic Venous Insufficiency?

venous

Chronic Venous Insufficiency (CVI) is a chronic inflammatory condition caused by prolonged venous reflux disease. This condition is characterized by a collection of distressing symptoms such as leg swelling, heaviness, fatigue, and the development of varicose veins. However, over time, CVI can progress, leading to inadequate blood circulation in the leg veins and subsequently, visible skin changes. These skin changes, also known as venous stasis, are marked by darkening, dryness, itching, and firmness in the skin around the ankles. In more severe cases, the skin can deteriorate to the point of ulceration, resulting in what is termed a stasis ulcer or venous ulcer.

Venous Stasis Skin Changes Associated with CVI

Several skin changes are associated with venous insufficiency, including:

  • Darkening of the skin along the ankles
  • Itching and dry skin around the ankles, often referred to as venous eczema
  • Development of wounds around the ankles, known as leg ulcers

Understanding Treatment for CVI

While the treatment of CVI cannot reverse the skin changes that have already occurred, it can prevent further deterioration and ulceration. Through addressing the underlying venous reflux, the inflammatory changes can be reduced, leading to potential relief from itchiness and dryness. However, it’s important to note that permanent skin discoloration may persist. The cornerstone of treatment involves correcting the underlying venous reflux.

Managing Venous Leg Ulcers

Leg ulcers, which can result from severe CVI, require a multifaceted approach to healing. Depending on the severity, treatment may involve:

  • Correcting the underlying venous reflux
  • Referral to a wound care clinic for specialized care
  • Implementing compression therapy

To determine the appropriate treatment path, a comprehensive ultrasound examination is necessary. This ultrasound will pinpoint the specific location of the underlying reflux, be it in the saphenous veins, perforator veins, tributaries, or even deep veins.

Chronic Venous Insufficiency is a complex medical condition with far-reaching implications for those affected. By understanding the condition, its symptoms, and the available treatments, individuals can make informed decisions about their 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 unparalleled vein and vascular care. 

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

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

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

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

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

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

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



Unlocking wellness: Navigating chronic venous insufficiency with expert insights2023-08-30T18:18:41-07:00

Healing leg ulcers: understanding, treatment, and prevention strategies

2023-08-30T18:09:58-07:00

Healing leg ulcers: understanding, treatment, and prevention strategies

ulcers

In the realm of vascular health, chronic venous insufficiency (CVI) is a prevalent but often misunderstood condition. Characterized by a cascade of symptoms that can ultimately lead to skin changes and ulcers, CVI is a condition that demands attention and proper management. In this article, we delve into the intricacies of CVI, its symptoms, causes, and most importantly, its treatment. 

Unveiling Chronic Venous Insufficiency

Chronic venous insufficiency emerges from a complex interplay of factors, primarily stemming from untreated venous reflux disease. While the initial signs include discomforts like leg swelling, fatigue, and varicose veins, the condition can take a more severe turn over time. As blood circulation falters within the leg veins, the skin undergoes changes that mark the onset of chronic venous insufficiency. These changes are also referred to as venous stasis, a term encapsulating the skin’s darkening, dryness, itchiness, and firmness. In severe cases, this deterioration can lead to the breakdown and ulceration of the skin, often referred to as venous leg ulcers or stasis ulcers.

Symptoms and Skin Changes of CVI

The symptoms of CVI go beyond physical discomfort, extending to visible changes in the skin. Venous stasis skin changes associated with chronic venous insufficiency include:

  • Darkening of the skin along the ankles: The skin takes on a darker hue, particularly around the ankles, due to disrupted blood flow.
  • Itching and dry skin around the ankles (venous eczema): Irritation and dryness become common, leading to persistent itching and discomfort.
  • Development of wounds around the ankles: These are termed venous leg ulcers, characterized by non-healing wounds that require specific attention and care.

ulcers

Taking Control: Treating CVI

While the skin changes brought on by CVI may be irreversible, managing the condition is essential to prevent its progression and the onset of ulcers. A key aspect of managing CVI involves addressing the underlying venous reflux. By doing so, the inflammatory changes can be reduced, leading to a potential improvement in skin symptoms. However, it’s important to note that permanent skin discoloration may persist even after successful treatment of the reflux.

Treating Venous Leg Ulcers

For those who have progressed to venous leg ulcers, treatment involves a multifaceted approach:

  • Correction of Underlying Venous Reflux: Addressing the root cause is crucial. Treatment methods will vary based on the location of the underlying reflux, which can be determined through a detailed ultrasound.
  • Wound Care Clinic Referral: Collaborate with wound care specialists who possess expertise in managing venous leg ulcers. Their insights and treatments can expedite the healing process.
  • Compression Therapy: This approach involves using compression garments to improve blood circulation and promote healing. It’s a cornerstone of venous ulcer management.

compression

Chronic venous insufficiency is a condition that demands attention, education, and proper management. By understanding its symptoms, causes, and treatment options, individuals can take charge of their vascular 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 unparalleled vein and vascular care. 

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

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

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

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

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

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

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

Healing leg ulcers: understanding, treatment, and prevention strategies2023-08-30T18:09:58-07:00

Easing leg pain: your comprehensive guide to understanding and relief

2025-02-28T21:23:41-08:00

Easing leg pain: your comprehensive guide to understanding and relief

Leg pain can arise from a variety of sources, and it’s essential to determine the underlying cause to find the right treatment. In this article, we’ll explore the various factors that can contribute to leg pain, from vascular issues like poor circulation, varicose veins, and blood clots to non-vascular causes such as injuries, arthritis, and low back pain. Learn more about the different types of leg pain and how seeking professional evaluation can lead to effective relief.

Identifying the Causes of Leg Pain

  • Vascular Causes:
    • Blood Clots: Blood clots, whether deep vein thrombosis (DVT) or superficial vein thrombosis, can result in leg pain. DVT can lead to sudden swelling, pain, redness, and warmth in one leg. Superficial vein thrombosis often affects varicose veins, causing pain, hardness, and a rope-like sensation under the skin.
    • Venous Reflux Disease: This condition is characterized by leg pain, heaviness, and fatigue that worsens with standing and throughout the day. Hormonal influences can exacerbate symptoms in women. Nighttime leg cramping and restlessness are common signs. Visible signs may include varicose veins, ankle swelling, and skin changes like darkening or ulceration.
  • Non-Vascular Causes:
    • Injuries: Joint, bone, muscle, or ligament injuries can lead to localized leg pain.
    • Arthritis: Arthritic conditions can cause persistent leg pain.
    • Low Back Pain: Pain originating from the lower back can radiate down to the legs.

Understanding Peripheral Arterial Disease (PAD)

PAD progression blood vessels

Peripheral arterial disease refers to poor arterial circulation in the legs. This condition causes leg pain, often during walking, and is characterized by cramping, especially in the calf muscles. Resting typically alleviates the discomfort. Additional signs of PAD include pale toes and absent pulses in the feet.

Diagnosing and Treating Leg Pain

Diagnosing the source of pain involves a comprehensive approach:

  • Medical History: Healthcare providers gather information about your medical background, symptoms, and any risk factors.
  • Physical Examination: A thorough exam can reveal signs of vascular or non-vascular issues.
  • Non-Invasive Ultrasound Imaging: This imaging technique helps visualize blood flow and identify potential vascular problems.
  • ABI Test: An Ankle-Brachial Index (ABI) test can screen for peripheral arterial disease.

leg pain

Treatment Options and Relief

The good news is that all these conditions are treatable, often through improving blood flow. Once diagnosed, appropriate treatment plans can be established. Potential treatments include lifestyle changes, medications, minimally invasive procedures, and more. Seeking professional advice is crucial for tailoring the right treatment approach for your specific condition.

Seek Relief 

If you’re experiencing leg pain, don’t hesitate to reach out for professional evaluation. Understanding the root cause of your discomfort is the first step toward finding effective relief. Whether your pain is vascular or nonvascular in origin, remember that there are treatment options available. By consulting healthcare providers who specialize in these conditions, you can regain your comfort and mobility. Give us a call at 858-550-0330 to set up a diagnostic imaging session and consultation with our dedicated healthcare providers. Your journey towards pain-free legs starts with a simple call.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

Easing leg pain: your comprehensive guide to understanding and relief2025-02-28T21:23:41-08:00

Unveiling vital information about spider veins

2023-08-30T17:13:07-07:00

Unveiling vital information about spider veins

1 3

Spider veins, those delicate reddish veins visible just beneath the skin’s surface, can be a bothersome cosmetic concern for many individuals. Although often viewed as a minor issue, spider veins might signify underlying problems that go beyond their aesthetic appearance. In this article, we delve into the world of spider veins, exploring their causes, symptoms, and the most effective treatments available. Let’s uncover the truth about these tiny veins and learn how to manage them effectively.

What are they?

Spider veins, also known as telangiectasias, are those fine thread-like veins that create a web-like pattern on the skin’s surface. These veins can appear in various colors, including red, blue, or purple. Despite their innocent appearance, spider veins may have more to reveal about your vein health than meets the eye.

Understanding the Link to Feeder Veins and Venous Insufficiency

While the veins themselves are not considered a major health concern, they can be connected to underlying feeder veins or reticular veins that are not immediately visible. These feeder veins are often associated with more significant veins, and their presence might indicate venous insufficiency—a condition where the veins struggle to efficiently transport blood back to the heart. For instance, spider veins located in specific areas, such as the inner ankles or inner thighs, could indicate an underlying issue with the saphenous vein. Medical experts might recommend ultrasound examinations to pinpoint and address the source of these spider veins effectively.

Recognizing Symptoms 

2 3

These veins can impact individuals differently. While some might experience them as a cosmetic concern without any discomfort, others might encounter symptoms such as burning, throbbing, localized pain, itchiness, and even bleeding. Being aware of these symptoms is essential in determining the appropriate steps for managing and treating spider veins.

Unveiling the Causes 

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

Identifying Those at Risk

Several factors can increase an individual’s susceptibility to developing spider veins. These include genetics, pregnancy, being female, advancing age, being overweight, hormonal imbalances, and prolonged periods of sitting or standing. Understanding your risk factors can aid in both prevention and early intervention.

spider veins

Effective Treatment Options

For those seeking relief, several treatment options are available. The most common approach for treating spider veins on the legs is sclerotherapy. This procedure involves injecting a liquid sclerosant medication into the affected veins, causing them to close, scar, and eventually fade away. Multiple sessions are typically recommended for optimal results. While lasers can also be used to address fine spider veins, sclerotherapy remains the gold standard for spider vein treatment due to its effectiveness.

spider veins

Spider veins might seem like a minor issue, but they can offer valuable insights into your vein health. Whether you’re concerned about their appearance or experiencing discomfort, it’s important to understand the potential underlying causes and seek appropriate treatment. By addressing these veins with early intervention and effective treatments like sclerotherapy, you can not only improve their appearance but also promote better overall vein health. Remember, taking care of your veins is an investment in your well-being that pays off in both comfort and confidence.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

Unveiling vital information about spider veins2023-08-30T17:13:07-07:00

Unveiling vital insights: your guide to understanding varicose veins

2023-08-29T19:01:26-07:00

Unveiling vital insights: your guide to understanding varicose veins

varicose vein

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

Understanding Varicose Veins

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

The Culprits: Causes of Varicose Veins

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

Research Insights

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

varicose vein

Unraveling Symptoms

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

The Power of Ultrasound Diagnosis

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

Customized Treatment Approach

varicose vein

A comprehensive approach to treating varicose veins involves multiple steps:

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

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

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

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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



Unveiling vital insights: your guide to understanding varicose veins2023-08-29T19:01:26-07:00

Understanding what vein disease is and is not

2023-08-29T18:44:36-07:00

Understanding what vein disease is and is not

Venous reflux disease, alternatively referred to as venous stasis, venous insufficiency, or venous incompetence, is a complex condition affecting the veins of the legs. In this article, we will delve into the details of venous reflux disease, from its causes and symptoms to the progressive nature of the condition. We’ll also explore the crucial role of ultrasound technology in diagnosing and formulating personalized treatment plans.

Understanding Venous Reflux

At the heart of venous reflux disease lies the concept of ‘leaky valves’ within the leg veins. These valves, responsible for maintaining proper blood flow, may fail, causing blood to flow backward (reflux) instead of towards the heart. Venous reflux can occur in both deep and superficial leg veins, affecting the efficiency of blood circulation.

The Anatomy of Reflux

In the leg veins, there are two main types: deep and superficial. The deep veins, residing within the muscle, carry the majority of blood from the legs back to the heart. On the other hand, superficial veins are situated outside the muscle, just beneath the skin. Key players in the realm of superficial veins are the Great Saphenous Vein (GSV), coursing through the thigh and calf, and the small saphenous vein, running along the back of the calf.

Impact of Leaky Valves

Ordinarily, one-way valves in leg veins facilitate blood flow against gravity, aided by the contraction of calf muscles. When these valves become leaky, blood flows backward, leading to blood pooling in the lower legs. This condition manifests in symptoms such as leg heaviness, pain, fatigue, ankle swelling, and even restless legs at night. Over time, venous reflux disease can progress, giving rise to skin changes, including darkening, dryness, itching, and the potential development of venous leg ulcers.

Diagnosis through Ultrasound

Diagnosing venous reflux disease requires specialized tools, with ultrasound technology leading the way. Not all vein issues are visible to the naked eye, as many arise from veins beneath the skin’s surface. Ultrasound examinations provide insights into the direction of blood flow, valve functionality, and the presence of blockages or scars in the veins.

Personalized Treatment Steps

Addressing venous reflux disease involves a strategic approach tailored to each patient’s unique condition. The treatment process typically consists of three key steps:

Step 1: Treating Underlying Reflux
The initial focus is on addressing the root cause—venous reflux. This is achieved by targeting the saphenous veins, which are often the origin of the issue. Innovative vein ablation procedures like radiofrequency ablation, laser ablation, mechanico-chemical ablation (MOCA), and Varithena Foam are employed to restore proper blood flow.

vein disease

Step 2: Tackling Varicose Veins
Once underlying reflux is resolved, attention shifts to varicose veins. Foam sclerotherapy, involving injections of a foamed medication, or minimally invasive removal methods, can be employed to eliminate bulging veins.

vein disease

Step 3: Managing Spider Veins
For those seeking cosmetic enhancement, spider vein treatment through sclerotherapy is available. Although cosmetic in nature, this step completes the comprehensive treatment journey.

vein disease

Venous reflux disease is a multifaceted condition that requires specialized care for effective management. Our approach encompasses state-of-the-art diagnostics, cutting-edge treatments, and personalized care to address the various aspects of this condition. Through our expertise and commitment, we aim to provide transformative outcomes, enhancing both the health and quality of life of our patients. If you’re ready to embark on the journey to healthier veins, contact 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 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! 



Understanding what vein disease is and is not2023-08-29T18:44:36-07:00

New Doctor: Dr Amanda Steinberger: Let’s get to know her!

2023-09-07T10:40:50-07:00

New Doctor: Dr Amanda Steinberger: Let’s get to know her!

Steinberger

We are thrilled to introduce our newest addition to the La Jolla Vein & Vascular team, Dr. Amanda Steinberger, a distinguished interventional radiologist with a passion for advancing the field of venous disease treatment. With a wealth of experience and specialized expertise, Dr. Steinberger brings a unique perspective to our practice, ensuring the highest level of care for our valued patients.

Meet Dr. Amanda Steinberger

Dr. Amanda Steinberger is a board-certified Interventional Radiologist, renowned for her dedication to both Interventional Radiology and Diagnostic Radiology. Her commitment to excellence and patient-centered care sets her apart in the field. What truly sets Dr. Steinberger apart is her specialization in superficial vein disease. With a deep understanding of this complex area, she has earned certification from the American Board of Venous & Lymphatic Medicine, a testament to her expertise.

Exceptional Training and Expertise

Dr. Steinberger’s journey to becoming a leading figure in interventional radiology and venous disease is marked by rigorous training and remarkable achievements. She completed her fellowship training in Vascular & Interventional Imaging at Beth Israel Deaconess Medical Center (BIDMC), a prestigious teaching hospital affiliated with Harvard Medical School. This training not only honed her skills but also exposed her to cutting-edge techniques in the field.

Before her fellowship at BIDMC, Dr. Steinberger completed her residency training in diagnostic radiology at Mercy Catholic Medical Center in Philadelphia. Her comprehensive training laid the foundation for her future success, equipping her with the knowledge and skills to excel in her practice.

Passion for Venous Disease

Dr. Steinberger’s journey into the world of venous disease began early in her career. With her focus set on making a positive impact in this specialized area, she has dedicated over 5 years to practicing and specializing in venous disease. Her commitment to staying at the forefront of advancements in the field ensures that her patients receive the most up-to-date and effective treatments available.

Partnering for Your Wellness

With Dr. Amanda Steinberger joining our team, we are proud to offer an even higher level of expertise and care to our patients. Her passion for venous disease, coupled with her exceptional training, aligns seamlessly with our mission to provide the best possible care and outcomes for those we serve. Whether you’re seeking treatment for varicose veins, spider veins, or other vascular conditions, Dr. Steinberger’s knowledge and dedication ensure that you’re in capable hands.

We extend a warm welcome to Dr. Amanda Steinberger, a trailblazing interventional radiologist whose expertise in venous disease adds a new dimension to our practice. Her commitment to delivering exceptional patient care and staying at the forefront of advancements in her field perfectly aligns with our values. If you’re in search of compassionate, specialized care for your venous health, we invite you to schedule a consultation with Dr. Steinberger and experience firsthand the difference that expertise and dedication can make.

“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, DO 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! 

New Doctor: Dr Amanda Steinberger: Let’s get to know her!2023-09-07T10:40:50-07:00

Patient Reviews and Testimonials for La Jolla Vein & Vascular

2023-08-29T18:21:15-07:00

At La Jolla Vein & Vascular,, we pride ourselves on providing comprehensive care for individuals dealing with various vein and vascular conditions. Our commitment to excellence and innovation has led to remarkable transformations in the lives of our patients. In this blog post, we will take you on a journey through the stories of some of our most common patient transformations, highlighting the impactful changes they experienced through our advanced vein and vascular treatments.

Understanding Venous Disease

Venous disease encompasses a range of conditions, from spider veins and varicose veins to deep vein thrombosis and chronic venous insufficiency. These conditions can cause discomfort, pain, and affect an individual’s overall quality of life. Recognizing the importance of early intervention and tailored treatment plans, we’ve assembled a team of skilled professionals dedicated to addressing these issues.

Common Patient transformations we see: stories of renewal

Patient 1: Journey to Confidence

Patient 1: A vibrant young woman, had been struggling with the appearance of spider veins on her legs. Feeling self-conscious about wearing her favorite dresses and shorts, she turned to our clinic for help. Through personalized sclerotherapy sessions, we targeted her spider veins, effectively diminishing their appearance. With her renewed confidence, she felt empowered to embrace her style without reservation.

Patient 2: Triumph Over Varicose Veins

Patient 2:, An active middle-aged man, had been living with throbbing varicose veins that disrupted his daily activities. Seeking relief, he consulted our experts. After a comprehensive evaluation, we recommended minimally invasive procedures like radiofrequency ablation. The treatment not only alleviated his discomfort but also brought back the joy of participating in outdoor sports and spending quality time with his family.

Patient 3:  Journey to Comfort

Patient 3: A retiree, had been experiencing the effects of chronic venous insufficiency for years. The swelling and discomfort in her legs had taken a toll on her active lifestyle. Our team devised a comprehensive treatment plan, including ultrasound-guided foam sclerotherapy. The results were beyond her expectations. With reduced swelling and improved circulation, she found herself rediscovering the joy of long walks and gardening.

Our Approach to Transformation

At La Jolla Vein & Vascular, our patient-centric approach involves personalized consultations, state-of-the-art diagnostics, and tailored treatment plans. We believe in empowering our patients with knowledge about their conditions and involving them in the decision-making process. Our commitment to staying at the forefront of medical advancements ensures that our patients receive the most effective and innovative treatments available.

Join Us on the Journey to Wellness

If you or a loved one are grappling with vein and vascular conditions, we invite you to embark on a journey towards renewed wellness with us. Our dedicated team is here to provide not only effective treatments but also compassionate support every step of the way. We understand that each patient’s story is unique, and we’re excited to be part of your journey to improved vein health.

patient patient patientpatient

These stories and many others highlight the profound impact that comprehensive vein and vascular treatments can have on individuals’ lives. Through innovative procedures and a patient-centered approach, we’re committed to bringing about positive transformations that extend far beyond the physical. 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

Patient Reviews and Testimonials for La Jolla Vein & Vascular2023-08-29T18:21:15-07:00

Patient Transformation: Spider Veins Vitality

2023-08-29T17:57:43-07:00

Patient Transformation: Spider Veins Vitality

Spider veins, those delicate reddish veins that grace the skin’s surface, can sometimes be more than just a cosmetic concern. In this blog post, we’ll explore what spider veins are, delve into their symptoms, uncover their underlying causes, and shed light on the importance of effective treatment.

What are Spider Veins?

Spider veins, often referred to as thread-like veins, are those fine, reddish veins that can be seen just beneath the skin’s surface. While they are commonly associated with cosmetic issues, they can hint at underlying problems that might require attention. These visible veins are not a sign of healthy circulation.

Unveiling the Underlying Issues

Beneath the surface, feeder veins, also known as ‘reticular veins’ or ‘blue veins,’ can be the culprits behind the appearance of spider veins. These feeder veins, not visible to the naked eye, provide the pathways through which spider veins arise. It’s important to note that spider veins might also be indicative of venous insufficiency. For instance, if spider veins appear around the inner ankles or inner thighs, it could signal an underlying issue with the saphenous vein. In such cases, seeking an ultrasound examination is recommended to pinpoint and treat the root cause effectively.

Spotting the Symptoms

Spider veins can affect individuals in diverse ways. For some, they might be a painless aesthetic concern, while for others, they could lead to discomfort. The most commonly reported symptoms associated with spider veins include burning sensations, throbbing, localized pain, and feelings of heat and itchiness. In more severe cases, spider veins might even bleed.

Peering into the Causes

Spider veins on the legs share a common cause with varicose veins. Both conditions result from leaky vein valves that allow blood to pool within the veins, leading to their stretching and enlargement. On other parts of the body, such as the face and chest, factors like sun damage, hormonal fluctuations, or liver disease can trigger the appearance of spider veins. Hormonal changes, like those occurring during pregnancy, as well as the use of birth control or hormone replacement therapy, can weaken vein walls and contribute to their emergence.

Real Transformations: Patient Success Stories

spider spider spider 8

The journey to healthier veins is marked by visible transformations, as evidenced by the experiences of our patients who received vein treatment. These before-and-after images showcase the positive impact of effective treatment on individuals dealing with spider veins. The journey from discomfort and aesthetic concern to improved quality of life is a testimony to the importance of seeking the right care.

Spider veins might seem like a minor concern, but they can often be a window into underlying vascular issues. Understanding their causes, symptoms, and potential implications empowers individuals to seek appropriate solutions for their vein health. Whether it’s recognizing the significance of feeder veins, identifying signs of venous insufficiency, or acknowledging the various triggers behind spider veins, education is key. By choosing to address spider veins early on, individuals can embark on a path towards healthier, more comfortable lives.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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



Patient Transformation: Spider Veins Vitality2023-08-29T17:57:43-07:00

Patient Transformation: varicose veins vitality

2023-08-29T17:43:24-07:00

Patient Transformation: varicose veins vitality 

Varicose veins, those twisted and bulging veins just beneath the surface of the skin, can be a common concern for many individuals. While they most frequently appear in the legs, they can also emerge in other areas of the body. In this blog post, we’ll delve into the world of varicose veins, exploring what they are, what causes them, and shedding light on potential treatment options.

What are Varicose Veins?

Varicose veins are swollen, twisted veins that are visible just below the skin’s surface. Their appearance can be alarming, but they are actually a common condition that affects many people. These veins can often cause discomfort, pain, or a heavy feeling in the legs.

Causes of Varicose Veins

The main culprit behind varicose veins is faulty vein valves. These valves are responsible for ensuring proper blood flow by allowing blood to travel towards the heart and preventing it from pooling in the veins. When these valves become leaky, blood starts to accumulate in the veins, causing them to stretch and enlarge. This condition is often a result of venous reflux disease, also known as venous stasis, venous insufficiency, or venous incompetence.

Understanding Venous Reflux

Venous reflux occurs when blood flows backward, against gravity, due to malfunctioning valves. Normally, the calf muscles aid in pumping blood upwards, but with leaky valves, blood tends to pool in the lower legs, causing the veins to bulge at the surface. This condition is frequently observed in the great and small saphenous veins, which are responsible for carrying blood from the legs back to the heart. Over 90% of the time, varicose veins in the legs are linked to these veins.

Our Research Findings

In a notable study led by Dr. Nisha Bunke and published in the Journal of Vascular Ultrasound in 2018, more than 1,000 legs with varicose veins were examined. The research revealed that the great and small saphenous veins were the primary sources of varicose veins in a majority of cases. The Great Saphenous Vein (GSV), coursing up the middle of the thigh and calf, and the Small Saphenous Vein (SSV), located along the back of the calf, were particularly implicated.

Treatment Options

Fortunately, varicose veins are not a condition without solutions. With advancements in medical technology and knowledge, treatment options are available to alleviate discomfort and improve the appearance of affected veins. Various minimally invasive procedures, including laser ablation, radiofrequency ablation, and sclerotherapy, have proven effective in treating varicose veins.

Visual Proof: Patient Transformations

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Witnessing the outcomes of varicose vein treatment can be truly remarkable. Many individuals experience significant improvements in both the appearance and symptoms of their varicose veins. These before-and-after images serve as a testament to the positive impact that proper treatment can have on one’s vascular health and overall well-being.

Varicose veins might be a common condition, but understanding their causes and treatment options empowers individuals to take control of their vascular health. With modern medical techniques, those suffering from varicose veins can seek relief and experience a significant enhancement in their quality of life. Whether it’s understanding the role of faulty vein valves, exploring the intricacies of venous reflux, or considering various treatment approaches, the journey to healthier veins starts with education and awareness.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

Patient Transformation: varicose veins vitality2023-08-29T17:43:24-07:00
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© Copyright 2010-2025, La Jolla Vein & Vascular | All Rights Reserved

CONTACT INFORMATION

La Jolla/UTC

Vista

Patient Privacy Practices

Privacy Policy

Hippa Privacy Practices
HIPAAOneTM Certified Seal 2

Use the search features below to find articles and insights for the diagnosis and treatment of vascular disease

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

La Jolla/ UTC

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

© Copyright 2010-2024, La Jolla Vein & Vascular | All Rights Reserved

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