4, 6, 2020

Spider Veins Along the Ankle Indicate Underlying Reflux Disease

2025-09-04T12:45:03-07:00

Bluish and red-colored spider veins along the inner ankle and foot are referred to as corona phlebectasia in the vein world. This description refers to the 'crown' or cluster like distribution of these small blood vessels. Spider veins are often falsely considered as a cosmetic issue. But on the contrary, the presence of corona phlebectasia is a clinical sign that is often associated with underlying venous reflux, most commonly saphenous vein reflux, but the deep or perforator veins can also be incompetent. The underlying disease can be evaluated by a duplex ultrasound examination. Whenever corona phlebectasia is present, a duplex ultrasound examination should be offered to evaluate the underlying cause for the development of spider veins around the ankle. This will help accurately determine the treatment plan.

Spider Veins Along the Ankle Indicate Underlying Reflux Disease2025-09-04T12:45:03-07:00

Blood Vessel Diseases that can be Diagnosed with Duplex Ultrasound

2020-09-18T18:19:53-07:00

Duplex ultrasound combines Doppler flow information and conventional imaging information, sometimes called B-mode, to allow physicians to see the structure of your blood vessels. Duplex ultrasound uses sound waves to get images of your blood vessels. It also helps determine how fast blood moves through the vessels. It can also be useful to estimate the diameter of a blood vessel as well as the amount of obstruction, if any, in the blood vessel. Using duplex ultrasound technology, the structure of your blood vessels, the valve function, the movement of your red blood cells and direction of blood flow through the vessels, and any blockages or blood clots can be seen.

Diseases of the blood vessels can affect both veins and arteries.

Vascular refers to the blood vessels in the body. There are two main types of blood vessels; the arteries and veins. Arteries bring oxygen-rich blood from the heart to every inch of the body; vein return the blood back to the heart and lungs for more oxygen. Vascular disease is when the blood vessels are no longer healthy.

Common types of vein disease include:

  • Varicose veins
  • Chronic venous insufficiency
  • Deep venous thrombosis

Common types of artery disease includes:

  • Carotid artery disease and stroke (TIA or Stroke)*
  • Lower extremity arterial disease (PAD)**
  • Upper extremity arterial disease
  • Abdominal aortic aneurysm (AAA)
Blood Vessel Diseases that can be Diagnosed with Duplex Ultrasound2020-09-18T18:19:53-07:00

29, 5, 2020

Micro-Phlebectomy to Remove Varicose Veins

2021-12-30T11:47:53-08:00
Micro-Phlebectomy involves using a scalpel to make tiny incisions (less than 3mm- about the size of a grain of rice) along the legs to remove the veins. This is performed with local anesthesia that is used to numb the skin of the leg. This procedure may take 1 to 2 hours, depending on the extent of the individual’s varicose veins. Return to normal activities after the procedure is possible. There will be significant bruising with this procedure. The benefit is that the veins are removed immediately, although it may take several weeks for the bruising to resolve. This procedure may be performed in conjunction with other procedures or stand-alone, depending on the individual’s specific vein issue. Alternatives to Micro-phlebectomy are foam sclerotherapy, which is an injection into varicose veins to cause them to shrink and eventually disappear. Discuss with your doctor which treatment is better for you.

Preparing for your Procedure:

There are no medication restrictions before the procedure. If you have asthma, please bring your inhaler with you to your appointment, or your doctor may have recommended taking an antihistamine such as Claritin prior to the procedure. You should take this the morning of your treatment.

Please notify our office if you are scheduled to have any type of medical procedure or surgery 2 weeks prior to or after your treatment.

If you choose to take the light sedative offered, be sure to make arrangements for transportation to and from the procedure, as you will not be able to drive yourself home. The morning of your procedure, please shower and thoroughly wash your leg with soap from your groin to your ankle and wear loose-fitting pants to your appointment. It is also advised for you to bring an extra pair of underwear with you to your appointment. It would be best if you have a light meal before you arrive. You may bring a book or an iPod to listen to during the procedure. We also offer a movie to watch during the procedure. If you already have 30-40 thigh-high compression stockings, please bring them with you to your appointment. If not, we will fit you for stockings on the day of your procedure.

 

Micro-Phlebectomy to Remove Varicose Veins2021-12-30T11:47:53-08:00

How to Manage Varicose Vein Pain at Home

2021-11-03T16:37:58-07:00

While venous interventions are the best way to alleviate long-term pain related to varicose veins, symptoms can be managed conservatively at home. Especially under the stay-at-home safe harbor orders.  Conservative management can be helpful to relieve symptoms and also prevent complications (such as thrombophlebitis). These include:

  • Avoid standing or sitting for long periods of time:  To keep blood moving when you have to sit or stand for long periods, try these tips: at work, take walking breaks and try walking during your lunch hour. While sitting, try flexing your feet up and down 10 times an hour. When standing, raise yourself up and down on your toes or rock back and forth on your heels.

Varicose Vein Pain, Walking Breaks At Work

  • Exercise: Exercising is good for your veins because it improves blood flow. Walking, cycling or swimming are great exercises for vein health. But be sure to check with your doctor before starting any exercise program.

exercises for vein health

  • Weight loss or maintaining a healthy weight: Being overweight puts extra pressure on your veins.

Manage Varicose Vein Pain Method, Weight Loss or Maintaining A Healthy Weight

  • Leg elevation: Use leg elevation three or four times a day for about 15 minutes at a time. Even elevating your legs on a step stool or ottoman is beneficial. If you need to sit or stand for a long period of time, flexing (bending) your legs occasionally can help keep blood circulating. If you have mild to moderate varicose veins, elevating your legs can help reduce leg swelling and relieve other symptoms.

Manage Varicose Vein Pain Method, Leg Elevation

  • Compression stockings: These elastic stockings squeeze or compress the veins and prevent blood from flowing backward. Compression stockings must be graduated, medical-grade compression to be beneficial. TED hose are not adequate to reduce symptoms in venous disease for active patients. Although we typically recommend being fit for compression stockings, compression stockings can be purchased at home, from online resources. Email us if you would like suggestions.

Manage Varicose Vein Method Compression Stockings

  • Supplements such as horse chestnut and grape seed extract can help reduce symptoms of venous disease. Vascular is a prescription medication that may be helpful for some. Always check with your PCP before starting supplements or new medications as there may be side effects.
  • A flavinoid-rich diet including berries, green teas can reduce inflammation and pain.
  • Anti-inflammatory medications such as ibuprofen
  • ice packs are my favorite way of reducing painful veins. Put ice cubes in a ziplock bag and apply to tender veins.
  • Anti-inflammatory creams can be prescribed to apply directly to painful veins.
How to Manage Varicose Vein Pain at Home2021-11-03T16:37:58-07:00

How to Treat Leg Spider Veins

2020-09-18T19:01:10-07:00

Spider veins and reticular veins of the legs are most commonly treated with sclerotherapy. Sclerotherapy involves an injection of a medication into the vein.  This will cause the vein to collapse and gradually fade away. Sclerotherapy has been used to treat spider veins for decades, but modern solutions such as Asclera, allow for spider veins to be treated with minimal discomfort and immediate return to activities. Saline solutions are rarely used these days by vein specialists, because alternatives solutions are less painful and better tolerated. Sclerotherapy is the preferred  over laser in most cases of spider veins on the legs, because spider veins often have underlying ‘feeder veins’ that can easily be treated with sclerotherapy, but are not addressed by laser. Laser may be used for the fine thread like veins, most common on the face. Many people will require more than one treatment session for optimal results. The national average is 2 to 5 treatment sessions. Wearing compression stockings after treatment will improve results.

 

How to Treat Leg Spider Veins2020-09-18T19:01:10-07:00

Nutritional tips for varicose veins

2020-09-18T19:02:32-07:00

Varicose veins are bulging, purplish-colored veins that occur when the one-way valves, which are responsible for regulating the constant flow of blood, become weak, especially in the lower limbs. Although many consider them a simple aesthetic problem, they can be a sign of circulation disorders, fluid retention, and inflammatory diseases. Fortunately, this condition can be significantly improved by making better nutritional choices before it becomes chronic.

In a diet to prevent varicose veins, it is suggested to increase the intake of some foods that promote blood flow. Similarly, the aim is to control total calorie consumption, since lowering the body mass index is a determining factor both in avoiding varicose veins and in reducing them.

Another objective is to help control the body’s inflammatory processes, whose alteration may trigger this condition. Additionally, this allows decreasing the pressure on the legs, which controls symptoms, such as heaviness and pain. So, what you need to do nutritionally speaking?

Increase Omega-3 consumption. Due to their ability to cleanse the arteries, these fatty acids are ideal for reactivating circulation, lowering cholesterol, and preventing possible blockages. These healthy fats control excess inflammation and help maintain good cardiovascular health. Choose oily fish, nuts, and seeds.

Eat more fiber. Fiber-rich foods are allies in lowering cholesterol levels and optimizing circulation. They also reduce constipation so that there are no difficulties due to the pressure produced by the difficulties in defecating. Choose fruits, vegetables, whole grains, legumes, nuts, and seeds.

Consume more folic acid. Foods containing folic acid help reduce homocysteine, an element that causes injury to the artery walls. They also prevent the appearance of thrombi, a chronic disorder that affects varicose veins and cardiovascular disease. Choose spinach, asparagus, cabbage, beef liver, whole grains, and nuts.

Increase the dose of vitamin E. This well-known antioxidant is essential in preventing varicose veins because it promotes the breakdown of lipids in the blood and optimizes circulation. Choose fruits, avocado, and olive oil.

Include diuretic ingredients. These can stimulate the elimination of retained fluids to decrease the overload of the legs. Therefore, their inclusion in the diet promotes the relief of varicose veins and prevents other diseases associated with poor circulation. Choose pineapple, artichoke, lemon, cucumber, blueberries, and parsley.

Limit salt consumption. Maintaining a sodium-rich diet is one of the factors that increase the risk of varicose veins, producing edema and high blood pressure. Because of this, it is essential to limit its intake and seek healthy alternatives. Choose healthy spices like oregano, thyme, garlic, and turmeric.

Consume healthier drinks. Healthy drinks complement the effects of the diet to prevent varicose veins. Adequate fluid assimilation helps balance inflammatory processes and promotes proper blood flow by regulating fluids in the tissues. Choose plain water and healthy smoothies or juices.

Nutritional tips for varicose veins2020-09-18T19:02:32-07:00

Leaky Vein Valve Disease and Varicose Veins

2025-09-04T12:43:59-07:00

Venous reflux disease refers to 'leaky valves in the veins of the legs. Reflux may occur in the deep and/or superficial leg veins. The deep veins are those within the muscle; they bring at least 80-90% of the blood from the legs back to the heart. The superficial veins are outside of the muscle and under the skin. The main superficial veins are the Great Saphenous Vein that courses up the middle of the thigh and calf and the small saphenous vein, which courses up the back of the calf. Normally, there are one-way valves within the leg veins, which help blood flow in one direction: toward the heart. This means blood is traveling against gravity. The calf muscle also helps move blood toward the heart. When vein valves are leaky, blood flows backward (reflux) towards the feet. Blood pools in the lower legs, causing bulging veins at the surface. Symptoms include leg heaviness, leg fatigue, leg pain, ankle swelling, phlebitis (inflamed and painful veins) restless legs at night, and night cramps. Venous reflux disease is progressive and worsens over time. Skin changes may also develop, including darkening of the skin around the ankles. The darkening of the skin is sometimes referred to as venous stasis skin changes. The skin can become dry and itchy (venous eczema). Eventually, the skin can break down causing a wound, called a venous leg ulcer.

Leaky Vein Valve Disease and Varicose Veins

Leaky Vein Valve Disease and Varicose Veins2025-09-04T12:43:59-07:00

Venous Reflux is a Progressive Condition, Worsens Over Time

2025-09-04T12:26:35-07:00

6 Chronic Venous Insufficiency Stages

Venous reflux disease is also known as venous stasis, venous insufficiency, or venous incompetence. Venous reflux disease refers to "leaky valves" in the veins of the legs. Venous reflux may occur in the deep and/or superficial leg veins. The deep veins are those within the muscle; they bring at least 80-90% of the blood from the legs back to the heart. The superficial veins are outside of the muscle and under the skin. The main superficial veins are the Great Saphenous Vein that courses up the middle of the thigh and calf and the small saphenous vein, which courses up the back of the calf. Normally, there are one-way valves within the leg veins, which help blood flow in one direction: toward the heart. This means blood is traveling against gravity. The calf muscle also helps move blood toward the heart. When vein valves are leaky, blood flows backward (reflux) towards the feet. Blood pools in the lower legs, causing bulging veins at the surface. Symptoms include leg heaviness, leg fatigue, leg pain, ankle swelling, phlebitis (inflamed and painful veins) restless legs at night, and night cramps. Venous reflux disease is progressive and worsens over time. Skin changes may also develop, including darkening of the skin around the ankles. The darkening of the skin is sometimes referred to as venous stasis skin changes. The skin can become dry and itchy (venous eczema). Eventually, the skin can break down causing a wound, called a venous leg ulcer.

Stage 1. Healthy Veins, Stage 2. Spider Veins

Stage 1. Healthy Veins, Stage 2. Spider Veins

Stage 3. reticular veins and varicose veins

Stage 3. reticular veins and varicose veins

Stage 4. Venous Nodes - Edema venous insufficiency

Stage 4. Venous Nodes - Edema venous insufficiency

Stage 5. Chronic insufficiency

Stage 5. Chronic insufficiency

Stage 6. Venous eczema and venous leg ulcer

Stage 6. Venous eczema and venous leg ulcer

Venous Reflux is a Progressive Condition, Worsens Over Time2025-09-04T12:26:35-07:00

Potential Link Between Blood Clots and Coronavirus 

2020-08-19T01:19:16-07:00

Blood Clots in Patients with SARS-CoV-2

Many physicians treating patients with SARS-CoV-2 have noticed an increased incidence of blood clots, including deep venous thrombosis (DVT) and pulmonary embolism.  Studies at this point are lacking but there is a hypothesis that this infection affects coagulation. For this reason, the International Society on Thrombosis and Haemostasis has recommended that all patients with SARS-CoV-2 infection, including those that are not critically ill, should receive prophylactic dose low molecular weight heparin unless contraindicated.

Deep venous thrombosis (DVT)  can pose an additional very serious complication to these patients because blood clots in the veins can break loose and travel to the heart and lungs, blocking blood flow (pulmonary embolism). Deep vein thrombosis signs and symptoms can include: Swelling, leg pain (often cramping or sudden difficulty walking), red discoloration of the skin and a feeling of warmth in the affected leg.

Potential Link Between Blood Clots and Coronavirus 2020-08-19T01:19:16-07:00

What’s so great about the saphenous vein?

2025-09-04T12:19:38-07:00

The great saphenous vein (GSV), previously referred to as the long saphenous vein, is a superficial leg vein that runs from the top of the thigh near the groin, down the inner thigh all the way to the inner ankle. The top blue arrow in this diagram points to the location of the great saphenous vein. In people presenting with varicose veins, the Great Saphenous vein is responsible for varicose veins over 80% of the time and here at La Jolla Vein Care, we have Great Saphenous Vein treatments. Varicose veins originating off the GSV typically appear in the inner thigh, inner calf, across the shin, or start in the thigh and run along the back of the calf. The other superficial vein is largely responsible for varicose veins in the small saphenous vein. The small saphenous vein (SSV) runs along the back of the calf. Varicose veins on the backside of the leg are often caused by leaky valves within the small saphenous vein.

What’s so great about the saphenous vein?2025-09-04T12:19:38-07:00

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