22, 7, 2014

8 Warning Signs of Vein Disease: #5 Pregnancy Related Varicose or Spider Veins

2014-07-22T21:10:22-07:00
Pregnancy

Pregnant women should talk with their doctors about using medical compression therapy during pregnancy to reduce the risk of varicose veins and vein related issues.

8 Warning Signs of Vein Disease: #5 Varicose or Spider Veins, especially during or after pregnancy. During pregnancy, the amount of blood greatly increases throughout the body to almost double the normal volume, stretching leg veins far beyond their normal capacity.  Even though the visible signs of varicose veins may disappear after birth, the damage done to veins during pregnancy may be permanent and can cause pain and discomfort later in life. These problems may be avoided if compression therapy is prescribed during pregnancy. Women with a history of vein disease in their family or who experience swelling, pain or varicosities in the their legs during pregnancy are strongly urged to talk to their doctors about medical compression therapy or be evaluated by a vein specialist.

8 Warning Signs of Vein Disease: #5 Pregnancy Related Varicose or Spider Veins2014-07-22T21:10:22-07:00

Varicose Veins vs. Spider Veins

2021-11-05T13:08:51-07:00

What is the difference between varicose veins and spider veins?  Are they the same thing? Spider veins and varicose veins both refer to dysfunctional, dilated leg veins but the main difference is the size of the veins. Spider veins are small, thread-like veins at the surface of the skin. They often appear in clusters or can have a ‘starburst’ or spider-like pattern. Varicose veins are larger veins that appear swollen, twisted cordlike veins that ‘bulge’ at the surface.

Both spider veins and varicose veins can cause pain and other symptoms like burning, aching, and throbbing. Both can be treated without surgery.

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This image describes the difference between spider veins and varicose veins. Both are manifestations of unhealthy veins. Spider veins are essential, tiny varicose veins.

Varicose Veins vs. Spider Veins2021-11-05T13:08:51-07:00

How is Venous Reflux Diagnosed?

2021-11-05T11:48:32-07:00

 

Venous duplex imaging uses ultrasound waves to create pictures.  La Jolla Vein Care utilizes state-of-the-art ultrasound scanners to image the veins beneath the surface of the skin, not visible to the naked eye. Duplex ultrasound imaging can identify if the vein is healthy, or if it is refluxing, or if there are any blood clots in the vein.

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 shows how blood is flowing through your vessels and measures the speed of the flow of blood. 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.  Conventional ultrasound uses painless sound waves higher than the human ear can detect that bounce off of blood vessels. A computer converts the sound waves into two-dimensional, black and white moving pictures called B-mode images.

Doppler ultrasound measures how sound waves reflect off of moving objects. A wand bounces short bursts of sound waves off of red blood cells and sends the information to a computer. When performing duplex ultrasound, your ultrasound technologist or physician uses the two forms of ultrasound together. The conventional ultrasound shows the structure of your blood vessels and the Doppler ultrasound shows the movement of your red blood cells through the vessels. Duplex ultrasound produces images that can be color coded to show physicians where your blood flow is severely blocked as well as the speed and direction of blood flow.  Venous reflux refers to back flow of blood across dysfunctional vein valves.  The direction of blood flow is detected by ultrasound.  This is measured in seconds.

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La Jolla Vein Care image that shows reflux in the great saphenous vein. 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.

How is Venous Reflux Diagnosed?2021-11-05T11:48:32-07:00

Foam Treatment of Venous Malformations

2021-11-05T13:22:04-07:00
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Venous malformation of the lateral leg before treatment. Venous malformations appear like abnormally dilated bluish vessels near the surface of the skin. They appear in clusters and look different than typical varicose veins. They often appear during childhood, as opposed to varicose veins.

Venous malformations comprise either superficial or deep veins that are abnormally formed and dilated.  Although they usually are present at birth, they may not be seen until years later into adolescence or even adulthood. The natural history of a venous malformation is slow, steady enlargement. However, events such as surgery, trauma, infection, or hormonal changes associated with puberty, pregnancy or menopause may cause rapid expansion.

At La Jolla Vein Care, we frequently evaluate and treat superficial venous malformations of the legs. Prior to treatment, it is important to have thorough diagnostic imaging, such as an ultrasound examination to ensure an accurate diagnosis of a pure venous malformation.  If an arterial connection (arterial venous malformation) is suspected on ultrasound evaluation, further imaging with CT or MR arteriogram may be necessary. Venous malformations can also occur in other syndromes, such as Klippel -Trenaunay syndrome and may involve the abnormal development of the deep veins.

Pure venous malformations can be treated without surgery. Foam sclerotherapy is a common treatment type.  Foam sclerotherapy uses a technique to inject a foamed sclerosing solution into the cluster of varicose veins, which will cause them to collapse and eventually dissolve.

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Venous malformation after treatment with ultrasound-guided foam sclerotherapy at La Jolla Vein Care. Treatment can reduce the symptoms associated with venous malformations such as leg pain, aching and throbbing.

Foam Treatment of Venous Malformations2021-11-05T13:22:04-07:00

8 Warning Signs of Vein Disease: #4 Swollen Ankles

2021-11-05T04:26:19-07:00
After

Ankle swelling related to varicose veins and venous insufficiency may be subtle, leaving indentations from socks.

Swollen Ankles at Night

Thick, swollen ankles are signs that blood or other fluid is congested in the leg and/or leg veins. Over time, damaged vein walls can become even more stretched out and permeable, allowing fluid and protein to filter from the veins into surrounding leg tissue. When you lie down at night, the pressure from gravity is equalized across your leg. Usually, vein related swelling (venous edema) becomes apparent later in the day or worse throughout the day and improved with leg elevation or overnight during sleep.  Often in the morning, there may be no swelling. But, as the day progresses gravity causes poo

Pooling of blood around the ankle in incompetent veins. Venous insufficiency is one of the most common causes of ankle swelling that worsens throughout the day. Sometimes, the swelling can be subtle, leaving indentations from sock lines. Or, it may cause the skin to feel firm, shiny, or puffy by the end of the day.

If you have swelling, you should discuss it with your healthcare provider. Venous insufficiency can be diagnosed with a venous duplex sonogram, which is a non-invasive study of the leg veins.

8 Warning Signs of Vein Disease: #4 Swollen Ankles2021-11-05T04:26:19-07:00

8 Warning Signs of Vein Disease: #3 Open Sores or Ulcers on the Lower Leg

2014-07-02T00:16:13-07:00
Before

Venous leg ulcers are the result of chronic venous insufficiency and venous hypertension, which causes the skin to break down.

When chronic venous insufficiency reaches its most serious point, ulcers may appear on the lower leg. These open ulcers are the result of blood leaking into the leg tissue and damaging the skin. Open sores need to be treated by a doctor immediately.

8 Warning Signs of Vein Disease: #3 Open Sores or Ulcers on the Lower Leg2014-07-02T00:16:13-07:00

26, 6, 2014

8 Warning Signs of Vein Disease: #2 Discoloration of the Skin

2021-11-03T17:41:45-07:00

Discoloration of the Skin

Over time, leakage of the blood into the area surrounding the veins can cause tissue to die. The resulting pooling of blood in the tissue causes a darkening of the skin. It is at this stage that the skin is actually stained by your own blood.  This is also known as venous stasis skin changes, skin hyperpigmentation, or venous stasis dermatitis because the skin is often inflamed, itchy, and eczema-like.  This is most frequently caused by venous reflux, an underlying condition that can be treated. When skin changes like these are present, the condition is termed chronic venous insufficiency. Over time, the skin condition may worsen and the skin may become darker, firm to touch, scaly, and itchy, and the skin may break down causing a venous leg ulcer.

8 Warning Signs of Vein Disease: #2 Discoloration of the Skin2021-11-03T17:41:45-07:00

8 Warning Signs of Vein Disease: #1Tired, Heavy Legs

2021-11-05T04:03:22-07:00

Tired, heavy-feeling legs

One of the first signs of vein disease- your legs feeling chronically tired and heavy. This is a clear indication that the return flow of blood from the legs to the heart is impaired. The result is oxygen depletion in your legs and pooling of blood, increasing the pressure in your legs, giving you that tired, heavy feeling.

varicose veins

Varicose veins most frequently cause the legs to become heavy, achy and tired. But, these symptoms can be present even in the absence of varicose veins. Venous insufficiency, the underlying cause for varicose veins can cause leg heaviness, tiredness and swelling even before bulging veins are visible.

Many people think it is normal to have tired, heavy legs or that it is a part of aging. It is not. If you or someone you know, suffers from these symptoms, especially legs that become tired and heavy toward the end of the day, causing you go slow down your activities to sit and elevate the legs, you should get checked out for venous insufficiency.

8 Warning Signs of Vein Disease: #1Tired, Heavy Legs2021-11-05T04:03:22-07:00

What are Vein Valves?

2021-11-04T19:47:30-07:00
healthy_and_diseased_valves

In healthy veins, the valves close after the blood flows towards the heart, preventing backflow.
When veins become dilated, the valves cannot close properly, allowing blood to flow back towards the ankle.

Vein valves play a critical role in helping blood flow through the veins back to the heart. Like swinging doors, valves open to allow blood to flow toward the heart and flap closed again to prevent the flow of blood back down the legs. If the veins become dilated, the flap-like valves cannot completely close, making them incapable of preventing the backflow of blood. This ‘back flow’ of blood through dysfunctional valves is called venous reflux or venous insufficiency.

What are Vein Valves?2021-11-04T19:47:30-07:00

7 Signs of Venous Disease

2021-11-05T11:14:23-07:00

#1 A feeling of heaviness or fullness in the legs that gets worse as the day progresses.

#2 Leg fatigue and tiredness in the legs, which also becomes worse by the end of the day and after prolonged standing or sitting. Some patients describe their legs as being ‘full of energy in the morning but are tired by the evening. For example, after a long day at work, Disney land, or the grocery store, you may feel like you need to run to a chair to recline and elevate your legs.

#3 Leg swelling, mostly affecting the ankles. Your legs may be normal in the morning but you notice swelling or that your shoes are tight by the end of the day.

#4 Leg pain. This can occur generally, or along a varicose vein, especially those that run on the outside of the leg or behind the knees. Some patients report localized pain along the vein that feels like burning or throbbing. Leg pain that is worse during exercise may indicate a different problem.

#5 Night cramps. These are cramps usually in the calf or thighs that occur only at night.

#6 Restless Legs: a feeling of restlessness during the night, that may interrupt sleep. You may have to get out of bed to walk around and move your legs.

#7 Noticeable bulging, twisted veins called varicose veins

symptoms

7 Signs of Venous Disease2021-11-05T11:14:23-07:00
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