28, 9, 2023

Chemical solutions for vascular wellness: Exploring the Ablation procedure

2023-08-31T18:57:46-07:00

Chemical solutions for vascular wellness: Exploring the Ablation procedure

ablation

Unveiling Varithena: Advancing Vein Health with Injectable Foam Treatment

In the realm of modern vein treatments, Varithena (ablation procedure) emerges as a groundbreaking solution for addressing varicose veins within the great saphenous vein system (GSV). This prescription medication presents a non-thermal, non-tumescent, and nearly painless approach to vein treatment. In this article, we delve into the intricacies of Varithena®, its effectiveness, and what to expect on the day of treatment.

Decoding Varithena®: Your Path to Vein Health

Varithena® utilizes a “microfoam” formulation of polidocanol (sclerosing agent) and CO2 to target superficial venous incompetence and visible varicosities associated with the great saphenous vein system. The microfoam is skillfully injected into the vein with ultrasound guidance, displacing blood and efficiently destroying the endothelial lining into ablation.

The Advantages of Varithena®:

  • Tailored Treatment: Varithena® recommendations are based on vein location, size, anatomy, and tortuosity. It effectively treats veins above and below the knee of different sizes.
  • Minimally Invasive: This treatment requires no incisions, sedation, or general anesthesia, enhancing patient comfort.
  • Non-Invasive Technique: Unlike other methods, Varithena® doesn’t require inserting a wire along the length of the vein, eliminating associated discomfort.
  • Heat-Free Process: Varithena® avoids the use of heat, ensuring there’s no risk of thermal injury during treatment.

Treatment Frequency and Response: A Closer Look

The number and frequency of Varithena® treatments depend on individual anatomy, the rate of vein response, and treatment goals. While larger or resistant veins might require two treatments for a complete response, many veins typically respond well after a single session. The treatment process is carefully managed to avoid potential side effects.

On the Day of Varithena® Treatment: What to Expect

Preparing for your Varithena® ablation treatment day is straightforward:

  • Consent and Attire: You’ll sign a consent form and change into provided shorts.
  • Skin Preparation: Your skin will be cleaned with alcohol, and ultrasound will be used to locate the veins for targeted treatment.
  • Injection Process: The foam medication will be injected into your veins using a fine needle. The foam effectively fills and treats the designated vein section, leading to vein collapse and deactivation.
  • Recovery Period: You’ll elevate your legs on a comfortable wedge pillow for around 15 minutes post-treatment.
  • Compression Stockings and Walking: Following treatment, compression stockings will be applied, and you’ll walk for 30 minutes before departing.

Varithena® paves the way for a new era in vein health, offering a swift and effective method for tackling varicose veins. At La Jolla Vein & Vascular, our skilled medical professionals are dedicated to delivering personalized care for your vein health journey. By embracing advanced solutions like Varithena®, you’re taking confident steps towards healthier, pain-free legs and enhanced well-being.

“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! 



Chemical solutions for vascular wellness: Exploring the Ablation procedure2023-08-31T18:57:46-07:00

Unraveling the challenge: Understanding & addressing non healing ulcers

2023-08-31T17:52:31-07:00

Unraveling the challenge: Understanding & addressing non healing ulcers

Non-healing ulcers, a term you might have heard in passing, carry a significance that goes beyond the surface. Unlike typical wounds, these ulcers possess unique characteristics and challenges, often requiring specialized attention. At La Jolla Vein & Vascular, we recognize the gravity of non-healing ulcers and their potential impact on patients’ lives. In this article, we explore the intricacies of these ulcers, their causes, symptoms, and the comprehensive treatments we offer to ensure a healthier, pain-free existence.

Types of Non-Healing Ulcers: Understanding the Varieties

Non-healing ulcers fall into distinct categories, each stemming from different underlying factors. The three major classifications are:

  • Arterial or Venous Ulcers: These ulcers result from compromised blood flow, either due to arterial or venous issues. Inadequate circulation impairs the body’s natural healing processes, leading to chronic wounds.
  • Pressure Ulcers: Pressure ulcers, also known as bedsores, arise from prolonged pressure on the skin and underlying tissues. Patients with limited mobility are particularly susceptible.
  • Diabetic Ulcers: Individuals with diabetes are prone to foot ulcers due to nerve damage and circulation problems, making their wounds challenging to heal.

Causes of Non-Healing Ulcers: Delving into the Underlying Factors

The risk factors contributing to non-healing ulcers are diverse but share the ability to disrupt the body’s wound healing mechanisms. These factors include:

  • Nerve Damage (Neuropathy): Nerve impairment hampers the body’s ability to sense and respond to injuries, leading to chronic wounds.
  • Circulatory System Issues: Compromised blood flow starves tissues of oxygen and nutrients necessary for proper healing.
  • Underlying Health Conditions: Conditions like diabetes and vascular diseases can significantly impede the body’s natural healing processes.

Recognizing Symptoms: Taking Timely Action

Waiting for weeks before seeking professional assistance for a non-healing wound is risky, especially if you fall within the high-risk categories. Be vigilant and watch out for the following warning signs:

  • Darkening or bluish discoloration around the wound edges
  • Persistent or worsening pain around the wound
  • Foul odor emanating from the wound
  • Swelling, redness, and spreading of inflammation
  • Continuous leaking or draining from the wound

These symptoms often indicate infection and the failure of the body’s natural healing mechanisms. Prompt intervention is essential to prevent further complications.

Comprehensive Treatment Approaches: Tailored to Each Case

Managing non-healing ulcers requires a personalized approach, considering the diverse causes and complexities. Treatment options include:

  • Compression Wrapping: Enhancing blood flow to aid healing.
  • Specialized Dressings and Topical Medication: Promoting wound healing and infection prevention.
  • Patient Self-Care and Education: Empowering patients to actively participate in their healing process.
  • Negative Pressure Therapy (NPWT): Applying controlled vacuum pressure to stimulate healing.
  • Surgery: Removing damaged tissue to facilitate healing.
  • Growth Factor Therapy: Boosting the body’s natural healing mechanisms.
  • Debridement: Removing dead tissue to promote healthy tissue growth.

Expert Care at La Jolla Vein & Vascular

At La Jolla Vein & Vascular, we prioritize the comprehensive treatment of non-healing ulcers. Our board-certified vascular surgeons and specialists are committed to delivering effective solutions that enable patients to regain their health, productivity, and quality of life. By tailoring treatments to individual needs, we ensure that our patients receive the best care possible.

Remember, understanding non-healing ulcers and seeking timely treatment is key to preventing complications. Our team is here to guide you through every step of your journey towards healing and well-being.

“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!

Unraveling the challenge: Understanding & addressing non healing ulcers2023-08-31T17:52:31-07:00

Decoding deep vein thrombosis (DVT)

2023-08-30T18:38:57-07:00

Decoding deep vein thrombosis (DVT)

thrombosis

Deep Vein Thrombosis (DVT) is a condition that arises when blood clots form within the deep veins of the legs, thighs, or pelvis. It’s important to understand the causes, symptoms, and potential dangers associated with DVT. In this blog post, we’ll delve into the mechanics of blood clot formation, the risks posed by DVT, and explore various treatment options available to manage this condition.

Understanding the Formation of Blood Clots

Blood clots in the veins, such as DVT, are a result of malfunctioning valves within the venous system. These valves are responsible for ensuring proper blood flow back to the heart. When these valves weaken or fail, blood circulation is compromised, leading to the formation of clots. DVT commonly occurs in the deep veins of the lower leg, but it can also develop in other parts of the body, including the arms.

The Circulatory System and Blood Clot Formation

The body’s circulatory system comprises arteries and veins. Arteries carry oxygen-rich blood away from the heart, while veins transport deoxygenated blood back to the heart. Arteries possess thick walls with muscular linings that can withstand the heart’s pumping pressure. In contrast, veins lack this muscular lining and rely on muscle movement to propel blood towards the heart.

How Blood Clots Develop

The venous system in the legs consists of two main types of veins: superficial veins and deep veins. Blood flows from superficial veins to deep veins through perforator veins, aided by one-way valves. When blood flow slows down or pools in the veins, platelets can stick together, leading to the formation of a blood clot or thrombus. While a blood clot in the deep venous system is not inherently dangerous, it can become life-threatening if it dislodges and travels to the pulmonary vein, causing a pulmonary embolism.

Symptoms and Risks of DVT

Recognizing the symptoms of DVT is crucial for timely intervention:

  • Leg pain while walking (muscle cramps or sharp pain)
  • Sharp calf pain in the affected limb
  • Red or discolored skin on the affected limb
  • Swelling in the affected area
  • Sudden onset leg swelling
  • Enlarged veins

Increased warmth in the swollen area

  • If a blood clot breaks loose and travels to the lungs, it can lead to pulmonary embolism, characterized by:
  • Sudden breathlessness or shallow breathing
  • Rapid breathing
  • Elevated heart rate
  • Chest pain exacerbated by deep breathing

Treatment Options for DVT

Several treatment options are available for managing DVT:

  • Blood Thinners: These anticoagulant medications prevent clots from enlarging and breaking loose. Common options include injectable medications like enoxaparin (Lovenox) and oral medications like Eliquis, Xarelto, and Pradaxa.
  • Clot Busters: Thrombolytic drugs are used for severe cases of DVT or PE (Pulmonary Embolism) when other treatments aren’t effective. These medications can dissolve blood clots but may pose a risk of bleeding.
  • Filters: In cases where blood thinners can’t be used, a vena cava filter can be inserted to prevent dislodged clots from reaching the lungs.
  • Compression Stockings: These specialized knee socks aid in reducing blood pooling and clot formation in the legs.

thrombosis

Deep Vein Thrombosis is a serious medical condition that requires prompt attention and treatment. By understanding the mechanisms behind blood clot formation and recognizing the symptoms, individuals can seek help when needed, potentially preventing life-threatening complications. Various treatment options are available to manage DVT effectively, and consulting a healthcare professional is essential for personalized care and guidance.

“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! 



Decoding deep vein thrombosis (DVT)2023-08-30T18:38:57-07:00

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

2023-08-30T17:35:33-07:00

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 relief2023-08-30T17:35:33-07:00

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

28, 8, 2023

RFA for perforator vein reflux

2023-05-24T16:56:04-07:00

Radiofrequency perforator ablation (RFA) is performed on perforator veins, short connections between your deep and superficial veins. Perforator veins can suffer the same sort of valve damage and retrograde blood flow (venous reflux) as other veins. Most patients with vein disease who experience skin changes, (that also may result in leg ulcers if left untreated) have reflux in perforator veins near their ulcers, as well as in the superficial or deep veins.

RFA

What are Perforator Veins?

Perforator veins serve as connections between the two networks of veins in the extremities, the superficial venous system and the deep venous system. Perforators connect the two parallel systems, and normally drain blood from the superficial veins to the deep veins as part of the process of returning oxygen-depleted blood to the heart.

Perforator veins have one-way valves designed to prevent backflow of blood down towards the superficial veins. When those valves no longer function properly and reflux occurs, the buildup of blood and pressure can cause not only the superficial veins but the perforators themselves to become incompetent. Perforator veins in the lower leg and ankle are particularly vulnerable to distention and incompetence, and the resultant circulatory problems create an increased likelihood of edema, skin discoloration, dermatitis and skin ulcers in the immediate area.

Your doctor may have recommended RFA treatment of your perforator vein(s) because it is contributing to:

  • Venous leg ulcers
  • Pre-ulcerative skin changes
  • Persistent or recurrent varicose veins
  • Leg pain
  • Leg swelling

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

For more information 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! 

 

RFA for perforator vein reflux2023-05-24T16:56:04-07:00

Saphenous Venous Reflux

2023-05-24T16:48:10-07:00

ClosureFast™ an endovenous radiofrequency ablation (RFA) procedure for saphenous vein reflux,

for the backward flow of blood (or “Venous reflux”) in your saphenous vein(s). The great saphenous veins and small saphenous veins are the two main superficial veins of the leg. They run along the inner leg and the back of the leg, respectively.

This minimally invasive procedure can be performed in the office in less than an hour and patients usually return to their usual level of activity the same day.

HOW DOES THE TREATMENT WORK?

The skin is numbed with lidocaine, then a tiny wire and the Closurefast® catheter are inserted into the vein.  The catheter delivers radio-frequency energy to the vein wall, causing it to seal shut.  The remaining healthy veins continue to bring blood back to the heart.

WHAT SHOULD I EXPECT ON THE DAY OF TREATMENT?

The procedure is performed with local anesthesia, but many patients elect to use a mild oral sedative (Valium), which is taken after checking in and

saphenous

Diagram of endovenous laser ablation (EVLA) procedure

completing all paperwork.  You will change into a gown and leave underwear on.  Depending on the vein to be treated, you will lay on your back or on your belly.  We do our best to make special accommodations (for example, if you cannot lie flat or cannot bend a knee very well) with body positioning and using pillows.  We will do our best to make you comfortable.  Then, we will give you the option of watching a movie on Netflix or listening to music.  Once you are comfortable, your leg (s) will be prepped with a cleansing solution for the sterile procedure.  The doctor will perform an ultrasound to map the vein (s) to be treated.  Then, a numbing agent (lidocaine) will be injected into the skin. In the numb area of the skin, a tiny puncture is made to pass the radiofrequency catheter.  Your doctor will then use a needle to administer a combination of cool saline and local anesthetic around the vein either in the thigh or calf (depending on which vein is treated).  This solution numbs the vein and insulates it from the surrounding tissue.  After the numbing solution is applied, the vein is painlessly treated with radiofrequency energy.

Once your vein has been treated, we will clean your leg and apply a compression stocking which you will wear for 72 hours continuously.  You will walk for 30 minutes prior to getting in your car.

 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

For more information 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! 

 

Saphenous Venous Reflux2023-05-24T16:48:10-07:00
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© Copyright 2010-2024, 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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