4, 4, 2014

Non-surgical Varicose Vein Removal

2021-11-04T13:10:44-07:00

Fortunately, Vein stripping surgery is a thing of the past. Modern varicose vein treatments are minimally-invasive with little pain or downtime.  There are different non-surgical treatment options offered at La Jolla Vein Care. The advantages of modern non-surgical treatments are that return to normal activities is almost immediate, there is little pain or bruising and there are no scars! The different non-surgical treatments that are used to eliminate varicose veins at La Jolla Vein Care include:

Before and After Varicose Vein Treatment

This young La Jolla Vein Care patient’s varicose veins were a result of an incompetent great saphenous vein. As a result, her treatment included radiofrequency closure of the great saphenous vein with foam sclerotherapy used to treat the surface bulging varicose veins.

Before and After Varicose Vein Treatment

This is another before and after picture of the same patient whose bulging varicose veins were removed without surgery at La Jolla Vein Care, utilizing radiofrequency and foam sclerotherapy treatments.

1) foam sclerotherapy, which uses an injection of a solution to collapse the vein, 2) radiofrequency ablation, which uses radiofrequency energy to heat and collapse the vein, 3) clarified or mechanochemical ablation which utilizes a small wire that spins while delivering a liquid solution to the vein and 4) microphlebectomy, which uses tiny incisions to remove the veins. More information can be found about each treatment type on our website.  The best treatment type depends on the size and locations of the veins affected and the patient preference.   Many times, a combination of treatments will be recommended.

 

Non-surgical Varicose Vein Removal2021-11-04T13:10:44-07:00

26, 3, 2014

Am I Too Old? Varicose Vein Treatment at Any Age

2021-11-04T19:02:17-07:00

We’re often asked, ‘Am I too old to treat my varicose veins?’  The answer is no. Since modern varicose vein treatments are largely non-surgical, there are appropriate treatment options for those of any age. While varicose veins are more common with each decade of life, they can appear on young teenagers or at any time in older adults.    For active older adults, addressing varicose vein conditions is even more important to maintain healthy legs.    Otherwise, symptoms of leg heaviness, fatigue, swelling and pain can slow you down.  There are other complications of untreated varicose veins such as superficial thrombophlebitis, varicose vein rupture and leg ulceration, in severe cases.  There are a variety of minimally invasive treatment options for varicose veins, and depending on the individual preference, severity of the condition and the veins affected will help you and your doctor determine the best treatment course.

This is a 90-year-old female who wanted her varicose veins treated because they were bothersome to her when she played tennis and she didn’t like the way they look. These varicose veins were treated with painless injections, given at two treatment sessions. This is called foam sclerotherapy treatment of varicose veins.
The after picture is at one month following the varicose vein injections (foam sclerotherapy). She tolerated the treatment well and she was able to return to normal activities right away, with the main restriction being wearing compression stockings for several weeks.

 

Am I Too Old? Varicose Vein Treatment at Any Age2021-11-04T19:02:17-07:00

Spider Vein Sclerotherapy: Before & After Photos

2021-11-04T19:10:42-07:00

Before and after pictures of spider veins that were treated with sclerotherapy.

Before and after pictures of spider veins that were treated with sclerotherapy. This patient had spider veins behind the knees, which is a common location for spider veins and larger blue, ‘reticular veins.’

Spider vein patient treated at La Jolla Vein Care with sclerotherapy.

Spider vein patient treated at La Jolla Vein Care with sclerotherapy. Notice the presence of a blue ‘feeder vein’ that gives rise to the spider veins. It is important to treat ‘feeder veins’ to successfully eliminate the spider veins. It is similar to ‘pulling the root’ of a weed rather than clipping the weed to eliminate it.

Spider vein patient treated at La Jolla Vein Care with sclerotherapy. Note that spider veins can vary in size, location and severity. Depending on the severity of the condition, multiple treatment sessions may be required for optimal

Note that spider veins can vary in size, location, and severity. This patient had a large cluster of spider veins that appear as a bluish-purple discoloration on the outside of the knee. This patient has bruising after treatment which will fade over several weeks.

Spider Vein Sclerotherapy: Before & After Photos2021-11-04T19:10:42-07:00

New Cosmetic Spider Vein Clinic

2021-11-04T19:15:57-07:00

While the doctors at La Jolla Vein Care are committed to advancing vein care through medicine, education and research (Dr. Bunke just published the 2nd edition of the Vein Book and Dr. Fronek remains an integral part of the American College of Phlebology), we are pleased to offer our new RN/ PA (Registered Nurse/ Physician Assistant) cosmetic sclerotherapy clinic for simple spider vein conditions offered on Mondays and Tuesdays.  Simple spider vein conditions are those that are cosmetic and can be treated with liquid sclerotherapy.  This does not include foam sclerotherapy for larger varicose veins, which is administered by the doctor.

The cost is based on how much solution is used, so it is a cost-efficient means of treating that ‘stubborn patch of veins’ or ‘clean up’ of small spider veins after larger varicose vein removal.  The cost is $100 for the first syringe (2cc) and $75 for each additional syringe.

spider veins

Spider veins can come in different sizes and severity. Depending on the severity of the spider veins, multiple sclerotherapy treatments may be required.

New patients or patients not seen within two years will be required a physician consultation first.  For more information or to schedule your consultation, call 858-550-0330.

New Cosmetic Spider Vein Clinic2021-11-04T19:15:57-07:00

13, 2, 2014

Watch A Phlebectomy: Varicose Vein Removal

2021-11-03T23:51:15-07:00

 

microphlebectomy

Microphlebectomy is one treatment option for removing varicose veins on the surface of the legs. It is performed in the office at La Jolla Vein Care using a local anesthetic.  It involves making a tiny puncture/incision and using a tool that resembles a ‘crochet hook’ to remove the varicose veins.  The incision is so small that stitches are not required.   This procedure may take 1 to 2 hours, depending on the extent of the varicose veins.  Return to normal activities after the procedure is possible. Compression stockings are required after treatment.  There are different treatment options to remove varicose veins. It is important to discuss what is best for you with your doctor.

To understand more, watch a video of a microphlebectomy performed at La Jolla Vein Care this week by clicking here: Microphlebectomy

Watch A Phlebectomy: Varicose Vein Removal2021-11-03T23:51:15-07:00

New Foam Treatment of Varicose Veins

2021-11-04T19:24:26-07:00

In November of 2013, the US Food and Drug Administration (FDA)  approved Varithena,™   a new type of foam treatment for the treatment of patients with incompetent veins and visible varicosities of the great saphenous vein (GSV) system. Varithena is a pharmaceutical-grade, low-nitrogen, polidocanol foam dispensed from a canister device. In two pivotal, placebo-controlled Phase III trials, VANISH-1 and VANISH-2, Varithena achieved a clinically meaningful improvement in the symptoms of superficial venous incompetence and the appearance of visible varicosities and addressed the underlying venous incompetence in the majority of patients treated. Varithena (polidocanol injectable foam) is a sclerosing agent indicated for the treatment of incompetent great saphenous veins, accessory saphenous veins, and visible varicosities of the great saphenous vein system above and below the knee.  Varithena improves the symptoms of superficial venous incompetence and the appearance of visible varicosities.  Treatment is a minimally invasive, non-surgical procedure that requires neither tumescent anesthesia nor sedation.  Foam sclerotherapy has been used for years by medical doctors. What is new with Varithena, is that the foam is pre-made with low-nitrogen as opposed to room air, and is dispensed in a proprietary canister.   It is not yet available in doctor’s offices. Making Foam

New Foam Treatment of Varicose Veins2021-11-04T19:24:26-07:00

28, 1, 2014

Dr. Fronek teaches primary care doctors to care for patients with vein problems

2022-01-04T05:17:54-08:00

Dr. Fronek was recently invited to discuss vein disorders with the Family Medicine Residency Program at Scripps Chula Vista.  The doctors-in-training were excited to learn about the variety of problems that patients have with their veins – including spider veins,  varicose veins,  blood clots, and leg ulcers.  Primary care doctors see patients with vein disorders every day, and yet very few medical schools or residency training programs include any information about these common problems.  Dr. Fronek and Dr. Bunke-Pacquette are committed to sharing their expertise with colleagues and are frequently asked to speak at medical meetings.  Primary care doctors, in particular, can often start patients with vein disorders on conservative treatment, including graduated compression stockings and regular exercise (walking is usually the best exercise for vein disorders), as well as certain supplements such as horse chestnut seed extract, that can alleviate the symptoms that many patients with vein disease suffer from.  Informed primary care doctors can also refer patients to a vein specialist when symptoms aren’t diminished with conservative treatment, if the varicose veins worsen while a patient is using compression and exercise, or if the patient suffers from a venous leg ulcer.

Dr. Fronek teaches primary care doctors to care for patients with vein problems2022-01-04T05:17:54-08:00

New Varicose Vein Treatments 2014: Clarivein

2021-11-04T18:59:12-07:00

CLARIVEIN Procedure to Treat Varicose Veins

The newest alternative to vein stripping surgery and endovenous ablation procedures is Clarivein. The ClariVein procedure, also known as mechanochemical ablation (MOCA) utilizes a wire and sclerosant medication to seal shut incompetent veins. It can be performed in the office in less than an hour without using a local anesthetic.  A thin catheter is introduced into the vein under ultrasound guidance. A sclerosant medication, such as is used in sclerotherapy, is delivered via the catheter, to seal the veins shut. La Jolla Vein Care is one of the few southern California vein centers to offer the Clarivein or mechanochemical ablation procedure. To read more about Clarivein, go to www.july01ljvascular.com.

Clarivein insertion

Clarivein insertion

New Varicose Vein Treatments 2014: Clarivein2021-11-04T18:59:12-07:00

1, 4, 2013

Asclera® featured on ABC’s The View

2013-04-01T22:41:14-07:00

Asclera® (polidocanol) was featured on ABC’s The View last week as an effective treatment for spider veins. Asclera® (polidocanol) Injection is a prescription medicine that is used in a procedure called sclerotherapy. It is an FDA approved solution to treat spider veins and uncomplicated reticular veins.
Although Asclera® (polidocanol) has only recently made headlines on television, including being featured on The Doctors and Dr. Oz, it became FDA approved in 2010. Prior to FDA recognition as Asclera® , the generic form of the solution called polidocanol has been used for decades, especially in Europe. As a result, at La Jolla Vein Care, we have performed thousands of spider vein treatments using this medication. It is preferred over other solutions such as hypertonic saline and sodium tetradecyl sulfate because it is less painful and we find better results.
Call us today at 858-550-0330 to find out if you are a candidate for Asclera® spider vein treatment.

Asclera® featured on ABC’s The View2013-04-01T22:41:14-07:00

31, 3, 2012

Compression Socks Improve Circulation for Diabetic Patients

2012-03-31T15:25:52-07:00

This year, The Sigvaris Diabetic Compression Socks officially launched featuring 18-25mmHg of graduated compression, a non-binding band, flat toe seam and soft padding for the foot, as well as DriRelease, offering moisture wicking. This new product has been clinically proven to alleviate discomfort and edema in patients with diabetes. In a recent pilot study, ‘the use of the Sigvaris mild compression diabetic socks showed statistically significant decreases in calf, ankle and foot circumferences in this initial study and may help patients with diabetes and lower extremity edema without compromising lower extremity vascularity.

Did you know approximately 1 in 3 people will have diabetes by 2050 according to the American Diabetes Association.
Diabetics are at an added risk for the development of deep vein thrombosis (DVT) up to twice as much as non-diabetic patients. -Diabetologia (2005) 48:1017-1021

Compression Socks Improve Circulation for Diabetic Patients2012-03-31T15:25:52-07:00

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