7, 11, 2023

Solving the Mystery of Leg Pain: How Venous Disease Might Be the Culprit

2023-10-09T18:29:34-07:00

Solving the Mystery of Leg Pain: How Venous Disease Might Be the Culprit

venous disease

Leg pain can manifest from a multitude of sources and venous disease, and the key to finding effective relief lies in uncovering the underlying cause. In this article, we’ll embark on a journey to explore the diverse factors that can contribute to leg pain, encompassing both vascular issues like circulatory problems, varicose veins, and blood clots, as well as non-vascular causes such as injuries, arthritis, and low back discomfort. Join us as we delve into the different facets of leg pain and highlight the importance of seeking professional evaluation for personalized relief.

Unmasking the Root Causes of Leg Pain

Vascular Factors:

Blood Clots: Leg pain may be an ominous sign of blood clots, be it deep vein thrombosis (DVT) or superficial vein thrombosis. DVT often ushers in sudden swelling, redness, warmth, and pain in one leg. Superficial vein thrombosis tends to affect varicose veins, manifesting as pain, hardness, and an unwelcome rope-like sensation under the skin.

Venous Reflux Disease: This condition writes its story through leg pain, a sense of heaviness, and fatigue that intensify with prolonged standing and the passage of the day. Women may find symptoms exacerbated by hormonal influences, while nighttime leg cramps and restlessness are frequent companions. Visible evidence may include varicose veins, ankle swelling, and skin changes, such as darkening or ulceration.

Non-Vascular Triggers:

Injuries: Whether it’s an injury to joints, bones, muscles, or ligaments, localized leg pain can be a consequence.

Arthritis: Arthritic conditions, notorious for their persistence, can instigate ongoing leg discomfort.

Low Back Pain: Originating from the lower back, this type of pain can radiate down to the legs, adding complexity to the pain puzzle.

Deciphering Peripheral Arterial Disease (PAD)

Peripheral arterial disease casts a shadow over leg health, resulting in diminished arterial circulation in the lower limbs. This condition brings forth leg pain, most prominently during ambulation, characterized by cramping sensations, often focusing on the calf muscles. Remarkably, resting provides relief from the discomfort. Additional indicators of PAD may include pale toes and the absence of pulses in the feet.

Unveiling the Diagnostic and Treatment Phases

Unraveling the source of leg pain necessitates a holistic diagnostic approach:

  • Medical History: Healthcare providers meticulously gather details about your medical background, symptomatology, and potential risk factors.
  • Physical Examination: A comprehensive physical examination becomes instrumental in detecting signs pointing towards vascular or non-vascular culprits.
  • Non-Invasive Ultrasound Imaging: Employing advanced imaging techniques, healthcare providers can visualize blood flow and pinpoint potential vascular irregularities.
  • ABI Test: The Ankle-Brachial Index (ABI) test emerges as a screening tool to assess peripheral arterial disease.

venous disease

Pursuing Relief Through Tailored Treatment

The silver lining in this narrative is that all these conditions, once identified, are treatable, frequently revolving around the improvement of blood flow. Following a precise diagnosis, healthcare providers craft personalized treatment regimens. Possible interventions encompass lifestyle modifications, medication regimens, minimally invasive procedures, and more. Seeking professional guidance is paramount in charting the ideal treatment pathway specific to your condition.

Seeking Respite From Leg Pain

If you find yourself grappling with leg pain, there is no reason to delay seeking professional evaluation. Unraveling the underlying cause of your discomfort stands as the initial step on your journey towards effective relief. Whether your leg pain originates from vascular or non-vascular origins, remember that treatment solutions exist. By consulting with healthcare providers who specialize in these conditions, you can regain both your comfort and mobility. To embark on your path towards leg pain relief, don’t hesitate to contact us at 858-550-0330 to schedule a diagnostic imaging session and consultation with our dedicated healthcare providers. Your pursuit of pain-free legs begins 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

Solving the Mystery of Leg Pain: How Venous Disease Might Be the Culprit2023-10-09T18:29:34-07:00

Crawling up your legs: Understanding spider veins in and out

2023-10-09T18:19:51-07:00

Crawling up your legs: Understanding spider veins in and out

spider veins

Spider veins, those delicate reddish veins that grace the skin’s surface, can indeed be a source of cosmetic concern for many individuals. Despite often being regarded as a minor issue, spider veins can offer insights into underlying problems that extend beyond their aesthetic appearance. In this article, we embark on a journey into the realm of spider veins, delving into their origins, symptoms, and the most efficacious treatment options available. Let’s unveil the truth about these tiny veins and discover how to effectively manage them.

Deciphering Spider Veins

Spider veins, also scientifically known as telangiectasias, manifest as fine, thread-like veins that intricately weave a web-like pattern just beneath the skin’s surface. These veins may present themselves in a spectrum of colors, ranging from red and blue to purple. While they may appear innocuous, spider veins can potentially unveil more about your vein health than meets the eye.

The Link to Feeder Veins and Venous Insufficiency

Although spider veins themselves aren’t typically categorized as a major health concern, they can be closely linked to less visible feeder veins or reticular veins. These feeder veins are often connected to more prominent veins and may serve as indicators of venous insufficiency—a condition wherein veins struggle to efficiently transport blood back to the heart. For instance, when spider veins appear in specific areas like the inner ankles or inner thighs, it could be indicative of an underlying issue with the saphenous vein. Medical experts may recommend ultrasound examinations to precisely pinpoint and effectively address the source of these veins.

Recognizing the Telltale Symptoms

Spider veins can manifest differently in individuals. While some may perceive them as a purely cosmetic concern without any physical discomfort, others may encounter symptoms such as a burning sensation, throbbing, localized pain, itchiness, and, in more severe instances, even bleeding. Being vigilant about these symptoms is crucial in determining the appropriate steps for managing and treating spider veins.

Uncovering the Culprits

On the legs, these veins often share a common cause with varicose veins—dysfunctional vein valves. When these valves fail to prevent the pooling of blood within the veins, it leads to their expansion and elongation. Conversely, spider veins on other parts of the body, such as the face and chest, can arise from factors like sun damage, hormonal fluctuations, or liver disease. Hormonal changes resulting from pregnancy, birth control use, or hormone replacement therapy can weaken vein walls, rendering them susceptible to the emergence of spider veins.

spider veins

Identifying Those at Risk

Numerous factors can heighten an individual’s susceptibility to developing spider veins. These risk factors include genetic predisposition, pregnancy, female gender, advancing age, excess body weight, hormonal imbalances, and extended periods of sitting or standing. Recognizing these risk factors can aid in both prevention and early intervention.

Effective Treatment Choices

For those seeking relief, a range of treatment options awaits. The most prevalent approach for addressing spider veins on the legs is sclerotherapy. This procedure entails the injection of a liquid sclerosant medication into the affected veins, prompting their closure, scarring, and eventual fading. Typically, multiple sessions are recommended for optimal results. While lasers can also be employed to target fine spider veins, sclerotherapy remains the gold standard for spider vein treatment due to its effectiveness.

Though spider veins may seem like a minor concern, they can provide valuable insights into your vein health. Whether your concern lies in their appearance or you’re experiencing discomfort, it’s essential to fathom the potential underlying causes and seek appropriate treatment. By addressing spider veins with early intervention and effective treatments like sclerotherapy, you can not only enhance their appearance but also promote better overall vein health. Remember, caring for your veins is an investment in your well-being, one that yields dividends 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

Crawling up your legs: Understanding spider veins in and out2023-10-09T18:19:51-07:00

18, 10, 2023

Understanding venous reflux: unveiling the causes and impact of venous insufficiency

2023-09-29T20:25:40-07:00

Understanding venous reflux: unveiling the causes and impact of venous insufficiency

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.

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.

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.

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 venous reflux: unveiling the causes and impact of venous insufficiency2023-09-29T20:25:40-07:00

La Jolla Vein & Vascular Arterial Exams and Vascular Lab

2023-09-29T19:28:20-07:00

La Jolla Vein & Vascular Arterial Exams and Vascular Lab

vascular lab vascular lab

When it comes to vascular health, early detection and accurate diagnosis are paramount. At our clinic, we offer a one-stop solution for vascular imaging and physician consultations, all under one roof. With a state-of-the-art non-invasive vascular laboratory, we utilize advanced imaging technology to detect and assess vascular diseases that impact blood flow in the arteries and veins. In this blog post, we’ll explore the convenience and expertise of our vascular lab, the conditions we diagnose, and the types of ultrasound testing we provide.

The Advantages of Our Vascular Laboratory

Our commitment to your vascular health extends beyond traditional healthcare. We provide a range of benefits to ensure your comfort and convenience:

  • Non-Invasive Testing: Our vascular laboratory specializes in non-invasive testing methods, ensuring a comfortable experience for our patients.
  • Same-Day Imaging Appointments: We understand the urgency of timely diagnosis. That’s why we offer same-day imaging appointments to promptly address your vascular concerns.
  • Comprehensive Care in One Location: Say goodbye to the hassle of visiting multiple locations for imaging, diagnosis, and treatment. At our clinic, you can undergo vascular imaging and consult with a healthcare provider all in the same place.
  • Comfortable, Private Rooms: Your comfort is our priority. Our private examination rooms are designed to provide a tranquil environment for your vascular tests.

Conditions We Diagnose

Our vascular laboratory is equipped to diagnose a wide range of vascular conditions, including but not limited to:

Vein Diseases:

  • Varicose Veins
  • Chronic Venous Insufficiency
  • Deep Vein Thrombosis (DVT)
  • Carotid Artery Disease and Stroke (TIA or Stroke)*

Artery Diseases:

  • Peripheral Arterial Disease (PAD)**
  • Abdominal Aortic Aneurysm (AAA)
  • Upper Extremity Arterial Disease

Understanding Duplex Ultrasound

Duplex ultrasound is a powerful diagnostic tool used in our vascular laboratory. It combines Doppler flow information with conventional imaging (B-mode) to provide a comprehensive view of your blood vessels. Key aspects of duplex ultrasound include:

  • Structure Visualization: Duplex ultrasound allows us to see the structure of your blood vessels, including the diameter and any obstructions.
  • Blood Flow Assessment: It determines how fast blood moves through your vessels, assessing the direction of blood flow and identifying any blockages or blood clots.
  • Valve Function: The technology also examines the function of valves within your veins and arteries.
  • Deep Vein Assessment: Duplex ultrasound can visualize deep veins within the muscles, providing crucial information for diagnosing conditions like varicose veins.

Types of Ultrasound Testing Offered

Our vascular laboratory offers a variety of ultrasound testing options, including:

Direct Testing (Duplex Imaging):

  • Venous Exams for Deep Vein Thrombosis and Venous Reflux
  • Arterial Exams for Abdominal Aorta, Abdominal Aortic Aneurysm (AAA) Screening, and Carotid Duplex
  • Lower Extremity Duplex

Indirect Testing (Non-Imaging):

  • Arterial Testing such as Ankle Brachial Index (ABI) with waveforms and Segmental pressures with waveforms (P&Ws) for upper or lower extremity

Venous Reflux or Venous Insufficiency Assessment

Our Duplex Ultrasound examination allows us to visualize blood vessels that are not visible to the naked eye, even deep within the muscles. This examination is crucial for assessing the underlying condition causing varicose veins. By identifying veins with faulty valves and mapping their anatomy, we create a roadmap for an accurate assessment and an effective treatment plan.

Before Your Test

Preparing for our ultrasound study is simple. Just remember these key points:

  • No preparation is required for this study.
  • Avoid wearing compression stockings on the same day as the examination.
  • Stay hydrated for the best experience.

Our vascular laboratory is dedicated to providing you with top-notch vascular imaging services in a convenient and comfortable environment. By offering non-invasive testing, same-day appointments, and a comprehensive approach to vascular health, we aim to ensure your well-being and peace of mind. Trust us with your vascular concerns, and let us help you on your journey to better 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!

La Jolla Vein & Vascular Arterial Exams and Vascular Lab2023-09-29T19:28:20-07:00

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

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

21, 7, 2023

Venous stasis skin changes to watch out for

2023-05-25T16:37:42-07:00

What is chronic venous insufficiency? 

Chronic venous insufficiency (CVI) is an inflammatory condition caused by long standing, untreated reflux disease.  Commonly, venous reflux disease causes a collection of symptoms such as leg swelling, heaviness, fatigue and varicose veins. But, over time, when blood is no longer circulating properly in the leg veins, skin changes can also appear. When skin changes appear, this is termed, chronic venous insufficiency (CVI). Stasis is another term used for this condition.  Chronic inflammation from CVI causes the skin around the ankles to darken, become dry, itchy, and firm. In severe cases, the skin can start to break down and ulcerate. The ulcer (wound) occurs in the inner or outer ankle and is also referred to as a stasis ulcer or venous ulcer.

Venous stasis skin changes associated with venous insufficiency include:

  • Darkening of the skin along the ankles
  • Itching and dry skin around the ankles (venous eczema)
  • Development of wounds around the ankles, called venous leg ulcers

“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



Venous stasis skin changes to watch out for2023-05-25T16:37:42-07:00

8, 5, 2023

How can you tell your vein disease is worsening?

2023-02-15T18:57:27-08:00

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. 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.

Varicose Veins and Venous Reflux Disease

Varicose veins are the twisted, bulging veins just beneath the surface of the skin. Varicose veins are swollen, twisted veins that you can see just under the surface of the skin. These veins usually occur in the legs, but they also can form in other parts of the body. Varicose veins are a common condition.

What causes varicose veins?

Varicose veins are caused by leaky vein valves, which allow blood to pool within the veins causing them to stretch and become enlarged. Varicose veins can be an isolated finding, but the majority of the time, they are caused by underlying venous reflux disease. Venous reflux disease is also known as venous stasis, venous insufficiency or venous incompetence. Reflux may occur in the deep and/or superficial leg veins.

In our study, led by Dr. Nisha Bunke and published in the Journal of Vascular Ultrasound in 2018, we studied over 1,000 legs with varicose veins. Over 90% of the time, the source of the varicose veins were the great and small saphenous veins. The Great Saphenous Vein (GSV) courses up the middle of the thigh and calf and the small saphenous vein (SSV), which courses along 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.

 

“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.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

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


How can you tell your vein disease is worsening?2023-02-15T18:57:27-08:00

6, 3, 2023

How is venous reflux disease treated?

2023-02-13T15:48:42-08:00

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. 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 sphaneous 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.

Step 1: The Underlying Problem

The first step is to treat the underlying problem, the venous reflux. The specific pattern of venous reflux was detected by ultrasound. Venous reflux usually starts in the saphenous veins. The saphenous veins are most effectively treated with vein ablation procedures. This involves placing a small catheter within the vein and using heat or a solution to produce injury and eventual closure of the vein. The most commonly used treatments for the saphenous veins are radiofrequency ablation (RFA), laser ablation, mechanico-chemical ablation (MOCA or Clarivein), and in some cases Varithena Foam. The treatment Step recommendation is customized, based on where reflux is present and other clinical factors.

Step 2: Varicose Veins

After the underlying saphenous vein reflux is corrected, the bulging veins (varicose veins) can be treated by injecting a foamed medication that will cause them to scar and eventually dissolve (foam sclerotherapy), or to remove them using tiny incisions. The most common method is foam sclerotherapy. This is also known as ultrasound-guided foam sclerotherapy (UGFS).

Step 3: Spider Veins

Spider vein treatment is always considered a cosmetic procedure. If improved cosmesis is a goal of treatment, make sure to discuss this with your doctor and plan on having cosmetic treatment as the last step. Spider vein treatment is accomplished by sclerotherapy, which is an injection of a liquid medication into the spider veins. Ask your provider for an estimate about how many treatment sessions/ vials are necessary to get the results you want.

“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.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

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


How is venous reflux disease treated?2023-02-13T15:48:42-08:00

24, 2, 2023

Patient Transformations with venous disease: spider veins

2023-01-14T13:34:31-08:00

What are spider veins?

Spider veins (venous disease) are the fine, thread-like reddish veins at the surface of the skin. Spider veins are not healthy. Spider veins are often considered a cosmetic issue, but they can be associated with underlying feeder veins, not visible to the naked eye.  Feeder veins are the ‘blue veins’ also known as ‘reticular veins,’ that give rise to spider veins. Spider veins may also be a sign of underlying venous insufficiency. For example, spider veins located in the inner ankles and inner thighs can indicate an underlying problem with the saphenous vein. As a result, an ultrasound examination may be recommended to identify and effectively treat the underlying source of the spider veins and venous disease.

What are the symptoms of spider veins?

Venous conditions affect people differently. For some, spider veins can be a painless cosmetic concern, and for others they may cause symptoms. The most common symptoms of spider veins are burning, throbbing, and localized pain. They can also feel hot and itchy and bleed.

What causes spider veins?

Spider veins in the legs are caused by the same condition that causes varicose veins. Leaky vein valves allow blood to pool within the veins causing them to stretch and become enlarged. Spider veins on other areas of the body, such as the face, and chest can be caused by sun damage, hormone changes or liver disease. Hormones, such as with pregnancy, birth control or hormone replacement therapy can weaken the vein wall.

Below are patient transformations with Sclerotherapy treatment for spider veins. 

venous 8 BA SV spider 13after0 fotor 9 BA SV spider 18after fotor 10 BA SV spider DSCF4737 Fotor Collage scaled 1

“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.

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

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

Patient Transformations with venous disease: spider veins2023-01-14T13:34:31-08:00
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