23, 9, 2024

Demystifying Venous Disease: Causes, Symptoms, and Treatment Options

2024-10-23T20:18:37-07:00

Demystifying Venous Disease: Causes, Symptoms, and Treatment Options for Lasting Relief

Venous reflux disease, also known as venous insufficiency or venous stasis, is a complex condition that impacts the veins in the legs, affecting blood flow and circulation. Understanding the causes, recognizing the symptoms, and knowing the treatment options can help you manage this condition effectively. In this article, we’ll explore venous reflux disease from every angle—its root causes, how it progresses, and how ultrasound technology can guide personalized treatment plans for long-term relief.

Understanding Venous Reflux Disease

At the core of venous reflux disease is a malfunction in the valves within the veins of the legs. Normally, these valves work to keep blood flowing in the right direction, pushing it toward the heart. However, when these valves fail or become “leaky,” blood flows backward—a condition known as reflux—leading to the pooling of blood in the legs. This can affect both the deep and superficial veins, creating widespread inefficiencies in circulation.

The Anatomy of Venous Reflux

To better understand venous reflux, it’s essential to know the anatomy of the leg veins. The veins are broadly categorized into two types: deep veins and superficial veins.

  • Deep Veins: Located within the muscles, deep veins carry the bulk of the blood from the legs back to the heart. They are critical for maintaining circulation.
  • Superficial Veins: Positioned just under the skin, these veins are less involved in carrying large amounts of blood but can still be affected by venous reflux. Among them, the Great Saphenous Vein (GSV), which runs along the thigh and calf, and the Small Saphenous Vein (SSV), located along the back of the calf, play key roles.

Venous reflux in any of these veins can lead to significant discomfort and more severe complications over time.

Impact of Leaky Valves on Health

When the one-way valves in the leg veins malfunction, gravity causes blood to flow backward and pool in the lower legs. This process leads to several noticeable symptoms, including:

  • Leg heaviness: A constant feeling of weight in the legs.
  • Pain and fatigue: Persistent discomfort, particularly after long periods of standing.
  • Swelling in the ankles: Blood pooling causes the ankles to swell, especially later in the day.
  • Restless legs syndrome: Some people experience discomfort that worsens at night.

Over time, if left untreated, venous reflux disease may advance, resulting in skin changes such as:

  • Darkening or discoloration around the ankles.
  • Dry, itchy skin that may become irritated.
  • Venous leg ulcers, which are open sores that can be difficult to heal.

These symptoms highlight the importance of early diagnosis and intervention to prevent disease progression.

The Role of Ultrasound in Diagnosis

Venous reflux is often invisible to the naked eye, especially when it involves deeper veins. As a result, a thorough diagnosis depends on ultrasound technology. This non-invasive tool helps physicians assess several critical aspects of vein function:

  • The direction of blood flow to detect reflux.
  • The condition of the valves to see if they are functioning properly.
  • The presence of any blockages or scarring that could be exacerbating the condition.

By offering a detailed view of the veins beneath the skin, ultrasound serves as an invaluable resource for formulating targeted treatment plans.

Personalized Treatment Options for Venous Reflux Disease

Treating venous reflux disease requires a patient-centered approach. Every case is unique, and treatment plans must be tailored to the specific needs and conditions of the patient. Here’s an overview of the general steps involved in treating venous reflux disease:

Step 1: Treating the Underlying Reflux

The first priority is to address the root cause of the issue—venous reflux in the saphenous veins. Several innovative procedures are available to correct this problem, including:

By addressing reflux at its source, these treatments restore proper blood flow and prevent further complications.

Step 2: Eliminating Varicose Veins

After treating the underlying reflux, attention shifts to removing the visible, bulging veins. Varicose veins are often treated through:

  • Foam sclerotherapy: A procedure that involves injecting a foamed medication into the vein to collapse it.
  • Minimally invasive vein removal: Techniques like ambulatory phlebectomy, where the varicose veins are gently extracted through small punctures in the skin.

These methods offer effective relief from both the symptoms and the appearance of varicose veins.

Step 3: Cosmetic Treatment for Spider Veins

For patients interested in improving the cosmetic appearance of their legs, spider vein treatment is the final step. These small, superficial veins can be treated with sclerotherapy, which involves injecting a solution to close the veins, improving the overall look of the skin. While spider veins are not typically a health concern, this treatment is a popular option for enhancing aesthetic appeal.

Venous Reflux Disease: A Comprehensive Approach to Care

Venous reflux disease is a condition that impacts not only your health but also your quality of life. Fortunately, with modern diagnostic tools like ultrasound and advanced treatment options such as vein ablation, varicose vein removal, and sclerotherapy, it is possible to manage this condition effectively. At La Jolla Vein & Vascular, we are dedicated to delivering personalized, cutting-edge care that addresses every aspect of venous reflux disease, from diagnosis to treatment. Our goal is to restore your vascular health and help you live more comfortably.

If you’re ready to begin your journey toward healthier veins, contact us today to schedule a consultation. Our team of experienced specialists is here to guide you every step of the way.

Demystifying Venous Disease: Causes, Symptoms, and Treatment Options2024-10-23T20:18:37-07:00

10, 6, 2024

Why do Varicose Veins occur?

2024-07-06T16:37:07-07:00

Unveiling Key Insights: Your Comprehensive Guide to Understanding Varicose Veins

Varicose veins, those twisted and bulging veins beneath the skin’s surface, affect numerous individuals, often causing discomfort and aesthetic worries. This informative blog post aims to explore the intricacies of varicose veins and the underlying venous reflux disease. From comprehending the causes to investigating symptoms and potential treatments, let’s embark on a journey toward vein health and relief.

Understanding Varicose Veins

Easily visible on the skin’s surface, particularly in the legs, varicose veins are swollen and twisted veins. Despite their commonality, these veins can induce pain and aesthetic concerns, underscoring the importance of proper understanding and treatment.

Identifying the Culprits: Causes of Varicose Veins

The primary cause of varicose veins resides in malfunctioning vein valves, leading to blood accumulation within the veins. This pooling causes the veins to stretch and expand, resulting in their distinctive appearance. Venous reflux disease, known as venous stasis, venous insufficiency, or venous incompetence, is a prevalent underlying condition contributing to varicose veins. This condition involves the backward flow of blood in deep and/or superficial leg veins.

Insights from Research

Dr. Nisha Bunke, spearheading our study published in the Journal of Vascular Ultrasound in 2018, scrutinized over 1,000 legs with varicose veins. The study underscored that a significant majority—over 90%—of varicose vein sources were the great and small saphenous veins. The Great Saphenous Vein (GSV) courses through the middle of the thigh and calf, while the small saphenous vein (SSV) travels along the back of the calf.

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. Left untreated, complications such as painful vein inflammation (superficial phlebitis), blood clots within varicose veins (superficial thrombophlebitis), and skin issues like discoloration, eczema, or ulcers may arise.

The Importance of Ultrasound Diagnosis

Duplex ultrasound technology is crucial for effective diagnosis, evaluating veins beneath the skin’s surface. This technology detects leaky valves, determines blood flow direction, and identifies blockages or scars within veins, providing essential information for tailored treatment plans.

Customized Treatment Approach

Comprehensive treatment of varicose veins involves multiple steps:

Step 1: Addressing the Root Issue

Effective treatment begins with targeting venous reflux, often focusing on the saphenous veins, the common source of the problem. 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: Managing Varicose Veins

Post successful treatment of underlying reflux, attention shifts to managing varicose veins. Methods like foam sclerotherapy, injecting foamed medication to cause scarring and eventual vein dissolution, and phlebectomy involving tiny incisions to remove veins, are commonly employed.

Varicose veins and venous reflux disease impact numerous lives, causing discomfort and concern. By comprehending their causes, identifying symptoms, and exploring innovative varicose vein treatments, individuals can take control of their vein health. At La Jolla Vein & Vascular, we’re committed to providing personalized care and effective solutions to alleviate symptoms and enhance the quality of life. If you’re ready to embark on the journey toward healthier veins, contact us today and take the initial step toward 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 for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts

Why do Varicose Veins occur?2024-07-06T16:37:07-07:00

24, 4, 2024

What should I expect with Ultrasound-Guided Foam Sclerotherapy?

2024-05-14T02:18:56-07:00

Ultrasound-Guided Foam Sclerotherapy: Elevating Vein Health

When addressing both visible varicose veins and those unseen by the naked eye, the efficacy of ultrasound-guided foam sclerotherapy becomes evident. This advanced procedure combines precise administration with ultrasound visualization, providing a safe and effective solution for various vein conditions. In this piece, we’ll explore the intricacies of ultrasound-guided foam sclerotherapy, the role of polidocanol (Asclera®), treatment frequency, and what to expect during your treatment sessions.

Unveiling Ultrasound-Guided Foam Sclerotherapy: A State-of-the-Art Solution

Ultrasound-guided foam sclerotherapy utilizes technology and medical expertise to target varicose veins that may not be immediately visible. Guided by ultrasound, the foam medication is precisely directed towards these veins. This technique effectively addresses veins near the skin or nerves and navigates complexly twisted veins.

Polidocanol (Asclera®): A Preferred Sclerosant

Polidocanol, known under the brand name Asclera®, stands out as a preferred choice among sclerosant medications. Its patient comfort and minimal risk of side effects make it a prime option for treatment. As a detergent-type medication, polidocanol gently disrupts the inner lining of veins, halting blood flow and eventually leading to vein closure. Approved by the FDA since 2010 for varicose vein treatment, polidocanol has a substantial success record in Europe for decades. Although the transformation of polidocanol into foam for treating larger veins is an off-label use, it has proven remarkably effective and well-tolerated by patients. Our experts at La Jolla Vein Care have extensive experience in foam sclerotherapy, ensuring capable hands for your vein health.

Treatment Frequency: A Tailored Approach

The number and frequency of treatments vary depending on individual anatomy, vein response, and patient goals. Typically, 2 to 5 treatment sessions achieve an 80% improvement. Some larger or stubborn veins may require multiple sessions for a complete response.

Your Treatment Days: Guided Steps Toward Vein Wellness

Preparing for your ultrasound-guided foam sclerotherapy session is simple:

Consent and Attire: You’ll sign a consent form and change into provided shorts.

Skin Preparation: Alcohol will cleanse your skin, and ultrasound will locate the veins for targeted treatment.

Injection Process: The foam medication will be injected into your veins using a fine needle, guided by ultrasound.

Recovery Period: Elevate your legs on a comfortable wedge pillow for about 15 minutes post-treatment.

Compression Stockings and Walking: After treatment, compression stockings will be applied, and you’ll walk for 30 minutes before leaving. Post-treatment, some achiness and tenderness may occur.

Ultrasound-guided foam sclerotherapy propels improved vein health by offering precision and effectiveness. At La Jolla Vein & Vascular, our committed medical team provides personalized care for your vein health journey. By embracing advanced techniques like ultrasound-guided foam sclerotherapy, you’re setting course for healthier, pain-free legs and elevated 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 for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts

What should I expect with Ultrasound-Guided Foam Sclerotherapy?2024-05-14T02:18:56-07:00

1, 3, 2024

4 Varicose vein transformations of our patients

2024-06-10T23:26:57-07:00

Varicose veins, those visibly twisted and bulging vessels beneath the skin, often spark concerns among many individuals, particularly in the legs. This blog post delves into the world of varicose veins, shedding light on their nature, underlying causes, and potential treatment avenues.

Understanding Varicose Veins

Varicose veins manifest as swollen, twisted vessels just beneath the skin’s surface. Despite their alarming appearance, they’re a prevalent condition that can provoke sensations of discomfort, pain, or a feeling of heaviness in the legs.

Causes Behind Varicose Veins

The primary culprit behind varicose veins is malfunctioning vein valves. These valves play a crucial role in regulating blood flow by allowing it to move towards the heart while preventing pooling in the veins. When these valves fail, blood accumulates in the veins, leading to their enlargement. Venous reflux disease, also known as venous stasis, venous insufficiency, or venous incompetence, is often the underlying cause of this condition.

Deciphering Venous Reflux

Venous reflux refers to the backward flow of blood against gravity due to faulty valves. Normally, calf muscles assist in pumping blood upward, but leaky valves cause blood to pool in the lower legs, resulting in the visible bulging veins seen on the skin’s surface. The great and small saphenous veins, responsible for returning blood from the legs to the heart, are commonly affected. In over 90% of leg varicose vein cases, these veins are implicated.

Insights from Research

A notable study led by Dr. Nisha Bunke, published in the Journal of Vascular Ultrasound in 2018, examined over 1,000 varicose vein-affected legs. The research underscored the great and small saphenous veins as primary contributors to varicose veins. Specifically, the Great Saphenous Vein (GSV) traversing the thigh and calf’s middle and the Small Saphenous Vein (SSV) along the calf’s back were frequently involved.

Available Treatments

Fortunately, there are treatment options available to alleviate discomfort and improve the appearance of varicose veins. Minimally invasive procedures such as laser ablation, radiofrequency ablation, and sclerotherapy have demonstrated efficacy in treating varicose veins.

Visual Proof: Patient Transformations: We used a variety of different minimally invasive vein treatments for these patients. For more information of what types of treatments we offer, check out our website tab of vein treatments. 

Varicose Vein Transformations of Our Patients - La Jolla Vein & Vascular Varicose Vein Transformations of Our Patients - La Jolla Vein & Vascular Varicose Vein Transformations of Our Patients - La Jolla Vein & VascularVaricose Vein Transformations of Our Patients - La Jolla Vein & Vascular

The results of varicose vein treatment can be remarkable. Many individuals experience significant improvements in both vein appearance and associated symptoms. Before-and-after images serve as testimony to the positive impact proper treatment can have on vascular health and overall well-being.

While varicose veins are common, understanding their causes and available treatments empowers individuals to manage their vascular health effectively. With modern medical techniques, those dealing with varicose veins can find relief and witness a considerable improvement in their quality of life. Whether exploring the role of faulty vein valves, delving into venous reflux intricacies, or considering diverse treatment approaches, education and awareness pave the path to healthier veins.

“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 for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts

4 Varicose vein transformations of our patients2024-06-10T23:26:57-07:00

28, 2, 2024

What are the least invasive ways to treat veins?

2024-07-03T20:24:37-07:00

Uplifting Health Naturally: Embracing Non-Invasive Methods for Effective Vein Care

For many, varicose veins pose discomfort and concern. While there are interventional treatments, adopting conservative management and lifestyle adjustments can notably alleviate symptoms and diminish complications. In this article, we’ll explore conservative options that ease varicose vein discomfort, reduce complications, and enhance your quality of life without invasive procedures.

Understanding Conservative Management

Conservative management offers a non-invasive approach to handling varicose veins, particularly valuable for individuals not ready for vein procedures or preferring to delay treatment. Though they may not erase varicose veins entirely, these measures offer significant symptom relief and improve vein health.

Compression Stockings

Among the most effective and accessible conservative methods are compression stockings. These specially designed elastic stockings gently apply pressure on the veins, aiding blood circulation and preventing backward flow or pooling in the legs.

Medical-Grade Compression: Opt for graduated, medical-grade compression stockings. These provide appropriate compression levels essential for active patients with venous disease compared to TED hose, ensuring symptom relief.

Selecting Suitable Strength: Compression stockings vary in strength, with 20-30mmHg being common for treating varicose veins. Consult your doctor to determine the right compression strength. It’s vital to heed your physician’s advice regarding compression stockings.

Special Considerations: Individuals with conditions like peripheral arterial disease (PAD), diabetes, or neuropathies should consult their healthcare providers before using compression stockings. They might require lower compression strengths or have contraindications.

Avoiding Inactivity

Extended periods of inactivity worsen varicose vein symptoms. To enhance blood flow and alleviate strain on veins:

Regular Walking Breaks: Take short walks during long sitting or standing periods. Moving around the office or during breaks can boost circulation.

Seated Exercise: While seated, flex your feet up and down hourly to stimulate leg blood flow and reduce discomfort.

Movement While Standing: For prolonged standing, gently raise yourself on your toes or rock back and forth on your heels. These movements relieve pressure and encourage circulation.

Dietary Supplements

Certain supplements show promise in easing venous disease symptoms, such as horse chestnut and grape seed extract. Vasculera, a prescription medication, may benefit some individuals. However, consult your primary care physician (PCP) before starting any supplements, considering potential interactions or side effects.

Consult Your PCP: Always seek guidance from your PCP before adding supplements or medications, ensuring personalized advice considering your medical history and health status.

Conservative management and lifestyle adjustments can effectively combat varicose veins. Incorporating measures like compression stockings, regular activity, and selected dietary supplements under medical guidance can provide relief and avert complications. While conservative management may not entirely erase varicose veins, it significantly uplifts overall well-being and vein 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 for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts

What are the least invasive ways to treat veins?2024-07-03T20:24:37-07:00

What will my legs look like after varicose vein treatment?

2024-07-04T07:30:03-07:00

Embracing Varicose Veins – Legs Look Like After Varicose Vein Treatment

Varicose veins, those visibly twisted and bulging veins under the skin, often raise concerns among many individuals. Typically appearing in the legs but not exclusive to that area, these veins can provoke discomfort and sometimes pain. This blog post explores the world of varicose veins, offering insights into their nature, causes, and potential treatment avenues.

Understanding Varicose Veins

Varicose veins manifest as swollen, twisted vessels just beneath the skin’s surface. Despite their alarming appearance, they’re a widespread condition. These veins can cause sensations of discomfort, pain, or a sense of heaviness in the legs.

Causes Behind Varicose Veins

The primary instigator of varicose veins is malfunctioning vein valves. These valves regulate blood flow by allowing blood to move towards the heart and preventing it from pooling in the veins. When these valves fail, blood accumulates in the veins, causing them to enlarge. Venous reflux disease, also termed venous stasis, venous insufficiency, or venous incompetence, often underlies this condition.

Deciphering Venous Reflux

Venous reflux denotes the backward flow of blood against gravity due to faulty valves. Normally, calf muscles assist in pumping blood upward, but leaky valves lead to blood pooling in the lower legs, resulting in visible bulging veins at the skin’s surface. Great and small saphenous veins, responsible for returning blood from the legs to the heart, are commonly affected. In over 90% of leg varicose vein cases, these veins are implicated.

Insights from Our Research

A notable study, led by Dr. Nisha Bunke and published in the Journal of Vascular Ultrasound in 2018, scrutinized over 1,000 varicose vein-affected legs. The research highlighted the great and small saphenous veins as primary contributors to varicose veins. Specifically, the Great Saphenous Vein (GSV) traversing the thigh and calf’s middle and the Small Saphenous Vein (SSV) along the calf’s back were frequently involved.

Available Treatments

Fortunately, treatment options exist to alleviate discomfort and enhance the appearance of varicose veins. Minimally invasive procedures like laser ablation, radiofrequency ablation, and sclerotherapy have shown efficacy in treating varicose veins.

Visual Proof: Patient Transformations

Visual Proof: Varicose Veins Treatment Patient Transformations

The outcomes of varicose vein treatment can be astounding. Many individuals witness substantial improvements in both vein appearance and associated symptoms. Before-and-after images stand as testimony to the positive impact proper treatment can have on vascular health and overall well-being.

While varicose veins are commonplace, understanding their causes and available treatments empowers individuals to manage their vascular health. With modern medical techniques, those grappling with varicose veins can find relief and witness a considerable improvement in their quality of life. Whether comprehending the role of faulty vein valves, exploring venous reflux intricacies, or considering diverse treatment approaches, education and awareness pave the path to healthier veins.

“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 for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts

What will my legs look like after varicose vein treatment?2024-07-04T07:30:03-07:00

2, 10, 2023

Patient varicose veins transformations

2024-10-31T21:20:52-07:00

Patient Varicose Veins Transformations

Varicose veins, those twisted and bulging veins just beneath the surface of the skin, can be a common concern for many individuals. While they most frequently appear in the legs, they can also emerge in other areas of the body. In this blog post, we’ll delve into the world of varicose veins, exploring what they are, what causes them, and shedding light on potential treatment options.

What are Varicose Veins?

Varicose veins are swollen, twisted veins that are visible just below the skin’s surface. Their appearance can be alarming, but they are actually a common condition that affects many people. These veins can often cause discomfort, pain, or a heavy feeling in the legs.

Causes of Varicose Veins

The main culprit behind varicose veins is faulty vein valves. These valves are responsible for ensuring proper blood flow by allowing blood to travel towards the heart and preventing it from pooling in the veins. When these valves become leaky, blood starts to accumulate in the veins, causing them to stretch and enlarge. This condition is often a result of venous reflux disease, also known as venous stasis, venous insufficiency, or venous incompetence.

Understanding Venous Reflux

Venous reflux occurs when blood flows backward, against gravity, due to malfunctioning valves. Normally, the calf muscles aid in pumping blood upwards, but with leaky valves, blood tends to pool in the lower legs, causing the veins to bulge at the surface. This condition is frequently observed in the great and small saphenous veins, which are responsible for carrying blood from the legs back to the heart. Over 90% of the time, varicose veins in the legs are linked to these veins.

Our Research Findings

In a notable study led by Dr. Nisha Bunke and published in the Journal of Vascular Ultrasound in 2018, more than 1,000 legs with varicose veins were examined. The research revealed that the great and small saphenous veins were the primary sources of varicose veins in a majority of cases. The Great Saphenous Vein (GSV), coursing up the middle of the thigh and calf, and the Small Saphenous Vein (SSV), located along the back of the calf, were particularly implicated.

Treatment Options

Fortunately, varicose veins are not a condition without solutions. With advancements in medical technology and knowledge, treatment options are available to alleviate discomfort and improve the appearance of affected veins. Various minimally invasive procedures, including laser ablation, radiofrequency ablation, and sclerotherapy, have proven effective in treating varicose veins.

Visual Proof: Patient Transformations

Patient Varicose Veins Transformations - La Jolla Vein & Vascular Patient Varicose Veins Transformations - La Jolla Vein & Vascular Patient Varicose Veins Transformations - La Jolla Vein & Vascular Patient Varicose Veins Transformations - La Jolla Vein & Vascular

Witnessing the outcomes of varicose vein treatment can be truly remarkable. Many individuals experience significant improvements in both the appearance and symptoms of their varicose veins. These before-and-after images serve as a testament to the positive impact that proper treatment can have on one’s vascular health and overall well-being.

Varicose veins might be a common condition, but understanding their causes and treatment options empowers individuals to take control of their vascular health. With modern medical techniques, those suffering from varicose veins can seek relief and experience a significant enhancement in their quality of life. Whether it’s understanding the role of faulty vein valves, exploring the intricacies of venous reflux, or considering various treatment approaches, the journey to healthier veins starts with education and awareness.

“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

Patient varicose veins transformations2024-10-31T21:20:52-07:00

31, 8, 2023

Surface Varicose Veins Treatment

2023-05-24T17:22:51-07:00

Ultrasound-guided foam sclerotherapy works well for treating surface varicose veins and veins that are not visible to the naked eye. The foam medication can be seen on ultrasound, which allows us to administer it precisely and direct it towards nearby varicose veins. Foam sclerotherapy can be safely used for veins that travel close to the skin or nerves. It also travels easily through veins with many twists and turns.

surface varicose

WHAT IS POLIDOCANOL (ASCLERA®)?

A variety of sclerosant medications can be used for surface varicose veins, but we prefer polidocanol (brand name Asclera®) because it is the most comfortable for the patient and has the lowest risk of side effects. It is a detergent-type medication that injures the inner lining of the veins. This causes the vein to stop flowing, then eventually close down completely. Polidocanol has been well-studied and has been approved by the FDA since 2010 for the treatment of varicose veins and has been used in Europe for decades. Polidocanol is turned into a foam to treat larger veins. This is an off-label use of the sclerosant but very effective and well tolerated. La Jolla Vein and Vascular providers have extensive experience with foam sclerotherapy.

How many treatments will I need for surface varicose veins?

The number and frequency of treatments depends on a patient’s anatomy, how well the veins respond to each treatment, and the patient’s treatment goals. The national average is 2 to 5 treatment sessions to achieve 80% improvement. Some larger or resistant veins require two or more treatments to respond completely.

What should I expect on my treatment days?

You will sign your consent form then change into shorts provided by the office. We will clean your skin with alcohol, then use ultrasound to localize the veins. The foam medication will then be injected into your veins with a fine needle. You will elevate your legs on a wedge pillow for approximately 15 minutes. After your treatment, we will help you into your compression stockings, then you will walk for 30 minutes prior to getting in your car. It is normal for your legs to be achy and tender to the touch after treatment.

 

“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

 

Surface Varicose Veins Treatment2023-05-24T17:22:51-07:00

Patient Reviews & Testimonials

2023-05-24T13:13:25-07:00

La Jolla Vein & Vascular is a state-of-the-art medical center dedicated exclusively to the diagnosis and treatment of vein and arterial conditions, below are some incredible patient reviews and testimonials. 

 

The patients who have given reviews have been treated for one or multiple of our vein or vascular conditions. Vein conditions include varicose veins, spider veins, and venous leg ulcers, chronic venous insufficiency, edema, lymphedema, and deep vein thrombosis.  Arterial conditions and treatments such as peripheral arterial disease (PAD), atherectomy, angioplasty, stenting.  We also offer prostate artery embolization (PAE) to treat BPH, varicocele embolization for men and uterine fibroid embolization (UFE), pelvic venous congestion (PVCS), pelvic and labial varicose veins for women.  Osteoarthritis treatment includes genicular artery embolization (GAE) to alleviate knee pain due to arthritis.

 

Below are some patient reviews and testimonials.

reviews reviews reviews

“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. 

 



Patient Reviews & Testimonials2023-05-24T13:13:25-07:00

Patient Transformation: Varicose Veins

2023-05-24T13:56:41-07:00

Varicose Vein Treatment: Patient Transformations 

What are varicose veins?

They are the twisted, bulging veins just beneath the surface of the skin. These 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 them?

Varicose veins are caused by leaky vein valves, which allow blood to pool within the veins causing them to stretch and become enlarged. These 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. 

As you can see below, these patient transformations after varicose vein treatment are remarkable! 

varicose vein treatment varicose vein treatment varicose vein treatment

 

“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


Patient Transformation: Varicose Veins2023-05-24T13:56:41-07:00

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