24, 4, 2024

What should I expect with Ultrasound-Guided Foam Sclerotherapy?

2024-03-26T16:31:48-07:00

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?2024-03-26T16:31:48-07:00

1, 3, 2024

4 Varicose vein transformations of our patients

2024-02-17T15:29:14-08:00

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 47 BA VV varicose DSCF8495 fotor 48 BA VV varicose DSCF9495 fotorvaricose

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 patients2024-02-17T15:29:14-08:00

28, 2, 2024

What are the least invasive ways to treat veins?

2024-03-06T13:41:48-08:00

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?2024-03-06T13:41:48-08:00

What will my legs look like after varicose vein treatment?

2024-03-06T14:06:25-08:00

Patient Transformation: Embracing Varicose Veins 

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

varicose

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?2024-03-06T14:06:25-08:00

10, 1, 2024

Why do Varicose Veins occur?

2024-03-06T14:25:25-08:00

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 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?2024-03-06T14:25:25-08:00

28, 12, 2023

Varicose Veins Unveiled

2023-10-11T18:10:26-07:00

Varicose Veins Unveiled

Varicose veins, those prominent and twisted veins beneath the skin’s surface, are a common concern for many individuals, often bringing discomfort and aesthetic worries. In this enlightening blog post, we’ll explore the complexities of varicose veins and the underlying condition known as venous reflux disease. From understanding the root causes to uncovering the range of symptoms and treatment options, join us on a voyage to attain better vein health and lasting relief.

Grasping Varicose Veins

Varicose veins are swollen and twisted veins, most visibly affecting the legs. Though widespread, they can be a source of pain and cosmetic distress, making it crucial to gain a comprehensive understanding of these veins and how to address them effectively.

Identifying the Culprits: The Causes of Varicose Veins

The primary trigger for varicose veins lies in malfunctioning vein valves, which lead to blood accumulation within the veins. This pooling of blood causes the veins to expand and become varicose. Underlying venous reflux disease, known by various names like venous stasis, venous insufficiency, or venous incompetence, is frequently the contributing factor to the development of varicose veins. Venous reflux disease arises when blood backflows within the deep and superficial leg veins.

Insights from Research

A groundbreaking study, led by Dr. Nisha Bunke and published in the Journal of Vascular Ultrasound in 2018, examined more than 1,000 legs affected by varicose veins. This research revealed that a substantial majority—well over 90%—of the sources of varicose veins were the great and small saphenous veins. The Great Saphenous Vein (GSV) travels through the middle of the thigh and calf, while the small saphenous vein (SSV) courses along the back of the calf.

Unveiling the Symptoms

Both varicose veins and venous reflux disease manifest an array of symptoms, including aching, tenderness, heaviness, fatigue, restlessness in the legs, burning and throbbing pain, itching, leg cramps (particularly at night), ankle swelling, skin discoloration, and even skin ulcers that may form above the ankle. Left untreated, complications may arise, such as painful inflammation of the veins (superficial phlebitis), blood clots within varicose veins (superficial thrombophlebitis), and skin problems like discoloration, eczema, or ulcers.

The Power of Ultrasound Diagnosis

A fundamental component of accurate diagnosis is duplex ultrasound technology, which is used to assess veins beneath the skin’s surface. This technology not only detects faulty valves and determines the direction of blood flow but also identifies any obstructions or scars within the veins, providing invaluable information for devising a tailored treatment plan.

A Tailored Approach to Treatment

A holistic approach to managing varicose veins involves multiple steps:

Step 1: Addressing the Root Issue

The core of treatment lies in resolving venous reflux. This entails focusing on the saphenous veins, often the source of the problem. Innovative vein ablation procedures, such as radiofrequency ablation (RFA), laser ablation, mechanico-chemical ablation (MOCA), and Varithena Foam, are utilized to reinstate proper blood flow.

Step 2: Managing Varicose Veins

After successfully treating the underlying reflux, the next step is to address the varicose veins themselves. Common methods include foam sclerotherapy, involving the injection of a foamed medication to induce scarring and eventual dissolution, and phlebectomy, which entails small incisions for vein removal.

Varicose veins and venous reflux disease impact numerous lives, resulting in discomfort and aesthetic concerns. By gaining insight into their root causes, recognizing the array of symptoms, and exploring innovative treatments, individuals can take charge of their vein health. At La Jolla Vein & Vascular, we’re devoted to delivering personalized care and effective solutions to alleviate symptoms and enhance your quality of life. If you’re ready to embark on the path to healthier veins, don’t hesitate to contact us today and take the first step towards achieving sustained relief and well-being.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

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

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

Varicose Veins Unveiled2023-10-11T18:10:26-07:00

30, 10, 2023

Demystifying Venous Disease: Causes, Symptoms, and Treatment Options

2023-09-29T22:30:44-07:00

Demystifying Venous Disease: Causes, Symptoms, and Treatment Options

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!

Demystifying Venous Disease: Causes, Symptoms, and Treatment Options2023-09-29T22:30:44-07:00

Patient varicose veins transformations

2023-09-25T17:17:15-07:00

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

varicose varicose varicose 사진 프레임 5

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 transformations2023-09-25T17:17:15-07:00

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
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