28, 5, 2023

Varicose Veins Unveiled

2024-07-06T19:33:42-07:00

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 Unveiled2024-07-06T19:33:42-07:00

Patient Transformation: Varicose Veins

2023-02-15T19:12:23-08:00

Varicose Veins: Patient Transformation!

What are varicose veins?

In the pictures below you can see in the patient case that 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! 

transformation transformation transformation 52 BA VV varicose DSCF9790 fotor 2 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 Transformation: Varicose Veins2023-02-15T19:12:23-08:00

26, 4, 2023

FDA Approved treatment to treat varicose veins

2023-02-15T17:06:00-08:00

The U.S. Food and Drug Administration (FDA) approved the VenaSeal™ closure system to permanently treat varicose veins by sealing the affected superficial veins using an adhesive agent.

The VenaSeal™ Sapheon Closure System

is a unique, minimally invasive treatment that uses a safe-for-the-body medical glue to quickly and effectively treat varicose veins (venous reflux disease). Using ultrasound, a doctor will guide a tiny catheter through a small access site in the skin and into the diseased area of the vein. Next, the VenaSeal™ dispenser delivers a very small amount of medical glue to close the vein. Once the affected vein is closed, blood is immediately re-routed through other healthy veins in the leg.

Unlike other treatments, VenaSeal™ does not require anesthesia to be injected into the leg via multiple needle sticks (tumescent anesthesia), and because there are no pre-procedures drugs involved, patients can return to their normal activities right after the treatment. Unlike heat-based procedures, with VenaSeal™ there is no risk of skin burns or nerve damage. VenaSeal™ usually does not require any post-treatment pain medication or uncomfortable compression stockings.’

varicose

The VenaSeal™ closure system is the only non-tumescent, non-thermal, non-sclerosant procedure that uses a proprietary medical adhesive delivered endovenously to close the vein. This unique approach eliminates the risk of nerve injury when treating the small saphenous vein, which is a risk sometimes associated with certain thermal-based procedures. Clinical studies have demonstrated that the procedure is safe and effective.

varicose

“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. 


FDA Approved treatment to treat varicose veins2023-02-15T17:06:00-08:00

Treatment for surface varicose veins

2023-02-15T16:24:28-08:00

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. Foam sclerotherapy can be safely used for veins that travel close to the skin or nerves. It also travels easily with many twists and turns.

veins

WHAT IS POLIDOCANOL (ASCLERA®)?

veins

A variety of sclerosant medications can be used for 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 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 Care providers have extensive experience with foam sclerotherapy.

How many treatments will I need?

The number and frequency of treatments depends on a patient’s anatomy, how well they 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 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.

 

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. 


Treatment for surface varicose veins2023-02-15T16:24:28-08:00

28, 3, 2023

Varicose veins and the pelvis

2023-02-13T17:33:27-08:00

Most people know varicose veins mostly affect the feet and legs. But varicose veins can also occur in the pelvis causing chronic pelvic pain in women; this condition is known as Pelvic Venous Congestion Syndrome (PVCs) or ovarian vein reflux. Herein is a look at the condition, the risk factors, causes, symptoms, and treatment options. Read on to find out more.

What is pelvic venous congestion syndrome (PVCs)?

Pelvic Venous congestion is the enlargement of blood vessels in the pelvis due to faulty vein valves in the lower abdomen. See, veins have valves to guide blood flow towards the heart. However, these valves become faulty in some cases due to damage or other problems causing blood to flow backward. When this happens in the lower abdomen, blood builds up in the area, causing the veins to enlarge and change shape.

Therefore, PVCs are varicose veins in your pelvis. This engorgement or congestion of blood vessels in the lower abdomen can cause chronic, unbearable pain. It affects at least 1 in three women at some point during their lifetime. Chronic PVCs last more than six months. It is not associated with period pain at all. PVCs are common among women who’ve given birth more than once.

Symptoms to Look Out For

Chronic PVCs last longer than half a year. PVCs are commonly experienced for the first time during or following pregnancy. It is characterized by a heavy aching feeling that may get worse as pregnancy progresses. In most cases, you feel the pain on the left side only. But at other times, you may feel the pain on both the left and right sides. PVCs pain is usually worse during the evenings.

Certain factors also aggravate PVCs pain; these include:

  • When you change posture
  • Sex
  • Standing for extended periods
  • Walking
  • Menstrual period

Apart from pelvis pain, other PVCs symptoms include:

  • Pain during or after intercourse
  • Sudden urge to urinate
  • Lower back pain
  • Irritable bowel syndrome (diarrhea and constant abdominal pain accompanied with constipation)
  • Deep dyspareunia – pain during intercourse
  • Feeling one’s legs fuller
  • Engorged and distorted veins around the vagina, vulva, inner thigh, buttocks, and sometimes down the legs

“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. 


Varicose veins and the pelvis2023-02-13T17:33:27-08:00

Patient Transformation: Varicose Veins

2023-02-13T15:53:36-08:00

Varicose Veins: 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. 

 

varicose varicose varicose varicose

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

“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 Transformation: Varicose Veins2023-02-13T15:53:36-08:00

9, 2, 2023

Patient Reviews and Testimonials

2023-01-14T13:22:24-08:00

La Jolla Vein & Vascular is a state-of-the-art medical center dedicated exclusively to the diagnosis and treatment of venous and arterial conditions.

Venous 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. 

venous 10 1 11 2 12 2

“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 Reviews and Testimonials2023-01-14T13:22:24-08:00

informacion en español

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