16, 7, 2024

Unlocking the Secrets of Peripheral Artery Disease (PAD)

2024-10-07T06:02:49-07:00

Unlocking the Secrets of Peripheral Artery Disease (PAD): A Comprehensive Guide

Peripheral Artery Disease (PAD) Unveiled: Understanding the Hidden Threat

Peripheral Artery Disease (PAD) is a critical yet often overlooked condition that affects millions of people worldwide, particularly those over the age of 50. This vascular disorder can lead to serious health complications if left untreated, making early diagnosis and intervention crucial. Understanding the risk factors, symptoms, and management options for PAD can empower individuals to take charge of their vascular health and prevent severe consequences.

In this comprehensive guide, we will explore what PAD is, how it develops, its key symptoms, risk factors, and why timely diagnosis and treatment are essential. We will also delve into modern approaches to managing PAD to help you make informed decisions for your health.

What is Peripheral Artery Disease (PAD)?

Peripheral Artery Disease (PAD) refers to the narrowing of arteries outside the heart, primarily in the legs and lower extremities. This narrowing is caused by the buildup of plaque, a substance made up of cholesterol, calcium, and other materials found in the blood. Over time, this accumulation restricts blood flow, depriving the tissues of oxygen and essential nutrients. The resulting condition not only causes discomfort but also increases the risk of severe cardiovascular events like heart attacks and strokes.

PAD often remains undiagnosed in its early stages because its symptoms can be subtle or attributed to aging or other conditions. However, recognizing the early signs is vital for preventing more serious complications down the line.

Peripheral Artery Disease Symptoms: Spotting the Early Warning Signs

The symptoms of PAD can vary depending on the severity of the condition and the arteries affected. One of the hallmark signs is intermittent claudication, which refers to muscle pain or cramping in the legs or hips during physical activity like walking or climbing stairs. This pain typically subsides with rest but returns when the activity is resumed.

Other common symptoms of PAD include:

  • Leg numbness or weakness: This occurs due to reduced blood flow, leading to insufficient oxygen supply to the muscles.
  • Coldness in the lower leg or foot: One leg may feel significantly colder than the other, indicating poor circulation.
  • Sores on the toes, feet, or legs that won’t heal: Persistent wounds are a red flag for poor blood flow.
  • Hair loss on the legs: A lack of nutrients can cause hair to thin or fall out in areas affected by PAD.
  • Shiny skin on the legs: The skin may appear tight and shiny due to the lack of proper circulation.
  • Weak pulse in the legs: A diminished pulse in the legs or feet can signal arterial blockages.

In more advanced cases, PAD can lead to critical limb ischemia (CLI), where the lack of blood flow causes severe pain, infections, and even gangrene, potentially leading to amputation.

What Causes Peripheral Artery Disease?

The primary cause of PAD is atherosclerosis, the same condition that causes coronary artery disease. In atherosclerosis, fatty deposits (plaque) accumulate on the inner walls of the arteries, restricting blood flow. Over time, these deposits harden and narrow the arteries, making it difficult for blood to pass through.

Several factors contribute to the development of PAD, including:

  • Smoking: Tobacco use is one of the most significant risk factors for PAD. The chemicals in cigarettes can damage the lining of the arteries, leading to plaque buildup.
  • Diabetes: High blood sugar levels can damage the blood vessels and increase the risk of plaque formation.
  • High cholesterol: Elevated levels of bad cholesterol (LDL) contribute to plaque accumulation.
  • High blood pressure: Hypertension weakens the arterial walls, making them more susceptible to atherosclerosis.
  • Age: The risk of PAD increases with age, particularly after the age of 50.
  • Sedentary lifestyle: Lack of physical activity can contribute to poor circulation and increase the likelihood of plaque buildup.

Diagnosing Peripheral Artery Disease: Why Early Detection Matters

Accurate and early diagnosis of PAD is essential for effective treatment and prevention of complications. A thorough medical evaluation, combined with diagnostic tests, can determine the severity of the disease and guide the appropriate course of action.

At La Jolla Vein & Vascular, our team of vascular specialists uses a variety of diagnostic tools to evaluate patients for PAD. These may include:

  • Ankle-Brachial Index (ABI): This test compares the blood pressure in your ankle to the blood pressure in your arm. A lower pressure in the ankle indicates reduced blood flow, suggesting PAD.
  • Doppler Ultrasound: This non-invasive test uses sound waves to measure blood flow in the arteries and identify any blockages.
  • Angiography: This imaging test involves injecting a contrast dye into the arteries to visualize blood flow and locate narrowing or blockages.
  • Magnetic Resonance Angiography (MRA): A type of MRI that provides detailed images of the arteries without the need for contrast dye in some cases.

By diagnosing PAD early, healthcare providers can recommend lifestyle changes, medications, or interventions that prevent the progression of the disease and reduce the risk of serious complications.

Managing Peripheral Artery Disease: Taking Control of Your Health

Once PAD is diagnosed, there are several strategies to manage the condition and improve circulation. Treatment depends on the severity of the disease and the patient’s overall health, but the primary goals are to relieve symptoms, prevent the progression of atherosclerosis, and reduce the risk of heart attack or stroke.

Lifestyle changes are often the first line of defense:

  • Quit smoking: This is the single most effective way to slow the progression of PAD. Smoking cessation improves circulation and reduces the risk of complications.
  • Exercise regularly: Walking, cycling, and other aerobic exercises can help improve blood flow and reduce symptoms of claudication.
  • Eat a heart-healthy diet: A diet low in saturated fats, trans fats, and cholesterol can help reduce plaque buildup in the arteries.
  • Manage diabetes and high blood pressure: Keeping these conditions under control is crucial for slowing the progression of PAD.

In more advanced cases, medications may be prescribed to manage symptoms and prevent complications. These might include blood thinners to prevent clots, medications to lower cholesterol, or drugs to improve blood flow in the legs.

In some cases, surgical intervention may be necessary to restore proper blood flow. Procedures like angioplasty or bypass surgery can open up narrowed arteries and improve circulation in affected areas.

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Unlocking the Secrets of Peripheral Artery Disease (PAD)2024-10-07T06:02:49-07:00

18, 5, 2024

Deep Vein Thrombosis (DVT): Understanding the Silent Threat to Vascular Health

2024-07-06T22:49:37-07:00

Deep Vein Thrombosis (DVT): Understanding the Silent Threat to Vascular Health

Deep Vein Thrombosis, more commonly known as DVT, is a medical condition characterized by the formation of blood clots deep within the veins of the lower extremities. While these clots may remain concealed beneath the surface, the lurking danger they represent should never be underestimated. In this blog post, we embark on an in-depth exploration of DVT, unraveling its intricacies, recognizing the severity of this medical condition, elucidating the diagnostic process, and emphasizing the paramount importance of staying vigilant in its detection.

Deciphering Deep Vein Thrombosis (DVT)

Deep Vein Thrombosis, the ominous acronym of DVT, is a condition where blood clots form within the deep veins of the legs. The initial appearance of these clots might deceive, seemingly harmless; however, the true peril emerges when they venture into the bloodstream. If these clots journey to the lungs, they can give rise to a potentially life-threatening condition known as a pulmonary embolism.

The Pivotal Role of Duplex Ultrasound in Diagnosis

Diagnosing DVT stands as a pivotal stride towards averting its perilous consequences. This is where Duplex ultrasound, a priceless diagnostic instrument, assumes its critical role. Here is an insight into its functionality:

Experienced Vascular Sonographer: A proficient vascular sonographer serves as the linchpin in the diagnosis of DVT. Their expertise is the bedrock upon which accurate and reliable results are founded.

Duplex Ultrasound Examination: Duplex ultrasound amalgamates the prowess of traditional ultrasound, denoted as B-mode, with Doppler ultrasound. This fusion empowers healthcare providers to visualize the flow of blood and identify clots within the deep veins.

Indications for DVT Study: A DVT study is typically conducted when an individual presents with discernible signs and symptoms of lower extremity DVT. These symptoms often encompass leg pain and swelling, frequently accompanied by telltale signs like redness and warmth.

Routine Screening: In specific circumstances, such as post-vein procedures or other surgical interventions, routine DVT screening may be undertaken as a precautionary measure to identify clots before they manifest harm.

Preparation for the DVT Study

Fortunately, preparing for a DVT study is a straightforward endeavor, devoid of intricate steps. Here are the salient points to keep in mind:

No Special Preparation: In contrast to certain medical tests that mandate fasting or adherence to specific preparations, a DVT study typically necessitates no extraordinary measures.

Vigilance Beyond the Lower Limbs: The Upper Extremity Venous Study

Although DVT is conventionally associated with the lower extremities, it is imperative to recognize that blood clots can potentially take root elsewhere within the body. This includes the upper arms and neck. An Upper Extremity Venous Study is a diagnostic ultrasound procedure designed to investigate the upper arms and neck when a person exhibits symptoms such as pain and swelling in these regions.

Deep Vein Thrombosis epitomizes a grave medical condition, harboring the potential for consequences that may alter the course of a life. Timely diagnosis through Duplex ultrasound is the keystone of effective intervention and the prevention of complications, such as the ominous pulmonary embolism.

If you, or someone within your sphere of concern, experiences symptoms such as leg pain, swelling, or discomfort of obscure origin, it is imperative to promptly seek medical attention. Contemplating a DVT study can be the critical move that potentially saves a life. In the ever-present shadow of this concealed danger lurking within our veins, vigilance and early detection emerge as the unsung heroes.

“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

Deep Vein Thrombosis (DVT): Understanding the Silent Threat to Vascular Health2024-07-06T22:49:37-07:00

Unmasking the Hidden Culprits: Lesser-Known Vascular Conditions You Should Know About

2024-10-07T18:34:27-07:00

Vascular diseases are often associated with well-known conditions such as peripheral arterial disease or varicose veins. However, many lesser-known vascular conditions can significantly impact your health and require specialized treatment. At La Jolla Vein & Vascular, our dedicated team of physicians is committed to diagnosing and treating a wide range of vascular conditions, especially those affecting the lower extremities and pelvis. Beyond the common issues, we focus on conditions like varicoceles, Pelvic Congestion Syndrome, May-Thurner Syndrome, geniculate artery embolization, and uterine fibroids, which demand expert care and attention.

In collaboration with trusted sources such as MedlinePlus, we aim to provide you with comprehensive information on these lesser-known vascular conditions, their causes, symptoms, and available treatments.

Understanding the Vascular System and Its Role

The vascular system plays a pivotal role in maintaining overall health. This intricate network of arteries, veins, and capillaries ensures the delivery of oxygen-rich blood to your tissues while aiding in the removal of waste products. When parts of this system become compromised, it can lead to a wide range of vascular diseases that may not only cause discomfort but also significantly affect your quality of life.

Some vascular conditions are more prevalent and well-known, such as aneurysms, atherosclerosis, and varicose veins. However, there are numerous other conditions that often fly under the radar, requiring specialized diagnosis and treatment to address their unique challenges.

Lesser-Known Vascular Conditions: An Overview

At La Jolla Vein & Vascular, we focus on diagnosing and treating a variety of lesser-known vascular conditions that often go unnoticed but can have a substantial impact on your health. These include:

Varicoceles: This condition involves enlarged veins within the scrotum and is typically associated with infertility. Early diagnosis and treatment can help alleviate symptoms and improve reproductive health.

Pelvic Congestion Syndrome: This condition is caused by varicose veins in the pelvis, leading to chronic pelvic pain. Often underdiagnosed, it can significantly affect the quality of life of women, especially those who have had multiple pregnancies.

May-Thurner Syndrome: A condition where compression of the iliac vein by the overlying artery can lead to blood clots and other complications in the legs. This condition requires careful imaging for accurate diagnosis.

Geniculate Artery Embolization: A minimally invasive treatment for chronic knee pain caused by osteoarthritis, this procedure targets the blood supply to the knee, reducing inflammation and pain.

Uterine Fibroids: Though primarily known as benign tumors in the uterus, uterine fibroids can have a vascular component, where their blood supply can be blocked to shrink them and alleviate symptoms such as heavy menstrual bleeding.

Unraveling the Causes and Risk Factors of Vascular Diseases

The causes of vascular diseases can vary widely, from genetics to lifestyle factors. Common contributors include:

  • Age: Vascular disease risk increases as we age, due to the natural wear and tear of the cardiovascular system.
  • Heart and Blood Vessel Conditions: Diseases like diabetes, high cholesterol, and high blood pressure can contribute to the onset of vascular conditions.
  • Genetics: A family history of vascular diseases can significantly increase your risk.
  • Infections and Injuries: In some cases, injuries or infections can damage veins, leading to vascular complications.
  • Lifestyle Factors: Obesity, smoking, and a sedentary lifestyle are significant risk factors.
  • Pregnancy and Hormonal Changes: Conditions such as Pelvic Congestion Syndrome are often linked to multiple pregnancies due to increased pressure on pelvic veins.

Symptoms, Diagnosis, and Treatment

The symptoms of vascular diseases can be subtle and vary greatly depending on the condition. Common symptoms include:

  • Swelling or heaviness in the legs
  • Chronic pain in specific areas, such as the pelvis or knees
  • Visible, swollen veins
  • Unexplained fatigue or discomfort after long periods of standing

Diagnosing these conditions involves a thorough evaluation of your medical history, physical examination, and the use of imaging tests such as ultrasounds or MRIs. Blood tests may also be used to assess clotting risks.

Treatment options are highly individualized and depend on the specific vascular condition. These may include:

  • Lifestyle Modifications: Incorporating a heart-healthy diet, regular exercise, and quitting smoking are critical steps.
  • Medications: Blood thinners, blood pressure medications, and cholesterol-lowering drugs are often prescribed.
  • Minimally Invasive Procedures: Treatments such as angioplasty, stenting, or vein ablation can be highly effective in treating vascular diseases without the need for major surgery.
  • Surgical Options: In more severe cases, surgery may be required to correct vascular abnormalities or remove damaged tissues.

Preventing Vascular Diseases: Proactive Steps

Preventing vascular diseases involves adopting healthy habits and being mindful of your overall well-being. Key prevention tips include:

  • Embrace a Healthy Lifestyle: A balanced diet rich in vegetables, fruits, and lean proteins combined with regular physical activity can significantly reduce the risk of vascular diseases.
  • Manage Chronic Conditions: If you have conditions like diabetes or high blood pressure, managing them effectively can prevent vascular complications.
  • Quit Smoking: Smoking damages blood vessels and significantly increases the risk of vascular diseases. Quitting smoking is one of the most impactful things you can do for your vascular health.
  • Stay Active: Avoid long periods of sitting or standing. If your work requires extended periods in one position, take breaks to move around and consider using compression stockings during travel.

Quick Reads:

  1. The 9 Best Ways to Treat Varicose Veins Without Procedures
  2. The Connection Between Cholesterol and Vascular Health
  3. What Vascular Diseases Do I Need to Look Out For?

Expert Vascular Care at La Jolla Vein & Vascular

At La Jolla Vein & Vascular, we are proud to be a leader in the diagnosis, treatment, and prevention of vascular diseases. Our team of specialists, including Dr. Nisha Bunke, Dr. Sarah Lucas, and Dr. Amanda Steinberger, brings together years of expertise to offer world-class care. Our facility is a nationally recognized teaching site, providing cutting-edge treatments to patients in a compassionate and caring environment.

If you’re experiencing symptoms of vascular diseases or want to learn more about your vascular health, please contact us for a consultation. We’re committed to helping you achieve optimal health through expert care and personalized treatment plans.

For more information, visit our website or check out our educational resources on our YouTube Channel, Instagram, and TikTok. Keep informed and take control of your vascular health today!

Unmasking the Hidden Culprits: Lesser-Known Vascular Conditions You Should Know About2024-10-07T18:34:27-07:00

11, 4, 2024

Reclaiming mobility: effective treatment strategies for PAD

2024-10-28T01:17:37-07:00

Reclaiming Mobility: Effective Treatment Strategies for PAD

Peripheral Arterial Disease (PAD) can be a challenging condition, but with the right approach to treatment, you can regain control of your life. The goals of PAD treatment are to manage symptoms, such as leg pain, and halt the progression of atherosclerosis, which reduces the risk of life-threatening events like stroke and heart attacks. In this blog post, we’ll explore various treatment options for PAD, ranging from lifestyle changes to minimally invasive procedures.

Lifestyle Changes: The Foundation of PAD Management

Before diving into specific treatment options, it’s crucial to emphasize the importance of lifestyle changes. Early intervention through lifestyle modifications can be highly effective in achieving the goals of PAD treatment. Here are the key steps:

  • Quit Smoking: One of the most significant actions you can take to halt the progression of PAD is quitting smoking. Smoking damages your blood vessels, exacerbating the condition.
  • Regular Exercise: Engaging in a routine of walking and supervised exercise training can substantially improve your PAD symptoms. Exercise promotes better circulation and overall vascular health.

Minimally Invasive Procedures for Advanced PAD

If your PAD has advanced to a stage where lifestyle changes alone are insufficient, medical interventions may be necessary. Several minimally invasive procedures are available to address severe PAD:

  1. Atherectomy

Atherectomy is a minimally invasive surgical procedure designed to remove plaque from the arteries. During the procedure, a catheter is inserted through a small incision in the artery. The catheter has a chamber at its tip to collect the removed plaque, ensuring thorough cleansing of the artery. This procedure is typically performed under local anesthesia to minimize discomfort. Depending on the extent of plaque buildup, your doctor may need to repeat the atherectomy several times to optimize blood flow.

  1. Angioplasty (Percutaneous Transluminal Angioplasty – PTA)

Angioplasty is another minimally invasive procedure performed using a catheter. This thin, flexible tube is guided by imaging to the narrowed section of the artery. Once in position, the catheter inflates a small balloon at its tip for a brief period. The inflation of the balloon exerts pressure on the plaque, pushing it against the artery wall. This action widens the arteries, restoring normal blood flow.

  1. Stenting

Stenting is often performed in conjunction with angioplasty and atherectomy. Over time, the buildup of plaque can damage artery walls, leaving them weak and prone to collapse even after plaque removal. Stenting involves placing a small mesh tube inside the artery to provide essential support. This tube acts as a scaffold, ensuring the artery remains open and allowing for optimal blood flow.

Managing PAD involves a multi-faceted approach, beginning with lifestyle changes and progressing to minimally invasive procedures when necessary. Quitting smoking and regular exercise are fundamental steps in controlling symptoms and slowing the progression of atherosclerosis. If your condition has advanced, medical interventions like atherectomy, angioplasty, and stenting can provide relief and enhance your vascular health.

Consult with your healthcare provider to determine the most suitable treatment plan for your specific PAD condition. With the right approach, you can manage PAD effectively, reduce symptoms, and lower the risk of serious cardiovascular events.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together to provide 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

Reclaiming mobility: effective treatment strategies for PAD2024-10-28T01:17:37-07:00

23, 2, 2024

What can I expect from vein treatment with Venaseal™?

2024-06-11T02:35:11-07:00

Exploring Venaseal™: A Comprehensive Look into Advanced Vascular Wellness

The VenaSeal™ closure system, sanctioned by the U.S. Food and Drug Administration (FDA), presents an innovative and efficient method for tackling varicose veins. Distinguished from conventional methods, this minimally invasive procedure employs a distinctive medical adhesive to permanently seal problematic superficial veins. In this article, we’ll delve into the workings of the VenaSeal™ system, its notable advantages, and why it emerges as a secure and convenient alternative for varicose vein treatment.

Insight into the VenaSeal™ Sapheon Closure System

The VenaSeal™ Sapheon Closure System marks a revolutionary approach to addressing varicose veins, commonly referred to as venous reflux disease. Here’s a breakdown of its operation:

Minimally Invasive Technique: Commencing the procedure, the doctor utilizes ultrasound guidance to maneuver a small catheter through a tiny access point in the skin and into the affected vein.

Application of Medical Adhesive: The VenaSeal™ dispenser administers a minute quantity of medical adhesive to seal the vein effectively. This adhesive serves to permanently close the problematic vein, halting further reflux.

Immediate Blood Diversion: Upon sealing the affected vein, the body promptly redirects blood flow through other healthy veins in the leg.

Key Benefits Offered by VenaSeal™

VenaSeal™ presents several notable advantages compared to traditional varicose vein treatments:

Anesthesia-Free with No Needle Injections: Unlike certain treatments necessitating tumescent anesthesia involving multiple needle injections, VenaSeal™ is virtually painless and does not involve injecting anesthesia into the leg.

No Pre-Procedural Medications: Patients can promptly resume their routine activities post-treatment as there’s no requirement for pre-procedural drugs.

Absence of Burns or Nerve Damage Risk: In contrast to heat-based procedures, VenaSeal™ eliminates the possibility of skin burns or nerve damage, ensuring a safer experience.

Minimal Post-Treatment Discomfort: In most instances, patients do not need post-treatment pain medication or uncomfortable compression stockings, rendering the recovery process more comfortable.

A Unique and Secure Approach

The VenaSeal™ closure system stands as the solitary non-tumescent, non-thermal, non-sclerosant procedure that utilizes a proprietary medical adhesive delivered endovenously to close the vein. This distinctive approach boasts several discernible advantages:

Reduced Risk of Nerve Injury: In comparison to thermal-based procedures, VenaSeal™ significantly diminishes the risk of nerve injury, particularly when treating the small saphenous vein.

Clinical Safety and Efficacy: Numerous clinical studies consistently affirm that the VenaSeal™ procedure is both safe and efficacious in treating varicose veins.

For those in search of a secure, minimally invasive remedy for varicose veins, the VenaSeal™ closure system might be the solution. With its unique medical adhesive approach, lack of anesthesia, and minimal post-treatment discomfort, VenaSeal™ emerges as a convenient and effective choice for permanently addressing varicose veins. Bid farewell to the discomfort of venous reflux disease and welcome a healthier, pain-free future with VenaSeal™.

“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 can I expect from vein treatment with Venaseal™?2024-06-11T02:35:11-07:00

What is Varithena injectable foam treatment?

2024-06-17T23:33:40-07:00

Unveiling Varithena: Advancing Vein Health Through Injectable Foam Treatment

In the landscape of contemporary vein treatments, Varithena (ablation procedure) stands out as a revolutionary solution for managing varicose veins within the great saphenous vein system (GSV). This prescription medication offers a non-thermal, non-tumescent, and nearly painless approach to vein treatment. In this piece, we’ll delve into the intricacies of Varithena®, its efficacy, and what patients can anticipate on the treatment day.

Understanding Varithena®: Your Pathway to Vein Health

Varithena® employs a “microfoam” formulation comprising polidocanol (sclerosing agent) and CO2 to address superficial venous incompetence and visible varicosities linked to the great saphenous vein system. Skillfully injected into the vein under ultrasound guidance, the microfoam displaces blood and efficiently eliminates the endothelial lining via ablation.

The Benefits of Varithena®:

Tailored Approach: Varithena® recommendations are tailored based on vein location, size, anatomy, and tortuosity, effectively treating veins above and below the knee of varying sizes.

Minimally Invasive: This treatment necessitates no incisions, sedation, or general anesthesia, enhancing patient comfort during the procedure.

Non-Invasive Technique: Unlike other methods, Varithena® doesn’t involve inserting a wire along the length of the vein, reducing associated discomfort.

Heat-Free Process: Varithena® avoids heat application, ensuring no risk of thermal injury during the treatment.

Treatment Frequency and Response: A Detailed Overview

The number and frequency of Varithena® treatments are contingent on individual anatomy, vein response rate, and treatment objectives. While larger or resistant veins might necessitate two treatments for a complete response, many veins typically respond well after a single session. The treatment process is cautiously managed to mitigate potential side effects.

On the Day of Varithena® Treatment: What to Expect

Preparing for your Varithena® ablation treatment is simple:

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

Skin Preparation: Your skin will be cleansed with alcohol, and ultrasound will locate the veins for targeted treatment.

Injection Process: The foam medication will be skillfully injected into your veins using a fine needle. The foam effectively fills and treats the designated vein section, leading to vein collapse and deactivation.

Recovery Period: You’ll elevate your legs on a comfortable wedge pillow for about 15 minutes post-treatment.

Compression Stockings and Walking: Following treatment, compression stockings will be applied, and you’ll walk for 30 minutes before departure.

Varithena® marks a significant stride in vein health, presenting a swift and effective method for managing varicose veins. At La Jolla Vein & Vascular, our proficient medical professionals are committed to providing personalized care throughout your vein health journey. By embracing advanced solutions like Varithena®, you’re embarking on a confident path toward healthier, pain-free legs and improved 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 is Varithena injectable foam treatment?2024-06-17T23:33:40-07:00

29, 5, 2023

Varicoceles and men’s infertility

2023-02-15T20:28:54-08:00

A varicocele is a term used to describe abnormal enlargement of the veins within the scrotum. The veins carry blood from the various body organs back to the heart. Typically, veins have valves that prevent blood backflow. When the valves in the veins within the scrotum don’t work as they should, blood tends to collect in the scrotum, leading to varicoceles.

While varicocele is very common, it is not life-threatening. In fact, research shows that about 15 percent of all adult men have varicocele. For most men, the condition will go unnoticed throughout their life or does not cause any complications. Although the condition is not dangerous, varicocele is a common cause of low sperm production and reduced sperm quality, leading to infertility. Varicoceles can also lead to reduced testosterone production and scrotal discomfort. The condition often does not need treatment until there is a reason for concern about the associated problems. Fortunately, varicocele is easy to diagnose and treat.

How do Varicoceles Affect the Testis?

 

While numerous theories exist, medical experts agree that varicoceles cause the veins to carry warm blood from the abdomen down to the testis. Generally, the testis functions properly at around three degrees below the average body temperature. As such, warmblood can affect the testis’ ability to produce testosterone and sperm.

Symptoms of Varicoceles

Most often, Varicoceles have no symptoms or signs. As mentioned earlier, you will barely notice it. However, although rarely, the condition might cause pain. When it does cause pain, it might;

Switch from a sharp to a dull discomfort

Become worse over the day

Increase when due to physical exertion or standing for extended periods

Pain that goes away when you lie on your back

Impaired infertility

Over time, varicoceles may become more enlarged and become noticeable. Varicoceles are often described as looking like a “bag of worms” sometimes, the condition may also cause a swollen testicle, most often on the left side.

“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. 


Varicoceles and men’s infertility2023-02-15T20:28:54-08:00

Have you been experiencing leg pain?

2023-02-15T19:59:01-08:00

Concerned about Leg Pain?

We evaluate and treat leg pain that is related to poor circulation, varicose veins and blood clots. These are all vascular conditions. However, there are numerous causes of non-vascular leg pain including injuries in the joints, bones, muscles or ligaments. Arthritis can also cause leg pain. Low back pain can radiate to the legs and also cause pain. It is always important to have a thorough evaluation by your doctor to determine the correct cause.

  1. Blood Clots: 

Leg pain caused by blood clots can vary in how it presents. Not all blood clots will cause pain. Blood clots in the deep veins, called deep vein thrombosis, (DVT) can cause a sudden onset of swelling in the leg, pain, and sometimes redness and warmth. It usually affects one leg instead of both. It may be difficult to walk.  A blood clot in a superficial vein, called superficial vein thrombosis, often occurs in a varicose vein. The vein can feel hard, painful, lumpy, or you may feel a rope-like knot just beneath the skin. The skin may appear red and hot.

 

  1. Venous Reflux Disease:

Leg pain caused by venous reflux disease often presents as leg pain, heaviness, fatigue, that tends to get worse throughout the day and with standing. It may be worse in hot weather. Women may experience worsening symptoms during menstruation from hormonal influence. Night-time symptoms of leg cramping and restlessness are common. There may or may not be visible signs of venous disease, as venous reflux usually starts in veins that are not visible to the naked eye before becoming visibly apparent. Signs of vein disease include varicose veins (bulging, twisted, enlarged veins and the surface of the skin), spider veins, ankle swelling, and long term venous reflux, called chronic venous insufficiency can cause the skin to darken around the ankles and ulcerate.

  1. PAD

Poor arterial circulation in the legs is referred to as peripheral arterial disease (PAD). PAD has a different presentation than venous disease. Leg pain is often with walking and can cause cramping most frequently in the calf muscles but also can occur in the thighs or buttocks. The cramping stops usually with rest. Signs may include poor perfusion to the toes causing paleness and thickened toe-nails. Pulses at the feet may be absent.

“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. 


Have you been experiencing leg pain?2023-02-15T19:59:01-08:00

5, 4, 2023

Interventional radiology procedure GAE

2023-02-15T14:52:39-08:00

Genicular artery embolization (GAE) is an interventional radiology procedure used to treat knee pain due to osteoarthritis. The procedure minimizes the flow of blood to the knee lining (synovium). Osteoarthritis causes the bones in the knee joint to rub each other, creating friction. This leads to increased flow of blood to the knee due to inflammation. Genicular artery embolization (GAE) is a relatively new and effective minimally invasive procedure that is ideal for people with;

  • Mild to severe knee osteoarthritis
  • People who have not responded to medication, injections, and therapy
  • People who are not read to undergo partial or complete knee replacement surgery

While the procedure does not treat the underlying cartilage damage, it effectively treats the symptoms associated with knee arthritis. Additionally, unlike knee surgery, physical therapy is unnecessary after undergoing the Genicular artery embolization (GAE) procedure.

Why Choose Genicular Artery Embolization (GAE )?

GAE

It is essential to point out that while Genicular artery embolization (GAE). It is a relatively new procedure for treating osteoarthritis (OA). It is more effective than other treatments. One of the main reasons you should choose Genicular artery embolization (GAE) is that it is minimally invasive. The procedure is performed by an outpatient surgeon, allowing you to go back home the same day. Research also shows that the procedure has low risk and much faster recovery. Unlike taking drugs with numerous side effects, such as stomach upsets, the procedure has minimal side effects. Additionally, the procedure has a very high success rate, with eighty-five percent of patients treated with Genicular artery embolization (GAE) reporting significant pain and discomfort relief within the first month.

Genicular Artery Embolization (GAE) vs. Surgery

Compared to traditional surgeries performed to treat knee osteoarthritis, Genicular artery embolization (GAE) is more efficient and safe. This procedure is minimally invasive for starters, meaning that it requires a small incision in the skin. The scar is barely visible in 1-2 months after the procedure. No one loves having scars on their feet. Unfortunately, extensive knee surgeries such as complete knee replacement leave large scars that are difficult to conceal.

Secondly, you get to go home the same day. Knee surgeries require the use of general/local anesthesia, which takes time to wear off. You will also need to spend a night or two for doctor observation after surgery. With Genicular artery embolization (GAE), you do not need to spend the night in the medical facility. Additionally, the procedure works for everyone, including people at high risk of complications and would not want to undergo expensive knee surgeries.

 

“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. 


Interventional radiology procedure GAE2023-02-15T14:52:39-08:00

29, 3, 2023

What are labia varicosities

2023-02-13T17:37:45-08:00

Most people understand that varicose veins can be found in the legs and feet. And while this is mostly true, they can also manifest in the vulva. This is generally why most women who develop from vulva varicosities don’t notice it until the condition begins to worsen.

What are Labia Varicosities?

Vulvar varicosities, also commonly referred to as labia varicosities, are a condition when the veins in the labia minora or Majora become dilated.

Like any other part of the human body, the vulva is interconnected through an extensive reach of large and small blood vessels. During pregnancy, the increase in weight and pressure may reduce blood flow to the lower body and genitals. This will then cascade into the condition known as Labia varicosities.

While no one is fully exempt from developing vulvar varicose veins, the condition is more apparent in pregnant women. Moreover, pregnant women are more susceptible to developing pelvic varicosities due to the pressure and weight exerted by the baby.

However, in most cases, the condition does go away after giving birth. Ideally, you should start feeling better within six to eight weeks from the delivery time. Unfortunately, in some women, the dilated veins do not recover independently and need medical intervention to help fix the condition and get you back to your normal self.

Most people understand that varicose veins can be found in the legs and feet. And while this is mostly true, they can also manifest in the vulva. This is generally why most women who develop from vulva varicosities don’t notice it until the condition begins to worsen.

There are numerous veins supplying blood to and from the vulva. And since they all differ in size, there’s no sure way to tell if you’re developing pelvic varicosities. The impact may leave them moderately swollen from the varying size of the veins, especially in the smaller veins. Larger veins may get twisted and become painful over time. This further goes to assert the importance of consulting a healthcare professional if you’re uncertain.

What are the Signs and Symptoms of Pelvic Varicosities?

As highlighted above, pelvic congestion syndrome can manifest in varying ways. As a result, there’s no one standard sign or symptom associated with the condition.

However, many women suffering from pelvic varicosities report a dull but recurring pain. While the pain may come and go, certain factors and situations can worsen the pain. Some of the situations that could lead to chronic pain include;

  • Standing up for extended periods of time
  • Sitting for long or remaining inactive
  • The period leading to menstruation
  • In the evenings
  • In the mid or late stages of a pregnancy
  • During or after sexual intercourse

While pain is the most recorded symptom associated with labial varicosities, some women also note a different combination of recurring symptoms. These are likely influenced by the severity and advancement of the condition. Other pelvic congestion syndrome symptoms include;

  • Experiencing overly painful menstruation (commonly called dysmenorrhea)
  • Excessive or abnormal bleeding during menstruation
  • Swelling of the vulva or vagina
  • Irritable bowel syndromes
  • Backache
  • Fatigue
  • Increased urination
  • Depression
  • Hip pain
  • Change in the vaginal discharge
  • The appearance of varicose veins around the legs, buttocks, and vulva
  • Abdominal tenderness

Whether alone or part of a combination, you should consult a doctor if you notice these symptoms. This will help rule out any conditions, and if it is indeed a pelvic congestion disorder, they can begin the treatment process.

“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. 


What are labia varicosities2023-02-13T17:37:45-08:00
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