16, 2, 2024

Unveiling Varithena: Advancing Vein Health Through Injectable Foam Treatment

2023-12-26T16:23:54-08:00

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

Unveiling Varithena: Advancing Vein Health Through Injectable Foam Treatment2023-12-26T16:23:54-08:00

18, 12, 2023

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

2023-10-11T16:50:51-07:00

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 Health2023-10-11T16:50:51-07:00

16, 11, 2023

Unlocking the Secrets of Peripheral Artery Disease (PAD)

2023-10-10T14:21:51-07:00

Unlocking the Secrets of Peripheral Artery Disease (PAD)

Peripheral Artery Disease, known as PAD for short, is a widespread health concern that strikes a considerable number of individuals aged 50 and above. While not all cases of PAD necessitate invasive medical procedures, comprehending the importance of precise diagnosis and taking proactive steps to manage it is vital for safeguarding your well-being. In this article, we embark on an in-depth exploration of PAD, its indications, origins, risk elements, and the critical role of early recognition and care.

Peripheral Artery Disease Unveiled: An In-Depth Overview

PAD, an abbreviation for Peripheral Artery Disease, is characterized by the constriction of arteries caused by the excessive accumulation of plaque within their walls. This narrowing impedes the flow of oxygen-enriched blood from the heart to various parts of the body. The insufficient blood supply, laden with oxygen and essential nutrients, can give rise to severe consequences.

Deciphering the Enigma of PAD: Symptoms, Triggers, and Risk Factors

Typically, the symptoms of PAD are concentrated in the lower extremities. Many individuals experience discomfort, cramps, or fatigue in their leg or hip muscles, particularly during activities like walking or climbing stairs. This discomfort often subsides with rest but reappears upon resuming physical exertion. Nonetheless, the repercussions of PAD extend beyond leg pain. The restricted blood flow stemming from arterial narrowing can incite discomfort in diverse parts of the body, including the arms, abdomen, hips, head, and kidneys.

The origins of PAD are intertwined with the accumulation of plaque on artery walls. This buildup constrains the circulation of blood, oxygen, and glucose, resulting in pain and discomfort. Risk elements for PAD encompass factors such as age, tobacco use, diabetes, high blood pressure, elevated cholesterol levels, and a sedentary lifestyle. Left unattended, PAD not only heightens the risk of coronary artery disease, stroke, and heart attacks but can also culminate in severe complications such as gangrene, necessitating amputation.

Prioritizing the Diagnosis and Management of PAD

Achieving an accurate diagnosis of PAD is pivotal in the quest for efficient management and risk reduction. At La Jolla Vein & Vascular, our team of specialized physicians offers a range of comprehensive diagnostic services tailored to the unique circumstances of each patient. We recognize that individual cases vary, and our highly experienced doctors and nurses are armed with advanced tools and expertise to furnish precise evaluations and recommendations.

Our protocol for diagnosing PAD comprises an array of sophisticated tests, including:

  • Thorough Physical Examination
  • Ankle-Brachial Index (ABI) Assessment
  • Arterial Ultrasound
  • Angiography (Venography)
  • Blood Tests
  • Magnetic Resonance Angiography (MRA)

Taking the Reins: Paving the Way to Enhanced Vascular Health

In summation, grasping the intricacies of PAD, including its symptoms, triggers, and risk components, is pivotal for preserving your vascular health. If you suspect you may be at risk for PAD or are encountering related symptoms, seeking guidance from medical professionals is of utmost importance. At La Jolla Vein & Vascular, our dedicated team of experts is devoted to delivering precise diagnoses, personalized treatments, and a pathway toward a more vigorous and healthier life.

Bear in mind that knowledge serves as the initial stepping stone towards effective management. By staying well-informed and proactive, you can seize control of your vascular health and diminish the perils associated with PAD.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

Unlocking the Secrets of Peripheral Artery Disease (PAD)2023-10-10T14:21:51-07:00

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

2023-10-09T19:51:45-07:00

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

At our practice, we take pride in our team of dedicated physicians who possess specialized training in the diagnosis and treatment of vascular diseases. Focusing on vascular conditions that affect the lower extremities and pelvis, our experts are well-prepared to address a broad range of issues, from the common culprits like peripheral arterial disease and venous insufficiency to lesser-known conditions that demand unique expertise. These include varicoceles, Pelvic Congestion Syndrome, May-Thurner Syndrome, geniculate artery embolization, and uterine fibroids.

In collaboration with authoritative sources, such as MedlinePlus.com, we are pleased to bring you comprehensive information about vascular diseases and their management.

Unveiling the World of Vascular Diseases

The vascular system, a complex network of arteries, veins, and capillaries, plays a crucial role in delivering oxygen-rich blood to tissues and organs while aiding in the removal of waste products. Vascular diseases encompass a spectrum of conditions that impact this intricate system. Our focus extends to several types, including:

  • Aneurysm: Characterized by abnormal bulging in the wall of an artery.
  • Atherosclerosis: Involves the accumulation of plaque within arteries, comprising substances like fat, cholesterol, calcium, and more.
  • Blood Clots: These can include conditions like deep vein thrombosis.
  • Varicose Veins: Notable for their swollen and twisted appearance beneath the skin.

Unraveling the Causes and Risk Factors

The origins of vascular diseases are multifaceted, with various factors contributing, such as genetics, heart diseases, infections, injuries, and specific medications. The risk factors associated with these conditions can be diverse, including:

  • Age, often associated with an increased risk of certain diseases.
  • Conditions affecting the heart and blood vessels, like diabetes or high cholesterol.
  • A family history of vascular or heart diseases.
  • Infection or injury causing damage to veins.
  • A sedentary lifestyle with a lack of exercise.
  • Obesity.
  • Pregnancy.
  • Extended periods of sitting or standing.
  • Smoking.

Symptoms, Diagnosis, and Treatment

The symptoms of vascular diseases can vary widely, depending on the specific condition. Diagnosis necessitates a comprehensive evaluation, encompassing physical examinations, inquiries into medical history, imaging tests, and blood work. Our expert physicians tailor treatment plans according to the severity and type of vascular disease, which may include:

  • Lifestyle changes, such as adopting a heart-healthy diet and engaging in regular exercise.
  • Medications, including blood pressure regulators, blood thinners, cholesterol-lowering drugs, and clot-dissolving medications.
  • Non-surgical interventions, like angioplasty, stenting, and vein ablation.
  • Surgical procedures.

Preventing Vascular Diseases

Preventing vascular diseases involves taking proactive steps:

  • Embrace a healthy lifestyle through diet and exercise.
  • Quit smoking or seek professional assistance to quit.
  • Maintain optimal blood pressure and cholesterol levels.
  • If you have diabetes, manage blood sugar levels effectively.
  • Avoid prolonged periods of sitting or standing; make a point to move around regularly and consider using compression stockings during extended trips.

Vascular diseases can affect various aspects of your health, but with expert care and proactive measures, you can effectively manage your condition and reduce associated risks. Our specialized team is committed to diagnosing, treating, and preventing vascular diseases, ensuring that you receive the highest quality care tailored to your individual needs.

In collaboration with trusted sources like MedlinePlus.com, our mission is to provide you with accurate information and effective solutions to optimize your vascular health.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

Unmasking the Hidden Culprits: Lesser-Known Vascular Conditions You Should Know About2023-10-09T19:51:45-07:00

11, 10, 2023

Reclaiming mobility: effective treatment strategies for PAD

2023-09-29T19:11:12-07:00

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 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 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

Reclaiming mobility: effective treatment strategies for PAD2023-09-29T19:11:12-07:00

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

16, 2, 2023

Pelvic Venous Congestion

2023-01-14T13:28:40-08:00

Pelvic Venous Congestion (PVCS) Treatment

What are the treatment options for PVCs? Available treatment options for PVCs include pain-relieving progestin hormone drugs, ovarian function-blocking Gonadotropin-releasing hormones, vein embolization, and surgery to rid of damaged veins, uterus, and ovaries. Customarily, your doctor will start you on the medications first to relieve pain. If the medications fail, then they may advise on the next step, usually the invasive options. Vein embolization is the most commonly used procedure. Here’s a look at what it involves:

-Pelvic Venous Embolization

-Sclerotherapy

-Radiofrequency Ablation (RFA)

Pelvic Venous Embolization

Treating PVCS diseases like pelvic and labial varicose veins requires resolving the backward flow of blood in the ovarian and pelvic veins through embolization. Embolization is an outpatient procedure that uses catheter technology to access the venous system to the problematic ovarian veins. The procedure is painless and requires no major incisions. The physician embolizes each problem vein (blocking blood flow) with vascular plugs or coils. Doing so permanently seals off the varicose veins, diverting blood flow up through healthy veins. The physician will also deliver sclerosing medication to lower the pressure in the pelvic veins and relieve the pain. Once blood can flow smoothly through healthy veins in the pelvic and labial area, the pain disappears. Patients can usually return to work and light activities the day following the procedure and see a full recovery in about one week; at least 7 in 10 women who undergo the procedure report feeling better. This procedure is usually performed by a trained interventional radiologist in the X-ray department.

Sclerotherapy

Sclerotherapy is a minimally invasive procedure that injects sclerosing solutions into the veins. It is used to treat spider, reticular and varicose veins. It also blocks the unsightly or non-functioning veins to gradually improve appearance. This generally involves multiple treatments over the course of several months.

Radiofrequency Ablation is a minimally invasive, image-guided procedure used to treat varicose veins. An RFA utilizes high-frequency radio waves directed through a thin tube to create intense heat within the varicose vein. This closes up the problem vessel so blood cannot flow through it, redirecting blood flow into healthy veins to allow the blood to return to the heart. Eliminating the unhealthy vein reduces the vein bulging and minimizes leg pain and swelling. It is performed as an outpatient procedure with minimal recovery and discomfort.

When Should I Contact My Doctor?

Some women have enlarged veins with no symptoms; others have enlarged veins that cause pains and aches. In most cases, these don’t require a medical emergency. The symptoms should reduce as you head into menopause. However, in case of chronic, unbearable pain, nothing is stopping you from seeking medical help. In fact, see your healthcare giver right away for help.

To get the most out of the consultation, here’s what to do:

-Know the purpose of the visit and what you want to get from it

-Before visiting the doctor, put down questions you need them to answer.

-Bring company along to help ask questions and note down points from the doctor.

-Write down the name of the diagnosis, its tests, and treatment options explained by the doctor. -Also, take notes of any new instructions during each visit.

-Know the reasons for new medication prescriptions, their benefits, and their risks.

-Inquire whether it’s possible to treat your condition another way

-Know why and what the results of a test procedure mean

-Ask what will happen if you don’t undergo testing or take medication.

-Ask whether a follow-up appointment is available and note down the visit’s time, date, and reason.

-Ask the doctor for their contacts in case you need a further chat.

“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. 

Pelvic Venous Congestion2023-01-14T13:28:40-08:00
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