22, 1, 2024

How do I manage Lymphedema?

2024-03-06T14:16:12-08:00

Soothing Swelling: A Comprehensive Guide to Understanding and Managing Lymphedema

Leg swelling, medically known as edema, can raise concerns due to its underlying implications. In this article, we will delve into the causes and symptoms of swelling, specifically focusing on the distinct condition known as lymphedema. Additionally, we’ll emphasize the significance of seeking medical attention and how La Jolla Vein & Vascular can aid in diagnosing and managing leg swelling related to vascular issues.

Unveiling the Causes of Leg Swelling

Edema in the legs arises from fluid accumulation in soft tissues, triggered by malfunctioning valves within the veins. When these valves weaken or fail, it disrupts proper blood circulation from the legs. Consequently, fluid and blood become trapped, leading to leg swelling. This accumulation of bodily fluid resulting in swelling is medically termed edema.

Understanding Lymphedema

Lymphedema stands out as a chronic form of edema resulting from inadequate functioning of the lymphatic system. Unlike edema linked to vein-related issues, lymphedema directly ties to inefficiencies in the lymphatic system. However, vein disease can evolve into a combined venous and lymphatic disorder over time. Seeking early intervention from healthcare professionals holds significance, as timely attention can make a substantial difference.

Risk Factors for Lymphedema or Swelling

Any individual experiencing lower leg swelling should consider it abnormal and promptly consult a physician. Diagnosing and initiating treatment for the underlying cause is crucial. Additionally, while leg swelling may signify venous issues, it could also signal non-venous conditions like heart disease, heart failure, obesity, high blood pressure, liver disease, or kidney disease. Seeking immediate medical assessment is vital to identify the root cause.

Spotting Symptoms of Lymphedema or Swelling

Several symptoms may indicate the presence of lymphedema or swelling:

  • Swelling in part or all of the arm or leg, including fingers or toes
  • Feelings of heaviness or tightness
  • Limited range of motion
  • Aching or discomfort
  • Recurring infections
  • Skin changes like hardening and thickening (fibrosis)
  • Leg cramps

Professional Support at La Jolla Vein & Vascular

La Jolla Vein & Vascular specializes in diagnosing vascular-related leg swelling using advanced techniques like duplex ultrasound. This non-invasive method aids in identifying blood clots or venous reflux, pivotal in determining the underlying issue. In cases where obstructions higher than the groin are suspected, a venogram may be recommended. While lymphedema primarily involves clinical diagnosis, lymphoscintigraphy can be ordered through an external imaging center to further evaluate the condition.

Leg swelling could signal various underlying issues, ranging from venous concerns to lymphatic disorders. Timely detection and intervention play a pivotal role in preventing further complications. If you’re experiencing swelling or suspect lymphedema, seeking the expertise of medical professionals, such as those at La Jolla Vein & Vascular, can offer essential diagnostic tools and treatment guidance. Remember, addressing these concerns promptly can significantly impact your overall health and well-being.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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



How do I manage Lymphedema?2024-03-06T14:16:12-08:00

What will my legs look like after varicose vein removal?

2024-03-06T14:28:56-08:00

“Revitalizing Vitality: A Journey through Varicose Vein Transformation”

Varicose veins, those twisted and bulging veins visible beneath the skin’s surface, can cause significant concern for many individuals. While predominantly appearing in the legs, they can manifest in other parts of the body as well. This article delves into the realm of varicose veins, deciphering their nature, causes, and potential treatment options.

Understanding Varicose Veins

Varicose veins are swollen, twisted veins that become visible just below the skin’s surface. Despite their alarming appearance, they are a prevalent condition affecting numerous individuals. These veins often lead to discomfort, pain, or a sensation of heaviness in the legs.

Causes Behind Varicose Veins

The primary cause of varicose veins is faulty vein valves. These valves regulate proper blood flow, allowing blood to move towards the heart while preventing pooling in the veins. When these valves malfunction, blood accumulates in the veins, causing them to stretch and enlarge. This condition is commonly associated with venous reflux disease, also known as venous stasis, venous insufficiency, or venous incompetence.

Understanding Venous Reflux

Venous reflux occurs when blood flows backward against gravity due to malfunctioning valves. Ordinarily, the calf muscles aid in pumping blood upwards, but with leaky valves, blood tends to accumulate in the lower legs, causing visible bulging in the veins. This condition frequently affects the great and small saphenous veins, responsible for carrying blood from the legs back to the heart. Over 90% of leg varicose veins are linked to these veins.

Insights from Research

A notable study led by Dr. Nisha Bunke, published in the Journal of Vascular Ultrasound in 2018, examined over 1,000 legs with varicose veins. The research highlighted the great and small saphenous veins as the primary sources of varicose veins in a majority of cases. Specifically, the Great Saphenous Vein (GSV) running through the middle of the thigh and calf, and the Small Saphenous Vein (SSV) located along the back of the calf, were implicated.

Available Treatment Options

Fortunately, varicose veins have viable solutions. Advancements in medical technology offer various minimally invasive procedures like laser ablation, radiofrequency ablation, and sclerotherapy, which effectively treat varicose veins.

Transformative Patient Stories

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

Varicose veins may be prevalent, but understanding their causes and available treatments empowers individuals to manage their vascular health. With modern medical techniques, those experiencing varicose veins can seek relief and significantly enhance their quality of life. Whether comprehending the role of faulty vein valves, exploring venous reflux intricacies, or considering treatment approaches, educating oneself is the first step towards healthier veins.

varicose vein

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

What will my legs look like after varicose vein removal?2024-03-06T14:28:56-08:00

22, 11, 2023

Illuminate Your Vascular Health: Exploring the Benefits of Laser Ablation

2023-10-10T15:17:13-07:00

Illuminate Your Vascular Health: Exploring the Benefits of Laser Ablation

VenaCure: Elevating Vascular Health through Endovenous Laser Ablation (EVLA)

In the landscape of contemporary vascular treatments, a ray of hope shines for those contending with the vexing issue of backward blood flow, often dubbed “reflux” within their saphenous veins. Enter VenaCure, a beacon of innovation, and a game-changer in the field of vascular care. This groundbreaking procedure, also known as Endovenous Laser Ablation (EVLA) or Endovenous Laser Ablation Therapy (EVLT), specifically targets the great and small saphenous veins – the primary superficial veins in the leg. Join us as we embark on an exploration of VenaCure, its myriad benefits, and the seamless treatment process that promises to restore your comfort and well-being.

Decoding VenaCure: The Potent Force of Endovenous Laser Ablation (EVLA)

VenaCure, the harbinger of Endovenous Laser Ablation (EVLA), is engineered to tackle the challenges presented by venous reflux. Venous reflux, characterized by the backward flow of blood in veins, can give rise to discomfort and potential health risks. This pioneering procedure is strategically designed to seal off the affected vein(s), thereby reestablishing healthy blood flow patterns.

The Journey of Treatment: A Detailed Examination

VenaCure delivers a swift, minimally invasive solution, conveniently conducted in an outpatient setting. Here’s a step-by-step overview of the treatment process:

  • Anesthesia and Catheter Insertion: The procedure commences with the application of lidocaine to the skin, ensuring numbness. Subsequently, a slender wire and laser catheter are gently inserted into the targeted vein.
  • Application of Laser Energy: The laser catheter becomes the conduit for controlled laser energy directed at the vein wall, a process that effectively seals the vein. This redirected blood flow now courses through healthier veins, facilitating efficient circulation.
  • The Continuation of Healthy Blood Flow: The veins that remain healthy continue to dutifully transport blood back to the heart, ensuring the optimal functioning of your vascular system.

The Day of Treatment: What Lies Ahead

As you approach the day of your VenaCure treatment, here’s a glimpse of what you can expect:

  • Anesthesia and Sedation: Local anesthesia is administered, but it’s worth noting that many patients opt for a mild oral sedative like Valium to enhance relaxation during the procedure.
  • Patient Comfort: A gown is provided, and your positioning is tailored to ensure maximum comfort. Individual needs are attentively considered, whether it means lying on your back or belly.
  • Entertainment Choices: Your comfort is a priority, and you’ll have the option to enjoy a movie on Netflix or listen to your favorite music while the procedure unfolds.
  • Preparation and Vein Mapping: The ultrasound is employed to map your veins, and a numbing agent (lidocaine) is expertly administered to the skin.
  • Laser Catheter Insertion: Guided by ultrasound, a minuscule puncture is created to facilitate the passage of the laser catheter. Further local anesthesia and cool saline are thoughtfully administered around the vein.
  • Pain-Free Laser Treatment: The laser energy is then applied, effectively addressing the targeted vein issue.

Post-Treatment Care: Navigating the Road to Recovery

Following your VenaCure treatment, we recommend that you engage in 30 minutes of walking twice daily to minimize discomfort and prevent blood pooling. It’s crucial to wear the compression stocking continuously for at least 72 hours to ensure proper healing. For two weeks post-procedure, it’s prudent to abstain from strenuous exercise, heavy lifting, saunas, hot tubs, and leg massages.

VenaCure empowers you to take the reins of your vascular health, effectively addressing reflux and discomfort with precision and efficiency. Here at La Jolla Vein & Vascular, our team of medical experts is unwavering in their dedication to providing personalized care that caters to your vascular well-being. By embracing innovative treatments like VenaCure, you embark on a journey towards a healthier, more vibrant life.

“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! 



Illuminate Your Vascular Health: Exploring the Benefits of Laser Ablation2023-10-10T15:17:13-07:00

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

Patient spider veins transformations

2023-09-25T17:11:03-07:00

Patient spider veins transformations

Spider veins, those delicate reddish veins that grace the skin’s surface, can sometimes be more than just a cosmetic concern. In this blog post, we’ll explore what spider veins are, delve into their symptoms, uncover their underlying causes, and shed light on the importance of effective treatment.

What are Spider Veins?

Spider veins, often referred to as thread-like veins, are those fine, reddish veins that can be seen just beneath the skin’s surface. While they are commonly associated with cosmetic issues, they can hint at underlying problems that might require attention. These visible veins are not a sign of healthy circulation.

Unveiling the Underlying Issues

Beneath the surface, feeder veins, also known as ‘reticular veins’ or ‘blue veins,’ can be the culprits behind the appearance of spider veins. These feeder veins, not visible to the naked eye, provide the pathways through which spider veins arise. It’s important to note that spider veins might also be indicative of venous insufficiency. For instance, if spider veins appear around the inner ankles or inner thighs, it could signal an underlying issue with the saphenous vein. In such cases, seeking an ultrasound examination is recommended to pinpoint and treat the root cause effectively.

Spotting the Symptoms

Spider veins can affect individuals in diverse ways. For some, they might be a painless aesthetic concern, while for others, they could lead to discomfort. The most commonly reported symptoms associated with spider veins include burning sensations, throbbing, localized pain, and feelings of heat and itchiness. In more severe cases, spider veins might even bleed.

Peering into the Causes

Spider veins on the legs share a common cause with varicose veins. Both conditions result from leaky vein valves that allow blood to pool within the veins, leading to their stretching and enlargement. On other parts of the body, such as the face and chest, factors like sun damage, hormonal fluctuations, or liver disease can trigger the appearance of spider veins. Hormonal changes, like those occurring during pregnancy, as well as the use of birth control or hormone replacement therapy, can weaken vein walls and contribute to their emergence.

Real Transformations: Patient Success Stories

The journey to healthier veins is marked by visible transformations, as evidenced by the experiences of our patients who received vein treatment. These before-and-after images showcase the positive impact of effective treatment on individuals dealing with spider veins. The journey from discomfort and aesthetic concern to improved quality of life is a testimony to the importance of seeking the right care.

Spider veins might seem like a minor concern, but they can often be a window into underlying vascular issues. Understanding their causes, symptoms, and potential implications empowers individuals to seek appropriate solutions for their vein health. Whether it’s recognizing the significance of feeder veins, identifying signs of venous insufficiency, or acknowledging the various triggers behind spider veins, education is key. By choosing to address spider veins early on, individuals can embark on a path towards healthier, more comfortable lives.

spider spider spider 사진 프레임 5

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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



Patient spider veins transformations2023-09-25T17:11:03-07:00

15, 9, 2023

Unlocking wellness: Navigating chronic venous insufficiency with expert insights

2023-08-30T18:18:41-07:00

Unlocking wellness: Navigating chronic venous insufficiency with expert insights

Chronic Venous Insufficiency (CVI) is a medical condition that arises from untreated venous reflux disease. It leads to a range of uncomfortable symptoms and, if left untreated, can cause significant skin changes and complications. In this blog post, we’ll delve into what CVI is, its symptoms.

What is Chronic Venous Insufficiency?

venous

Chronic Venous Insufficiency (CVI) is a chronic inflammatory condition caused by prolonged venous reflux disease. This condition is characterized by a collection of distressing symptoms such as leg swelling, heaviness, fatigue, and the development of varicose veins. However, over time, CVI can progress, leading to inadequate blood circulation in the leg veins and subsequently, visible skin changes. These skin changes, also known as venous stasis, are marked by darkening, dryness, itching, and firmness in the skin around the ankles. In more severe cases, the skin can deteriorate to the point of ulceration, resulting in what is termed a stasis ulcer or venous ulcer.

Venous Stasis Skin Changes Associated with CVI

Several skin changes are associated with venous insufficiency, including:

  • Darkening of the skin along the ankles
  • Itching and dry skin around the ankles, often referred to as venous eczema
  • Development of wounds around the ankles, known as leg ulcers

Understanding Treatment for CVI

While the treatment of CVI cannot reverse the skin changes that have already occurred, it can prevent further deterioration and ulceration. Through addressing the underlying venous reflux, the inflammatory changes can be reduced, leading to potential relief from itchiness and dryness. However, it’s important to note that permanent skin discoloration may persist. The cornerstone of treatment involves correcting the underlying venous reflux.

Managing Venous Leg Ulcers

Leg ulcers, which can result from severe CVI, require a multifaceted approach to healing. Depending on the severity, treatment may involve:

  • Correcting the underlying venous reflux
  • Referral to a wound care clinic for specialized care
  • Implementing compression therapy

To determine the appropriate treatment path, a comprehensive ultrasound examination is necessary. This ultrasound will pinpoint the specific location of the underlying reflux, be it in the saphenous veins, perforator veins, tributaries, or even deep veins.

Chronic Venous Insufficiency is a complex medical condition with far-reaching implications for those affected. By understanding the condition, its symptoms, and the available treatments, individuals can make informed decisions about their 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! 



Unlocking wellness: Navigating chronic venous insufficiency with expert insights2023-08-30T18:18:41-07:00

21, 7, 2023

Venous stasis skin changes to watch out for

2023-05-25T16:37:42-07:00

What is chronic venous insufficiency? 

Chronic venous insufficiency (CVI) is an inflammatory condition caused by long standing, untreated reflux disease.  Commonly, venous reflux disease causes a collection of symptoms such as leg swelling, heaviness, fatigue and varicose veins. But, over time, when blood is no longer circulating properly in the leg veins, skin changes can also appear. When skin changes appear, this is termed, chronic venous insufficiency (CVI). Stasis is another term used for this condition.  Chronic inflammation from CVI causes the skin around the ankles to darken, become dry, itchy, and firm. In severe cases, the skin can start to break down and ulcerate. The ulcer (wound) occurs in the inner or outer ankle and is also referred to as a stasis ulcer or venous ulcer.

Venous stasis skin changes associated with venous insufficiency include:

  • Darkening of the skin along the ankles
  • Itching and dry skin around the ankles (venous eczema)
  • Development of wounds around the ankles, called venous leg ulcers

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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



Venous stasis skin changes to watch out for2023-05-25T16:37:42-07:00

22, 6, 2023

A treatment for saphenous vein reflux

2023-05-24T17:00:54-07:00

VenaCure is an endovenous laser ablation (EVLA) procedure for backwards flow (or “reflux”) in your saphenous vein(s).

Laser is also referred to as endovenous laser ablation therapy (EVLT). The great and small saphenous veins are the two main superficial veins of the leg. They run along the inner leg and the back of the leg, respectively.

This minimally invasive procedure can be performed in the office in less than an hour and patients return to their usual level of activity the same day.

How does the treatment work for reflux?

The skin is numbed with lidocaine, then a tiny wire and the laser catheter are inserted into the vein. The catheter delivers laser energy to the vein wall, causing it to seal shut. The remaining healthy veins continue to bring blood back to the heart.

WHAT SHOULD I EXPECT ON THE DAY OF TREATMENT FOR REFLUX?

The procedure is performed with local anesthesia, but many patients elect to use a mild oral sedative (Valium), which is taken after checking in and completing all paperwork.

You will change into a gown and leave underwear on. Depending on the vein to be treated, you will lay on your back or on your belly.  We do our best to make special accommodations (for example, if you cannot lie flat or cannot bend a knee very well) with body positioning and using pillows.  We will do our best to make you comfortable. Then, we will give you the option of watching a movie on Netflix or listening to music. Once you are comfortable, your leg (s) will be prepped with a cleansing solution for the sterile procedure. The doctor will perform an ultrasound to map the vein (s) to be treated.

Then, a numbing agent (lidocaine) will be injected into the skin. In the numb area of the skin, a tiny puncture is made to pass the laser catheter under ultrasound guidance.  Your doctor will then use a needle to administer a combination of cool saline and local anesthetic around the vein.  This solution numbs the vein and insulates it from the surrounding tissue.  Laser energy will then be used to painlessly treat the vein.

Once your vein has been treated, we will help you into your compression stocking, which you will wear for 72 hours continuously. You will walk for 30 minutes prior to getting in your car.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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


A treatment for saphenous vein reflux2023-05-24T17:00:54-07:00

28, 4, 2023

Patient Reviews & Testimonials

2023-02-15T17:19:10-08:00

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

 

Vein conditions that we treat for patient care include varicose veins, spider veins, and venous leg ulcers, chronic venous insufficiency, edema, lymphedema, and deep vein thrombosis.  Arterial conditions and treatments such as peripheral arterial disease (PAD), atherectomy, angioplasty, stenting.  We also offer prostate artery embolization (PAE) to treat BPH, varicocele embolization for men and uterine fibroid embolization (UFE), pelvic venous congestion (PVCS), pelvic and labial varicose veins for women.  Osteoarthritis treatment includes genicular artery embolization (GAE) to alleviate knee pain due to arthritis in the patient. 

 

Below are some patient reviews and testimonials. 

patient patient patient 11 3 12 3

 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

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


Patient Reviews & Testimonials2023-02-15T17:19:10-08:00

27, 1, 2023

Patient Reviews and Testimonials

2023-01-14T13:09:42-08:00

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

Venous conditions include varicose veins, spider veins, and venous leg ulcers, chronic venous insufficiency, edema, lymphedema, and deep vein thrombosis.  Arterial conditions and treatments such as peripheral arterial disease (PAD), atherectomy, angioplasty, stenting.  We also offer prostate artery embolization (PAE) to treat BPH, varicocele embolization for men and uterine fibroid embolization (UFE), pelvic venous congestion (PVCS), pelvic and labial varicose veins for women.  Osteoarthritis treatment includes genicular artery embolization (GAE) to alleviate knee pain due to arthritis.

Below are some patient reviews and testimonials. 

vein 6 1 7 1 8 1

“Bringing Experts Together for Unparalleled Venous and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled venous 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 venous and vascular care, please check out our Youtube Channel at this link.

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

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

Patient Reviews and Testimonials2023-01-14T13:09:42-08:00
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Use the search features below to find articles and insights for the diagnosis and treatment of vascular disease

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

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© Copyright 2010-2024, La Jolla Vein & Vascular | All Rights Reserved

CONTACT INFORMATION

La Jolla/UTC

Vista

Patient Privacy Practices

Privacy Policy

Hippa Privacy Practices
HIPAAOneTM Certified Seal 2

Use the search features below to find articles and insights for the diagnosis and treatment of vascular disease

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

La Jolla/ UTC

North County San Diego/ Vista — Endovascular Center
Now Open! Call/Text for Appointments

© Copyright 2010-2024, La Jolla Vein & Vascular | All Rights Reserved

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