10, 6, 2024

Why do Varicose Veins occur?

2024-07-06T16:37:07-07:00

Unveiling Key Insights: Your Comprehensive Guide to Understanding Varicose Veins

Varicose veins, those twisted and bulging veins beneath the skin’s surface, affect numerous individuals, often causing discomfort and aesthetic worries. This informative blog post aims to explore the intricacies of varicose veins and the underlying venous reflux disease. From comprehending the causes to investigating symptoms and potential treatments, let’s embark on a journey toward vein health and relief.

Understanding Varicose Veins

Easily visible on the skin’s surface, particularly in the legs, varicose veins are swollen and twisted veins. Despite their commonality, these veins can induce pain and aesthetic concerns, underscoring the importance of proper understanding and treatment.

Identifying the Culprits: Causes of Varicose Veins

The primary cause of varicose veins resides in malfunctioning vein valves, leading to blood accumulation within the veins. This pooling causes the veins to stretch and expand, resulting in their distinctive appearance. Venous reflux disease, known as venous stasis, venous insufficiency, or venous incompetence, is a prevalent underlying condition contributing to varicose veins. This condition involves the backward flow of blood in deep and/or superficial leg veins.

Insights from Research

Dr. Nisha Bunke, spearheading our study published in the Journal of Vascular Ultrasound in 2018, scrutinized over 1,000 legs with varicose veins. The study underscored that a significant majority—over 90%—of varicose vein sources were the great and small saphenous veins. The Great Saphenous Vein (GSV) courses through the middle of the thigh and calf, while the small saphenous vein (SSV) travels along the back of the calf.

Unraveling Symptoms

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

The Importance of Ultrasound Diagnosis

Duplex ultrasound technology is crucial for effective diagnosis, evaluating veins beneath the skin’s surface. This technology detects leaky valves, determines blood flow direction, and identifies blockages or scars within veins, providing essential information for tailored treatment plans.

Customized Treatment Approach

Comprehensive treatment of varicose veins involves multiple steps:

Step 1: Addressing the Root Issue

Effective treatment begins with targeting venous reflux, often focusing on the saphenous veins, the common source of the problem. Innovative vein ablation procedures like radiofrequency ablation (RFA), laser ablation, mechanico-chemical ablation (MOCA), and Varithena Foam are employed to restore proper blood flow.

Step 2: Managing Varicose Veins

Post successful treatment of underlying reflux, attention shifts to managing varicose veins. Methods like foam sclerotherapy, injecting foamed medication to cause scarring and eventual vein dissolution, and phlebectomy involving tiny incisions to remove veins, are commonly employed.

Varicose veins and venous reflux disease impact numerous lives, causing discomfort and concern. By comprehending their causes, identifying symptoms, and exploring innovative varicose vein treatments, individuals can take control of their vein health. At La Jolla Vein & Vascular, we’re committed to providing personalized care and effective solutions to alleviate symptoms and enhance the quality of life. If you’re ready to embark on the journey toward healthier veins, contact us today and take the initial step toward lasting relief and wellness.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

Why do Varicose Veins occur?2024-07-06T16:37:07-07:00

Exploring Arterial Exams: Comprehensive Vascular Care at La Jolla Vein and Vascular

2024-07-07T05:05:33-07:00

Exploring Arterial Exams: Comprehensive Vascular Care at La Jolla Vein and Vascular

Exploring La Jolla Vein & Vascular Arterial Assessments and Vascular Diagnostic Center

When it comes to preserving vascular health, the keys are early identification and precise diagnosis. At our facility, we present an all-inclusive solution for vascular imaging and consultations with expert physicians, all conveniently under one roof. With our cutting-edge non-invasive vascular diagnostic center, we leverage advanced imaging technology to detect and evaluate vascular conditions affecting blood circulation within arteries and veins. This blog post will take you through the advantages and expertise of our vascular diagnostic center, the array of conditions we diagnose, and the range of ultrasound testing we provide.

The Perks of Our Vascular Diagnostic Center

Our dedication to your vascular well-being transcends conventional healthcare. We offer an array of advantages to ensure your comfort and convenience:

Non-Invasive Testing: Our vascular diagnostic center specializes in non-invasive testing methods, guaranteeing a comfortable experience for our patients.

Same-Day Imaging Appointments: We acknowledge the importance of swift diagnosis. Thus, we provide same-day imaging appointments to promptly address your vascular concerns.

Comprehensive Care Under One Roof: Bid farewell to the hassle of juggling multiple locations for imaging, diagnosis, and treatment. At our facility, you can undergo vascular imaging and consult with a healthcare provider all in one place.

Private, Tranquil Rooms: Your comfort takes precedence in our book. Our private examination rooms are thoughtfully designed to offer a serene environment for your vascular tests.

Conditions We Identify

Our vascular diagnostic center is equipped to identify a wide spectrum of vascular conditions, including, but not limited to:

Venous Ailments:

  • Varicose Veins
  • Chronic Venous Insufficiency
  • Deep Vein Thrombosis (DVT)
  • Carotid Artery Disease and Stroke (Transient Ischemic Attack or Stroke)*

Arterial Disorders:

  • Peripheral Arterial Disease (PAD)**
  • Abdominal Aortic Aneurysm (AAA)
  • Upper Extremity Arterial Disease
Unpacking Duplex Ultrasound

Duplex ultrasound stands as a powerful diagnostic tool deployed in our vascular diagnostic center. It melds Doppler flow data with traditional imaging (B-mode) to deliver a comprehensive picture of your blood vessels. Essential elements of duplex ultrasound encompass:

Visualization of Structure: Duplex ultrasound empowers us to visualize the structure of your blood vessels, including their diameter and any obstructions.

Assessment of Blood Flow: It ascertains the velocity of blood flow within your vessels, examines the direction of blood flow, and identifies any impediments or blood clots.

Valve Function: This technology also evaluates the functionality of valves within your veins and arteries.

Deep Vein Evaluation: Duplex ultrasound has the capability to visualize deep veins nestled within the muscles, furnishing invaluable data for diagnosing conditions like varicose veins.

Varieties of Ultrasound Testing on Offer

Our vascular diagnostic center extends a diverse array of ultrasound testing options, including:

Direct Testing (Duplex Imaging):

  • Venous Assessments for Deep Vein Thrombosis and Venous Reflux
  • Arterial Examinations for the Abdominal Aorta, Abdominal Aortic Aneurysm (AAA) Screening, and Carotid Duplex
  • Lower Extremity Duplex

Indirect Testing (Non-Imaging):

  • Arterial Testing like Ankle Brachial Index (ABI) with waveforms and Segmental pressures with waveforms (P&Ws) for the upper or lower extremity
  • Venous Reflux or Venous Insufficiency Evaluation

Our Duplex Ultrasound examination empowers us to visualize blood vessels that remain concealed to the naked eye, even when they’re tucked deep within the muscles. This examination plays a pivotal role in evaluating the underlying cause of varicose veins by identifying veins with malfunctioning valves and mapping out their anatomical structure, ultimately charting a path for a precise assessment and an effective treatment strategy.

Preparing for Your Examination

Getting ready for our ultrasound study is a straightforward affair. Just keep these pointers in mind:

  • No specific preparation is needed for this study.
  • On the day of your examination, avoid wearing compression stockings.
  • Stay hydrated to ensure the best possible experience.

Our vascular diagnostic center is steadfast in delivering top-tier vascular imaging services in a setting that is both convenient and comfortable. Through non-invasive testing, same-day appointments, and a comprehensive approach to vascular health, our goal is to guarantee your well-being and peace of mind. Entrust us with your vascular concerns, and let us guide you on the path to enhanced 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 the #1 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

Exploring Arterial Exams: Comprehensive Vascular Care at La Jolla Vein and Vascular2024-07-07T05:05:33-07:00

Can sclerotherapy lead to clearer skin?

2024-06-09T02:18:50-07:00

If you have been recommended for sclerotherapy injections to treat your spider and reticular veins, you’re on the path to healthier-looking legs. Sclerotherapy is a tried-and-true method for addressing these common vein issues, involving the injection of a specialized medication directly into the affected veins. This process causes the veins to collapse and gradually fade away.

The Sclerotherapy Process

Sclerotherapy has been a popular treatment for spider veins for decades. Modern solutions like Asclera™ have made the process more comfortable, allowing for minimal discomfort and a quick return to daily activities. Unlike older saline solutions, newer alternatives are less painful and better tolerated, making the treatment experience much smoother.

Many vein specialists prefer sclerotherapy over laser treatments. This is because spider veins often have underlying feeder veins that can be effectively treated with sclerotherapy but are not addressed by laser treatments. For optimal results, most people require multiple treatment sessions. The national average ranges from 2 to 5 sessions, typically spaced a month apart. Your healthcare provider will create a personalized care plan to suit your specific needs.

To enhance the results, wearing compression stockings after the treatment is recommended. These stockings help improve blood flow and aid in the healing process.

Foam Sclerotherapy for Larger Veins

For larger veins, foam sclerotherapy is an advanced option. This method is similar to traditional sclerotherapy but uses a foamed solution instead of a liquid. The foam is injected directly into the vein through a small needle and can be monitored via ultrasound. This allows for precise targeting of nearby varicose veins, ensuring they seal shut and are gradually absorbed by the body.

What to Expect on Treatment Day

On the day of your sclerotherapy treatment, you can expect the following steps:

  1. Consent and Preparation: You will start by signing a consent form and changing into shorts provided by the office. Your skin will be cleansed with alcohol to ensure a sterile environment.
  2. Injection: The sclerosant medication will be injected into your veins using a fine needle. If you’re undergoing foam sclerotherapy, the foamed solution will be used.
  3. Post-Treatment Care: After the injections, you will be assisted into your compression stockings. To aid in circulation and prevent complications, you will be asked to walk for 30 minutes before getting into your car.

It’s normal to experience some aching and tenderness in your legs following the treatment. These symptoms are typically mild and temporary, and they indicate that the treatment is working.

Why Choose Sclerotherapy?

Sclerotherapy is a preferred method for many due to its effectiveness and minimal downtime. Whether you’re dealing with small spider veins or larger varicose veins, sclerotherapy offers a reliable solution that allows you to quickly return to your everyday activities with improved leg appearance and comfort.

If you’re ready to address your spider veins and enhance the look and health of your legs, consider scheduling a consultation with a vein specialist to discuss if sclerotherapy is the right choice for you.

“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

Can sclerotherapy lead to clearer skin?2024-06-09T02:18:50-07:00

Taking the Conservative Route: Managing Venous Disease with Non-Invasive Methods

2024-07-07T05:08:19-07:00

Taking the Conservative Route: Managing Venous Disease with Non-Invasive Methods

Nurturing Health Naturally: Embracing Conservative Approaches for Effective Vein Care. Varicose veins often cause discomfort and raise concerns among many individuals. While there are medical treatments available, the incorporation of conservative management techniques and lifestyle adjustments can play a pivotal role in mitigating symptoms and averting complications. This blog post aims to delve into these conservative alternatives, which can significantly alleviate the discomfort associated with varicose veins, reduce potential complications, and enhance overall quality of life.

Comprehending the Essence of Conservative Management

Conservative management introduces a non-invasive paradigm for addressing varicose veins. This approach is particularly valuable for individuals who may not be eligible candidates for vein procedures or those who opt to postpone interventional treatment. While it may not miraculously make varicose veins vanish, it undeniably offers substantial relief from symptoms and contributes to improved vein health.

Harnessing the Power of Compression Stockings

One of the most potent and readily accessible conservative options involves the use of compression stockings. These specially designed elastic stockings gently apply pressure to the veins, facilitating blood circulation. The significance of compression stockings lies in their role in preventing blood from retrogressing and pooling in the legs.

Graduated, Medical-Grade Compression: To derive the maximum benefit, it’s imperative to utilize graduated, medical-grade compression stockings. In contrast to TED hose, which may not be suitable for active patients with venous conditions, medical-grade compression stockings offer the requisite level of compression necessary for symptom alleviation.

Optimal Compression Strength: Compression stockings come in various strengths, with 20-30mmHg being the most prevalent for managing varicose veins. It is crucial to consult with your healthcare provider to ascertain the appropriate compression strength that aligns with your specific condition. Adhering to your physician’s recommendations concerning compression stockings is paramount.

Special Considerations: Individuals contending with conditions like peripheral arterial disease (PAD), diabetes, or neuropathies should engage in a consultation with their healthcare professionals before donning compression stockings. This is essential, as these conditions may have contraindications or necessitate the use of compression stockings with lower compression strengths.

Combatting Inactivity

Extended periods of inactivity, whether in a standing or sitting position, can exacerbate the symptoms of varicose veins. To maintain the flow of blood and alleviate pressure on your veins, contemplate adopting the following strategies:

Regular Walking Breaks: If your occupation entails prolonged sitting or standing, proactively schedule brief walking breaks into your routine. A short walk around your office or during your lunch break can substantially enhance circulation.

Seated Exercises: While in a seated position, engage in foot flexing exercises by moving your feet up and down ten times every hour. This uncomplicated exercise can effectively stimulate blood flow within your legs, ameliorating any discomfort.

Movement When Standing: If your duties necessitate standing for extended durations, periodically elevate yourself on your toes and then gently rock back and forth on your heels. These simple motions are instrumental in promoting circulation and relieving vein pressure.

The Role of Dietary Supplements

Certain dietary supplements have demonstrated potential in mitigating the symptoms of venous diseases. Horse chestnut and grape seed extract are among those that have garnered attention. Furthermore, Vasculera, a prescription medication, may hold promise for specific individuals. Nevertheless, it is vital to consult your primary care physician (PCP) before introducing any supplements or new medications into your daily regimen, as they may have potential side effects or interactions with other treatments.

Consultation with Your PCP: It is strongly advisable to seek the counsel of your PCP prior to incorporating any supplements or medications into your daily routine. Your PCP can provide personalized guidance, grounded in your medical history and current health status.

Conservative management strategies and lifestyle modifications stand as robust allies in the battle against varicose veins. By integrating measures such as compression stockings, regular physical activity, and carefully selected dietary supplements under the guidance of your healthcare provider, you can experience relief from symptoms and potentially thwart complications. While conservative management may not induce the complete disappearance of varicose veins, it undoubtedly elevates your overall well-being and promotes vein health.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for top-rated vein and vascular care in San Diego

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

Taking the Conservative Route: Managing Venous Disease with Non-Invasive Methods2024-07-07T05:08:19-07:00

What does spider vein removal look like?

2024-06-09T03:00:55-07:00

What does spider vein removal look like?

At La Jolla Vein Care, we take pride in our pioneering non-surgical vein treatments for spider vein removal, that deliver outstanding results, transforming the vein health and overall well-being of our patients without the need for invasive procedures. With a highly qualified staff proficient in non-invasive techniques, we offer a comfortable environment where patients can undergo treatments free from incisions or cutting. Our modern vein treatments focus on collapsing problematic veins, allowing them to dissolve naturally over time, eliminating the discomfort and downtime associated with invasive procedures.

One of the most effective treatments we offer for spider vein removal is sclerotherapy. This minimally invasive procedure involves injecting a special solution directly into the affected veins, causing them to collapse and fade from view over time. Sclerotherapy is highly effective for treating spider veins and small varicose veins, and it can be performed in-office with little to no downtime. Many of our patients have experienced remarkable improvements in the appearance of their legs after undergoing sclerotherapy treatments.

The key advantage of our surgery-free treatments lies in their ability to be performed in-office without the need for general anesthesia. This means that patients can undergo vein treatments with confidence, knowing they can swiftly return to their normal activities post-appointment. Whether it’s maintaining a busy work schedule or enjoying an active lifestyle, our patients can resume their daily routines without significant disruption.

The results of our surgery-free spider vein removal treatments are truly transformative. As treated veins collapse, damaged veins vanish from the skin’s surface, while blood flow is redirected through healthier veins. This not only enhances the appearance of the legs but also alleviates symptoms associated with vein issues, such as pain, swelling, and discomfort. Many of our patients experience a renewed sense of confidence and vitality, enabling them to fully embrace an active and healthy lifestyle.

But don’t just take our word for it – our patients’ testimonials and before and after photographs vividly illustrate the effectiveness of our surgery-free treatments. From individuals who have grappled with spider veins for years to those seeking preventive care, our patients consistently report positive outcomes and life-changing experiences. Their stories serve as a testament to the power of non-surgical vein treatments in restoring vein health and enhancing overall quality of life.

Just take a look at these remarkable transformations below:

spider vein removal spider vein removal spider vein removal 10 BA SV spider DSCF4737 Fotor Collage scaled 1

By sharing our patients’ before and after transformations, we aim to inspire hope and confidence in others who may be struggling with vein issues. Whether it’s the disappearance of unsightly spider veins or the relief from painful symptoms, our patients’ success stories demonstrate that there is a solution to vein problems that doesn’t involve surgery or lengthy recovery times. With the guidance of our experienced team at La Jolla Vein & Vascular, individuals can take control of their vein health and enjoy the benefits of surgery-free treatments.

Our commitment to providing exceptional care and delivering outstanding results sets us apart as leaders in non-surgical vein treatments. With our surgery-free approach, patients can achieve remarkable transformations in their vein health and overall well-being, without the need for invasive procedures. From improved appearance to symptom relief, the benefits of our treatments are truly life-changing. If you’re ready to experience the difference for yourself, schedule a consultation with us today and take the first step toward healthier, happier veins.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

What does spider vein removal look like?2024-06-09T03:00:55-07:00

Transform Your Vein Health with Minimally Invasive Treatments at La Jolla Vein & Vascular

2024-06-06T10:30:21-07:00

At La Jolla Vein & Vascular, we pride ourselves on leading the way in non-surgical minimally invasive vein treatments, offering exceptional results without invasive procedures. Our commitment to excellence and patient satisfaction shines through in the numerous success stories of those who have experienced remarkable improvements in their vein health and overall well-being with our non-surgical methods.

Expertise in Minimally Invasive Vein Treatments

Our highly qualified team specializes in non-invasive techniques, providing a comfortable and stress-free environment for treatments that require no incisions or cutting. By utilizing advanced methods to collapse problematic veins, we enable them to dissolve naturally over time. This modern approach eliminates the need for surgical incisions, significantly reducing discomfort and downtime.

Convenient and Efficient In-Office Procedures

One of the major benefits of our non-surgical treatments is that they can be performed in-office without the need for general anesthesia. Patients can undergo vein treatments confidently, knowing they can return to their normal activities almost immediately. Whether you have a demanding work schedule or an active lifestyle, our treatments ensure minimal disruption to your daily routine with our minimally invasive treatments. 

Transformative Results

The outcomes of our non-surgical treatments are truly transformative. As the treated veins collapse, damaged veins disappear from the skin’s surface, and blood flow is redirected through healthier veins. This not only enhances the appearance of your legs but also alleviates symptoms such as pain, swelling, and discomfort. Our patients often experience a renewed sense of confidence and vitality, allowing them to fully embrace an active and healthy lifestyle.

Testimonials and Success Stories

Don’t just take our word for it—our patients’ testimonials and before-and-after photos highlight the effectiveness of our non-surgical treatments. From individuals who have struggled with varicose veins for years to those seeking preventive care, our patients consistently report positive outcomes and life-changing experiences. Their stories are a testament to the power of non-surgical treatments in restoring vein health and enhancing overall quality of life.

See the Transformations for Yourself

Minimally Invasive | Vein & Vascular Minimally Invasive Treatment | La Jolla Minimally Invasive | Vein & Vascular Minimally Invasive Treatment | La Jolla Minimally Invasive | Vein & Vascular Minimally Invasive Treatment | La Jolla Vein & Vascular Minimally Invasive Treatment | La Jolla

By showcasing our patients’ before-and-after transformations, we aim to inspire hope and confidence in others dealing with vein issues. Whether it’s the elimination of unsightly veins or the relief of painful symptoms, our patients’ success stories demonstrate that effective solutions exist without surgery or lengthy recovery times. With the expertise of our team at La Jolla Vein & Vascular, you can take control of your vein health and enjoy the benefits of non-surgical treatments.

Committed to Exceptional Care

Our dedication to providing exceptional care and achieving outstanding results distinguishes us as leaders in non-surgical vein treatments. With our innovative approach, patients can experience remarkable improvements in their vein health and overall well-being without invasive procedures. From enhancing appearance to relieving symptoms, the benefits of our treatments are truly life-changing.

If you’re ready to experience the difference for yourself, schedule a consultation with us today and take the first step toward healthier, happier veins.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

Transform Your Vein Health with Minimally Invasive Treatments at La Jolla Vein & Vascular2024-06-06T10:30:21-07:00

27, 5, 2024

What Will My Legs Feel and Look Like Following Varicose Vein Treatment?

2024-06-03T08:30:35-07:00

What are varicose veins?

varicose varicose

They are the twisted, bulging veins just beneath the surface of the skin. These veins are swollen, twisted veins that you can see just under the surface of the skin. These veins usually occur in the legs, but they also can form in other parts of the body. Varicose veins are a common condition.

What causes them?

Varicose veins are caused by leaky vein valves, which allow blood to pool within the veins causing them to stretch and become enlarged. These veins can be an isolated finding, but the majority of the time, they are caused by underlying venous reflux disease. Venous reflux disease is also known as venous stasis, venous insufficiency or venous incompetence. Reflux may occur in the deep and/or superficial leg veins.

In our study, led by Dr. Nisha Bunke and published in the Journal of Vascular Ultrasound in 2018, we studied over 1,000 legs with varicose veins. Over 90% of the time, the source of the varicose veins were the great and small saphenous veins. The Great Saphenous Vein (GSV) courses up the middle of the thigh and calf and the small saphenous vein (SSV), which courses along the back of the calf. Normally, there are one-way valves within the leg veins, which help blood flow in one direction: toward the heart. This means blood is traveling against gravity. The calf muscle also helps move blood toward the heart. When vein valves are leaky, blood flows backward (reflux) towards the feet. Blood pools in the lower legs, causing bulging veins at the surface. 

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

varicose vein 57 BA VV varicose foam results 2 fotor 58 BA VV varicose foam results 3 fotor 2 59 BA VV varicose foam results 3 fotor

“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 Feel and Look Like Following Varicose Vein Treatment?2024-06-03T08:30:35-07:00

Is ClariVein a minimally invasive vein procedure?

2024-06-03T10:38:26-07:00

ClariVein emerges as a revolutionary procedure designed to address the issue of backward flow, or “reflux,” in the saphenous vein system, comprising the great and small saphenous veins. As key superficial veins of the leg, these vessels play a crucial role in blood circulation. However, when reflux occurs, it can lead to varicose veins and associated symptoms. With ClariVein, patients now have access to a minimally invasive treatment option that offers effective vein closure with minimal discomfort and downtime.

Understanding ClariVein: How Does It Work?

The ClariVein procedure involves the use of a specialized catheter to close the unhealthy vein, addressing reflux and restoring proper blood flow. This catheter delivers two treatments:

  1. Mechanical Treatment: A tiny rotating wire within the catheter mechanically disrupts the vein wall, facilitating closure.
  2. Chemical Treatment: Polidocanol, a detergent-type sclerosant medication, is then delivered through the catheter to further induce vein closure.

Despite its effectiveness, ClariVein requires only one skin puncture, similar to the placement of an IV, minimizing procedural discomfort and recovery time.

Treatment Protocol and Expectations

On the day of treatment, patients undergo a streamlined process that begins with local anesthesia to numb the skin. While some patients may opt for a mild oral sedative for added comfort, the procedure itself is typically well-tolerated with minimal pain.

Patients are provided with a gown to change into, leaving underwear on for the procedure. Depending on the vein to be treated, patients may lie on their back or belly, with accommodations made for comfort using pillows and body positioning. To further enhance the patient experience, amenities like watching a movie or listening to music are offered during the procedure.

Once comfortable, the skin around the targeted vein(s) is prepped with a cleansing solution for sterility. Using ultrasound guidance, the doctor maps the veins to be treated before injecting a numbing agent (lidocaine) into the skin. A tiny puncture is then made to pass the ClariVein® catheter, and the treatment commences.

During the procedure, patients may experience a tickling or vibrating sensation as the rotating wire treats the vein. However, overall discomfort is minimal to none. Following vein treatment, patients are assisted in wearing compression stockings, which they will wear continuously for 72 hours to optimize results. Additionally, patients are encouraged to walk for 30 minutes before leaving the clinic to promote circulation and enhance treatment efficacy.

Experience Comfort and Convenience with ClariVein

ClariVein offers patients a minimally invasive and highly effective solution for varicose veins, allowing them to return to their usual level of activity on the same day as the procedure. With its combination of mechanical and chemical treatments, ClariVein® provides lasting relief from vein-related symptoms, empowering individuals to reclaim comfort and confidence in their vein health. If you’re seeking relief from varicose veins, consult with us today to explore the benefits of ClariVein® and embark on the journey towards healthier veins.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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



Is ClariVein a minimally invasive vein procedure?2024-06-03T10:38:26-07:00

What should I expect when I undergo Ultrasound-guided foam sclerotherapy?

2024-06-06T06:46:05-07:00

Ultrasound-guided foam sclerotherapy emerges as a highly effective and minimally invasive treatment option for varicose veins, offering targeted relief for surface veins and those not visible to the naked eye. This innovative procedure utilizes foam medication that can be precisely administered under ultrasound guidance, allowing for accurate targeting of varicose veins that may travel close to the skin or nerves. With its ability to navigate through veins with twists and turns, ultrasound-guided foam sclerotherapy presents a safe and versatile solution for vein disorders.

Understanding Polidocanol (Asclera®)

Polidocanol, commonly known by its brand name Asclera®, serves as the preferred sclerosant medication for foam sclerotherapy due to its patient comfort and low risk of side effects. As a detergent-type medication, polidocanol effectively injures the inner lining of veins, leading to cessation of blood flow and eventual closure of the vein. FDA-approved since 2010 for the treatment of varicose veins, polidocanol has been extensively studied and used in Europe for decades. When transformed into foam, polidocanol becomes particularly effective for treating larger veins, showcasing its versatility in vein treatment.

Treatment Protocol and Expectations

The number and frequency of ultrasound-guided foam sclerotherapy sessions vary depending on individual anatomy, vein responsiveness, and treatment goals. On average, patients may require 2 to 5 treatment sessions to achieve significant improvement, with larger or resistant veins potentially necessitating additional treatments.

On the day of treatment, patients undergo a streamlined process that begins with signing the consent form and changing into provided shorts. Following skin cleansing with alcohol, ultrasound is utilized to localize the veins, ensuring precise administration of the foam medication using a fine needle. Patients then elevate their legs on a wedge pillow for approximately 15 minutes to optimize treatment results.

Post-treatment, patients are assisted in wearing compression stockings and encouraged to walk for 30 minutes before leaving the clinic. While it’s normal to experience mild achiness and tenderness in the legs after treatment, these symptoms typically subside over time.

Experience Relief with Ultrasound-Guided Foam Sclerotherapy

sclero | Ultrasound-Guided Foam Sclerotherapy

Ultrasound-guided foam sclerotherapy offers a painless and effective solution for varicose veins, allowing individuals to reclaim comfort and confidence in their vein health. With its ability to precisely target veins and minimal downtime, this procedure empowers patients to address vein disorders with ease. If you’re seeking relief from varicose veins, consult with us today to explore the benefits of ultrasound-guided foam sclerotherapy and embark on the journey towards healthier veins.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

What should I expect when I undergo Ultrasound-guided foam sclerotherapy?2024-06-06T06:46:05-07:00

Seeing beneath the surface: Decoding Duplex Ultrasound-uses, benefits, and more

2024-10-24T23:47:23-07:00

Seeing Beneath the Surface: Decoding Duplex Ultrasound-uses, benefits, and more

Duplex Ultrasound Tools for Vein Treatment - Uses, Benefits & More

When it comes to diagnosing and understanding vein and vascular diseases, medical technology plays a crucial role in revealing what’s happening beneath the surface. One of the most valuable tools in this regard is Duplex Ultrasound. In this blog post, we will decode Duplex Ultrasound, exploring its uses, benefits, and how it aids in the diagnosis and management of vein and vascular diseases.

Understanding Duplex Ultrasound

Duplex ultrasound is a specialized imaging technique that combines two essential components: traditional ultrasound (B-mode) and Doppler ultrasound. This powerful combination allows healthcare professionals to visualize the structure of blood vessels while also assessing blood flow and velocity within them.

The Versatility of Duplex Ultrasound

Duplex Ultrasound is a versatile diagnostic tool with a wide range of applications. Let’s explore some of its key uses and benefits:

  • Detecting Vein Disease: Duplex Ultrasound is instrumental in identifying various vein diseases, including varicose veins, deep vein thrombosis (DVT), and chronic venous insufficiency. By visualizing the veins and assessing blood flow, healthcare providers can pinpoint abnormalities and formulate accurate diagnoses.
  • Assessing Arterial Conditions: Arterial conditions such as peripheral arterial disease (PAD) and carotid artery disease can be effectively evaluated through Duplex Ultrasound. It helps identify arterial narrowing, plaque buildup, and blood flow obstructions, aiding in timely intervention.
  • Guiding Interventional Procedures: Duplex Ultrasound is invaluable for guiding minimally invasive vascular procedures such as angioplasty and stent placement. Real-time imaging allows physicians to precisely navigate catheters and instruments to treat vascular blockages.
  • Monitoring Blood Flow: Continuous monitoring of blood flow is essential in various clinical settings. Duplex Ultrasound provides this capability, helping healthcare providers assess the effectiveness of treatments and track disease progression.
  • Non-Invasive and Painless: One of the significant benefits of Duplex Ultrasound is that it is non-invasive and painless. Patients do not require any special preparation, and there are no needles or radiation involved. This makes it a safe and well-tolerated imaging option.
  • Immediate Results: Duplex Ultrasound provides real-time results, enabling quick assessments and immediate feedback for both healthcare providers and patients. This expedites the diagnostic process and facilitates prompt decision-making.
  • Risk Assessment: Duplex Ultrasound aids in assessing the risk of potential complications, such as blood clots or aneurysms. Early detection allows for preventive measures to mitigate these risks.

The Procedure

During a Duplex Ultrasound procedure, a trained technician, or sonographer, applies a special gel to the skin over the area being examined. This gel helps in transmitting the ultrasound waves and prevents air from interfering with the imaging. Then, a handheld device called a transducer is moved gently over the skin’s surface.

The transducer emits high-frequency sound waves that bounce off the blood vessels and return as echoes. These echoes are converted into images and color-coded Doppler signals, providing a comprehensive view of the blood vessels’ structure and blood flow patterns.

Duplex Ultrasound is a remarkable diagnostic tool that allows healthcare providers to see beneath the surface, uncovering vital information about vein and vascular diseases. Its versatility, non-invasiveness, and real-time imaging capabilities make it an indispensable asset in the diagnosis and management of various vascular conditions.

If you or someone you know is experiencing symptoms related to vein or vascular disease, consulting with a healthcare provider who utilizes Duplex Ultrasound can provide valuable insights and guide you towards the most appropriate treatment and care plan. 

“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

Seeing beneath the surface: Decoding Duplex Ultrasound-uses, benefits, and more2024-10-24T23:47:23-07:00

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