2, 8, 2022

What you need to know about Sclerotherapy procedure

2022-07-16T18:32:09-07:00

Today, sclerotherapy is clearly the gold standard for removing spider and varicose veins. During this procedure, a specially trained physician injects a safe sclerosing agent directly into the blood vessel. The effectiveness of the procedure comes as a direct result of the training, experience, and judgment of the physician to make sure that the sclerosant’s volume, concentration, and exposure time are exactly right. 

 

What happens next? The solution displaces the blood in the vein, causing it to immediately appear lighter in color. The solution irritates the vein lining, causing it to collapse and blocking it from receiving more blood. Within a few weeks, the unused vein is absorbed by the body and disappears. With advancements in medicine, there’s no reason to go under the knife anymore—sclerotherapy is a safe, effective, and cost effective alternative to surgery.

 

Sclerotherapy Treatment for Spider Veins

Spider veins and reticular veins of the legs are most commonly treated with sclerotherapy. Sclerotherapy involves an injection of a medication into the vein. This will cause the vein to collapse and gradually fade away. Sclerotherapy has been used to treat spider veins for decades, but newer solutions such as AscleraTM allow for spider veins to be treated with minimal discomfort and immediate return to activities. Vein specialists rarely use saline solutions these days, because alternative solutions are less painful and better tolerated. Sclerotherapy is preferred by most vein specialists over laser because spider veins often have underlying ‘feeder veins’ that can easily be treated with sclerotherapy, but are not addressed by laser. Many people will require more than one treatment session for optimal results. The national average is 2 to 5 treatment sessions. Treatment sessions are often spaced a month apart, but your health care provider will help determine your customized care plan. Wearing compression stockings after treatment will improve results.

For larger veins, the medication may be turned into a foam, this is referred to as foam sclerotherapy. Foam sclerotherapy is similar to sclerotherapy of spider veins but instead of a liquid solution, a foamed-solution is injected directly into the vein via a small needle. The solution can be seen on ultrasound monitoring which allows it to be directed into nearby varicose veins painlessly. The veins will seal shut, and gradually be broken down by the body.

Below are a few patient cases after Sclerotherapy Treatment which you will see the before and after results. 

sclerotherapysclerotherapy

If you experience any vein disease symptoms, please call our office at (858)-434-5998 to schedule a consultation with one of our knowledgeable doctors at La Jolla Vein and Vascular. 

 

For more information on vein health please check out our Youtube Channel or visit our helpful guide of resources. 

 

What you need to know about Sclerotherapy procedure2022-07-16T18:32:09-07:00

26, 7, 2022

Do varicose veins cause leg cramps?

2022-12-13T13:23:37-08:00

Leg cramps occurring at night (nocturnal leg cramps) are a common symptom of venous disease. In fact, in the San Diego Population Study, leg cramps were the second most common symptom in people with the venous disease with a prevalence of 14.3%. Leg aching (17.7%) was the most common complaint and tired and swollen legs were also predominant symptoms.

Healthy veins collect the deoxygenated blood from the tissues. The venous blood, which is low in oxygen and high in waste products is returned to the heart and lungs where it is replenished with oxygen and nutrients.  In diseased veins, the blood circulates poorly, allowing blood to pool and become stagnant. The exact mechanism that causes cramping in the legs is uncertain.  But, when the cramping is caused by poorly functioning veins, the symptoms are often alleviated by correcting the underlying problem.  Conservative measures, such as elevating the legs, walking regularly, and wearing compression therapy may reduce the frequency of night cramps. Treating the underlying venous insufficiency may be curative.

There are many causes for leg cramps and if you suffer from night cramps it is important to be properly evaluated to determine the cause.  Cramps that occur with exercise are more likely to be associated with a more serious condition. If your muscles cramp with walking for a short time and recover with rest this may indicate arterial disease.  Other causes for leg cramps include muscle injury, thyroid conditions, pregnancy, electrolyte imbalance, dehydration or other causes.

To help identify the cause, it may be helpful to keep a log of daily activities, or change in activities; for example, heavy exertion may indicate a muscular cause or long periods of standing or sitting may favor the venous disease.  A recent study showed that prolonged standing at work may be an important risk factor for varicose veins and nocturnal leg cramps.

Check with your primary care physician to rule out other causes for leg cramps. Blood tests can check for thyroid, kidney and electrolyte conditions.  You may also have undiagnosed venous reflux.

At La Jolla Vein Care, our vascular imaging scanners help us detect vascular causes of leg pain. For example, we can utilize one of our three duplex ultrasound imaging systems to scan for blood clots in the leg veins (deep venous thrombosis), venous insufficiency and identify significant problems in the arterial circulation.

 

If you experience any vein disease symptoms, please call our office at (858)-550-0330 to schedule a consultation with one of our knowledgeable doctors at La Jolla Vein and Vascular. 

 

For more information on vein health please check out our Youtube Channel or visit our helpful guide of resources

 

Do varicose veins cause leg cramps?2022-12-13T13:23:37-08:00

29, 6, 2022

Why Choose Genicular Artery Embolization (GAE )?

2022-05-23T16:37:49-07:00

Why Choose Genicular Artery Embolization (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 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.

 

Why Choose La Jolla Vein & Vascular?

 

As mentioned, osteoarthritis affects almost 30 million people in the United States alone, with the knee being the most affected body part. The largest portion of these individuals is not quite ready for knee replacement surgery. As such, most of these patients depend on NSAIDS and knee injections to control the pain.

Unfortunately, over 100,000 people are hospitalized each year for gastrointestinal bleeding and other NSAIDs related complications. Even worse, there are more than 20,000 NSAID deaths annually. At LA Jolla Vein Care, we are one of the few medical facilities that offer Genicular artery embolization. The procedure is safe and effective for everyone.

With so many medical clinics cropping up here and there, we understand that choosing a health facility where you can entrust to perform new and advanced procedures such as Genicular artery embolization (GAE) is not easy. 

 

However, our results speak for themselves. Our licensed surgeon has performed numerous successful GAE procedures for our patients. Call us today and schedule your appointment!  We also schedule follow-up appointments to assess your progress.  Our friendly staff is also ready to assist you with questions and concerns that you may have.

 

Why Choose Genicular Artery Embolization (GAE )?2022-05-23T16:37:49-07:00

What is Stenting

2022-05-23T16:16:54-07:00

Stenting

Stenting is a procedure that is performed in combination with Angioplasty and atherectomy.

At La Jolla Vein & vascular, we are dedicated to offering our patients various procedures and treatment options. One of those options is called an Angioplasty. It is also called percutaneous transluminal Angioplasty (PTA), Angioplasty is a medical procedure performed using a catheter. A catheter is usually a thin, flexible tube inserted through an artery and guided by imaging to the narrowed section of the artery. Once the tip of the catheter reaches the narrowed section, the small balloon at the end inflates for a short period. The pressure created by the inflated balloon usually presses the plaque against the artery wall. This procedure will help to widen the arteries, restoring normal blood flow. Stenting is done in combination with an angioplasty. 

 

Years of plaque buildup damages the artery walls. Even after cleaning the artery, the walls are often too weak to stay open. Stenting is a procedure that helps support the blood vessel walls, preventing them from closing after removing the plaque. The procedure involved placing a small mesh tube inside the artery to offer rigid support.

La Jolla Vein & Vascular offers renal artery stenting, which helps support the blood vessels that transport the blood to your kidneys. A patient with a history of arterial disease or who suffers from hypertension has a higher risk of plaque building up in the renal artery wall. Excess plaque on the renal artery tends to weaken the walls. Renal artery stenting offers firm support that ensures the blood flows unobstructed to the kidney.

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

For more information please check out our Youtube Channel at this link.

 

What is Stenting2022-05-23T16:16:54-07:00

Pros and Cons of Pelvic Vein/Ovarian Embolization Procedure:

2022-05-23T15:56:36-07:00

Pros and Cons of Pelvic Vein/Ovarian Embolization Procedure:

 

Benefits

  • Pelvic Vein Embolization of the ovarian vein or pelvic vein has already been demonstrated to be a safe procedure for relieving pain sensations and improving varicose vein appearance.
  • Embolization helps shut off affected veins, easing pressure from them, so they reduce in size.
  • It’s a minimally invasive technique requiring only a tiny incision in the skin. You won’t even need stitches.
  • Fewer complications than traditional surgery. You also lose less blood, and the incision mark is not even visible. You won’t also need to stay in the hospital for long.
  • 85 % of women who undergo the procedure report feeling much better within 14 days of the operation

Pelvic Vein Embolization Risks

  • You may be allergic to the iodine-based dye and a contrast agent used to take detailed images.
  • A small number of women develop infections after embolization.
  • Since the procedure involves placing a tube inside blood vessels, it may damage them or cause bruising and bleeding at the point of incision.
  • if an embolic agent migrates to the wrong place, it may cut off the oxygen supply to the tissue, i.e., non-target embolism
  • There’s a 10 % chance that the varices may develop in the veins again.
  • It exposes the ovaries to radiation. However, studies have not found any links between the procedure and infertility or abnormal periods.

 

 

How to Prepare for Pelvic Vein Embolization?

 

We offer treatment for Pelvic Vein Embolization at La Jolla Vein & Vascular. The doctor will monitor your blood pressure and heart rate. Some patients suffer slight pain or discomfort following the surgery, which can be managed with simple medications taken by mouth or intravenously through the cannula.

Bed rest is advisable for a short period after the procedure. Most patients are cleared to leave the hospital after 4 hours. However, if you’re in significant pain, you might want to stay for longer and get extra care.

Once discharged, expect to resume your normal activities within a few days; however, don’t drive within the first week following the procedure. Of course, you can wait for longer in case of groin discomfort and get medical care too.

After your operation or therapy, your doctor may urge a follow-up scan and checkup. This is to determine whether the operation was successful and address any changes or adverse effects you may have noticed following the treatment. Just like other varicose veins on the leg, engorged veins in the thigh, vulva, buttocks, etc., may need to be treated separately.

The enlarged veins should gradually reduce in size within a few weeks by preventing reflux in pelvic veins. Even the vulvar varicose veins should disappear. You can also seek treatment for any varices in the lower legs. Various safe treatment options can be used to rid of the condition for good. However, seek treatment for other vein varices only after dealing with pelvic vein varices to reduce the chances of the condition coming back in the future. After pelvic vein embolization treatment, any symptoms you’ve been experiencing due to the veins,  should go away.

  1. You will need to have your warfarin medication altered if you are taking any before the pelvic vein embolization. Consult with a doctor for details.
  2. Keep a list of your medications, even the herbal ones, and inform your doctor of any allergies, including allergic to the iodine dye.
  3. Inform your doctor of any recent medical issues, illnesses, or if you are pregnant. Pelvic venography and vein embolism involve the use of X-rays; you don’t want the fetus exposed to the radiation.
  4. Pack comfortable clothes; you will also be given a gown at the hospital for use during the procedure.
Pros and Cons of Pelvic Vein/Ovarian Embolization Procedure:2022-05-23T15:56:36-07:00

Arterial Treatments

2022-05-23T14:56:03-07:00

Arterial Treatments

 

Peripheral Arterial Disease – Treatment

Arterial treatments for the peripheral arterial disease (PAD) has two main goals. One is to manage the symptoms, including leg pain, allowing you to resume your normal physical activities. The second one is to top the progression of atherosclerosis in the body, which reduces the risk of stroke and heart attack.

The good news is that through early intervention, you can achieve these goals through lifestyle changes. Quitting smoking is one of the most significant things you can do to stop the progression of Pad. Walking and exercising regularly following supervised exercise training can improve your symptoms. However, if your peripheral artery disease is at an advanced stage, you will need additional medical treatment. Here are some of the standard peripheral artery disease treatment options available.

Atherectomy

A lower extremity atherectomy is a minimally invasive surgical procedure involving a catheter to remove plaque from arteries. The doctor usually makes a small incision in the artery to insert the catheter. The procedure is performed under local anesthesia to prevent pain. A catheter collects removed plaque in a chamber placed at its tip, ensuring that all the particles are removed from the artery. Depending on the amount of plaque in your arteries, your doctor will repeat the procedure several times to ensure optimal blood flow.

Why Do I Need This Procedure?

The primary goal for the atherectomy is to eliminate plaque buildup in the artery. You may need this procedure when your arteries become too narrowed or blocked due to increased plaque. When the arteries are blocked, blood flow is restricted, meaning that your tissues will not have sufficient oxygen and nourishment they need to survive. Insufficient blood flow causes the muscle in your feet to cramp and lose strength. The procedure is not ideal for all people. Before performing the procedure, the doctors customize to meet the patient’s unique needs. 

Where is the Procedure Performed?

We usually perform the procedure in our facility. Our board of certified doctors have undergone rigorous training to ensure the best possible results. We also have a state-of-the-art facility with modern atherectomy tools that ensure success even for complex conditions. Our doctors also have a vast wealth of experience in this field. Having performed thousands of atherectomy procedures is sure that you are in the right hands. 

How do I Prepare for an Atherectomy?

A few days before the procedure, the doctor usually performs a pre-procedure test to ensure that it is safe for you to undergo the procedure. The doctor may recommend discontinuation of using certain medications days before the procedure. Our healthcare team will also provide you with specific instructions to prepare for the procedure.

 

Arterial Treatments2022-05-23T14:56:03-07:00

What is an Angioplasty

2022-05-23T13:30:46-07:00

Angioplasty

At La Jolla Vein & vascular, we are dedicated to offering our patients various procedures and treatment options. One of those options is called an Angioplasty. It is also called percutaneous transluminal Angioplasty (PTA), Angioplasty is a medical procedure performed using a catheter. A catheter is usually a thin, flexible tube inserted through an artery and guided by imaging to the narrowed section of the artery. Once the tip of the catheter reaches the narrowed section, the small balloon at the end inflates for a short period. The pressure created by the inflated balloon usually presses the plaque against the artery wall. This procedure will help to widen the arteries, restoring normal blood flow.

angioplasty

What to expect with an angioplasty:

After Angioplasty, the doctor usually applies pressure to the area where the procedure was done. The doctor uses bandages or a compression device, which helps prevent bleeding. The nurse will also check on your blood pressure, heart rate, and ensure that the area is not bleeding. The procedure also requires you to lie still while keeping you rleg straight for three to six hours. Sometimes, the nurse may also put a weighted bag on the leg to prevent movement. The procedure may require you to spend the night in our facility. Similar to other invasive surgeries, recovery does not take long. 

 

Why is it done?

Angioplasty is done to widen narrowed arteries and ensure optimal blood flow. The procedure is common in restoring blood flow for the individual’s suffering from peripheral arterial disease. 

How well does it work? 

Angioplasty procedure helps in restoring blood flow and relieves intermittent claudication. The procedure will eliminate the symptoms associated with PAD. Our experienced doctor has vast experience in this field and uses advanced tools to ensure the best results for your condition.

 

What is an Angioplasty2022-05-23T13:30:46-07:00

Causes of Osteoarthritis

2022-05-13T17:16:22-07:00

Causes Of Osteoarthritis (OA)

 

Although Knee Osteoarthritis affects as many as 45 percent of people in their lifetime, the exact cause is unknown. However, medical practitioners have discovered several risks that increase the chances of developing knee osteoarthritis. These include:

Advanced Age

Obesity

Joint Trauma

Family History

Congenital Disabilities or Illnesses

Chronic Injury and Joint Stress

Lack of Exercise

Poor Muscle Tone

Female Sex

 

Advanced Age

Your susceptibility to developing osteoarthritis increases with age. As you grow old, the cartilage in the knee joint wears down, making it prone to damage and thinning. According to research done by the Arthritis Foundation, about 19 percent of people over 45 years have knee OA. The research further indicates that 37 percent of people over 60 years have the condition, although not all will have the symptoms.

 

Obesity

The knees support the weight from the thighs upwards. Obese people are at two times more risk of developing knee arthritis than individuals who are not.

 

Joint Trauma

Surgery, a broken bone, or severe injuries that affect the knee joint can also lead to knee osteoarthritis. These symptoms may not be present immediately after the injuries but may reveal years later.

 

Family History

Hereditary genes also play a crucial role in the susceptibility of knee arthritis. For instance, if your mother had knee OA, you are more likely to develop the condition than people with no family history of the condition are.

 

Congenital Disabilities or Illnesses

Septic arthritis, gout, poor bone alignment, congenital conditions, and metabolic disorder can also increase your susceptibility to contracting knee arthritis.

 

Chronic Injury and Joint Stress

Individuals whose daily activities involve heavy lifting while standing, crawling, or squatting tend to experience mini-traumas. These mini traumas can lead to knee osteoarthritis over time—bodybuilders and other athletes who participate in high-impact sports are prone to knee osteoarthritis development.

 

Lack of Exercise

Although putting too much stress on your knee joint can lead to arthritis, lack of exercise can also cause OA. Exercise helps in boosting the cartilage’s health and repair. Additionally, the knee joints contain fluid-rich nutrients that need to be circulated in the knee joint capsule. Regular exercise promotes proper circulation of the joint fluid.

 

Poor Muscle Tone

Poor hamstring, calf, and quadriceps muscle development can put more stress on the knee’s bones and cartilage, causing knee osteoarthritis.

 

Female Sex

Research shows that women are about 40 percent more likely to develop knee arthritis than men are.

 

 So, if this is you and you’ve been experiencing pain, please give our office a call at 858-550-0330. 

 

For more information please check out our Youtube Channel at this link. 

 

Causes of Osteoarthritis2022-05-13T17:16:22-07:00

Signs of Osteoarthritis

2022-05-30T13:29:11-07:00

For most people, the knee osteoarthritis symptoms come and go, worsening over time. While it is easy to dismiss early knee OA signs and symptoms, the symptoms become worse if left untreated, causing mobility issues. 

 

Some of the common OA signs and symptoms include:

 

Knee Pain: Knee pain is the most reported OA symptom. The pain description often varies from one person to the other depending on their condition and situation. Sometimes the pain may come and go, while the person may experience chronic low levels of pain with intermittent intense pain flare-ups. On the other hand, you may experience a dull, aching. Most often, knee OA pain gets worse, especially when doing activities that put a strain on the knee, such as walking upstairs or squatting.

 

Swelling: Damaged cartilage causes the femur and tibia bones to rub together, leading to irritation. The irritation forces the body to produce excess fluid at the joint, making the knee swell.

 

Stiffness: The swelling and friction in the knee make the joint stiff. You may often experience 30 minutes of stiffness after sitting for an extended period or early in the morning. Knee stiffness can also be accompanied by reduced motion range and visible swelling.

 

Redness and Warmth: The irritation develops when the knee joint’s bones rub each other causing the skin over the knee to become warm and red. These signs could also indicate an infection that requires medical attention.

 

Reduced Range of Motion: The swelling in the knee limits your range of motion. Mild to moderate knee OA makes it hard for you to bend or straighten the knee completely.

Worsening Symptoms with Inactivity

Your knees tend to become stiff after long periods of sitting or sleeping. In most cases, you will notice pain and stiffness after waking up in the morning or sitting for long hours.

 

Popping or Crunching: A popping or crunching sound when bending your knee indicates knee joint friction.

 

Buckling or Locking Up: People with moderate to severe knee OA can also cause a sensation of knee-buckling. The sensation develops when there are uneven flaps or grooves, or cartilage breaks off and sticks in the joint.

 

 So, if this is you and you’ve been experiencing  osteoarthritis pain, please give our office a call at 858-550-0330. 

 

For more information please check out our Youtube Channel at this link. 

 

Signs of Osteoarthritis2022-05-30T13:29:11-07:00

What Causes Vulvar Varicosities?

2022-05-12T12:57:33-07:00

What Causes Vulvar Varicosities?

  • There is ongoing research concerning the causes and risk factors associated with pelvic congestion syndrome. However, the most commonly known cause of vulvar varicosities is pregnancy.
  • Blood vessels such as veins contain valves whose task is to prevent blood from flowing back. Veins in the abdominal and lower parts of the body have to work against factors such as gravity to ensure smooth and uninterrupted blood flow.
    However, pregnancy can lead to the dilation of veins.
  • Consequently, this means the valves have to work even harder to keep blood flowing in the proper direction. This dilation can go unnoticed in the initial stages, making pelvic congestion syndrome hard to detect in the early days.
  • Other factors, such as the pregnancy’s pressure on the lower body and the increased blood flow to the genitalia, can alter valves’ normal working and efficiency, which then results in the development of varicose veins.
  • Recent research also shows that pelvic congestion syndrome runs in the family. So, if a relative or someone genetically close to you has encountered a case of vulvar varicosities, you too may be at risk. To combat this situation, you can schedule regular checkups with your physician to ensure no signs of pelvic congestion syndrome.
  • Pelvic tumors have also been identified as a causative and accelerant agent to labia varicose veins. If you’re worried you may have a pelvic tumor – or any other previously undiagnosed tumor, you should seek professional medical services immediately.

So, if this is you and you’ve been experiencing pain, please give our office a call at 858-550-0330. 

 

For more information please check out our Youtube Channel at this link

 

What Causes Vulvar Varicosities?2022-05-12T12:57:33-07:00
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