21, 7, 2022

The Truth About Restless Leg Syndrome

2022-12-13T13:57:28-08:00

The restless leg syndrome was a reported symptom in 30% of people who suffer from varicose veins, in our study.

Those who suffer from varicose veins often report a feeling of restless leg syndrome, especially at night when in bed. In our study, about 30% of patients with varicose veins complained of nocturnal restless legs.

Restless legs refer to the specific symptoms of restlessness and urge to move the legs. This is different than Restless legs syndrome (RLS), which is a sensorimotor movement disorder characterized by uncomfortable sensations in the legs and an urge to move them.  This is a diagnosis based on a collection of nocturnal symptoms. There are many causes of restless legs syndrome such as neurological disorders, anemia, and kidney disease to name a few, and is often treated with medication. Vascular causes, such as venous insufficiency is often overlooked as a cause for Restless Legs Syndrome. We have case studies of patients who used medication to treat RLS symptoms for years without resolution of symptoms. In our study, 98% of the patients with venous insufficiency and restless legs, had resolution of symptoms following treatment.  In another study, by Hayes, CL et. al, 35 patients with RLS and superficial venous insufficiency underwent endovenous ablation of refluxing superficial veins and ultrasound-guided sclerotherapy of varicose veins. 89% of patients reported alleviation of symptoms.

If a patient has restless legs symptoms and evidence of varicose veins of the legs, a work-up for venous insufficiency should be considered. The workup involves a duplex ultrasound evaluation of the leg veins. This may eliminate the need for medication for RLS in some cases.

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. 

 

The Truth About Restless Leg Syndrome2022-12-13T13:57:28-08:00

What a Duplex Ultrasound can detect

2022-06-25T17:57:32-07:00

Duplex ultrasound combines Doppler flow information and conventional imaging information, sometimes called B-mode, to allow physicians to see the structure of your blood vessels. Duplex ultrasound uses sound waves to get images of your blood vessels. It also helps determine how fast blood moves through the vessels. It can also be useful to estimate the diameter of a blood vessel as well as the amount of obstruction, if any, in the blood vessel. Using duplex ultrasound technology, the structure of your blood vessels, the valve function, the movement of your red blood cells and direction of blood flow through the vessels, and any blockages or blood clots can be seen.

 

Diseases of the blood vessels can affect both veins and arteries.

Vascular refers to the blood vessels in the body. There are two main types of blood vessels; the arteries and veins. Arteries bring oxygen-rich blood from the heart to every inch of the body; vein return the blood back to the heart and lungs for more oxygen. Vascular disease is when the blood vessels are no longer healthy.

Common types of vein disease include:

  • Varicose veins
  • Chronic venous insufficiency
  • Deep venous thrombosis

Common types of artery disease includes:

  • Carotid artery disease and stroke (TIA or Stroke)*
  • Lower extremity arterial disease (PAD)**
  • Upper extremity arterial disease
  • Abdominal aortic aneurysm (AAA)

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 a Duplex Ultrasound can detect2022-06-25T17:57:32-07:00

Ways to ease your vein pain at home

2022-06-25T17:52:44-07:00

While venous interventions are the best way to alleviate long-term vein pain related to varicose veins, symptoms can be managed conservatively at home. Especially under the stay-at-home safe harbor orders.  Conservative management can be helpful to relieve symptoms and also prevent complications (such as thrombophlebitis). These include:

  • Avoid standing or sitting for long periods of time to avoid vein pain:  To keep blood moving when you have to sit or stand for long periods, try these tips: at work, take walking breaks and try walking during your lunch hour. While sitting, try flexing your feet up and down 10 times an hour. When standing, raise yourself up and down on your toes or rock back and forth on your heels.
  • Exercise: Exercising is good for your veins because it improves blood flow. Walking, cycling or swimming are great exercises for vein health. But be sure to check with your doctor before starting any exercise program.
  • Weight loss or maintaining a healthy weight to avoid vein pain: Being overweight puts extra pressure on your veins.
  • Leg elevation: Use leg elevation three or four times a day for about 15 minutes at a time. Even elevating your legs on a step stool or ottoman is beneficial. If you need to sit or stand for a long period of time, flexing (bending) your legs occasionally can help keep blood circulating. If you have mild to moderate varicose veins, elevating your legs can help reduce leg swelling and relieve other symptoms.
  • Compression stockings: These elastic stockings squeeze or compress the veins and prevent blood from flowing backward. Compression stockings must be graduated, medical-grade compression to be beneficial. TED hose are not adequate to reduce symptoms in venous disease for active patients. Although we typically recommend being fit for compression stockings, compression stockings can be purchased at home, from online resources. Email us if you would like suggestions.
  • Supplements such as horse chestnut and grape seed extract can help reduce symptoms of venous disease. Vascular is a prescription medication that may be helpful for some. Always check with your PCP before starting supplements or new medications as there may be side effects that could aggravate your vein pain.
  • A flavonoid-rich diet including berries, green tea can reduce inflammation and pain.
  • Anti-inflammatory medications such as ibuprofen help reduce vein pain.
  • Ice packs are my favorite way of reducing painful veins. Put ice cubes in a ziplock bag and apply to tender veins.
  • Anti-inflammatory creams can be prescribed to apply directly to painful veins.

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. 

 

Ways to ease your vein pain at home2022-06-25T17:52:44-07:00

Vein Health & Your Nutrition

2022-06-25T17:32:08-07:00

One’s vein health and nutrition is very important. One contributing factor that can influence your vein health is through your diet and what foods you consume on a daily basis. There are nutrient dense foods that help contribute to your health. For vein health specifically, foods that are rich in flavonoids may improve symptoms of venous disease. Flavonoids help protect plants from environmental toxins and help repair damage. They can be found in a variety of foods, such as fruits and vegetables. When we eat foods rich in flavonoids, it appears that we also benefit from this “antioxidant” power. It’s important to include in your daily nutrition foods that have antioxidants. 

 

In addition to having antioxidant qualities, research shows that flavonoids have other potential influences on vascular health, such as lowering blood pressure, improving blood flow to the brain and heart, and making blood platelets less sticky and able to clot.Flavonoids are also well known for their ‘venoactive’ effects on the blood vessels and have been proven to reduce symptoms of venous disease such as leg aching, heaviness and swelling.

Foods that are flavonoid rich include cocoa and chocolate, bell peppers, spinach, broccoli, grapes, blueberries, cranberries, apples, peanuts, onions, garlic, tea and red wine.

Besides improving your nutrition for your vein health, remind the cook to use compression socks- long hours of standing in the kitchen can cause leg fatigue, heaviness and swelling and eventually be a sign of venous disease. 

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. 

 

Vein Health & Your Nutrition2022-06-25T17:32:08-07:00

Before & After Spider Vein Treatment

2022-06-25T16:09:12-07:00

What are spider veins?

Spider veins are the fine, thread-like reddish veins at the surface of the skin. These veins are not healthy. Veins are often considered a cosmetic issue, but they can be associated with underlying feeder veins, not visible to the naked eye.  Feeder veins are the ‘blue veins’ also known as ‘reticular veins,’ that give rise to spider veins. Spider veins may also be a sign of underlying venous insufficiency. For example, spider veins located in the inner ankles and inner thighs can indicate an underlying problem with the saphenous vein. As a result, an ultrasound examination may be recommended to identify and effectively treat the underlying source of these veins.

What are the symptoms?

Vein conditions affect people differently. For some, these veins can be a painless cosmetic concern, and for others they may cause symptoms. The most common symptoms of spider veins are burning, throbbing, and localized pain. They can also feel hot and itchy and bleed.

What causes them?

Spider veins in the legs are caused by the same condition that causes varicose veins. Leaky vein valves allow blood to pool within the veins causing them to stretch and become enlarged. These veins on other areas of the body, such as the face, and chest can be caused by sun damage, hormone changes or liver disease. Hormones, such as with pregnancy, birth control or hormone replacement therapy can weaken the vein wall.

Below you can see the transformation of 3 of our patients who received vein treatment.

spider veinsspider veinsspider veins

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.

Before & After Spider Vein Treatment2022-06-25T16:09:12-07:00

Vein Health & Working From Home

2022-12-13T13:18:14-08:00

Prolonged desk work can increase the risk of blood clots in leg veins and decline your vein health.

As many Americans are working from home, we have received many calls from patients regarding thrombophlebitis, which is a big concern for vein health. This is not a new scenario for us, over the years frequently patients come in for assessment of leg pain after working on their computers for 12 hours straight.

ThromboPhlebitis refers to blood clots in the leg veins and inflammation of the surrounding vein. The inflammation causes leg pain and redness of the surrounding skin. You may also feel hard lumps in the leg veins.

Inactivity, sitting for long periods of time, like sitting at your desk, working on your computer for many hours without walking or getting up for a light walk or exercise, affects the blood flow in the leg veins. Your calf muscle pump, which is used when walking and moving about helps to move blood back to your heart. Sitting for too long of periods, increases the risk of your blood pooling in the leg veins and can even form blood clots. Blood clots that form in the deep veins are serious as they can travel to the heart and lungs (deep venous thrombosis). Blood clots that form in the surface veins, are called superficial thrombophlebitis (STP).  With STP, you can typically feel lumps that can be painful. People who have varicose veins, have an increased risk of developing STP especially with inactivity. Being mindful about your vein health while working remotely will help in the longer run when it comes to vein disease. 

Tips to Avoid Phlebitis When Working From Home:

  1. Avoid sitting at your desk or computer for longer than 45 minutes without taking a break to get up and walk about.
  2. Try to walk at least 30 minutes a day or other exercise
  3. When sitting, do calf raises to pump the calf veins.
  4. If you have varicose veins, you should wear compression stockings during the day time.

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. 

 

Vein Health & Working From Home2022-12-13T13:18:14-08:00

Could warm weather be affecting your venous reflux disease?

2022-06-25T17:19:53-07:00

Warm weather can worsen symptoms of varicose veins and venous reflux disease.

This summer, most of San Diego will be blessed with sunny, warm-weather. Warmer weather tends to worsen symptoms of varicose veins, like increased leg heaviness, pain or you may feel that your legs fatigue more quickly during warm weather. For those who have spider veins, they can feel more itchy or burning.  This leads many people to seek leg vein help during warmer weather months. 

The cause: Leg symptoms of varicose veins and venous reflux disease (the underlying cause for varicose veins) tend to worsen in warmer weather because heat causes the surface veins to relax and enlarge. When this happens to unhealthy veins, the blood pools and causes increased pressure within the veins. Increased pressure within the veins is called venous hypertension. Venous hypertension causes inflammation. Therefore, inflammation causes the veins to feel warm, painful, itchy or burning. Since gravity causes blood to pool around the ankles for many people with venous reflux disease, you may feel symptoms in your ankles rather than the calves. The skin around the ankles can become itchy, and dry. 

The best way to alleviate this in the long term is treatment of underlying venous reflux. Conservative management is aimed at reducing or preventing the blood from pooling. This can be accomplished with compression stockings- although these may be difficult to tolerate in warm weather. But also adding compression wear, like compression yoga pants, workout pants or shorts may help as well. Staying active helps, and when sitting elevate the legs and ice any areas of pain to reduce inflammation. These tips will help you overcome the warmer weather.

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. 

 

Could warm weather be affecting your venous reflux disease?2022-06-25T17:19:53-07:00

How to reduce bruising and swelling after vein treatment

2025-09-04T12:48:11-07:00

One way to reduce bruising after surgery

One of the most common side effects after surgery is bruising. Whether it is due to plastic surgery or vein surgery, bruising and swelling are inevitable. One of the most powerful tools that we recommend for patients undergoing any type of surgery is RECOVA post surgery cream. 

Dr Nishe Bunke created RECOVA cream as a post surgical recovery cream specifically designed to reduce bruising, swelling, redness, and pain. RECOVA skin creams are packed with antioxidants and natural ingredients that promote healing and reduce inflammation. 

RECOVA cream aids in reducing pain, swelling, and discoloration after cosmetic surgery, injections, and procedures, laser treatments, varicose vein procedures, Sclerotherapy, minor injuries, and easy bruising. 

Our patients at La Jolla Vein Care have seen quick transformation post procedures. The combination of natural ingredients in RECOVA cream helps aid in quicker recovery.

 The powerful ingredients that help reduce bruising included in RECOVA are listed below:  

Arnica Montana is a flower extract that helps with inflammation, swelling, and bruise recovery. 

Grapeseed Oil has numerous benefits and includes numerous vitamins such as vitamin E. It is a flavonoid that aids in chronic venous insufficiency, varicose veins, and edema. 

Bromelain is an enzyme that is a natural remedy for inflammation and swelling.

Horse Chestnut is used to improve poor blood circulation, reduce swelling, and for varicose vein symptoms. 

Caprylhydroxamic Acid is an amino acid derived from coconut oil used as a gentle preservative that ensures product safety and longevity. 

Witch Hazel is used for swelling and inflammation. It is used to shrink varicose veins and hemorrhoids as well as reduce rosacea and clear redness of the skin. 

Butcher's Broom is used for natural anti-inflammatory properties. It is used to reduce swelling and reduce varicose vein symptoms. 

Sunflower Seed Oil is packed with vitamins A, E, C, and D. 

Menthol is not present in the tinted RECOVA, since Tinted Arnica is often used around the eyes. 

The combination of these ingredients contributes to an overall comforting and healing sensation when applied to the skin. 

RECOVA is a tool that stands out due to its natural ingredients that aid in venous disease symptoms. RECOVA is hypoallergenic, and non comedogenic. RECOVA is also free of parabens, phthalates, preservatives, synthetic additives, and dyes, and never tested on animals. 

Patients have used RECOVA cream after vein procedures and have seen quick and lasting results. We recommend physicians offer this for patients if they complain of redness, itching, and bruising after their procedures. RECOVA offers immediate soothing relief of discomfort for our patients. 

Check out RECOVA online for more information and to purchase RECOVA tinted arnica cream and RECOVA post surgery cream. 

How to reduce bruising and swelling after vein treatment2025-09-04T12:48:11-07:00

Spider Veins: Before & After Transformation

2022-06-25T16:03:26-07:00

What are spider veins?

Spider veins are the fine, thread-like reddish veins at the surface of the skin. These veins are not healthy. Veins are often considered a cosmetic issue, but they can be associated with underlying feeder veins, not visible to the naked eye.  Feeder veins are the ‘blue veins’ also known as ‘reticular veins,’ that give rise to spider veins. Spider veins may also be a sign of underlying venous insufficiency. For example, spider veins located in the inner ankles and inner thighs can indicate an underlying problem with the saphenous vein. As a result, an ultrasound examination may be recommended to identify and effectively treat the underlying source of these veins.

What are the symptoms?

Vein conditions affect people differently. For some, these veins can be a painless cosmetic concern, and for others they may cause symptoms. The most common symptoms of spider veins are burning, throbbing, and localized pain. They can also feel hot and itchy and bleed.

What causes them?

Spider veins in the legs are caused by the same condition that causes varicose veins. Leaky vein valves allow blood to pool within the veins causing them to stretch and become enlarged. These veins on other areas of the body, such as the face, and chest can be caused by sun damage, hormone changes or liver disease. Hormones, such as with pregnancy, birth control or hormone replacement therapy can weaken the vein wall.

Below you can see the transformation of 3 of our patients who received vein treatment.

spider veinsspider veinsspider veins

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. 

Spider Veins: Before & After Transformation2022-06-25T16:03:26-07:00

Vein Health: Helpful Anatomy Phrases to Better Understand

2022-12-13T14:15:11-08:00

If you're not a vascular specialist, it may be difficult to understand the words used to describe your vein condition and understand vein health. Vein terms are not used in everyday life.  Especially, when it comes to the anatomy of the veins. Below is a glossary of the terms, we as vein specialists, use on a daily basis but may be foreign to the patient.  This is provided from the American Vein and Lymphatic Society (AVLS) healthyveins.org.

Anatomical Vein Terms for Vein Health:

Anterior: The front of a body part.

Posterior: Back of a body part.

​Deep Leg Vein: The veins that are deep in the thigh and leg that carry blood back to the heart.

​Connective Tissue: This strong tissue is the white tissue that covers muscle.

Great Saphenous Vein: (sometimes called GSV or long saphenous vein) A long vein that can be seen just in front of the ankle bone. This vein travels along the inside of the leg and thigh (about one-half inch beneath the skin in the thigh) until it empties into the deep vein called the common femoral vein in the groin.

Perforating Vein: A vein that passes directly from a superficial vein to a deep vein.

Popliteal Vein: The deep vein located behind the knee. The small saphenous vein originates from the popliteal vein.

Small Saphenous Vein: (sometimes called SSV, Lesser Saphenous Vein, or LSV) A superficial vein that starts at the outside of the foot and travels up the back of the calf where it empties into the deep vein (popliteal vein) in the crease of the knee.

​Spider Vein: A tiny varicose vein that may be blue or red color that does not protrude above the skin surface and frequently looks like a spider. Common medical terms you may hear for spider veins are telangiectasias and telangiectatic veins. Slightly larger varicose veins that do not protrude above the skin are called reticular veins.

​Superficial Vein: Any vein in the lower extremity above the deep fascia that covers the muscles of the thigh and leg.

​Varicose Vein: A bulging vein that protrudes past the skin surface and usually measures greater than one-fourth of an inch (6.4 mm) in diameter.

Vein Function Terms

Competent Vein: Blood flow occurs in the proper direction back to the heart. Also referred to as Having No Reflux Or Normal Flow Direction.

Incompetent Vein: Blood flows in the wrong direction. Also referred to as a vein that has reflux.

Reflux: Blood that flows backward in the veins.

 

Anatomical Images and Explanations

Normal Blood Flow: After the blood has been replenished with oxygen in the lungs, it is pumped to the body by the heart. Blood that is pumped to the lower extremities is pumped back to the heart partially by the action of the calf muscle pump. The blood returning from the lower extremities in the deep and superficial veins goes past a series of one-way valves. These valves stop the blood from flowing backwards in the vein.

​

Reflux: The valves in the veins close just as blood begins to flow backwards. If the valves do not close properly, the blood falls backwards through the poorly closing or leaking valves. The veins downstream that are now unprotected by valves further upstream are exposed to the weight of an increasingly high column of blood. These downstream veins cannot endure the pressure of the column of blood and expand becoming snake-like in appearance. This causes the vein to bulge through the skin surface and become varicose veins.

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. 

Vein Health: Helpful Anatomy Phrases to Better Understand2022-12-13T14:15:11-08:00
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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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