1, 11, 2022

Aftercare information for foam sclerotherapy

2022-10-24T10:12:59-07:00

After care for foam sclerotherapy

After Treatment Care

You will be instructed on how long to wear compression stockings after foam sclerotherapy treatment, depending on the size of the veins that are treated. Most patients wear thigh-high compression stockings continuously for 1-3 days, then another 7 days.

For the first 24 hours after the procedure, you should not get the area wet. But after, you may shower with the stockings on or take a quick cool shower with them off. Avoid heated showers for one week after the foam sclerotherapy treatment.

You should walk 30 minutes twice daily after treatment and move your legs frequently throughout the day with short walks and/or calf exercises. This avoids pooling of blood in the legs. Avoid prolonged sitting during the day, and when you are sitting have your legs be elevated.

Avoid direct sun exposure during the healing process. The two weeks after treatment. Using sun tan lotion after is recommended.

No swimming in public pools, lakes, or oceans for one week to reduce risk of infection.

It is normal to have aching in the treated veins. This responds well to walking, ice packs, and anti-inflammatory medications such as ibuprofen (Advil, Motrin) and naproxen (Aleve).

What to avoid after foam sclerotherapy treatment

For at least two weeks after treatment, you should avoid strenuous exercise (anything more than a brisk walk), heavy lifting, saunas or hot tubs, and leg massages. All of these dilate the superficial veins and interfere with their healing. You should also avoid airline travel for two weeks after treatment.

Possible side effects after foam sclerotherapy treatment

You will likely have some bruising over the injection sites, then the treated veins may become firm and blue. We recommend patients use the product, RECOVA cream, as this helps reduce swelling, redness, and bruising post procedure.

The skin overlying the treated veins may also develop brownish hyperpigmentation as the blood products within those veins are absorbed by the body; in some patients it can take up to a year to fade.

An uncommon complication is a blood clot within a deep vein. The risk is minimized by using ultrasound guidance and performing calf exercises throughout the procedure.

 

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

 

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

 

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

 

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

 

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

 

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


Aftercare information for foam sclerotherapy2022-10-24T10:12:59-07:00

31, 10, 2022

What you need to know about Asclera

2022-09-19T20:24:13-07:00

What is polidocanol (Asclera)? 

 

A variety of sclerosant medications can be used for veins, but at La Jolla Vein Care, we prefer polidocanol (brand name Asclera), because it is the most comfortable for the patient and has the lowest risk of side effects. It is a detergent-type medication that injures the inner lining of the veins. This causes the vein to stop flowing, then eventually close down completely. Polidocanol has been well-studied and has been approved by the FDA since 2010 for the treatment of varicose veins and has been used in Europe for decades. Polidocanol is turned into a foam to treat larger veins. This is an off-label use of the sclerosant but very effective and well tolerated. Asclera (polidocanol) Injection is a prescription medicine that is used in a procedure called sclerotherapy to remove unwanted veins on your legs. It is administered by a healthcare provider to treat two types of veins:

 

  • Uncomplicated spider veins (very small varicose veins ≤ 1 mm in diameter)
  • Uncomplicated small varicose veins (1 to 3 mm in diameter) known as reticular veins

Asclera has not been studied in varicose veins more than 3 mm in diameter. La Jolla Vein Care providers have extensive experience with foam sclerotherapy. 

 

ADVERSE REACTIONS: 

 

  • injection site hematoma
  • injection site irritation 
  • injection site discoloration 
  • injection site pain 
  • injection site itching 
  • injection site warmth 
  • neovascularization 
  • injection site clotting

 

How often do I need treatment to see results?

The number and frequency of treatments depends on the size of the vessels and their location. Ask your provider about an individualized treatment approach that is right for you.

How does Asclera work?

Asclera is a sclerosing agent that is injected into the vein. It works by damaging the endothelium, the inside lining of blood vessels. This causes blood platelets and cellular debris to attach to the lining of the vessels. Eventually, cellular debris and platelets cause the blood vessel to clot. Over time, the clotted vein will be replaced with tissue.

How satisfied are patients who use Asclera?

88% of clinical study patients were satisfied or very satisfied with their Asclera treatment after 12 weeks.

How long is each Asclera session?

A typical session lasts 15 to 45 minutes. Generally, 1 to 3 injections may be necessary to treat a given spider or reticular vein. Repeat treatment sessions may be necessary. Any additional treatment sessions are usually separated by 1 to 2 weeks.

What should I expect after being treated with Asclera?

Following treatment, you’ll need to wear compression stockings day and night for 2 to 3 days, then for 2 to 3 weeks during the daytime, as directed by your provider. Compression stockings are designed to apply pressure to your lower legs, helping to maintain blood flow, and reduce discomfort and swelling. Compression helps your legs heal and is necessary to reduce the risk of deep vein thrombosis.

 

Are there activities I should avoid after receiving an Asclera Injection?

For 2 to 3 days following the treatment, avoid:

  • Heavy exercise
  • Sunbathing
  • Long plane flights
  • Hot baths, hot tubs, or saunas

Possible side effects to Asclera treatments:

Temporary side effects may occur at the site of the injection, including:

  • Bruising
  • Raised red areas
  • Small skin sores
  • Darkened skin in the form of lines or spots
  • Multiple tiny red blood vessels

These side effects usually go away within a few days to several weeks. Some side effects may take months or years to resolve.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

 

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

 

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

 

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

 

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

 

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

 

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

 

What you need to know about Asclera2022-09-19T20:24:13-07:00

Venous insufficiency and leg ulcers

2022-09-19T19:22:14-07:00

Chronic venous insufficiency and leg ulcers

 

What is chronic venous insufficiency?

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

Venous stasis skin changes associated with venous insufficiency include:

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

HOW IS CVI TREATED?

The treatment of CVI cannot reverse the skin changes but it can prevent it from worsening and ulceration. In our experience, treatment of underlying venous reflux reduces the inflammatory changes and the skin may become less itchy and dry, but the permanent skin discoloration does not disappear. Treatment involves correction of the underlying venous reflux.

HOW ARE LEG ULCERS TREATED?

Venous leg ulcers, depending on the severity, can be healed with a combination of correction of the underlying venous reflux, wound care clinic referral, and compression therapy. A detailed ultrasound will determine what specific treatment is needed depending on where the underlying reflux lies (for example, in the saphenous veins, perforator veins and tributaries). Deep vein reflux is also present in many individuals with ulcers.

 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

 

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

 

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

 

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

 

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

 

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

 

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

 

Venous insufficiency and leg ulcers2022-09-19T19:22:14-07:00

What is VenaSeal?

2022-09-19T19:15:25-07:00

What is VenaSeal?

The U.S. Food and Drug Administration (FDA) approved the VenaSeal Closure System to permanently treat varicose veins by sealing the affected superficial veins using an adhesive agent.

The VenaSeal Closure System is a unique, minimally invasive treatment that uses a safe-for-the-body medical glue to quickly and effectively treat varicose veins (venous reflux disease). Using ultrasound, a doctor will guide a tiny catheter through a small access site in the skin and into the diseased area of the vein. Next, the VenaSeal dispenser delivers a very small amount of medical glue to close the vein. Once the affected vein is closed, blood is immediately re-routed through other healthy veins in the leg.

Unlike other treatments, VenaSeal does not require anesthesia to be injected into the leg via multiple needle sticks (tumescent anesthesia), and because there are no pre-procedures drugs involved, patients can return to their normal activities right after the treatment. Unlike heat-based procedures, with VenaSeal there is no risk of skin burns or nerve damage. VenaSeal usually does not require any post-treatment pain medication or uncomfortable compression stockings.

The VenaSeal closure system is the only non-tumescent, non-thermal, non-sclerosant procedure that uses a proprietary medical adhesive delivered endovenously to close the vein. This unique approach eliminates the risk of nerve injury when treating the small saphenous vein, which is a risk sometimes associated with certain thermal-based procedures. Clinical studies have demonstrated that the procedure is safe and effective.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

 

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

 

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

 

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

 

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

 

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

 

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

 

 



What is VenaSeal?2022-09-19T19:15:25-07:00

Varicose Veins Patient Transformations

2022-09-19T19:09:06-07:00

Varicose Veins: Patient Transformations 

What are varicose veins?

Varicose veins are the twisted, bulging veins just beneath the surface of the skin. They 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, and are very common. 

What causes varicose veins?

Varicose veins are caused by leaky vein valves, which allow blood to pool within the veins causing them to stretch and become enlarged. Varicose 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.

La Jolla Vein Care Before and After Transformations:

 

At La Jolla Vein & Vascular, we are here for our patients from beginning to the end. We love seeing the transformations that take place. Below are a few cases from our patient transformations from before varicose vein treatment to after varicose vein treatment. 

49 BA VV varicose DSCF9517 fotor 50 BA VV varicose DSCF9555 fotor 51 BA VV varicose DSCF9625 fotor scaled 1

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

 

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

 

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

 

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

 

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

 

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

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

Varicose Veins Patient Transformations2022-09-19T19:09:06-07:00

Uterine Fibroid Embolization (UFE)

2022-09-19T19:03:10-07:00

What is Uterine Fibroid Embolization (UFE)

With modern medication and care, conditions like fibroid tumors have become more treatable and easier to manage. Uterine Fibroid Embolization (UFE), for instance, is a fairly straightforward procedure used in the treatment of fibroid tumors in the uterus.

Sometimes referred to as uterine artery embolization (UAE), the uterine fibroid embolization (UFE) procedure helps countless women plagued by fibroid tumors.

What does the uterine fibroid embolization treatment entail, and how can you prepare for the procedure? Here’s everything you need to know about uterine fibroids treatment.

What is Uterine Fibroid Embolization?

The muscular walls of the uterus can sometimes be invaded by non-cancerous fibroid tumors. These tumors are also known as myomas and are a form of benign tumors. While these fibroid tumors rarely become cancerous, they can lead to other severe conditions such as increased menstrual bleeding, bowel or bladder pressure, and pelvic discomfort. 

Admittedly, while uterine fibroid embolization shows a high success rate, more research is still needed on the subject. For instance, at the moment, the procedure is usually performed on women who no longer desire to get pregnant. The UFE procedure may also be used on women who wish to avoid a hysterectomy procedure. 

When is Uterine Fibroid Embolization Used? 

 

As mentioned above, uterine fibroid treatment is rather straightforward and minimally invasive. As a result, the procedure can be used in a wide variety of cases. Some of the instances where the treatment is necessary or advocated for include;

  • Malignant gynecological tumors
  • Hemorrhage after childbirth
  • General or specific trauma

 

How to Prepare for a Uterine Fibroid Embolization Procedure

 

The healthcare professional will first need to ascertain if the fibroid tumors are the underlying cause of any visible and diagnosable symptoms. Afterward, they’ll need to determine the size, location, and the number of fibroids. This can be done with the help of an ultrasound machine or magnetic resonance imaging (MRI) equipment.

Moreover, your gynecologist may also need to run a physical examination through a laparoscopy examination. This test gives a clearer picture of the uterus and the invasive fibroids. You could also have a biopsy of the inner lining of the uterus if you are bleeding excessively in between your periods. The procedure known as endometrium helps rule out cancer as the cause of bleeding.

If you are on any medication, supplements, or herbal remedies, you’ll need to inform the doctor before the procedure. Additionally, make a list of any known allergies, including general and local anesthesia and the dye or contrast materials.

It’s also wise to notify the healthcare team if you have recently suffered an illness, just finished treatment, or are on other medication. For example, if you’re on blood thinners, the healthcare provider may advise you temporarily halt the medication in preparation for the procedure.

Women who suspect they are pregnant should let the doctor know well before the uterine fibroid embolization treatment. Some imaging tests are usually not performed during pregnancy in a bid to minimize any radiation exposure to the fetus. In the case of an imaging test, such as an x-ray, which is essential to the operation, particular care guidelines must be followed to manage and reduce radiation exposure.

While preparing for the procedure, you’ll likely be put off solid meals after midnight to the procedure’s day. While the procedure takes a few hours, the doctor could request to stay overnight for further observation.

 

What Equipment to Expect

 

Since this is a minimally invasive procedure, the tools and equipment used are reasonably common and risk-free. Some of the equipment to be used in uterine fibroid embolization treatment includes a catheter, x-ray machines, and various embolic agents and medications.

The synthetic material used is known as embolic agents and varies in composition and efficacy. The three most common types of embolic agents are;

-Gelfoam whose texture resembles spongy material

-Polyvinyl alcohol, which resembles coarse sand

-Microspheres, which is a polyacrylamide sphere coated with gelatin

These tolls, equipment, and medication are all safe to use during the uterine fibroid embolization treatment.

 

Benefits and Risks Associated with Uterine Embolization Treatment

 

Some of the advantages of uterine fibroid embolization include;

-There’s no need for surgery as the procedure is minimally invasive

-You can resume regular activity sooner and faster

-The procedure is highly effective, boasting well over 90% efficacy rating

-Fibroids rarely regrow after the uterine embolization treatment

-On the other hand, some of the risks that could occur during the procedure are;

-The procedure pierces the skin and could leave an infection if not properly cleaned

-The embolic agents need to be guided carefully, or they could lodge in the wrong area

-Fibroids can lead to chronic pain and an array of other conditions. With uterine embolization treatment, you can now get relief and get back to your healthy self.

 

What To Expect during Uterine Fibroid Embolization Procedure

 

A UFE usually takes between 1 and 3 hours and patients usually require about 6 hours of bed rest after the procedure. Patients may experience mild discomfort as the embolization takes full effect. The fibroid tumors breaking down and exiting the body may cause light bleeding for the few weeks after the procedure. Most patients can expect to return to normal activity 7 to 10 days after the procedure. Our physicians will most likely recommend a follow-up consultation after the UFE 1 to 3 weeks afterward and an ultrasound or MRI 3 to 6 months later to monitor your progress.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

 

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

 

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

 

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

 

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

 

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

 

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


Uterine Fibroid Embolization (UFE)2022-09-19T19:03:10-07:00

Spider Veins Patient Transformations

2022-09-19T18:58:28-07:00

What are spider veins?

Spider veins are the fine, thread-like reddish veins at the surface of the skin. Spider veins are not healthy. Spider 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 the spider veins.

What are the symptoms?

Vein conditions affect people differently. For some, spider 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. Spider 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.

 

spider spider 11 BA SV spider DSCF4741 Fotor Collage scaled 1

 

 

 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

Spider Veins Patient Transformations2022-09-19T18:58:28-07:00

Vein Health & Compression Stockings

2022-09-19T18:38:39-07:00

Why Compression Stockings:

Compression is an important part of the overall healing process. As a result, you’ll need to wear compression stockings following the vein treatments from La Jolla Vein Care to ensure you get the best outcomes. Physiologically, compression therapy increases venous blood flow back to the heart, reduces reflux in diseased veins, increases venous blood flow, reduces elevated water content of the tissue, reduces inflammation, and sustains reparative processes. In short, compression therapy not only improves results after treatment, but it also improves blood flow and reduces symptoms and swelling in the legs. 

 

  1. Compression stockings offer style after vein treatment:

In the past, patients recovering from varicose vein treatments were limited in both mobility and style. After a procedure, patients were required to wear compression stockings in a lovely shade of beige. This might work if you’re looking to hang around the house for a couple months. If you’re ready to live an active life while you heal, however, you can get medical grade compression stockings that are fashionable, stylish, and comfortable.  At La Jolla Vein Care, you get more than a safe and effective alternative to surgery—you get access to customized compression stockings in a variety of styles from the leading brands, including Sigvaris, Medi, ComfoMed, Ames Walker, and JOBST.  While we are more than happy to order beige stockings for you, it’s good to know that you have options—the option to look good, feel good, and heal in style.

  1. Compression stockings help prevent deep vein thrombosis: 

Stay moving, avoid prolonged sitting. For example, when flying or traveling, the risk of DVT is 1% on a long haul flight (greater than 6 hours).  

To minimize this risk, you should wear compression stockings (which helps increase the blood flow in the legs), stay hydrated, avoid excessive alcohol, use the calf muscles- walk about the cabin and frequently pump the calf muscles by doing foot lifts.

During pregnancy, compression stockings should be worn and after pregnancy, when the risk of DVT is highest (the likelihood of a blood clot postpartum is 40-65 for every 10,000 women).

 

  1. Compression stockings increase athletic performance: 

Compression stockings are known for improving circulation after the removal of varicose veins. But can they improve athletic performance? The answer is a resounding yes. According to Medi, compression sport stockings are clinically proven to increase performance. Over the course of a marathon, for example, running time is reduced by approximately five minutes while the exertion on your muscles is reduced by roughly six percent. Moreover, a study by Technische Universität Dresden reveals that blood circulation is 30% higher at rest after engaging in certain athletic activities when wearing compression sport stockings. So whether you’re a jogger checking out the scenery or a hard-core athlete training for a marathon, there’s something to help you reach your peak.

 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

 

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

 

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

 

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

 

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

 

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

 

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

 

Vein Health & Compression Stockings2022-09-19T18:38:39-07:00

The connection between cholesterol and vascular health

2022-09-19T18:13:55-07:00

How cholesterol affects your vascular health

When it comes to vascular disease, cholesterol is enemy number one. Cholesterol is a waxy, fat-like substance found in the walls of human cells. The human body produces cholesterol but it also comes from foods that are high in animal fats such as eggs, cheese and meat.

But all cholesterol is not created equal. It comes in two very different types:

  • Good cholesterol, or high-density lipoprotein (HDL), helps keep arteries from becoming blocked.
  • Bad cholesterol, or low-density lipoprotein (LDL) can build up and cause blockages in the arteries.

Triglycerides are fats produced by the liver. They can cause the same kinds of health problems as LDL. Over time, a buildup of extra cholesterol, or plaque, can narrow the insides of blood vessels. Eventually, the plaque causes hardening of the arteries, also called atherosclerosis. This condition can lead to vascular disease, strokes, heart attacks, aneurysms and other life-threatening problems.

When doctors tell you to “know your numbers,” one of those numbers is your cholesterol level. For good vascular health:

  • Total cholesterol should be less than 200.
  • Good cholesterol (HDL) should be more than 60. 
  • Bad cholesterol (LDL) should be less than 130.
  • Triglycerides should be less than 150.

Why take statins for cholesterol control?

All types of atherosclerosis are improved when patients take statins.

Side effects are relatively rare, and if a patient does not tolerate one statin, there are many different ones that can be tried.

What are statins?

Statins act as a key control point in the metabolism of serum cholesterol.

Specifically, when “bad” (LDL) cholesterol is high, the risk of heart attack and stroke is high.

Can lifestyle changes impact cholesterol levels?

Yes. Even slight lifestyle choices can impact vascular disease. For example, a 10-pound weight loss can result in a 5 to 8 percent reduction in LDL.

If lifestyle changes are not enough to bring your numbers to a healthy level, medication may help. Total cholesterol levels that are borderline high (between 150-199 mg /dL) or high (200 mg / dL or more) may require treatment with a statin drug. Some conditions actually benefit from a statin even if your numbers are normal.

Who benefits from taking statins?

  • People who are at risk of heart attack and stroke due to high cholesterol
  • Patients with hardening of the arteries supplying oxygen-rich blood to the brain or the legs
  • Vascular surgery patients. During a vascular procedure, they have fewer complications

Do statins affect plaque in the blood vessels?

Newer research suggests that statins don’t just stop plaque from getting worse, they may also reduce plaque in the leg arteries. Studies also now suggest that statins keep plaque stable so it is less likely to break off and form blood clots that cause heart attacks and strokes. Statins also improve the function of cells inside of the artery.

Don’t statins have side effects?

Few statin side effects have been recorded since they were introduced 40 years ago. Most mild side effects, such as muscle pain and cramps, can be avoided by switching statins. Serious side effects are rare but it is important to be aware of them. They include:

  • Liver damage. This very rare condition doesn’t cause symptoms, so laboratory tests are ordered when patients first start taking statins.
  • A wide range of muscle injuries. In rare cases, inflammation of the muscles can occur. At its worst, this rapid muscle destruction can lead to kidney failure.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

 

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

 

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

 

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

 

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

 

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

 

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

 

The connection between cholesterol and vascular health2022-09-19T18:13:55-07:00

Prevention of Vein Disease

2022-09-19T18:04:33-07:00

What is chronic venous insufficiency?

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

Vein disease comes in all different forms.
Venous stasis skin changes associated with venous insufficiency include:
Darkening of the skin along the ankles
Itching and dry skin around the ankles (venous eczema)
Development of wounds around the ankles, called venous leg ulcers
When it comes to vein disease it is certainly possible to take measures that will help. Remember that varicose veins are veins that have been stretched so often that they have become chronically dilated. The trick is to limit the opportunity to distend the veins.
Here are some helpful tips to aid in vein disease prevention:
1. Wear compression stockings
2. stay fit and maintain a healthy weight
3. exercise: exercising helps your veins pump blood.
4. avoid prolonged sitting or standing
5. avoid prolonged exposure to direct sunlight
6. elevate your legs as much as possible
7. Exercising the muscles in your legs helps your veins pump blood. This, in turn, will reduce the pressure within the veins and can help reduce symptoms related to vein problems
“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

Prevention of Vein Disease2022-09-19T18:04:33-07:00
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