29, 11, 2023

Venaseal: Sealing the Deal on Venous Disease Treatment

2023-10-10T17:30:18-07:00

Venaseal: Sealing the Deal on Venous Disease Treatment

When it comes to addressing varicose veins, the VenaSeal™ closure system, with its approval from the U.S. Food and Drug Administration (FDA), offers a fresh and effective approach. Unlike conventional methods, this minimally invasive procedure employs a unique medical adhesive to permanently seal problematic superficial veins. In this blog post, we will delve into the intricacies of the VenaSeal™ system, its noteworthy advantages, and why it stands out as a secure and user-friendly option for treating varicose veins.

Understanding the Mechanics of the VenaSeal Sapheon Closure System

The VenaSeal™ Sapheon Closure System represents a groundbreaking approach to managing varicose veins, also known as venous reflux disease. Here’s a closer look at how it operates:

Minimally Invasive Technique: The procedure commences with a medical professional using ultrasound guidance to navigate a small catheter through a minor access point in the skin and into the affected vein.

Application of Medical Adhesive: The VenaSeal  dispenser then administers a minute quantity of medical adhesive to seal the vein. This adhesive effectively closes the troublesome vein, preventing further reflux.

Immediate Blood Rechanneling: Once the problematic vein is sealed, the body promptly reroutes blood flow through other healthy veins in the leg.

The Distinct Advantages of VenaSeal™

VenaSeal presents several distinct benefits when compared to traditional varicose vein treatments:

No Anesthesia or Needle Sticks: Unlike certain alternative treatments that necessitate tumescent anesthesia, involving multiple needle sticks, VenaSeal™ is virtually painless and does not involve injecting anesthesia into the leg.

No Pre-Procedural Drugs: Patients can resume their regular activities immediately after the procedure, as there are no pre-procedure drugs involved.

No Risk of Burns or Nerve Damage: Unlike procedures that rely on heat, VenaSeal  eliminates the risk of skin burns or nerve damage, ensuring a safer experience.

Minimal Post-Treatment Discomfort: In most cases, patients do not require post-treatment pain medication or uncomfortable compression stockings, making the recovery process considerably more comfortable.

A Unique and Secure Approach

The VenaSeal™ closure system is the sole non-tumescent, non-thermal, non-sclerosant procedure that utilizes a proprietary medical adhesive administered endovenously to seal the vein. This distinctive approach offers several significant advantages:

Reduction of Nerve Injury Risk: Unlike procedures that rely on thermal methods, VenaSeal™ significantly reduces the risk of nerve injury, particularly when treating the small saphenous vein.

Proven Clinical Safety and Efficacy: Clinical studies have consistently shown that the VenaSeal™ procedure is both safe and effective for treating varicose veins.

For those in search of a safe and minimally invasive solution for varicose veins, the VenaSeal™ closure system presents a promising option. With its unique medical adhesive approach, absence of anesthesia, and minimal post-treatment discomfort, VenaSeal™ distinguishes itself as a convenient and effective choice for permanently addressing varicose veins. Bid farewell to the discomfort of venous reflux disease and welcome a future characterized by health and freedom from pain with VenaSeal™.

“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

Venaseal: Sealing the Deal on Venous Disease Treatment2023-10-10T17:30:18-07:00

Crawling up your legs: Understanding spider veins in and out

2023-10-09T18:19:51-07:00

Crawling up your legs: Understanding spider veins in and out

spider veins

Spider veins, those delicate reddish veins that grace the skin’s surface, can indeed be a source of cosmetic concern for many individuals. Despite often being regarded as a minor issue, spider veins can offer insights into underlying problems that extend beyond their aesthetic appearance. In this article, we embark on a journey into the realm of spider veins, delving into their origins, symptoms, and the most efficacious treatment options available. Let’s unveil the truth about these tiny veins and discover how to effectively manage them.

Deciphering Spider Veins

Spider veins, also scientifically known as telangiectasias, manifest as fine, thread-like veins that intricately weave a web-like pattern just beneath the skin’s surface. These veins may present themselves in a spectrum of colors, ranging from red and blue to purple. While they may appear innocuous, spider veins can potentially unveil more about your vein health than meets the eye.

The Link to Feeder Veins and Venous Insufficiency

Although spider veins themselves aren’t typically categorized as a major health concern, they can be closely linked to less visible feeder veins or reticular veins. These feeder veins are often connected to more prominent veins and may serve as indicators of venous insufficiency—a condition wherein veins struggle to efficiently transport blood back to the heart. For instance, when spider veins appear in specific areas like the inner ankles or inner thighs, it could be indicative of an underlying issue with the saphenous vein. Medical experts may recommend ultrasound examinations to precisely pinpoint and effectively address the source of these veins.

Recognizing the Telltale Symptoms

Spider veins can manifest differently in individuals. While some may perceive them as a purely cosmetic concern without any physical discomfort, others may encounter symptoms such as a burning sensation, throbbing, localized pain, itchiness, and, in more severe instances, even bleeding. Being vigilant about these symptoms is crucial in determining the appropriate steps for managing and treating spider veins.

Uncovering the Culprits

On the legs, these veins often share a common cause with varicose veins—dysfunctional vein valves. When these valves fail to prevent the pooling of blood within the veins, it leads to their expansion and elongation. Conversely, spider veins on other parts of the body, such as the face and chest, can arise from factors like sun damage, hormonal fluctuations, or liver disease. Hormonal changes resulting from pregnancy, birth control use, or hormone replacement therapy can weaken vein walls, rendering them susceptible to the emergence of spider veins.

spider veins

Identifying Those at Risk

Numerous factors can heighten an individual’s susceptibility to developing spider veins. These risk factors include genetic predisposition, pregnancy, female gender, advancing age, excess body weight, hormonal imbalances, and extended periods of sitting or standing. Recognizing these risk factors can aid in both prevention and early intervention.

Effective Treatment Choices

For those seeking relief, a range of treatment options awaits. The most prevalent approach for addressing spider veins on the legs is sclerotherapy. This procedure entails the injection of a liquid sclerosant medication into the affected veins, prompting their closure, scarring, and eventual fading. Typically, multiple sessions are recommended for optimal results. While lasers can also be employed to target fine spider veins, sclerotherapy remains the gold standard for spider vein treatment due to its effectiveness.

Though spider veins may seem like a minor concern, they can provide valuable insights into your vein health. Whether your concern lies in their appearance or you’re experiencing discomfort, it’s essential to fathom the potential underlying causes and seek appropriate treatment. By addressing spider veins with early intervention and effective treatments like sclerotherapy, you can not only enhance their appearance but also promote better overall vein health. Remember, caring for your veins is an investment in your well-being, one that yields dividends in both comfort and confidence.

“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

Crawling up your legs: Understanding spider veins in and out2023-10-09T18:19:51-07:00

26, 10, 2023

La Jolla Vein & Vascular Expertise and Medical Team-Ultrasound Test Team

2023-09-29T22:13:52-07:00

La Jolla Vein & Vascular Expertise and Medical Team-Ultrasound Test Team

2 4 ultrasound tech ultrasound tech

When it comes to your vascular health, precision and accuracy are paramount. Venous ultrasound tests, which play a pivotal role in diagnosing vascular conditions, require the expertise of highly trained professionals. In this blog post, we will introduce you to the unsung heroes behind the scenes – the Registered Vascular Technologists (RVTs) who perform venous ultrasound tests and ensure the highest standards of quality and accuracy.

The Role of a Registered Vascular Technologist (RVT)

Venous ultrasound tests are not your typical medical imaging procedures. They demand a unique set of skills and a deep understanding of vascular anatomy and function. That’s where RVTs come into play. But who exactly are RVTs, and what sets them apart?

Meet the Experts: RVTs

  • Specialized Education: RVTs undergo rigorous training to excel in their field. They complete a two-year ultrasound program, which serves as the foundation for their expertise. But their learning doesn’t stop there.
  • Additional Clinical Training: Beyond the classroom, RVTs receive extensive clinical training. This hands-on experience allows them to apply their knowledge in real-world scenarios and fine-tune their skills.
  • Certification by ARDMS: The American Registry for Diagnostic Medical Sonography® (ARDMS®) is the gold standard for sonographers. To become an RVT, individuals must meet ARDMS’s stringent certification requirements. This process ensures that RVTs are at the forefront of their profession.

Why RVTs Are Essential for Venous Ultrasound Testing

Venous ultrasound testing is a complex process that demands precision and adherence to specific protocols. Here’s why having an RVT perform the test is crucial:

  • Accreditation Standards: Accredited ultrasound facilities must adhere to strict standards to maintain their accreditation. RVTs follow specific protocols for each study to meet these accreditation standards, ensuring the highest level of quality.
  • Anatomic Expertise: RVTs have a deep understanding of vascular anatomy. They know exactly where to take images and how to use special waveforms to visualize blood flow accurately.
  • Physician Collaboration: All images captured by RVTs are reviewed by physicians. This collaboration ensures that the findings are accurate and can guide the best course of action for patients.

The accuracy of venous ultrasound testing is a result of the dedication and expertise of Registered Vascular Technologists (RVTs). These highly trained professionals play a vital role in your vascular health journey, ensuring that every test is performed with precision and adheres to the highest standards.

The next time you undergo a venous ultrasound test, rest assured that it’s in the capable hands of an RVT. Their commitment to excellence and their contribution to accurate diagnoses are essential elements of your overall well-being.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

Please follow our social media Instagram Profile 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

La Jolla Vein & Vascular Expertise and Medical Team-Ultrasound Test Team2023-09-29T22:13:52-07:00

29, 9, 2023

Navigating vascular health: Insights to Ultrasound-Guided Foam Sclerotherapy

2023-08-31T19:14:54-07:00

Navigating vascular health: Insights to Ultrasound-Guided Foam Sclerotherapy

ultrasound

Ultrasound-Guided Foam Sclerotherapy: Elevating Vein Health

When it comes to combating surface varicose veins and those that remain hidden to the naked eye, the prowess of ultrasound-guided foam sclerotherapy shines. This advanced technique combines precise administration with ultrasound visualization, offering a safe and effective solution for various vein conditions. In this article, we delve into the details of ultrasound-guided foam sclerotherapy, the role of polidocanol (Asclera®), treatment frequency, and what you can expect on your treatment days.

Unveiling Ultrasound-Guided Foam Sclerotherapy: A Cutting-Edge Solution

Ultrasound-guided foam sclerotherapy harnesses the power of technology and medical expertise to target varicose veins that may not be immediately visible. The foam medication, guided by ultrasound, is precisely directed towards nearby varicose veins. This technique is not only effective for veins near the skin or nerves but also navigates veins with complex twists and turns.

Polidocanol (Asclera®): A Preferred Sclerosant

In the realm of sclerosant medications, polidocanol, under the brand name Asclera®, stands out as a preferred choice. Its comfort for patients and minimal risk of side effects make it a prime candidate for treatment. As a detergent-type medication, polidocanol gently disrupts the inner lining of veins. This action halts blood flow, eventually leading to the complete closure of the vein. Polidocanol, approved by the FDA since 2010 for varicose vein treatment, has a substantial track record of success in Europe for decades. The transformation of polidocanol into foam for treating larger veins, although an off-label use, has proven remarkably effective and well-tolerated by patients. Our seasoned experts at La Jolla Vein Care boast extensive experience in foam sclerotherapy, ensuring your vein health is in capable hands.

Treatment Frequency: A Personalized Approach

The number and frequency of treatments vary based on individual anatomy, vein response to treatment, and patient goals. On average, 2 to 5 treatment sessions achieve an 80% improvement. Some larger or stubborn veins may necessitate two or more sessions to achieve complete response.

Your Treatment Days: A Guided Journey to Vein Wellness

Preparing for your ultrasound-guided foam sclerotherapy treatment day is straightforward:

  • Consent and Attire: You’ll sign a consent form and change into provided shorts.
  • Skin Preparation: Your skin will be cleaned with alcohol, and ultrasound will be used to locate the veins for targeted treatment.
  • Injection Process: The foam medication will be injected into your veins using a fine needle, guided by ultrasound.
  • Recovery Period: You’ll elevate your legs on a comfortable wedge pillow for around 15 minutes post-treatment.
  • Compression Stockings and Walking: Following treatment, compression stockings will be applied, and you’ll walk for 30 minutes before departing. It’s normal to experience achiness and tenderness after treatment.

Ultrasound-guided foam sclerotherapy paves the way for enhanced vein health, offering precision and efficacy. At La Jolla Vein & Vascular, our dedicated medical team is committed to providing personalized care for your vein health journey. By embracing cutting-edge techniques like ultrasound-guided foam sclerotherapy, you’re embarking on a path to healthier, pain-free legs and elevated well-being.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

Please follow our social media Instagram Profile 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



Navigating vascular health: Insights to Ultrasound-Guided Foam Sclerotherapy2023-08-31T19:14:54-07:00

30, 8, 2023

Chemical Ablation: Varithena

2023-05-24T17:13:43-07:00

Varithena (polidocanol injectable foam)

is a prescription medication used to treat the great saphenous vein system (GSV) and associated varicose veins of the GSV system. Varithena improves the symptoms of superficial venous incompetence and the appearance of visible varicosities. It is a non-thermal, non-tumescent, nearly painless method of vein treatment.

WHAT IS VARITHENA?

Varithena

Foam Sclerotherapy

Varithena is a “microfoam” formulation of polidocanol (sclerosing agent) and CO2.

The result is a microfoam that has an appearance and consistency similar to white, foamy shave cream.

Ultrasound guidance is used to inject Varithena® microfoam into the vein. The microfoam fills the lumen for circumferential

contact where it’s designed to displace blood and destroy the endothelial lining efficiently.

Varithena® may be recommended based on your vein location, size, anatomy and vein tortuosity.

Varithena® is:

  • Effective to treat veins of different sizes above and below the knee
  • Requires no incisions, sedation or general anesthesia
  • Does not require a wire to be inserted along the length of your vein
  • Does not use heat, eliminating the risk of thermal injury

How many treatments will I need?

The number and frequency of treatments depends on a patient’s anatomy, how quickly the veins respond, and the patient’s treatment goals.  There is a limit on the amount of medication we can give you each day to avoid causing side effects.  Some larger or resistant veins may require two treatments to respond completely but most veins respond to Varithena® after one treatment.

WHAT SHOULD I EXPECT ON THE DAY OF TREATMENT?

You will sign your consent form then change into shorts provided by the office.  We will clean your skin with alcohol, then use ultrasound to localize the veins.  The foam medication will then be injected into your veins with a fine needle.  The foam fills and treats the desired section of the vein.  The diseased vein collapses and the foam is deactivated.  Your legs will be elevated on a comfortable wedge pillow for approximately 15 minutes. After your treatment, we will help you into your compression stockings, then you will walk for 30 minutes prior to getting in your car.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

 

Chemical Ablation: Varithena2023-05-24T17:13:43-07:00

23, 2, 2023

Patient transformations with venous disease: varicose veins

2023-01-14T13:34:03-08:00

What are varicose veins?

Varicose veins (venous disease) are the twisted, bulging veins just beneath the surface of the skin. Varicose 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 of venous disease.

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.

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. 

La Jolla Vein & Vascular Before and After Transformations:

venous 14 BA VV varicose DSCF0646 fotor 15 BA VV DSCF0907 fotor scaled 1 16 BA VV varicose DSCF0910 fotor

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. 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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



Patient transformations with venous disease: varicose veins2023-01-14T13:34:03-08:00

29, 12, 2022

What is the process of being diagnosed with PAD?

2022-10-24T15:02:49-07:00

Peripheral Arterial Disease – Diagnosis

At La Jolla Vein & Vascular, we have highly trained physicians who offer a comprehensive diagnosis to develop customized treatments of Peripheral artery disease (PAD). We understand that no two patients’ conditions are similar. Our full-service vascular lab provides state-of-the-art testing to ensure that our physicians address each patient case quickly and accurately. Our doctors and nurses also have broad experience in this field and use advanced tools to achieve limb-saving results even for challenging, impaired patients. Our PAD diagnosis procedure involves the following:

Detailed Physical Exam

To help diagnose Peripheral Arterial Disease, our skilled doctor will start by doing a thorough physical examination. The doctor will also want to learn about your signs, symptoms, personal health history, risk factors, and family health history. The doctor will ask you several questions regarding your medical conditions, such as diabetes, heart disease, and kidney disease. They will also ask you whether you experience pain or cramps in your leg while walking or exercising.

The doctor will also ask about your family history of PAD and other heart diseases. You will also discuss your smoking habit, either current or in the past. After gathering the information, the doctor will proceed to perform a detailed physical examination. The process involves checking for weak pulses in your leg, listening for poor blood flow in the legs using a stethoscope. The physician will also check for any problems on your legs, such as sores, swelling, and pale skin.

Detailed Physical Exam

Ankle-brachial index (ABI)

Ankle-brachial index (ABI test) helps diagnose PAD. This test usually compares the blood pressure in your arm with the blood pressure in your ankle. The doctor usually uses a pressure cuff together with an ultrasound device. Sometimes, the physician may request you to walk on a treadmill and have the doctor take the readings before and immediately after the exercise. The procedure will help the doctor to capture the severity of the narrowed arteries.

Arterial Ultrasound

La Jolla Vein & Vascular doctors also use ultrasound-guided procedures to determine whether a specific vein or artery is blocked or open. The procedure is non-invasive, meaning that you will not experience any pain. The technique visualizes the artery with sound waves that measure the blood volume that flows in the veins and arteries. After the procedure, the patients receive a thorough consultation. The doctor will recommend the most effective treatment option to help promote blood flow to the feet and leg.

The treatment will help reduce leg pain, promote healing of sores and increase the mobility of the affected limb. Doctors utilize two main ultrasound methods. The first method is the Doppler ultrasound utilized to locate areas with blockages or reduced blood flow. The procedure involves using a handheld device that sends sound waves through the arteries to measure how fast blood flows. The second method is the segmental Doppler pressure testing that checks various parts of the legs for blocked or narrowed arteries. The procedure is similar to the ABI test, but the ultrasound device will amplify the sound of blood flow, making it easy to measure blood pressure and diagnose peripheral arterial disease. 

Angiography (venography)

Angiography is minimal invasive testing that helps to visualize and diagnose blockages inside veins and arteries. In this procedure, the physician will insert a thin tube that injects a special dye that enables blood vessels to appear on an X-ray. As the dye is introduced to the arteries and veins, fluoroscopy imaging captures the detailed images to see the extent of blockages in the arteries.

Blood Tests

Doctors also take a sample of your blood to measure the levels of cholesterol and triglycerides. Blood samples are also used to check for diabetes.

Magnetic Resonance Angiography (MRA)

MRA tests are conducted to examine the structure of the arteries in your leg. However, the doctor will speak to you before using the procedure. Magnetic resonance angiography is not recommended for people with metal implants in their bodies.

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 the process of being diagnosed with PAD?2022-10-24T15:02:49-07:00

22, 11, 2022

Ways to treat varicose veins without procedures

2022-10-24T11:24:45-07:00

Ways to treat varicose veins without procedures: conservative management and self-care.  

Conservative Management and Self-Care for Varicose Veins

Conservative management and lifestyle changes can ease the symptoms of varicose veins and help reduce complications such as thrombophlebitis (blood clots within veins) and vein rupture, but do not cause the veins to vanish. These measures are helpful if an individual is not a candidate for vein procedures or wishes to delay interventional treatment. More common options include:

Compression stockings: These elastic stockings squeeze or compress the veins to help circulate blood. The compression stockings prevent blood from flowing backward and pooling in the legs. 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. Compression stockings come in different strengths and the most common strength for the treatment of varicose veins is 20-30mmhg. Your doctor should advise you which strength of compression stockings you should wear. In patients with peripheral arterial disease (PAD), diabetics, and neuropathies, compression may be contraindicated or lesser strengths of compression may be advised. 

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. 

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. 

Avoid inactivity: Standing or sitting for long periods of time can aggravate your vein condition. 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. 

Dietary Supplements: Supplements such as horse chestnut and grape seed extract can help reduce symptoms of venous disease. Vasculera 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. 

Dietary Changes and High Fiber Diet: A flavonoid rich diet including berries, and green teas, can reduce inflammation and pain. A high fiber diet can increase abdominal pressure and may be helpful for varicose veins. Make sure to drink plenty of water with your high fiber diet. 

Anti-inflammatory Medications: are helpful to reduce pain and inflammation, but check with your doctor first to make sure you don’t have contraindications to using them. Ibuprofen and Advil are common oral anti-inflammatory medications. There are also anti-inflammatory cream or gels that can be applied topically to the painful veins, such as Voltaren gel. 

Ice packs: and heating pads can be applied to tender veins. Ice packs and heating pads can be used in an alternating manner. 

Weight loss or maintaining a healthy weight: Being overweight puts extra pressure on your veins. It’s optimal to manage your weight to reduce extra symptoms and pain. These are the 9 best ways to treat varicose veins with conservative management. 

 

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. 

 

Ways to treat varicose veins without procedures2022-10-24T11:24:45-07:00

Treatment for reticular veins

2022-10-24T11:12:10-07:00

The best treatment for Reticular Veins is through a painless alternative to traditional sclerotherapy: Cryo-Sclerotherapy.

Why have I been offered cryo-sclerotherapy?

We recommend patients undergo cry-sclerotherapy to mainly treat spider veins and small varicose veins at the skin surface (also known as reticular veins). Traditional sclerotherapy involves injection of a medication into the vein using a tiny needle. This causes the vein to collapse and eventually fade away. The medication will be administered in a liquid and /or foam formulation, depending on the size of the veins. Cryo-sclerotherapy is the combination of traditional sclerotherapy in combination with the use of a cryo device. The cryo device delivers puffs of cold air simultaneously during sclerotherapy. The result  is the cold air anesthetizes the skin so the treatment is relatively painless. This is especially helpful for treatment of sensitive areas like the inner ankles and thighs. Instead of feeling the needle prick, you will feel puffs of cold air instead. The cold air may also reduce bruising and pain. 

What should I expect on my treatment days? 

You will sign your consent form then change into shorts provided by the office. We will clean your skin with alcohol. The sclerosant medication will then be injected into your veins with a fine needle. Just before the needle is used, you will feel puffs of cold air. The cold air will anesthetize the skin, so that the prick from the needle is not felt or lessened. Every time the needle is used, you will feel puffs of cold air instead. After your treatment, we will help you into your compression stockings, then you will walk for 30 minutes prior to getting in your car. It is normal for your legs to be achy and tender to the touch after treatment. 

What should I do after treatment?

You will be instructed on how long to wear compression stockings after 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. 

You may shower with the stockings on or take a quick cool shower with them off. 

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. 

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 should I avoid after 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. 

What are the possible side effects? 

You will likely have some bruising over the injection sites, then the treated veins may become firm and blue. 

The skin overlying 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. Some patients temporarily develop some very fine, pink spider veins in areas where veins have been treated (telangiectatic matting). These usually resolve spontaneously over several weeks but occasionally require additional treatment to clear. 

Many patients will feel their veins look a bit worse in the first month after sclerotherapy, but through the best treatment for reticular veins, cryo-sclerotherapy, patients have reported it to be a more painless approach for treatment.  

 

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. 

 

Treatment for reticular veins2022-10-24T11:12:10-07:00

Phlebectomy

2022-10-24T10:51:24-07:00

Micro-Phlebectomy for varicose veins 

A phlebectomy is a minimally invasive procedure, which is the surgical removal of bulging varicose veins through tiny skin incisions. This procedure is performed in the office with local anesthesia. Phlebectomy is also known as micro phlebectomy (because the incisions are tiny) or it can also be referred to as ambulatory phlebectomy. 

What are the options for treating bulging varicose veins at the skin surface? 

There are two main techniques to treat varicose veins: 

  1. Phlebectomy: surgical removal of the veins
  2. Foam sclerotherapy: injection of a medicated foam to close the veins

Sclerotherapy is the least invasive, but patients with large and or numerous bulging veins may require several sclerotherapy appointments over two or more months. This is because we can only administer a small amount of foam medication per day and larger veins may require two or more injections to close. Larger veins can also become firm and tender after sclerotherapy and/or deposit brownish blood pigments in the skin as the veins are healing. 

Why was I offered a phlebectomy?

Patients with bulging varicose veins may prefer to start with micro-phlebectomy removal of the largest veins, then sclerotherapy treatment for the remaining veins. This reduces the number of appointments and accelerates recovery. 

How does the procedure work?

The skin is numbed with lidocaine, then a tiny puncture is made in the skin (about ½ the size of a grain of rice). We then infuse additional numbing medication around the veins. A small hook is used to bring the vein to the skin surface, then the vein is removed. 

What should I expect on the day of treatment? 

The procedure is performed with local anesthesia, but many patients elect to use a mild oral sedative (Valium), which is taken after checking in and completing all paperwork. We will mark your bulging veins with a marker. A small hook will be used to bring the veins to the surface. More numbing medication will be infused around the veins. You will feel pressure as the veins are removed but not pain. Usually about 10-12 veins are removed. 

Once the procedure is done, we will apply skin glue to the tiny puncture sites, then sterile bandages. We will help you into your compression stocking and place an ACE wrap around the treated area. You will walk for 30 minutes prior to getting in your car. The ACE wrap can be removed that night or the next day. You will wear the compression stocking for 72 hours continuously. 

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. 

 

Phlebectomy2022-10-24T10:51:24-07:00
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