8, 5, 2024

A patient’s guide to Radiofrequency perforator ablation procedure

2024-05-13T23:29:31-07:00

Radiofrequency perforator ablation emerges as a crucial procedure for addressing perforator veins, the short connections between deep and superficial veins. These veins, vital for maintaining proper circulation, can suffer from valve damage and retrograde blood flow, leading to various vein disorders and potential skin complications. Understanding the function of perforator veins and the treatment process for their dysfunction is paramount for individuals seeking relief from associated symptoms.

What are Perforator Veins?

Patient’s Guide to Radiofrequency Perforator Ablation

Patient’s Guide to Radiofrequency Perforator Ablation

Perforator veins act as bridges between the superficial and deep venous systems in the extremities, facilitating the flow of blood from superficial veins to deep veins. Equipped with one-way valves, these veins prevent the backflow of blood and maintain efficient circulation. However, when these valves malfunction, reflux occurs, leading to an accumulation of blood and pressure, causing incompetence in both superficial veins and perforator veins. This dysfunction, particularly prevalent in the lower leg and ankle, can result in edema, skin discoloration, dermatitis, and even skin ulcers.

Indications for Treatment

Individuals experiencing venous leg ulcers, pre-ulcerative skin changes, persistent varicose veins, leg pain, or swelling may benefit from radiofrequency perforator ablation. By addressing the underlying cause of these symptoms, this outpatient procedure aims to restore proper venous function and alleviate discomfort.

How Does the Treatment Work?

Radiofrequency perforator ablation is a minimally invasive outpatient procedure performed in the doctor’s office. Using ultrasound guidance, a fine needle is inserted into the perforator vein, delivering radiofrequency energy to shrink and eliminate abnormal flow between deep and varicose veins. The procedure typically lasts around 10 minutes per perforator vein, with some patients requiring treatment for multiple veins on the same leg.

What to Expect on the Day of Treatment?

The procedure is performed under local anesthesia, with optional mild oral sedation for patient comfort. Patients are positioned according to the vein being treated and offered amenities like watching a movie or listening to music. After sterile preparation and ultrasound mapping of the veins, a numbing agent is injected, followed by the insertion of the radiofrequency catheter. The vein is then painlessly treated with radiofrequency energy, and a compression stocking is applied for 72 hours post-treatment.

Aftercare and Possible Adverse Effects

Following treatment, patients are advised to walk for 30 minutes twice daily to alleviate discomfort and prevent blood pooling in the legs. Avoidance of strenuous activities, airline travel, saunas, and leg massages for specified periods minimizes the risk of complications. Common side effects include aching in the treated veins and bruising, which typically resolve within a few weeks.

Radiofrequency perforator ablation offers a promising solution for individuals suffering from vein disorders, providing effective symptom relief with minimal downtime. By addressing the underlying cause of venous reflux, this procedure promotes improved circulation and enhances overall vein health, allowing individuals to regain comfort and confidence in their daily lives. If you’re experiencing symptoms of vein disorders, consult with us today to explore the benefits of radiofrequency perforator ablation and take the first step towards healthier veins.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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



A patient’s guide to Radiofrequency perforator ablation procedure2024-05-13T23:29:31-07:00

Patient guide for an endovenous radiofrequency ablation (RFA) procedure

2024-05-14T01:22:46-07:00

ClosureFast™, an endovenous radiofrequency ablation (RFA) procedure, offers a revolutionary solution for combating the backward flow of blood, known as “Venous reflux,” in the saphenous veins. These veins, namely the great saphenous veins and small saphenous veins, are pivotal superficial veins located along the inner and back of the leg, respectively.

This minimally invasive procedure, often completed in less than an hour, is designed to restore proper blood flow and alleviate symptoms associated with venous reflux. Patients typically experience a swift recovery and can resume their usual level of activity on the same day.

How Does the Treatment Work?

radiofrequency ablation

The ClosureFast™ procedure begins by numbing the skin with lidocaine. A tiny wire and the ClosureFast® catheter are then inserted into the affected vein. The catheter delivers radio-frequency energy to the vein wall, effectively sealing it shut. Despite this closure, blood circulation remains unaffected as the remaining healthy veins continue to efficiently transport blood back to the heart.

What Should I Expect on the Day of Treatment?

The procedure is performed under local anesthesia, with the option for patients to use a mild oral sedative, such as Valium, for added comfort. Patients are encouraged to wear a gown and leave their underwear on during the procedure. Depending on the vein to be treated, patients may lie on their back or belly, with special accommodations made for comfort, such as body positioning and the use of pillows.

To ensure comfort and relaxation, patients have the option to watch a movie on Netflix or listen to music during the procedure. Once settled, the skin around the affected vein(s) is prepped with a cleansing solution for a sterile procedure. The doctor then uses ultrasound to map the vein(s) to be treated before administering a numbing agent (lidocaine) into the skin.

A tiny puncture is made in the numb area of the skin to pass the radiofrequency catheter. Additionally, a combination of cool saline and local anesthetic is injected around the vein to be treated, numbing it and insulating it from the surrounding tissue. With the area adequately prepared, the vein is painlessly treated with radiofrequency energy.

Following the treatment, the leg is cleaned, and a compression stocking is applied, which the patient will wear continuously for 72 hours. Patients are encouraged to walk for 30 minutes before leaving the clinic to promote circulation.

ClosureFast™ Radiofrequency Ablation offers a highly effective and minimally invasive solution for addressing venous reflux and its associated symptoms. With its quick procedure time and rapid recovery, patients can reclaim comfort and confidence in their leg health with minimal disruption to their daily lives. If you’re ready to bid farewell to venous reflux, schedule a consultation with us today and take the first step towards healthier, happier legs.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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



Patient guide for an endovenous radiofrequency ablation (RFA) procedure2024-05-14T01:22:46-07:00

28, 2, 2024

What are the least invasive ways to treat veins?

2024-03-06T13:41:48-08:00

Uplifting Health Naturally: Embracing Non-Invasive Methods for Effective Vein Care

For many, varicose veins pose discomfort and concern. While there are interventional treatments, adopting conservative management and lifestyle adjustments can notably alleviate symptoms and diminish complications. In this article, we’ll explore conservative options that ease varicose vein discomfort, reduce complications, and enhance your quality of life without invasive procedures.

Understanding Conservative Management

Conservative management offers a non-invasive approach to handling varicose veins, particularly valuable for individuals not ready for vein procedures or preferring to delay treatment. Though they may not erase varicose veins entirely, these measures offer significant symptom relief and improve vein health.

Compression Stockings

Among the most effective and accessible conservative methods are compression stockings. These specially designed elastic stockings gently apply pressure on the veins, aiding blood circulation and preventing backward flow or pooling in the legs.

Medical-Grade Compression: Opt for graduated, medical-grade compression stockings. These provide appropriate compression levels essential for active patients with venous disease compared to TED hose, ensuring symptom relief.

Selecting Suitable Strength: Compression stockings vary in strength, with 20-30mmHg being common for treating varicose veins. Consult your doctor to determine the right compression strength. It’s vital to heed your physician’s advice regarding compression stockings.

Special Considerations: Individuals with conditions like peripheral arterial disease (PAD), diabetes, or neuropathies should consult their healthcare providers before using compression stockings. They might require lower compression strengths or have contraindications.

Avoiding Inactivity

Extended periods of inactivity worsen varicose vein symptoms. To enhance blood flow and alleviate strain on veins:

Regular Walking Breaks: Take short walks during long sitting or standing periods. Moving around the office or during breaks can boost circulation.

Seated Exercise: While seated, flex your feet up and down hourly to stimulate leg blood flow and reduce discomfort.

Movement While Standing: For prolonged standing, gently raise yourself on your toes or rock back and forth on your heels. These movements relieve pressure and encourage circulation.

Dietary Supplements

Certain supplements show promise in easing venous disease symptoms, such as horse chestnut and grape seed extract. Vasculera, a prescription medication, may benefit some individuals. However, consult your primary care physician (PCP) before starting any supplements, considering potential interactions or side effects.

Consult Your PCP: Always seek guidance from your PCP before adding supplements or medications, ensuring personalized advice considering your medical history and health status.

Conservative management and lifestyle adjustments can effectively combat varicose veins. Incorporating measures like compression stockings, regular activity, and selected dietary supplements under medical guidance can provide relief and avert complications. While conservative management may not entirely erase varicose veins, it significantly uplifts overall well-being and vein health.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

What are the least invasive ways to treat veins?2024-03-06T13:41:48-08:00

What do perforator veins have to do with my vein health?

2024-03-06T13:58:30-08:00

Targeted Relief: Exploring Radiofrequency Perforator Ablation for Vascular Health

Radiofrequency Perforator Ablation stands at the forefront of advanced vascular treatments, reshaping the approach to vein issues. In this article, we delve into the nuances of this procedure, uncovering its advantages, the procedural journey, and what to expect during treatment. Join us on a journey to comprehend how Radiofrequency Perforator Ablation can elevate your vascular wellness.

Deciphering Radiofrequency Perforator Ablation: An Insight

This procedure focuses on perforator veins, the brief connections that bridge deep and superficial veins. These veins, like others, can suffer from valve damage and venous reflux, causing discomfort and potential health concerns. Radiofrequency Perforator Ablation aims to rectify these issues, offering relief and an improvement in vascular health.

Significance of Perforator Veins

Perforator veins play a crucial role in linking the superficial and deep venous systems in extremities. They facilitate blood flow from superficial veins to deep veins, aiding in returning oxygen-depleted blood to the heart. However, malfunctioning valves in these veins can cause venous reflux, leading to blood buildup, increased pressure, and complications such as edema, skin discoloration, dermatitis, and skin ulcers.

The Procedure in Detail: Unveiling the Steps

Radiofrequency Perforator Ablation is a meticulously planned outpatient procedure designed to swiftly address these concerns. Here’s a detailed view of the treatment process:

Preparation and Anesthesia: Local anesthesia is applied. Some patients may opt for mild oral sedation like Valium for enhanced relaxation.

Patient Comfort: You’ll be provided with a gown or shorts and positioned for comfort, with personalized adjustments based on your requirements.

Guidance and Insertion: Using ultrasound guidance, a fine needle is inserted into the perforating vein through the skin.

Radiofrequency Energy: Radiofrequency energy is delivered, causing the perforator vein to shrink and eliminating abnormal flow.

Treatment Duration: Each perforating vein takes about 10 minutes to treat. Patients may have one or multiple veins treated in the same leg, necessitating approximately an hour in the office due to preparation and setup.

The Day of Treatment: What to Anticipate

On the day of your procedure, several steps ensure your comfort and well-being:

Anesthesia and Sedation: Local anesthesia is administered, and mild sedation can be opted for relaxation.

Positioning: Customized positioning for your comfort, with entertainment options like watching Netflix or listening to music available.

Ultrasound Mapping: Veins are mapped, and numbing agents are injected for comfort.

Radiofrequency Catheter: A tiny puncture is made to insert the radiofrequency catheter.

Local Anesthetic: Additional local anesthetic is applied to numb the vein and ensure comfort during the procedure.

Radiofrequency Treatment: The vein is painlessly treated with radiofrequency energy.

Post-Treatment Care: A compression stocking is worn, and walking is encouraged for the next 72 hours.

Guiding Your Recovery After Treatment

Post-procedure, walking for 30 minutes twice daily is recommended to alleviate discomfort and prevent blood pooling in the legs. Avoid strenuous exercise, heavy lifting, saunas, hot tubs, and leg massages for two weeks to support proper healing.

Radiofrequency Perforator Ablation stands as a modern marvel in vascular care, offering relief from discomfort and enhancing overall well-being. At La Jolla Vein & Vascular, our adept medical professionals are committed to providing personalized care for your vascular health. By embracing innovative treatments like Radiofrequency Perforator Ablation, stride confidently towards a healthier, more vibrant life.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

What do perforator veins have to do with my vein health?2024-03-06T13:58:30-08:00

Can Radiofrequency Ablation treat vascular disease?

2024-03-06T14:02:48-08:00

Harnessing Heat for Healing: A Guide to Radiofrequency Ablation in Vascular Conditions

Revolutionizing Vascular Health with ClosureFast™ Endovenous Radiofrequency Ablation (RFA)

In the realm of minimally invasive procedures for tackling venous reflux, innovative solutions such as ClosureFast™ are reshaping treatment approaches. This article delves into the intricacies of ClosureFast™, an endovenous radiofrequency ablation (RFA) procedure crafted to target venous reflux in the great and small saphenous veins of the leg. Join us as we unravel the procedure’s mechanics, its day-of-treatment experience, and the myriad benefits it brings to vascular health.

Comprehending ClosureFast™ Technique

ClosureFast™ stands as a cutting-edge treatment geared towards combating venous reflux, a condition that disrupts blood flow in the leg’s saphenous veins, often causing discomfort and vascular issues. The procedure involves inserting a ClosureFast® catheter into the affected vein, delivering controlled radiofrequency energy to the vein wall. This energy prompts the vein to seal shut, allowing healthier veins to efficiently transport blood back to the heart.

A Peek into the Treatment Process

On the day of the ClosureFast™ procedure, expect a comfortable and streamlined experience. Here’s a detailed breakdown:

Anesthesia and Relaxation: The procedure commences with skin numbing using lidocaine. Some patients opt for a mild oral sedative like Valium for enhanced relaxation during treatment.

Patient Comfort: You’ll be provided a gown and positioned for maximum comfort, with accommodations tailored to your specific needs.

Preparation and Vein Mapping: Skin cleansing is followed by an ultrasound to map the targeted veins for treatment.

Numbing and Catheter Insertion: A small puncture is made after injecting lidocaine to pass the radiofrequency catheter into the vein.

Local Anesthetic Application: A blend of cool saline and local anesthetic is administered around the vein for numbing and insulation from surrounding tissue.

Radiofrequency Energy Application: With the vein numbed, radiofrequency energy is applied painlessly to seal it shut.

Compression Stocking and Activity: Following treatment, a compression stocking is worn continuously for 72 hours, accompanied by a 30-minute walking session before departure.

ClosureFast™ Benefits:

Minimally Invasive: ClosureFast™ is an office-based, minimally invasive procedure completed in under an hour.

Swift Recovery: Patients typically resume regular activities on the same day as the procedure.

Effective Outcomes: By sealing affected veins, ClosureFast™ effectively addresses venous reflux and its associated symptoms.

At La Jolla Vein & Vascular, we’re committed to offering innovative solutions like ClosureFast™ to elevate your vascular health. Whether addressing venous reflux or non-healing ulcers, our board-certified vascular surgeons and specialists guide you through a personalized treatment journey. Embrace the advantages of contemporary vascular care and regain comfort and vitality.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

Can Radiofrequency Ablation treat vascular disease?2024-03-06T14:02:48-08:00

26, 1, 2024

What vascular diseases do I need to look out for?

2024-03-06T14:12:42-08:00

Exploring the Unseen: Shedding Light on Lesser-Known Vascular Conditions & Their Effects

In our practice, our skilled physicians possess specialized expertise in diagnosing and treating an array of vascular diseases. With a primary focus on conditions impacting the legs, feet, and pelvis, our adept specialists handle a wide spectrum of issues, from peripheral arterial disease to venous insufficiency and varicose veins. Beyond these commonly recognized culprits, our experts are proficient in addressing conditions requiring unique skills, such as varicoceles, Pelvic Congestion Syndrome, May-Thurner Syndrome, geniculate artery embolization, and uterine fibroids.

Partnering with authoritative sources like MedlinePlus.com, we bring you comprehensive insights into vascular diseases and their effective management.

Grasping Vascular Diseases

The vascular system, composed of arteries, veins, and capillaries, orchestrates the transport of oxygen-rich blood to tissues and organs while facilitating waste removal. Vascular diseases encompass a diverse array of conditions that disrupt this intricate system. Our focus spans various types, including:

  • Aneurysm: Irregular bulging in an artery’s wall
  • Atherosclerosis: Accumulation of plaque within arteries involving substances like fat, cholesterol, and calcium
  • Blood clots, including deep vein thrombosis
  • Varicose veins: Swollen, twisted veins visible beneath the skin

Unveiling Causes and Risk Factors

The origins of vascular diseases are multifaceted, influenced by factors like genetics, heart diseases, infection, injury, and specific medications. Diverse risk factors contribute to their development, including:

  • Age, often correlated with increased susceptibility to certain diseases
  • Conditions affecting the heart and blood vessels, such as diabetes or high cholesterol
  • Family history of vascular or heart diseases
  • Infection or injury causing damage to veins
  • Lack of physical activity
  • Obesity
  • Pregnancy
  • Prolonged sitting or standing
  • Smoking

Symptoms, Diagnosis, and Treatment

Symptoms of vascular diseases vary based on the specific condition. Diagnosis involves a comprehensive assessment comprising physical examinations, inquiries into medical history, imaging tests, and blood examinations. Our physicians tailor treatments to the severity and type of vascular disease, which may include:

  • Lifestyle modifications like adopting a heart-healthy diet and regular exercise
  • Medications targeting blood pressure regulation, blood thinning, cholesterol reduction, and clot dissolution
  • Non-surgical interventions such as angioplasty, stenting, and vein ablation
  • Surgical procedures

Preventing Vascular Diseases

Proactive steps can significantly contribute to preventing vascular diseases:

  • Embrace a healthy lifestyle through balanced nutrition and regular exercise
  • Quit smoking or seek professional assistance to quit
  • Maintain optimal blood pressure and cholesterol levels
  • Manage blood sugar levels if you have diabetes
  • Avoid prolonged sitting or standing; take breaks and consider compression stockings during extended trips

While vascular diseases can impact your health in various ways, expert care and proactive measures can effectively manage these conditions and reduce associated risks. Our specialized team is committed to diagnosing, treating, and preventing vascular diseases, ensuring you receive personalized, high-quality care. Through collaborations with reputable sources like MedlinePlus.com, we aim to offer accurate information and effective solutions to improve your vascular health.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

What vascular diseases do I need to look out for?2024-03-06T14:12:42-08:00

How do I manage Lymphedema?

2024-03-06T14:16:12-08:00

Soothing Swelling: A Comprehensive Guide to Understanding and Managing Lymphedema

Leg swelling, medically known as edema, can raise concerns due to its underlying implications. In this article, we will delve into the causes and symptoms of swelling, specifically focusing on the distinct condition known as lymphedema. Additionally, we’ll emphasize the significance of seeking medical attention and how La Jolla Vein & Vascular can aid in diagnosing and managing leg swelling related to vascular issues.

Unveiling the Causes of Leg Swelling

Edema in the legs arises from fluid accumulation in soft tissues, triggered by malfunctioning valves within the veins. When these valves weaken or fail, it disrupts proper blood circulation from the legs. Consequently, fluid and blood become trapped, leading to leg swelling. This accumulation of bodily fluid resulting in swelling is medically termed edema.

Understanding Lymphedema

Lymphedema stands out as a chronic form of edema resulting from inadequate functioning of the lymphatic system. Unlike edema linked to vein-related issues, lymphedema directly ties to inefficiencies in the lymphatic system. However, vein disease can evolve into a combined venous and lymphatic disorder over time. Seeking early intervention from healthcare professionals holds significance, as timely attention can make a substantial difference.

Risk Factors for Lymphedema or Swelling

Any individual experiencing lower leg swelling should consider it abnormal and promptly consult a physician. Diagnosing and initiating treatment for the underlying cause is crucial. Additionally, while leg swelling may signify venous issues, it could also signal non-venous conditions like heart disease, heart failure, obesity, high blood pressure, liver disease, or kidney disease. Seeking immediate medical assessment is vital to identify the root cause.

Spotting Symptoms of Lymphedema or Swelling

Several symptoms may indicate the presence of lymphedema or swelling:

  • Swelling in part or all of the arm or leg, including fingers or toes
  • Feelings of heaviness or tightness
  • Limited range of motion
  • Aching or discomfort
  • Recurring infections
  • Skin changes like hardening and thickening (fibrosis)
  • Leg cramps

Professional Support at La Jolla Vein & Vascular

La Jolla Vein & Vascular specializes in diagnosing vascular-related leg swelling using advanced techniques like duplex ultrasound. This non-invasive method aids in identifying blood clots or venous reflux, pivotal in determining the underlying issue. In cases where obstructions higher than the groin are suspected, a venogram may be recommended. While lymphedema primarily involves clinical diagnosis, lymphoscintigraphy can be ordered through an external imaging center to further evaluate the condition.

Leg swelling could signal various underlying issues, ranging from venous concerns to lymphatic disorders. Timely detection and intervention play a pivotal role in preventing further complications. If you’re experiencing swelling or suspect lymphedema, seeking the expertise of medical professionals, such as those at La Jolla Vein & Vascular, can offer essential diagnostic tools and treatment guidance. Remember, addressing these concerns promptly can significantly impact your overall health and 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 for more fun videos and educational information. 

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



How do I manage Lymphedema?2024-03-06T14:16:12-08:00

What do I need to know about removing Spider Veins?

2024-03-06T14:23:46-08:00

Unveiling Crucial Insights on Spider Veins

Spider veins, those delicate reddish veins visible just beneath the skin’s surface, often pose a bothersome cosmetic concern for many individuals. Though commonly seen as a minor issue, spider veins may hint at underlying problems extending beyond mere aesthetics. This article delves into the realm of spider veins, exploring their causes, symptoms, and the most effective treatment options available. Let’s uncover the true nature of these tiny veins and discover how to manage them effectively.

Understanding Spider Veins

Spider veins, also termed telangiectasias, are fine thread-like veins that create a web-like pattern on the skin’s surface. Presenting in hues of red, blue, or purple, these veins might hold more significance for your vein health than their innocent appearance suggests.

Exploring the Link to Feeder Veins and Venous Insufficiency

While spider veins themselves may not raise significant health concerns, they could be linked to underlying feeder or reticular veins not immediately visible. These feeder veins are often associated with larger veins, potentially indicating venous insufficiency—a condition where veins struggle to efficiently transport blood back to the heart. Specific placements of spider veins, such as those near inner ankles or thighs, might signal an issue with the saphenous vein. Medical experts may recommend ultrasound examinations to precisely identify and address the origin of these veins.

Recognizing Symptoms

Spider veins can impact individuals differently. While some experience them solely as a cosmetic concern, others might endure symptoms like burning, throbbing, localized pain, itchiness, and occasional bleeding. Awareness of these symptoms is crucial in determining suitable steps for managing and treating spider veins.

Unveiling the Causes

These leg veins often share causative factors with varicose veins: malfunctioning vein valves. When these valves fail to prevent blood pooling within veins, it leads to their enlargement and stretching. Spider veins on other body parts, like the face and chest, may arise due to factors such as sun damage, hormonal changes, or liver disease. Hormonal fluctuations stemming from pregnancy, birth control, or hormone therapy can weaken vein walls, making them prone to spider vein formation.

Identifying Risk Factors

Several factors contribute to an individual’s susceptibility to developing spider veins, including genetics, pregnancy, female gender, aging, obesity, hormonal imbalances, and prolonged sitting or standing. Understanding these risk factors aids in both prevention and early intervention.

Effective Treatment Options

For relief, various treatment options are available. Sclerotherapy is the primary approach for treating spider veins on legs, involving injections of a liquid sclerosant medication into affected veins to close and fade them. Multiple sessions are often recommended for optimal results. While lasers can address fine spider veins, sclerotherapy remains the gold standard due to its effectiveness.

Despite appearing minor, spider veins can offer crucial insights into vein health. Whether for cosmetic concerns or discomfort, understanding their potential underlying causes and seeking appropriate treatment is essential. Early intervention and effective treatments like sclerotherapy not only enhance appearance but also promote better overall vein health. Remember, caring for your veins is an investment in your well-being, paying dividends in 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 for more fun videos and educational information. 

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

What do I need to know about removing Spider Veins?2024-03-06T14:23:46-08:00

Why do Varicose Veins occur?

2024-03-06T14:25:25-08:00

Unveiling Key Insights: Your Comprehensive Guide to Understanding Varicose Veins

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

Understanding Varicose Veins

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

Identifying the Culprits: Causes of Varicose Veins

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

Insights from Research

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

Unraveling Symptoms

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

The Importance of Ultrasound Diagnosis

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

Customized Treatment Approach

Comprehensive treatment of varicose veins involves multiple steps:

Step 1: Addressing the Root Issue

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

Step 2: Managing Varicose Veins

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

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

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

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

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

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

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

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

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

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

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

Why do Varicose Veins occur?2024-03-06T14:25:25-08:00

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
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