24, 4, 2024

What should I expect with Ultrasound-Guided Foam Sclerotherapy?

2024-03-26T16:31:48-07:00

Ultrasound-Guided Foam Sclerotherapy: Elevating Vein Health

When addressing both visible varicose veins and those unseen by the naked eye, the efficacy of ultrasound-guided foam sclerotherapy becomes evident. This advanced procedure combines precise administration with ultrasound visualization, providing a safe and effective solution for various vein conditions. In this piece, we’ll explore the intricacies of ultrasound-guided foam sclerotherapy, the role of polidocanol (Asclera®), treatment frequency, and what to expect during your treatment sessions.

Unveiling Ultrasound-Guided Foam Sclerotherapy: A State-of-the-Art Solution

Ultrasound-guided foam sclerotherapy utilizes technology and medical expertise to target varicose veins that may not be immediately visible. Guided by ultrasound, the foam medication is precisely directed towards these veins. This technique effectively addresses veins near the skin or nerves and navigates complexly twisted veins.

Polidocanol (Asclera®): A Preferred Sclerosant

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

Treatment Frequency: A Tailored Approach

The number and frequency of treatments vary depending on individual anatomy, vein response, and patient goals. Typically, 2 to 5 treatment sessions achieve an 80% improvement. Some larger or stubborn veins may require multiple sessions for a complete response.

Your Treatment Days: Guided Steps Toward Vein Wellness

Preparing for your ultrasound-guided foam sclerotherapy session is simple:

Consent and Attire: You’ll sign a consent form and change into provided shorts.

Skin Preparation: Alcohol will cleanse your skin, and ultrasound will 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: Elevate your legs on a comfortable wedge pillow for about 15 minutes post-treatment.

Compression Stockings and Walking: After treatment, compression stockings will be applied, and you’ll walk for 30 minutes before leaving. Post-treatment, some achiness and tenderness may occur.

Ultrasound-guided foam sclerotherapy propels improved vein health by offering precision and effectiveness. At La Jolla Vein & Vascular, our committed medical team provides personalized care for your vein health journey. By embracing advanced techniques like ultrasound-guided foam sclerotherapy, you’re setting course for 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 for more fun videos and educational information. 

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


What should I expect with Ultrasound-Guided Foam Sclerotherapy?2024-03-26T16:31:48-07:00

How do I get diagnosed for PAD?

2024-03-26T16:26:09-07:00

Peripheral Artery Disease (PAD) affects a substantial portion of individuals aged over 50. While not everyone with PAD needs vascular procedures, recognizing the importance of accurate diagnosis and proactive management is key to minimizing risks and ensuring a healthier life. This article aims to unravel the complexities of PAD, exploring its symptoms, causes, risk factors, and emphasizing the significance of early diagnosis and treatment.

Unraveling Peripheral Artery Disease (PAD)

Peripheral Artery Disease, or PAD, manifests as narrowed arteries due to excessive plaque buildup on their walls. This constriction impedes the flow of oxygen-rich blood from the heart to various body parts. The restricted blood flow, laden with essential nutrients and oxygen, can lead to significant consequences.

Understanding Symptoms, Causes, and Risks Associated with PAD

PAD symptoms typically concentrate in the lower extremities. Individuals might experience pain, cramping, or fatigue in their hip or leg muscles, notably while walking or climbing stairs. Such discomfort often eases with rest but recurs upon resuming physical activity. However, the impact of PAD isn’t limited to leg pain. The diminished blood flow stemming from arterial narrowing can trigger pain in multiple body regions, including the arms, stomach, hip, head, and kidneys.

The root cause of PAD lies in plaque buildup along artery walls, constricting blood flow, oxygen, and glucose delivery, leading to discomfort and pain. Risk factors encompass age, smoking, diabetes, hypertension, high cholesterol, and a sedentary lifestyle. Left unaddressed, PAD elevates the risk of coronary artery disease, stroke, heart attack, and may result in severe complications like gangrene or necessitate amputation.

Prioritizing Diagnosis and Treatment for PAD

Accurate PAD diagnosis is pivotal for effective management and risk reduction. At La Jolla Vein & Vascular, our specialized physicians offer tailored diagnostic services, recognizing the unique nature of each patient’s condition. Understanding that individual cases differ, our seasoned medical professionals utilize advanced tools and extensive expertise to provide precise assessments and guidance.

Our PAD diagnosis includes a suite of advanced tests, such as detailed physical exams, ankle-brachial index (ABI), arterial ultrasounds, angiography (venography), blood tests, and magnetic resonance angiography (MRA).

Taking Charge of Your Vascular Health

Understanding PAD, its symptoms, causes, and risks is vital for maintaining vascular health. Seeking professional medical guidance if you suspect PAD risk or experience related symptoms is paramount. Our dedicated team at La Jolla Vein & Vascular is committed to accurate diagnosis, personalized treatments, and guiding you toward a healthier, more active life.

Remember, knowledge is the initial step toward effective management. Staying informed and proactive empowers you to take control of your vascular health, reducing the associated risks linked with PAD.

“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 get diagnosed for PAD?2024-03-26T16:26:09-07:00

Why do I have leg pain?

2024-03-26T16:03:52-07:00

Leg pain can stem from various sources, necessitating the identification of the underlying cause for suitable treatment. In this article, we’ll delve into the diverse factors contributing to leg pain, encompassing vascular issues like poor circulation, varicose veins, and blood clots, along with non-vascular causes such as injuries, arthritis, and low back discomfort. Discover more about the distinct types of leg pain and how seeking professional evaluation can lead to effective relief.

Understanding the Causes of Leg Pain

Vascular Factors:

Blood Clots: Whether deep vein thrombosis (DVT) or superficial vein thrombosis, blood clots can induce leg pain. DVT might cause sudden swelling, pain, redness, and warmth in one leg. Superficial vein thrombosis typically affects varicose veins, causing pain, hardness, and a cord-like sensation beneath the skin.

Venous Reflux Disease: Characterized by leg pain, heaviness, and fatigue worsening with prolonged standing, this condition can be exacerbated by hormonal influences in women. Nighttime leg cramping and restlessness are common, often accompanied by visible signs like varicose veins, ankle swelling, and skin changes such as darkening or ulceration.

Non-Vascular Causes:

Injuries: Injuries to joints, bones, muscles, or ligaments can result in localized leg pain.

Arthritis: Arthritic conditions can lead to persistent leg discomfort.

Low Back Pain: Leg pain originating from the lower back can radiate down to the legs.

Understanding Peripheral Arterial Disease (PAD)

Peripheral arterial disease refers to insufficient arterial circulation in the legs, causing leg pain—particularly during walking—and characterized by cramping, especially in the calf muscles. Typically, resting alleviates the discomfort, accompanied by additional signs such as pale toes and absent pulses in the feet.

Diagnosing and Managing Leg Pain

Diagnosing the origin of leg pain involves a comprehensive approach:

Medical History: Healthcare providers gather information about your medical background, symptoms, and any risk factors.

Physical Examination: A thorough exam can unveil signs of vascular or non-vascular issues.

Non-Invasive Ultrasound Imaging: This imaging technique aids in visualizing blood flow and identifying potential vascular problems.

ABI Test: An Ankle-Brachial Index (ABI) test can screen for peripheral arterial disease.

Treatment Options and Relief

The encouraging news is that all these conditions are treatable, often through enhancing blood flow. Once diagnosed, suitable treatment plans, including lifestyle modifications, medications, minimally invasive procedures, and more, can be devised. Seeking professional guidance is crucial for tailoring the right treatment approach specific to your condition.

Seeking Relief for Leg Pain

If you’re grappling with leg pain, seeking professional evaluation is imperative. Understanding the root cause of your discomfort marks the initial step towards finding effective relief. Whether your leg pain originates from vascular or non-vascular sources, remember that viable treatment options exist. By consulting healthcare providers specializing in these conditions, you can restore comfort and mobility. Reach out to us at 858-550-0330 to schedule a diagnostic imaging session and consultation with our dedicated healthcare providers. Your journey towards pain-free legs commences with a simple call.

 

“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 I have leg pain?2024-03-26T16:03:52-07:00

Why are my legs swelling?

2024-03-25T19:40:36-07:00

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

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



Why are my legs swelling?2024-03-25T19:40:36-07:00

Will my skin change with chronic venous insufficiency?

2024-03-25T19:34:29-07:00

Within the sphere of vascular health, Chronic Venous Insufficiency (CVI) stands as a prevalent yet often misconstrued condition. Characterized by a cascade of symptoms that can ultimately result in skin changes and ulcers, CVI necessitates attention and effective management. In this article, we’ll navigate through the intricacies of CVI, shedding light on its symptoms, causes, and, significantly, its treatment.

Unraveling Chronic Venous Insufficiency

Chronic Venous Insufficiency

Chronic venous insufficiency arises from a complex interplay of factors, primarily rooted in untreated venous reflux disease. Initial signs encompass discomforts like leg swelling, fatigue, and varicose veins, yet the condition can progressively worsen. As blood circulation falters within the leg veins, the skin undergoes changes marking the onset of chronic venous insufficiency. These changes, referred to as venous stasis, encapsulate the skin’s darkening, dryness, itchiness, and firmness. In severe cases, this deterioration can lead to skin breakdown and ulceration, known as venous leg ulcers or stasis ulcers.

Symptoms and Skin Changes of CVI

The symptoms of CVI extend beyond physical discomfort, manifesting in visible alterations in the skin. Venous stasis skin changes linked with chronic venous insufficiency comprise:

Darkened Skin along the Ankles: Disrupted blood flow leads to a darker hue, particularly around the ankles.

Itching and Dryness around the Ankles (Venous Eczema): Persistent irritation and dryness result in continuous itching and discomfort.

Formation of Wounds around the Ankles: Termed venous leg ulcers, these non-healing wounds necessitate specific attention and care.

Taking Control: Treating CVI

While the skin changes induced by CVI may be irreversible, managing the condition is crucial to impede its progression and prevent ulcers. Addressing the underlying venous reflux constitutes a pivotal aspect of managing CVI. By doing so, inflammatory changes may diminish, potentially improving skin symptoms. However, it’s essential to note that permanent skin discoloration might persist despite successful reflux treatment.

Treating Venous Leg Ulcers

For individuals progressing to venous leg ulcers, treatment necessitates a multi-faceted approach:

Correcting Underlying Venous Reflux: Addressing the root cause is paramount. Treatment methods vary based on the location of the underlying reflux, determined through a comprehensive ultrasound.

Referral to a Wound Care Clinic: Collaborating with wound care specialists adept at managing venous leg ulcers expedites the healing process through their expertise and treatments.

Compression Therapy: Employing compression garments aids in enhancing blood circulation and fostering healing, serving as a cornerstone in venous ulcer management.

Chronic venous insufficiency is a condition that commands attention, education, and diligent management. Understanding its implications and proper management strategies play crucial roles in averting complications and promoting healing.

“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


Will my skin change with chronic venous insufficiency?2024-03-25T19:34:29-07:00

What do I need to know about venous disease?

2024-03-25T19:26:41-07:00

Venous disease, known by various names like venous stasis, venous insufficiency, or venous incompetence, is a complex condition that impacts the veins in the legs. This article aims to unravel the intricacies of venous reflux disease—its causes, symptoms, and its progressive nature. Additionally, we’ll delve into the pivotal role played by ultrasound technology in diagnosing this condition and formulating personalized treatment plans.

Venous disease is centered around the concept of ‘leaky valves’ within leg veins. These valves, responsible for maintaining proper blood flow, may malfunction, leading to the backward flow (reflux) of blood instead of its intended route towards the heart. This reflux can affect both deep and superficial leg veins, hampering efficient blood circulation.

venous disease

Leg veins can be categorized into two main types: deep and superficial. Deep veins, nestled within the muscles, primarily transport blood from the legs back to the heart. Meanwhile, superficial veins reside just beneath the skin, playing a significant role in this condition. Notably, the Great Saphenous Vein (GSV) coursing through the thigh and calf, along with the small saphenous vein along the back of the calf, are key players in superficial vein issues.

Normally, one-way valves in leg veins assist blood flow against gravity, aided by the contraction of calf muscles. When these valves malfunction, blood backflows, resulting in pooling in the lower legs. This leads to symptoms such as leg heaviness, pain, fatigue, ankle swelling, and even restless legs at night. Over time, this condition progresses, leading to skin changes like darkening, dryness, itching, and the potential development of venous leg ulcers.

Venous Disease Diagnosis through Ultrasound

venous disease

The diagnosis of venous reflux disease demands specialized tools, with ultrasound technology being pivotal. Many vein issues aren’t visible to the naked eye, as they arise beneath the skin’s surface. Ultrasound examinations provide insights into blood flow direction, valve functionality, and the presence of blockages or scars in the veins.

Personalized Treatment Approach for Venous Disease

Effectively managing venous reflux disease involves a tailored strategy for each patient. The treatment typically involves three key steps:

Step 1: Addressing Underlying Reflux

Treatment starts with addressing the root cause—venous reflux—often focusing on the saphenous veins. Innovative vein ablation procedures like radiofrequency ablation, laser ablation, mechanico-chemical ablation (MOCA), and Varithena Foam are employed to restore proper blood flow.

Step 2: Handling Varicose Veins

Once the underlying reflux is resolved, the focus shifts to varicose veins. Foam sclerotherapy or minimally invasive removal methods are employed to eliminate bulging veins.

Step 3: Managing Spider Veins

For those seeking cosmetic enhancement, spider vein treatment through sclerotherapy completes the comprehensive treatment journey.

Venous reflux disease demands specialized care for effective management. Our approach encompasses cutting-edge diagnostics, advanced treatments, and personalized care to address the diverse aspects of this condition. Through our expertise and commitment, we strive to provide transformative outcomes that enhance both the health and quality of life of our patients. If you’re ready to embark on the journey towards healthier veins, reach out to us to take the first step towards comprehensive vein and vascular 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

What do I need to know about venous disease?2024-03-25T19:26:41-07:00

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

Boost Your Confidence: Exploring Cosmetic Sclerotherapy for Radiant, Healthy Legs

2023-12-26T16:38:18-08:00

Boost Your Confidence: Exploring Cosmetic Sclerotherapy for Radiant, Healthy Legs

Cosmetic sclerotherapy stands as a highly recommended and successful treatment for spider veins and reticular veins in the legs. This article delves into the specifics of sclerotherapy, highlighting its advantages over other treatments, offering insights into the treatment process, and outlining the path toward achieving optimum results. Whether you’re contemplating this procedure or seeking to broaden your knowledge about it, read on to discover how sclerotherapy can bid farewell to unsightly spider veins, uplifting your confidence along the way.

Understanding Sclerotherapy

Sclerotherapy represents a well-established technique for addressing spider veins. It entails injecting medication directly into the affected vein, prompting it to collapse and gradually fade away. While sclerotherapy has a long history of use, modern solutions like Asclera™ have made the process more comfortable, enabling an immediate return to regular activities.

Advantages of Sclerotherapy:

Enhanced Comfort: Contemporary solutions like Asclera™ have minimized discomfort, rendering sclerotherapy more tolerable for patients compared to older saline-based methods.

Targeted Treatment: Unlike laser therapies that might overlook underlying ‘feeder veins,’ sclerotherapy is favored by many vein specialists for its efficacy in addressing these crucial veins.

Multiple Sessions for Optimal Outcomes: Achieving optimal results often necessitates more than one treatment session, typically ranging from 2 to 5 sessions spaced a month apart. Your healthcare provider will customize a treatment plan tailored to your needs.

Post-Treatment Care: Wearing compression stockings after treatment bolsters results, ensuring a gradual fading of the treated veins.

Foam Sclerotherapy for Larger Veins

For larger veins such as varicose veins, a specialized form of sclerotherapy, known as foam sclerotherapy, is employed:

Foamed Solution: Unlike liquid solutions, foam sclerotherapy utilizes a foamed solution injected directly into the vein through a fine needle.

Ultrasound Monitoring: Precise and painless delivery of the foamed solution into nearby varicose veins is achieved through ultrasound monitoring. This process effectively seals the veins shut, and over time, the body naturally breaks down and absorbs these sealed veins.

What to Expect During Your Treatment Days

Your treatment days typically involve a straightforward process:

Consent and Attire: Starting with signing a consent form, you’ll change into shorts provided by the office for easy access to the treated areas.

Skin Preparation: Your skin will be meticulously cleaned with alcohol to maintain a sterile environment for the procedure.

Injection Procedure: The sclerosant medication will be delicately injected into your veins using a fine needle.

Compression Stockings: Post-treatment, you’ll be assisted in wearing compression stockings.

Post-Treatment Walk: To optimize results, you’ll be encouraged to walk for 30 minutes before departing. Some temporary achiness and tenderness in your legs post-treatment are normal.

Sclerotherapy, whether for spider veins or larger varicose veins, remains a trusted and effective vein treatment. Its minimal discomfort, precise targeting of feeder veins, and focus on patient comfort position it as a preferred choice among vein specialists. Whether you’re contemplating or have already decided on sclerotherapy, you’re well on your way to relishing healthier, vein-free legs, and a renewed sense of 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


Boost Your Confidence: Exploring Cosmetic Sclerotherapy for Radiant, Healthy Legs2023-12-26T16:38:18-08:00

What is Varithena injectable foam treatment?

2024-03-06T13:53:32-08:00

Unveiling Varithena: Advancing Vein Health Through Injectable Foam Treatment

In the landscape of contemporary vein treatments, Varithena (ablation procedure) stands out as a revolutionary solution for managing varicose veins within the great saphenous vein system (GSV). This prescription medication offers a non-thermal, non-tumescent, and nearly painless approach to vein treatment. In this piece, we’ll delve into the intricacies of Varithena®, its efficacy, and what patients can anticipate on the treatment day.

Understanding Varithena®: Your Pathway to Vein Health

Varithena® employs a “microfoam” formulation comprising polidocanol (sclerosing agent) and CO2 to address superficial venous incompetence and visible varicosities linked to the great saphenous vein system. Skillfully injected into the vein under ultrasound guidance, the microfoam displaces blood and efficiently eliminates the endothelial lining via ablation.

The Benefits of Varithena®:

Tailored Approach: Varithena® recommendations are tailored based on vein location, size, anatomy, and tortuosity, effectively treating veins above and below the knee of varying sizes.

Minimally Invasive: This treatment necessitates no incisions, sedation, or general anesthesia, enhancing patient comfort during the procedure.

Non-Invasive Technique: Unlike other methods, Varithena® doesn’t involve inserting a wire along the length of the vein, reducing associated discomfort.

Heat-Free Process: Varithena® avoids heat application, ensuring no risk of thermal injury during the treatment.

Treatment Frequency and Response: A Detailed Overview

The number and frequency of Varithena® treatments are contingent on individual anatomy, vein response rate, and treatment objectives. While larger or resistant veins might necessitate two treatments for a complete response, many veins typically respond well after a single session. The treatment process is cautiously managed to mitigate potential side effects.

On the Day of Varithena® Treatment: What to Expect

Preparing for your Varithena® ablation treatment is simple:

Consent and Attire: You’ll sign a consent form and change into provided shorts.

Skin Preparation: Your skin will be cleansed with alcohol, and ultrasound will locate the veins for targeted treatment.

Injection Process: The foam medication will be skillfully injected into your veins using a fine needle. The foam effectively fills and treats the designated vein section, leading to vein collapse and deactivation.

Recovery Period: You’ll elevate your legs on a comfortable wedge pillow for about 15 minutes post-treatment.

Compression Stockings and Walking: Following treatment, compression stockings will be applied, and you’ll walk for 30 minutes before departure.

Varithena® marks a significant stride in vein health, presenting a swift and effective method for managing varicose veins. At La Jolla Vein & Vascular, our proficient medical professionals are committed to providing personalized care throughout your vein health journey. By embracing advanced solutions like Varithena®, you’re embarking on a confident path toward healthier, pain-free legs and improved 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

What is Varithena injectable foam treatment?2024-03-06T13:53:32-08:00

What can laser ablation do for my vein health?

2024-03-06T13:55:48-08:00

Pioneering Vascular Well-being: Unveiling Laser Ablation for Enhanced Health

Diving into the world of modern vascular treatments, VenaCure emerges as a groundbreaking solution for individuals combating backward blood flow, commonly known as “reflux,” within their saphenous veins. This innovative procedure, also recognized as Endovenous Laser Ablation (EVLA) or Endovenous Laser Ablation Therapy (EVLT), specifically targets the primary superficial veins of the leg – the great and small saphenous veins. Join us as we explore the intricacies of VenaCure, its remarkable benefits, and the streamlined treatment process that restores comfort and overall well-being.

Deciphering VenaCure: Unveiling Endovenous Laser Ablation (EVLA)

VenaCure, the trailblazer in Endovenous Laser Ablation (EVLA), aims to combat the challenges presented by venous reflux. This condition occurs when blood flows backward through the veins, causing discomfort and potential health risks. This groundbreaking procedure focuses on sealing off the affected vein(s), restoring healthy blood flow patterns.

The Procedure Unpacked: A Detailed View

VenaCure offers a swift and minimally invasive solution, performed in an outpatient setting. Here’s a comprehensive overview of the treatment process:

Anesthesia and Insertion: The procedure commences with the application of lidocaine to numb the skin. A delicate wire and laser catheter are gently inserted into the targeted vein.

Laser Energy Application: The laser catheter administers controlled laser energy to the vein wall, effectively sealing it shut. This action redirects blood flow through healthier veins, promoting efficient circulation.

Sustained Blood Flow: The remaining healthy veins continue their pivotal role in transporting blood back to the heart, ensuring optimal vascular function.

Day of Treatment: What to Anticipate

On the day of your VenaCure treatment, here’s what you can expect:

Anesthesia and Sedation: While local anesthesia is administered, many patients opt for a mild oral sedative such as Valium to enhance relaxation.

Patient Comfort: You’ll be provided with a gown and positioned for utmost comfort, with personalized adjustments to cater to individual needs, whether lying on your back or belly.

Entertainment Choices: To ensure your comfort, options like watching a movie on Netflix or listening to music are available during the procedure.

Preparation and Mapping: Your veins will be mapped using ultrasound, and a numbing agent (lidocaine) will be applied to the skin.

Laser Catheter Insertion: Under ultrasound guidance, a tiny puncture is made to insert the laser catheter. Additional local anesthetic and cool saline are administered around the vein.

Painless Laser Treatment: Laser energy is precisely applied to treat the vein, effectively addressing the issue.

Post-Treatment Care: A compression stocking is applied, and you’ll be encouraged to walk for 30 minutes before leaving.

Post-VenaCure: Guiding Recovery

After your VenaCure treatment, walking for 30 minutes twice daily is recommended to reduce discomfort and prevent blood pooling. Wearing the compression stocking continuously for at least 72 hours is crucial for proper healing. For optimal recovery, avoid strenuous exercise, heavy lifting, saunas, hot tubs, and leg massages for two weeks.

VenaCure empowers you to take charge of your vascular health by addressing reflux and discomfort with precision and efficiency. At La Jolla Vein & Vascular, our proficient medical team is dedicated to providing personalized care for your vascular well-being. By embracing innovative treatments like VenaCure, you embark on a journey toward 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 can laser ablation do for my vein health?2024-03-06T13:55:48-08:00
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