15, 1, 2024

How do I alleviate Leg Pain?

2024-03-06T14:21:54-08:00

Alleviating Leg Pain: Your Complete Guide to Understanding and Finding Relief

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, 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 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 

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! 

How do I alleviate Leg Pain?2024-03-06T14:21:54-08:00

Understanding Venous Disease: Beyond Myths and Realities

2023-12-26T14:38:49-08:00

Understanding Venous Disease: Beyond Myths and Realities

Venous reflux 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.

Deciphering Venous Reflux

Venous reflux 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.

Unveiling the Anatomy of Reflux

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.

Impact of Leaky Valves

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.

Diagnosis through Ultrasound

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

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! 



Understanding Venous Disease: Beyond Myths and Realities2023-12-26T14:38:49-08:00

1, 12, 2023

A Glimpse into Varicose Veins: Unveiling the Transformation Journey

2023-10-10T18:43:01-07:00

A Glimpse into Varicose Veins: Unveiling the Transformation Journey

Varicose veins, those twisted, and bulging veins that often grace the surface of the skin, are a concern shared by many individuals. While their frequent appearance is in the legs, they can also manifest in other areas of the body. In this blog post, we embark on a journey into the realm of varicose veins. We’ll unravel their nature, delve into the root causes behind them, and illuminate the array of treatment options available for those who seek relief.

Defining Varicose Veins

Varicose veins are the visible result of veins beneath the skin’s surface becoming swollen and distorted. While they may seem alarming, they are, in fact, a common condition experienced by many. The impact of these veins often extends beyond their appearance, causing discomfort, pain, or a lingering sensation of heaviness in the legs.

Unraveling the Causes

At the heart of varicose veins lies the issue of faulty vein valves. These valves play a pivotal role in maintaining the proper flow of blood by facilitating its journey toward the heart and preventing it from settling and pooling in the veins. The dysfunction of these valves gives rise to the accumulation of blood in the veins, leading to their gradual expansion. This condition is frequently associated with venous reflux disease, which goes by various names such as venous stasis, venous insufficiency, or venous incompetence.

Deciphering Venous Reflux

Venous reflux is the culprit behind the backward flow of blood, countering the natural pull of gravity due to the malfunctioning valves. Typically, the calf muscles aid in pumping blood upward, but in the presence of leaky valves, blood tends to collect in the lower legs. This pooling results in the visible bulging of the veins on the surface. This condition predominantly affects the great and small saphenous veins, the primary carriers of blood from the legs back to the heart. In more than 90% of cases, varicose veins in the legs are intricately linked to these veins.

Research Insights

A notable study, spearheaded by Dr. Nisha Bunke and documented in the Journal of Vascular Ultrasound in 2018, examined over 1,000 legs afflicted by varicose veins. The research unveiled the great and small saphenous veins as the primary culprits behind varicose veins in the majority of instances. Both the Great Saphenous Vein (GSV), meandering through the middle of the thigh and calf, and the Small Saphenous Vein (SSV), tracing its path along the back of the calf, were prominently implicated.

Pathways to Relief

The good news is that varicose veins are far from an insurmountable condition. Advances in medical technology and the realm of knowledge have paved the way for a spectrum of treatment options to alleviate discomfort and enhance the aesthetics of affected veins. Various minimally invasive procedures, including laser ablation, radiofrequency ablation, and sclerotherapy, have established their effectiveness in treating varicose veins.

The Transformation: Before and After

varicose varicose varicose 사진 프레임 5 20

Witnessing the results of varicose vein treatment is nothing short of remarkable. Many individuals experience significant improvements in both the appearance of their varicose veins and the associated symptoms. These before-and-after images bear witness to the profound positive impact that proper treatment can have on one’s vascular health and overall well-being.

Varicose veins may be a prevalent condition, but armed with knowledge about their causes and treatment options, individuals can seize control of their vascular health. Modern medical techniques empower those grappling with varicose veins to seek relief and embark on a transformative journey toward an improved quality of life. Whether you are unraveling the mysteries of faulty vein valves, exploring the intricacies of venous reflux, or considering the various treatment avenues, the path to healthier veins commences with education and awareness.

“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! 

A Glimpse into Varicose Veins: Unveiling the Transformation Journey2023-10-10T18:43:01-07:00

3, 11, 2023

Voices of victory: patient reviews and testimonials in the battle against venous disease

2023-10-09T17:53:53-07:00

Voices of victory: patient reviews and testimonials in the battle against venous disease

At La Jolla Vein & Vascular, we take great pride in offering holistic care for individuals facing a variety of vein and vascular conditions. Our unwavering commitment to excellence and cutting-edge innovations has resulted in remarkable life transformations for our patients. In this blog post, we invite you to embark on a journey through the narratives of some of our patients who have experienced profound changes in their lives thanks to our advanced vein and vascular treatments.

Exploring the Realm of Venous Disease

Venous disease encompasses a spectrum of conditions, ranging from the common spider veins and varicose veins to more serious issues like deep vein thrombosis and chronic venous insufficiency. These conditions often bring discomfort, pain, and can significantly impact an individual’s overall quality of life. Recognizing the pivotal role of early intervention and personalized treatment plans, we’ve assembled a team of highly skilled professionals dedicated to addressing these concerns.

Stories of Renewal: Patient Transformations

Patient 1: A Journey to Confidence

Patient 1, a vibrant young woman, had been grappling with the appearance of spider veins on her legs. The presence of these veins had made her self-conscious about wearing her favorite dresses and shorts. Seeking a solution, she turned to our clinic for assistance. Through tailored sclerotherapy sessions, we targeted her spider veins, effectively reducing their visibility. With her newfound confidence, she felt empowered to fully embrace her style without hesitation.

Patient 2: Triumph Over Varicose Veins

Patient 2, an active middle-aged man, had been living with throbbing varicose veins that were disrupting his daily activities. Desiring relief, he sought consultation with our experts. Following a thorough evaluation, we recommended minimally invasive procedures such as radiofrequency ablation. This treatment not only alleviated his discomfort but also restored his ability to engage in outdoor sports and spend quality time with his family.

Patient 3: A Journey to Comfort

Patient 3, a retiree, had been enduring the effects of chronic venous insufficiency for an extended period. The persistent swelling and discomfort in her legs had taken a toll on her once-active lifestyle. Our dedicated team crafted a comprehensive treatment plan that included ultrasound-guided foam sclerotherapy. The results exceeded her expectations. With reduced swelling and improved circulation, she found herself rediscovering the joy of long walks and gardening.

Our Approach to Transformation

At La Jolla Vein & Vascular, our patient-centric approach revolves around personalized consultations, state-of-the-art diagnostics, and custom-tailored treatment plans. We believe in empowering our patients with knowledge about their conditions and actively involving them in the decision-making process. Our unwavering commitment to staying at the forefront of medical advancements ensures that our patients receive the most effective and innovative treatments available.

Join Us on the Path to Wellness

If you or a loved one are grappling with vein and vascular conditions, we extend a warm invitation to join us on a journey toward renewed wellness. Our dedicated team is here to offer not only effective treatments but also compassionate support every step of the way. We understand that each patient’s story is unique, and we’re enthusiastic about being a part of your journey toward improved vein health.

These stories, among many others, underscore the profound impact that comprehensive vein and vascular treatments can have on individuals’ lives. Through innovative procedures and a patient-centered approach, we are committed to ushering in positive transformations that extend far beyond the physical realm.

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“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! 

Voices of victory: patient reviews and testimonials in the battle against venous disease2023-10-09T17:53:53-07:00

Unveiling the Mystery of Spider Veins: Causes, Symptoms, and Effective Solutions

2023-10-09T17:43:45-07:00

Unveiling the Mystery of Spider Veins: Causes, Symptoms, and Effective Solutions

Spider veins, those delicate, reddish veins that grace the surface of the skin, can occasionally be more than just a cosmetic concern. In this blog post, we’ll embark on a journey to understand what spider veins truly entail, dive into the potential symptoms they bring, uncover the underlying factors that contribute to their appearance, and shine a light on the significance of seeking effective treatment.

Understanding the Nature of Spider Veins

Spider veins, often colloquially referred to as thread-like veins, represent those fine, reddish veins that become visible just beneath the skin’s surface. Although they are frequently associated with cosmetic issues, these subtle veins can offer valuable clues to underlying concerns that warrant attention. It’s essential to recognize that the presence of these visible veins does not align with the concept of robust circulatory health.

Peeling Back the Layers to Reveal the Culprits

Beneath the skin’s surface, there lie feeder veins, which also go by the names ‘reticular veins’ or ‘blue veins.’ These feeder veins, while not perceptible to the naked eye, serve as the conduits through which spider veins manifest themselves. It’s noteworthy that spider veins can also serve as indicators of venous insufficiency. For instance, if spider veins appear in regions like the inner ankles or inner thighs, this could be indicative of an underlying issue with the saphenous vein. In such instances, it is advisable to seek an ultrasound examination to precisely pinpoint and effectively address the root cause.

Spotting the Telltale Signs

Spider veins can manifest in a variety of ways, affecting individuals differently. For some, they might constitute a painless cosmetic concern, while for others, they can lead to discomfort. The most commonly reported symptoms associated with spider veins encompass sensations of burning, throbbing, localized pain, as well as feelings of heat and itchiness. In more severe cases, spider veins might even lead to instances of bleeding.

Delving into the Factors at Play

Spider veins on the legs share a common etiology with varicose veins. Both conditions result from the presence of leaky vein valves, which permit blood to accumulate within the veins, ultimately causing them to stretch and expand. In other regions of the body, such as the face and chest, various factors like sun damage, hormonal fluctuations, or liver disease can trigger the emergence of spider veins. Hormonal shifts, including those occurring during pregnancy or as a consequence of birth control or hormone replacement therapy, can weaken vein walls, contributing to the development of these visible veins.

Witnessing Real-Life Transformations: Patient Success Stories

spider spider spider 사진 프레임 5 5

The journey towards healthier veins is marked by visible transformations, as attested by the experiences of our patients who have undergone vein treatment. The before-and-after images serve as compelling evidence of the positive impact that effective treatment can have on individuals grappling with spider veins. The transition from discomfort and aesthetic concern to an improved quality of life stands as a testament to the importance of seeking the right care.

While spider veins may initially appear as a minor concern, they can often serve as a window into underlying vascular issues. Understanding their causes, recognizing potential symptoms, and grasping their broader implications empowers individuals to seek suitable solutions for their vein health. Whether it involves appreciating the significance of feeder veins, identifying signs of venous insufficiency, or acknowledging the diverse triggers behind spider veins, education remains the key. By choosing to address spider veins early on, individuals can embark on a journey toward healthier, more comfortable lives.

“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! 

Unveiling the Mystery of Spider Veins: Causes, Symptoms, and Effective Solutions2023-10-09T17:43:45-07:00

10, 10, 2023

Empowering health naturally: embracing conservative management for effective vein treatment

2023-09-29T18:58:10-07:00

Empowering health naturally: embracing conservative management for effective vein treatment

Varicose veins can be a source of discomfort and concern for many individuals. While interventional treatments are available, conservative management and lifestyle changes can play a significant role in alleviating symptoms and preventing complications. In this blog post, we will explore conservative options that can help ease the discomfort associated with varicose veins, reduce complications, and improve your overall quality of life.

Understanding Conservative Management

Conservative management offers a non-invasive approach to managing varicose veins. These measures are particularly valuable for individuals who are not candidates for vein procedures or prefer to delay interventional treatment. While they may not make varicose veins disappear entirely, they can provide substantial relief from symptoms and improve vein health.

  • Compression Stockings
  • conservative management
    One of the most effective and accessible conservative options is the use of compression stockings. These specially designed elastic stockings exert gentle pressure on the veins, aiding in the circulation of blood. Compression stockings are essential for preventing blood from flowing backward and pooling in the legs.

    • Graduated, Medical-Grade Compression: To be beneficial, compression stockings must be of the graduated, medical-grade variety. Unlike TED hose, which are not adequate for active patients with venous disease, medical-grade compression stockings offer the right level of compression required for symptom relief.
    • Choosing the Right Strength: Compression stockings come in various strengths, with 20-30mmHg being the most common for treating varicose veins. Consult your doctor to determine the appropriate compression strength for your specific condition. It’s essential to follow your physician’s advice regarding compression stockings.
    • Consideration for Special Cases: Individuals with conditions like peripheral arterial disease (PAD), diabetes, or neuropathies should consult their healthcare providers before using compression stockings, as they may have contraindications or require lower compression strengths.
  • Avoiding Inactivity
  • 3 1
  • Prolonged periods of inactivity, whether standing or sitting, can exacerbate varicose vein symptoms. To keep blood flowing and reduce the strain on your veins, consider the following strategies:
    • Take Regular Walking Breaks: If your job involves long periods of sitting or standing, make an effort to take short walking breaks. A brief stroll around the office or during your lunch hour can help improve circulation.
    • Exercise While Seated: While seated, flex your feet up and down ten times every hour. This simple exercise can stimulate blood flow in your legs and alleviate discomfort.
    • Move When Standing: If you have to stand for extended periods, periodically raise yourself up and down on your toes or gently rock back and forth on your heels. These movements promote circulation and relieve pressure on your veins.
  • Dietary Supplements
  • conservative managementSome dietary supplements have shown promise in reducing the symptoms of venous disease. Examples include horse chestnut and grape seed extract. Additionally, Vasculera, a prescription medication, may be beneficial for certain individuals. However, it’s crucial to consult your primary care physician (PCP) before starting any supplements or new medications, as they may have potential side effects or interactions with other treatments.
    • Consult Your PCP: Always seek the guidance of your PCP before incorporating supplements or medications into your routine, as they can provide personalized advice based on your medical history and current health status.

Conservative management and lifestyle changes can be powerful allies in your battle against varicose veins. By incorporating measures such as compression stockings, regular physical activity, and carefully selected dietary supplements under the guidance of your healthcare provider, you can experience relief from symptoms and potentially prevent complications. While conservative management may not make varicose veins vanish completely, it can significantly enhance your 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 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! 



Empowering health naturally: embracing conservative management for effective vein treatment2023-09-29T18:58:10-07:00

Clarivein: innovative vascular care explored-benefits, procedure & more

2023-09-29T18:17:04-07:00

Clarivein: innovative vascular care explored-benefits, procedure & more

If you’re suffering from backwards flow, or “reflux,” in your saphenous vein(s), the ClariVein® procedure could be the minimally invasive solution you’ve been looking for. In this blog post, we’ll explore how this innovative treatment works and what you can expect on the day of the procedure. Discover how ClariVein® can help you regain your leg health and quality of life.

How Does the Treatment Work?

clarivein

The ClariVein® procedure is designed to effectively treat saphenous vein reflux. This minimally invasive approach can be completed in less than an hour, allowing patients to return to their daily activities on the same day. But how exactly does this treatment work?

The process begins with numbing the skin using lidocaine. Once the skin is sufficiently anesthetized, a ClariVein® catheter is carefully inserted into the unhealthy vein. This catheter performs two essential treatments:

  • Mechanical Treatment with a Tiny Rotating Wire: The ClariVein® catheter features a small rotating wire that gently closes the problematic vein. This mechanical treatment is painless and highly effective.
  • Chemical Treatment with Polidocanol: In addition to mechanical treatment, the catheter delivers polidocanol, a detergent-type sclerosant medication commonly used in varicose vein treatments. This chemical treatment further aids in closing the vein.

Remarkably, this technique requires only one skin puncture, similar to the placement of an IV. It’s a minimally invasive approach with minimal discomfort for patients.

What Should I Expect on the Day of Treatment?

Now that you have a better understanding of how the ClariVein® procedure works, let’s delve into what you can expect on the day of your treatment.

  • Local Anesthesia and Mild Oral Sedative: The procedure is performed under local anesthesia. However, many patients opt to take a mild oral sedative, such as Valium, to further relax during the treatment. This is typically taken after checking in and completing paperwork.
  • Comfortable Setup: You’ll change into a gown, leaving your underwear on. Depending on the specific vein to be treated, you may lie on your back or belly. Special accommodations are made if needed, ensuring your comfort during the procedure.
  • Entertainment Options: To help you relax, you’ll have the option to watch a movie on Netflix or listen to music during the procedure.
  • Ultrasound Mapping: Before the treatment begins, the doctor will use an ultrasound to map the vein(s) that require treatment.
  • Numbing and Puncture: In the numb area of the skin, a tiny puncture is made to pass the ClariVein® catheter. Lidocaine is injected to ensure you don’t feel any pain during this process.
  • Treatment Process: Once the catheter and rotating wire are in place, the doctor initiates the treatment. During this phase, you may experience a tickling or vibrating sensation, but pain should be minimal to nonexistent.
  • Compression Stocking: After the procedure, you’ll be assisted in wearing a compression stocking, which you should keep on continuously for 72 hours.
  • Post-Procedure Walk: Before leaving, you’ll be encouraged to walk for 30 minutes to promote circulation. This helps enhance the effectiveness of the treatment.

Conclusion

The ClariVein® procedure offers a quick, minimally invasive solution for saphenous vein reflux. By understanding how this treatment works and what to expect on the day of your procedure, you can approach it with confidence. Say goodbye to the discomfort of saphenous vein reflux and hello to a healthier, pain-free future with ClariVein®.

“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! 

Clarivein: innovative vascular care explored-benefits, procedure & more2023-09-29T18:17:04-07:00

8, 9, 2023

Understanding what vein disease is and is not

2023-08-29T18:44:36-07:00

Understanding what vein disease is and is not

Venous reflux disease, alternatively referred to as venous stasis, venous insufficiency, or venous incompetence, is a complex condition affecting the veins of the legs. In this article, we will delve into the details of venous reflux disease, from its causes and symptoms to the progressive nature of the condition. We’ll also explore the crucial role of ultrasound technology in diagnosing and formulating personalized treatment plans.

Understanding Venous Reflux

At the heart of venous reflux disease lies the concept of ‘leaky valves’ within the leg veins. These valves, responsible for maintaining proper blood flow, may fail, causing blood to flow backward (reflux) instead of towards the heart. Venous reflux can occur in both deep and superficial leg veins, affecting the efficiency of blood circulation.

The Anatomy of Reflux

In the leg veins, there are two main types: deep and superficial. The deep veins, residing within the muscle, carry the majority of blood from the legs back to the heart. On the other hand, superficial veins are situated outside the muscle, just beneath the skin. Key players in the realm of superficial veins are the Great Saphenous Vein (GSV), coursing through the thigh and calf, and the small saphenous vein, running along the back of the calf.

Impact of Leaky Valves

Ordinarily, one-way valves in leg veins facilitate blood flow against gravity, aided by the contraction of calf muscles. When these valves become leaky, blood flows backward, leading to blood pooling in the lower legs. This condition manifests in symptoms such as leg heaviness, pain, fatigue, ankle swelling, and even restless legs at night. Over time, venous reflux disease can progress, giving rise to skin changes, including darkening, dryness, itching, and the potential development of venous leg ulcers.

Diagnosis through Ultrasound

Diagnosing venous reflux disease requires specialized tools, with ultrasound technology leading the way. Not all vein issues are visible to the naked eye, as many arise from veins beneath the skin’s surface. Ultrasound examinations provide insights into the direction of blood flow, valve functionality, and the presence of blockages or scars in the veins.

Personalized Treatment Steps

Addressing venous reflux disease involves a strategic approach tailored to each patient’s unique condition. The treatment process typically consists of three key steps:

Step 1: Treating Underlying Reflux
The initial focus is on addressing the root cause—venous reflux. This is achieved by targeting the saphenous veins, which are often the origin of the issue. Innovative vein ablation procedures like radiofrequency ablation, laser ablation, mechanico-chemical ablation (MOCA), and Varithena Foam are employed to restore proper blood flow.

vein disease

Step 2: Tackling Varicose Veins
Once underlying reflux is resolved, attention shifts to varicose veins. Foam sclerotherapy, involving injections of a foamed medication, or minimally invasive removal methods, can be employed to eliminate bulging veins.

vein disease

Step 3: Managing Spider Veins
For those seeking cosmetic enhancement, spider vein treatment through sclerotherapy is available. Although cosmetic in nature, this step completes the comprehensive treatment journey.

vein disease

Venous reflux disease is a multifaceted condition that requires specialized care for effective management. Our approach encompasses state-of-the-art diagnostics, cutting-edge treatments, and personalized care to address the various aspects of this condition. Through our expertise and commitment, we aim to provide transformative outcomes, enhancing both the health and quality of life of our patients. If you’re ready to embark on the journey to healthier veins, contact 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 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! 



Understanding what vein disease is and is not2023-08-29T18:44:36-07:00

28, 8, 2023

RFA for perforator vein reflux

2023-05-24T16:56:04-07:00

Radiofrequency perforator ablation (RFA) is performed on perforator veins, short connections between your deep and superficial veins. Perforator veins can suffer the same sort of valve damage and retrograde blood flow (venous reflux) as other veins. Most patients with vein disease who experience skin changes, (that also may result in leg ulcers if left untreated) have reflux in perforator veins near their ulcers, as well as in the superficial or deep veins.

RFA

What are Perforator Veins?

Perforator veins serve as connections between the two networks of veins in the extremities, the superficial venous system and the deep venous system. Perforators connect the two parallel systems, and normally drain blood from the superficial veins to the deep veins as part of the process of returning oxygen-depleted blood to the heart.

Perforator veins have one-way valves designed to prevent backflow of blood down towards the superficial veins. When those valves no longer function properly and reflux occurs, the buildup of blood and pressure can cause not only the superficial veins but the perforators themselves to become incompetent. Perforator veins in the lower leg and ankle are particularly vulnerable to distention and incompetence, and the resultant circulatory problems create an increased likelihood of edema, skin discoloration, dermatitis and skin ulcers in the immediate area.

Your doctor may have recommended RFA treatment of your perforator vein(s) because it is contributing to:

  • Venous leg ulcers
  • Pre-ulcerative skin changes
  • Persistent or recurrent varicose veins
  • Leg pain
  • Leg swelling

“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! 

 

RFA for perforator vein reflux2023-05-24T16:56:04-07:00

Saphenous Venous Reflux

2023-05-24T16:48:10-07:00

ClosureFast™ an endovenous radiofrequency ablation (RFA) procedure for saphenous vein reflux,

for the backward flow of blood (or “Venous reflux”) in your saphenous vein(s). The great saphenous veins and small saphenous veins are the two main superficial veins of the leg. They run along the inner leg and the back of the leg, respectively.

This minimally invasive procedure can be performed in the office in less than an hour and patients usually return to their usual level of activity the same day.

HOW DOES THE TREATMENT WORK?

The skin is numbed with lidocaine, then a tiny wire and the Closurefast® catheter are inserted into the vein.  The catheter delivers radio-frequency energy to the vein wall, causing it to seal shut.  The remaining healthy veins continue to bring blood back to the heart.

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

saphenous

Diagram of endovenous laser ablation (EVLA) procedure

completing all paperwork.  You will change into a gown and leave underwear on.  Depending on the vein to be treated, you will lay on your back or on your belly.  We do our best to make special accommodations (for example, if you cannot lie flat or cannot bend a knee very well) with body positioning and using pillows.  We will do our best to make you comfortable.  Then, we will give you the option of watching a movie on Netflix or listening to music.  Once you are comfortable, your leg (s) will be prepped with a cleansing solution for the sterile procedure.  The doctor will perform an ultrasound to map the vein (s) to be treated.  Then, a numbing agent (lidocaine) will be injected into the skin. In the numb area of the skin, a tiny puncture is made to pass the radiofrequency catheter.  Your doctor will then use a needle to administer a combination of cool saline and local anesthetic around the vein either in the thigh or calf (depending on which vein is treated).  This solution numbs the vein and insulates it from the surrounding tissue.  After the numbing solution is applied, the vein is painlessly treated with radiofrequency energy.

Once your vein has been treated, we will clean your leg and apply a compression stocking which you will wear for 72 hours continuously.  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! 

 

Saphenous Venous Reflux2023-05-24T16:48:10-07:00
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© Copyright 2010-2024, La Jolla Vein & Vascular | All Rights Reserved

CONTACT INFORMATION

La Jolla/UTC

Vista

Patient Privacy Practices

Privacy Policy

Hippa Privacy Practices
HIPAAOneTM Certified Seal 2

Use the search features below to find articles and insights for the diagnosis and treatment of vascular disease

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

La Jolla/ UTC

North County San Diego/ Vista — Endovascular Center
Now Open! Call/Text for Appointments

© Copyright 2010-2024, La Jolla Vein & Vascular | All Rights Reserved

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