Capitol Vein Blog

Friday, June 16, 2017

How the Pain of Varicose Veins is Treated to Restore Your Leg Health and Comfort

Varicose veins are a common cause of leg pain, heaviness and fatigue, but may go unrecognized as both patients and physicians often discount the contribution of venous disease to these leg symptoms. It’s surprising how often treating these veins can improve the leg comfort and improve overall leg health.

Normal flow in veins carries blood up the leg against the constant push of gravity downward. Little one-way valves in the veins propel the blood upwards, but if these valves cease to function well, they cannot resist the force of gravity down the leg. Therefore, blood starts to pool in the lower leg, and just as inflating a balloon causes it to swell, increasing the pressure in varicose veins causes them to swell as well. This expansion of the veins leads to aching, tenderness, pain, and elevates the risk of blood clots (phlebitis).

You can ease some of the pain from your varicose veins by using support socks which help push the blood up the leg. However once the support hose are removed, the backflow in the veins recurs and the symptoms become evident again.

The best option to resolve the veins issues is to undergo a simple office-based procedure to seal the non-working veins and allow restoration of normal circulation. VNUS Closure is the most time-tested and successful method to close the internal feeder vein that typically causes varicose veins. This procedure is done under local anesthesia and allow return to normal activity the same day. We can also delicately remove certain surface varicose veins in the office using pinpoint access sites that do not leave permanent scarring.

The key points to remember are that:
  • ·         Varicose veins are a progressive problem and earlier intervention is best
  • ·         Varicose veins treatment is an easy office-based procedure
  • ·         Varicose vein treatments are generally well covered by your insurance plan
  • ·         Be sure to seek a vascular surgeon well experienced in the treatment of venous disease 

Friday, May 5, 2017

Learn About The Pain of Varicose Veins and the Comfort of Treatment Options

Varicose veins are unsightly leg veins that have the potential to cause significant medical problems. The veins are a very common finding among men and women, and are seen more often as we age although these veins may also be seen in the adolescent years. Varicose veins occur due to weakness in the one-way vein valves that propel blood up the leg. As gravity is a constant downward force, pressure can build up, leading to excess pressure in the veins and bulging occurs. Very much like a balloon expands with increased air pressure, the veins expand due to increased vein pressure.

Complications of varicose veins include ongoing discomfort, aching, tenderness, itching and cramping. Even skin changes, ulcerations and blood clots can develop due to the venous insufficiency.

Reasons to consider treatment of your varicose veins:

1    1)   You will minimize the health risk of untreated varicose veins. Once the circulation is normalized, the venous insufficiency will disappear and the risks of complications will drop dramatically. Treatment is now an office based minimally invasive procedure done under local anesthesia. You can resume normal activity the same day. Old-fashioned vein stripping has been replaced with endovenous ablation (VNUS Closure) which allows targeted treatment of the weak feeder veins in the leg. You will find that your leg discomfort improves within days of the ablation as the elevated pressures are eliminated. Your comfort is a paramount concern and we take great care to ensure your post treatment period is as easy as possible.

2    2)    Your legs will look and feel better once the varicose veins are addressed as in most cases, there will be no evidence that you ever had varicose veins. The VNUS Closure or microphlebectomy (done to remove some unsightly veins) is done with little sticks and no sutures so there is almost no permanent scarring. Your symptoms will improve quickly and your legs will look much better.

3    3)      Your insurance will likely cover a good portion of the cost of vein treatment. Medical insurance companies recognize the health risks of untreated varicose veins and prefer that patients with large or symptomatic vein be treated to prevent increased health costs due to complications from varicose veins.

Be sure you are aware of the qualifications and experience of the physician you select to treat your venous disease. The clinical judgement and reputation of the surgeon is critical in assuring you get the best result possible.

Friday, April 28, 2017

Varicose veins typically cause symptoms of aching, heaviness, throbbing and generalized discomfort in the leg due to the elevated pressure from back flow in the veins. Patients notice symptoms exacerbated later in the day, and even when going to bed at night may develop restless legs. Varicosities develop because the small one-way valves in the veins that propel the venous blood up the leg become defective. The downward push of gravity creates pressure leading to the swollen veins at the surface of the leg, but the origin of this downward push is usually internal veins that feed the surface veins.

We encourage patients to ease the discomfort of varicose veins by maintaining a good level of activity, elevating the legs when possible, and using medical grade support hose. Steady contraction of calf muscles, done by toe raises or walking, helps propel blood up the leg and encourage good circulation. Leg elevation reduces the push of gravity and allows the veins to temporarily shrink, easing the symptoms. The support hose also effectively reduce the pressure in the veins and promote normal venous blood flow up the leg.

Ultimately, correction of the underlying reflux (backflow) in the veins is the best treatment to permanently eliminate the symptoms of varicose veins. Individualized treatment is enabled by the use of high quality venous ultrasound that shows the vein valve abnormalities in great detail. Endovenous ablation (VNUS Closure) is often used to treat internal veins that cause the painful surface veins, while phlebectomy or sclerotherapy eliminates the visible varicose veins.

It is important that you understand the qualifications and experience of the physician you select to treat your veins. Vascular surgeons have extensive training in both arteries and veins and have the judgement to provide you with the best options for a successful result.