Orthopedic Vein Disease

Leg pain is one of the most common issues patients face and it’s not surprising to learn that orthopedic issues and vein disease can be seen together. In fact, both conditions affecting one patient can be quite common as the 2 conditions are seen frequently in individuals over age 40. Some have coined the term “orthovenous” disease and the impact of vein disease can be quiet significant for patients considering orthopedic surgery. This includes patients who have not only undergone previous knee or hip surgery, but also considering procedures in the future. It’s important for both the varicose vein clinic near me  and orthopedic surgeon to be aware of the signs and symptoms of venous insufficiency.

 
Orthopedic patients suffering from leg swelling, visible or tender varicose veins in feet, leg cramps, charley horses, and restless legs likely have underlying vein disease. These patients should consider a venous evaluation prior to any major orthopedic surgery. Post-operatively, if swelling continues beyond the typical expected period, a similar evaluation would be recommended.
 
Although there is a lack of abundant literature regarding the treatment of venous disease prior to orthopedic surgery, the available research has shown that patients who have their venous problems addressed prior to knee replacement or arthroscopy have a better outcome. Patients were noted to lessen the risk of leg swelling and deep vein thrombosis post- operatively when venous disease was managed prior to surgery. Similarly, the decreased swelling has been observed to improve wound healing and physical therapy.
 
Vein treatment by closing defective veins is minimally invasive, taking approximately one hour with rapid recovery times. While anyone suffering from vein disease will likely benefit from a vein evaluation, patients undergoing orthopedic surgery may be a special population that should seek earlier treatment Additional research is needed to verify some of the earlier findings and beliefs within the orthopedic and vascular community.
 
If you have leg pain and are under orthopedic evaluation, be sure to consider your vein health also. If you have concerns about varicose veins,  itchy veins, swelling, leg heaviness or skin discoloration – request a vein center near me to evaluate your leg pain. Remember, untreated vein disease can improve how you feel and recover after orthopedic surgery.

Article Source: https://southjerseyveinclinic.weebly.com/blog/orthopedic-vein-disease

Foam Vein Treatment

 The gold standard of treatment for spider veins clinics in NJ is non-surgical treatments including endovenous laser vein ablation and endovenous radiofrequency ablation.  Both forms of treatment are catheter based technologies performed using ultrasound guided percutaneous entry.  However, ablation is not suitable for all patients due to variable presentations of vein disease and anatomical considerations.  In fact, contra-indications to catheter based treatment include: 1) superficial veins close to the skin 2) proximal nerves or arterial circulation 3) tortuous veins. 

In these instances, a more suitable treatment is microfoam delivery  of polidocanol, otherwise known as foam sclerotherapy.  The difference between foam sclerotherapy and the more common and well-known sclerotherapy is the compounding of the sclerosant with mixture of air (nitrogen, oxygen, and carbon dioxide).  The elements are in variable concentrations and allow for the liquid sclerosant to be compounded into a foam mixture that adheres better to target vessel walls.  This is important for larger targets like varicose veins and in some cases reticular veins.   Vein specialists will use either foam or liquid sclerotherapy for spider vein treatment NJ depending on the condition being treated.  

• Truncual reflux–best suited for RF ablation or EVLT
• Truncal varicosities–foam sclerotherapy or ambulatory phlebectomy
• Perforating veins–targeted ablation or foam sclerotherapy or phlebectomy
• Reticular veins–foam sclerotherapy
• Spider veins–liquid sclerotherapy or laser treatment of spider veins

Foam sclerotherapy can be aided by ultrasound in certain situations prescribed by the vein doctor.  In most vein clinics, the preferred solution is now polidocanol given its efficacy and safety profile.   There is also the FDA-approved Varithena that is ideal for large varicose veins, perforators and neovascularization.  Varithena comes in 1% polidocanol pre-packaged, but is unique from physician compounded foam sclerotherapy because it is pre-packaged as a low-nitrogen microfoam that clinically has proven to be safer and more efficacious.  It can be used on the upper and lower portions of the leg.  However, despite the increased safety profile ,the medication should only be administered by qualified vein doctors near me that understand the mechanism of action and appropriate use criteria.



In general, foam sclerotherapy is administered following direct cannulation of the target vein.  With polidocanol, the preferred concentration is 0.5%-1.0% depending on the size of the target vein.   With generic polidocanol, the liquid sclerosant is mixed with an air-filled syringe in 3:1 or 4:1 ratios until a foam is created.  The injected foam has an immediate action on the vein walls inducing chemical ablation; this process continues for months to years as the vein is slow reabsorbed by the body.   It is important to inform patients of the possibilities to feel tenderness or lumpy nodules after treatment that may look worse for a period of time, but will heal with good effect.    Follow up is important post procedure as per the protocol and is standardized in most  vein centers. The post procedure care after sclerotherapy follow up will include a duplex ultrasound to evaluate vein treatment effect and any complications post sclerotherapy.

Article Source: https://centralnjveinclinic.weebly.com/blog/foam-vein-treatment

When to Visit the Vein Doctor?

 Spider veins and varicose veins are quite common.  In fact, it's estimated that up to 80% of females have some presentation of vein disease including spider veins. In most cases, the presence of spider or varicose veins is not a reason for concern.  However, whether it's for cosmetic reasons or medical reasons, you will want to make sure you are getting the right advice. 

 

 

In this article, we review some of the top reasons patients seek out expert advice for spider and varicose vein treatment.

 

1) Spider Veins

Spider veins are fine red or purple vessels on the skin and have the appearance of spider webs. They represent the most common reason females seek out vein treatment.  Genetics, venous insufficiency, and hormonal factors are the most common cause.

 

2) Varicose veins

Protuberant, larger veins on the surface of the skin.  They are tortuous and associated with a greater degree of symptoms. The primary cause is often venous insufficiency and genetic factors.

 

3) Restless Leg Syndrome

Venous insufficiency is surprisingly a common cause of restless legs. While every patient may not have pain from varicose veins, the involuntary contractions from restless legs during the night-time can be very disturbing. A simple duplex ultrasond can help make the diagnosis.

 

4) Leg Swelling

Edema or leg swelling is more concerning symptom with venous insufficiency and results from higher venous pressures. Swelling in vein disease is an indication for treatment, however alternative causes should also be excluded.  

 

5) Leg Pain

Leg pain in venous insuffiency occurs as blood pools in the legs and causes aching and heaviness. The saphenous veins are often involved and can be diagnosed with with venous reflux study.

 

 

 

 

Making a decision about vein treatment is often guided by the symptoms you experience.  Leg pain, restless legs, and swelling are indications of medical venous disease. 

Treatment is guided by venous reflux studies to help elucidate the culprti vein.  Greather saphenous disease accounts for approximately 80% of venous insufficiency and can be relieved with simple measures including vein ablation, venaseal and varithena in appropriate candidates.

 

For more information, consider visiting www.veinspecialistcenters.com for detailed questions about vein disease and vein treatment.

Article Source: https://healthandwellnessnj.puzl.com/_news/Who-Visits-the-Vein-Doctor/291645

Vein Myths - Part II

 Vein myths dispelled (part 2)

Varicose veins and venous insufficiency represent a very common patient presentation.  The most serious symptoms are DVT, infections, ulcerations and bleeding.  Fortunately, they tend to be rare.  The most common reason for vein disease happens to be hereditary.  In fact, if one parent has vein disease, there is a 50% chance for their children to also have vein problems.  Despite this knowledge, we still hear plenty of exaggerated stories of “how varicose veins form.”  In a previous blog, we addressed 3 dispelled notions on varicose veins and in this article, we focus on 3 more concerns patients with spider and varicose veins express.


Myth 1: Varicose veins are more common in runners
Anything that promotes circulation is good for your health and that includes your leg veins.  Walking and moreso running promotes the calf muscle pump action and this reduces the amount of blood pooling in the lower extremities.  That’s a good thing!
So it’s not the running that causes varicose veins in legs, however it’s clear that anyone spending a great deal of time on their legs with varicose veins should wear compression stockings.

Myth 2: Varicose Veins Are Always Visible
Varicose veins are insidious and so long before you see any protuberant veins, the underlying venous insufficiency can be progressing.  Pay attention to symptoms including leg pain, heaviness or cramps.  Nocturnal symptoms include restless legs or charlie horses.  If you have any of these symptoms, then consider beginning your search for a varicose vein doctor near me.

Varicose veins are often the result of faulty pipes beneath the surface of the skin.  Most commonly they involve the truncal veins (great saphenous or small saphenous veins) and perforators.   As these feeder veins develop disease from incompetent valves, symptoms can start and with progression, visible varicose or spider veins may appear.  It’s important to understand that the visual presentation of varicose veins is just the tip of the iceberg. Prevention complications down the line involves treating the underlying feeder veins.
 
Myth 3: Varicose Veins Can Be CuredUnfortunately, varicose veins cannot be entirely cured.  We are fighting some long odds with genetics and given the numerous amount of veins we all have, the better goal is to manage symptoms and prevent complications.  This means starting treatment early and then maintaining ourselves with appropriate lifestyle choices including exercise!
 
Vein restoration centers in NJ and across the country are seeing more and more patients with varicose vein issues.  There are probably several factors involved here including better patient and primary care awareness, insurance coverage and increased focus on wellness and aesthetics.  Safe and effective varicose vein treatment requires proper evaluation by a leg vein doctor in NJ.

Article Source: https://mtlaurelveincenter.weebly.com/blog/vein-myths-part-ii

Is it safe to remove veins?

 If you’ve considered having your spider or varicose veins treated, you may have read about sclerotherapy, laser vein removal or vein ablation. These are minimally invasive treatments for spider and varicose veins intended to collapse poor circulating veins and promote healthier circulation using your other healthy, natural veins.  

Treatments like cryo-sclerotherapy for spider veins and ablation eliminate the unhealthy portion of your veins without surgery. The varicose vein doctor will generally perform these procedures using local anesthetic within the comfort of an office or ambulatory care setting.  Without incisions, the procedure is minimally invasive with quick recovery and no down time.  You can drive in and drive out yourself from the procedure.

But do you need those veins?
To take a vein out of your circulatory system might sound severe but our bodies are wonderfully resilient. The varicose veins or spider veins are diseased and are no longer performing their job. In treating them, our body finds alternative pathways and uses healthy veins to carry blood. And don’t worry, you’ll never run out of healthy veins.

There are two major treatments for spider veins on the legs:

Sclerotherapy:
This approach uses visual inspection or ultrasound imaging technology to visualize the patient’s vascular system and target the desired spider veins for removal. After the patient’s veins are mapped, a vein specialist injects the varicose veins with the solution while the physician monitors the procedure in real-time to guide the placement of the syringe and target the correct vein.  Painless sclerotherapy can be accomplished with local anesthetic, external cooling (cryo-sclerotherapy) and physical stimuli at injection sites.  

Laser treatment:
Laser treatment for spider veins is primarily intended to treat surface, tiny veins that can be difficult to cannulate with a needle. While sclerotherapy can treat a wider range of spider and reticular veins, laser treatments for spider veins remain popular. 

Deciding which spider vein treatment NYC is right for you is done in consultation with a vein specialist.  Considerations include the evaluation for co-existing medical conditions, underlying venous insufficiency, insurance coverage, out of pocket costs, and treatment goals. The right vein specialist can help you navigate the different options and find the best fit for you.  

Article Source: https://newyorkcity.bubblelife.com/community/princeton_vascular_center/library/355310872/key/356798323/How_Safe_Are_Vein_Treatment_Procedures

Home Remedies for Varicose Veins

 Varicose veins and spider veins are super common and affect almost everyone I know. Some are more bothered than others. Medically speaking, there is only one reason to do vein procedures and that is symptoms. Varicose vein symptoms can include leg pain, leg cramps, restless legs, and leg swelling to name a few. Advanced symptoms or signs include skin color changes or eczema, leg ulcerations and bleeding varicosities. We know that vein procedures are quite effective and vein doctor NJ offer some of the most advanced techniques available. However, a large number of patients do not require procedures in the absence of symptoms but are curious about what they can do at home to remedy some mild itching or discomfort. Vein clinics of America recommends several DIY techniques that can help you feel a little better. Of course, if you have more than mild symptoms or you are not responding to conservative measures, then a visit to the vein doctor is recommended.

Natural treatments review by the best varicose vein doctor in NJ are:

1. Apple Cider Vinegar

We do not recommend ACV for spider veins. Despite various claims, there is no science to back up this belief. Because of the acidic nature of ACV, there can also be skin irritation. So sorry, but circulation is not improved and varicose veins are not likely to shrink away with ACV.

2. Cayenne Peppers

While it can be a rich source of vitamin C, the ingestion of cayenne peppers is likely to do little more than cause stomach irritation. Support is weak for this home remedy.

3. Horse Chestnut extract

Along with essential oils, horse chestnut has anti-inflammatory effects and thus can feel soothing for uncomfortable or itchy spider and varicose veins. Just don’t expect them to disappear.

4. Exercises

This one is a sure bet to helping the legs feel better. Promoting circulation is the key to relieve any varicose vein leg pain. Exercise improves the tone of the calf muscles as well which again promotes healthy movement of blood. Key point is to avoid sitting or standing in one position for too long.

5. Avoid crossing your legs

Crossing your legs alone will not cause spider or varicose veins. However if you suffer from poor vein circulation, then tightening your legs or sitting in one position for an extended period of time can inhibit blood circulation and trigger more pain.

6. Witch Hazel

Can have a soothing or cooling effect on your legs and that can feel nice on spider veins. However, like essential oils or cayenne peppers, don’t expect veins to disappear.

At this time, there are very few things that are sure fire DIY measures for curing vein disease. However, for mild disease or those interested in getting some mild relief, the best vein doctors will advise that trials of essential oils or horse chestnut extract can be considered for minor relief. If the symptoms persist or worsen, it’s best to make an appointment with the vein doctor near me before advanced symptoms develop.

For more information, visit www.veinspecialistcenters.com to help manage painful spider and varicose veins.

Article Source:  https://southjerseyveincenter.mystrikingly.com/blog/home-remedies-for-varicose-veins

Top Methods for Spider Vein Removal

 This article discusses the means for obtaining the best treatment for spider veins available. The vessels that return deoxygenated blood from other parts of the body to the heart and lungs are called veins. It is when they become damaged or impaired that a condition known as venous insufficiency develops.  Signs of vein disease include spider veins and varicose veins. With the advancement in medical procedures, there are many new spider vein treatments available to the patients looking for convenient and non-surgical methods to get rid of bad veins. 

What is the best spider vein treatment in New Jersey?
It’s common to hear individuals ask “what is the best spider vein treatment in NJ?”  That is a loaded question, but we can begin by stating with fact it is non-surgical.   From there it is a matter of getting an individual evaluation to better understand your condition and goals.  The best doctors in NJ will evaluate your condition, prescribe appropriate diagnostic tests, and then sit with you to plan a specific treatment suited for you.  This article reviews some of the most popular methods for vein treatment in 2020. 
Laser Treatment
Laser removal is a minimally intrusive treatment that involves delivering laser energy to the tiny surface capillary veins. The energy is absorbed by the targeted veins and leads to disruption of the blood vessels and coagulation.  The vein is ultimately resorbed by the body.   Blood no more moves through these veins and is rerouted through healthier blood vessels.
Sclerotherapy
Sclerotherapy is the most popular and effective treatment for spider vein removal at most vein clinics.  It is time intensive, but associated with far greater accuracy and satisfaction especially for larger spider and reticular veins.   Today, the most popular formulations are polidocanol and STS as opposed to hypertonic saline.  The medications are safer to use and associated with less complications like hyperpigmentation and ulceration.  Injected veins are disrupted by the sclerosant and ultimately dissolve with time. Similar to laser treatment, sclerotherapy is often needed 2 or 3 times for maximal effect.  
 
Endovenous Techniques
This refers to treating the underlying cause of spider and varicose veins.  In most instances it is covered by medical insurance with medical necessity.  It is more involved than sclerotherapy or laser treatment of spider veins, but still a minimally invasive treatment performed in the office.  A tiny catheter is placed into the vein and heat is delivered for collapse of the diseased vein.  Leg circulation back to the heart is improved by eliminating the refluxing vein (seen in venous insufficiency).
Surgical Procedures
Old relic of vein treatment using surgical ligation and stripping to eliminate the refluxing vein.  This has been largely replaced by catheter based techniques like vein ablation.
Ambulatory Phlebectomy
Ambulatory phlebectomy is a procedure where varicose veins are directly pulled out under local anesthesia using tiny cuts and surgical hooks pull.   This technique is best for getting rid of huge varicose nerves not suited for injection therapy. 
VenaSeal
The newest treatment for varicose veins is also catheter based, but utilizes delivery of a medical adhesive through a tiny tube inserted into the refluxing vein.  The targeted vein is sealed shut and blood is redirected to healthier portions of your circulation to eliminate varicose veins.  
The very best source for additional details is a qualified, accredited and the spider vein treatment clinic NJ. Patients are urged to seek specialist evaluation prior to selecting any treatment for spider veins for a cost effective approach.

Article Source: https://centralnjveinclinic.weebly.com/blog/top-methods-for-spider-vein-removal