Services

Name Description Slogan
Endovenous Laser (EVLT) <p>Endovenous laser therapy is a simple, minimally invasive procedure. Performed under local anesthetic, this procedure involves inserting a thin laser fiber optic catheter into the vein and then applying heat to seal the vein shut thereby closing the source of the abnormal veins that give rise to the visible varicose veins on the skin. In sum, EVLT shuts off the source of chronic venous insufficiency symptoms, the saphenous veins, and the varicose veins are removed by hand during phlebectomy (see Phlebectomy section).</p> If your leg pain and discomfort are caused by venous insufficiency, then EVLT will result in significant improvement in pain and discomfort in over 80% of patients. Show Edit Destroy
Ultrasound-Guided Foam Sclerotherapy <p>Ultrasound-guided foam sclerotherapy (UGFS) of varicose veins is a useful treatment option. It is a relatively safe method in the case of limited, small varicose veins. In theory, a justified concern could be raised that the injection of an active drug into the large superficial venous vessels may potentially cause life-threatening consequences.</p> <p>&nbsp;</p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;"><strong style="box-sizing: inherit; zoom: 1;">What should you expect from treatment?</strong></p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;">Sclerotherapy generally does not require any recovery period. You will be able to walk immediately after the treatment. Bed rest is not recommended, but you may need to avoid strenuous exercise for a few days after sclerotherapy. It is recommended to wear compression stockings for a short time after having sclerotherapy.</p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;"><strong style="box-sizing: inherit; zoom: 1;">What kind of results are achieved?</strong></p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;">Sclerotherapy can reduce symptoms and improve the look of the&nbsp;skin. It works in about 80 out of 100 people who have the procedure.</p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;"><strong style="box-sizing: inherit; zoom: 1;">What should you do going forward or post-treatment to ensure vein health?</strong></p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;">Exercising, maintaining a healthy body weight and not spending long periods sitting or standing can help ensure vein health. Also check in with your doctor if you notice new veins or you condition not improving. Veins that do not close are treated again.</p> Show Edit Destroy
Visual Sclerotherapy <p>Sclerotherapy eliminates smaller varicose and spider veins through the injection of an FDA-approved drug solution that causes closure of the veins. The solution is injected directly into the affected veins, where it causes the vein walls to seal together. The vein is eventually reabsorbed by the body while blood is rerouted through healthy veins nearby. While Sclerotherapy is covered by some insurance companies for the treatment of varicose veins, it is not covered for the treatment of spider veins by most insurance companies. Therefore, most Sclerotherapy treatments performed on the spider veins are paid by the patients themselves. Spider veins are those small and tiny, &ldquo;serpentine&rdquo; veins right on the skin that are 1-2 mm or less in width, and are in shades of blue, purple, or red in color. Sclerotherapy is considered the best treatment for spider veins. No anesthetic is required prior to treatment and patients report little discomfort during and after the procedure. Most return to work and regular activities as soon as the treatment is completed.</p> <p>&nbsp;</p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;"><strong style="box-sizing: inherit; zoom: 1;">When is this method used</strong></p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;">Visual Sclerotherapy is often the preferred treatment method for Spider Veins.&nbsp; It is minimally invasive and effective.</p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;"><strong style="box-sizing: inherit; zoom: 1;">What should you expect from treatment?</strong></p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;">This 2-5 treatment therapy is effective in smaller diameter veins and the results are long lasting. This minimally invasive procedure requires no incisions, and no down time. Patients return to fully activity right after the procedure. No anesthesia is needed.</p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;"><strong style="box-sizing: inherit; zoom: 1;">What kind of results are achieved?</strong></p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;">Veins tend to fade within a few weeks although it may take up to a couple months to see complete results. &nbsp;Visual Sclerotherapy can also improve related symptoms like burning, aching, night cramps, swelling and more.</p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;"><strong style="box-sizing: inherit; zoom: 1;">What should you do going forward or post-treatment to ensure vein health?</strong></p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;">Exercising, maintaining a healthy body weight and not spending long periods sitting or standing can help ensure vein health.</p> Because Sclerotherapy is only “partially successful” among those injected spider veins, multiple sessions of injection maybe needed in some patients. Between 1 to 3 sessions of treatments are usually needed for a given area, separated by weeks to months of interval in between sessions. Show Edit Destroy
Ambulatory Phlebectomy <p>Ambulatory phlebectomy is performed through a small 1 mm needle puncture in the skin rather than the much larger scalpel incisions for veins stripping in the past. Topical anesthesia is used to numb the surface of the bulging veins, and a needle like instrument is used to remove the bad veins in the leg. After removing larger varicose veins, the puncture marks are so small, they do not require stitches or result in large scars.<span style="mso-spacerun: yes;">&nbsp; </span></p> <p>It is very important to note that Ambulatory Phlebectomy is a supplemental procedure to EVLT.<span style="mso-spacerun: yes;">&nbsp; </span>Varicose veins on the skin surface arise from an underlying vein source that is refluxing diagnosed with venous ultrasound.<span style="mso-spacerun: yes;">&nbsp; </span>In other words, varicose veins that are treated by phlebectomy are only the surface manifestation of an underlying venous insufficiency.<span style="mso-spacerun: yes;">&nbsp; </span>As such, it does not make sense to simply remove the varicose veins without treating the underlying problem.<span style="mso-spacerun: yes;">&nbsp; </span>For this reason, most insurance companies cover ambulatory phlebectomy only after the EVLT procedure is performed. And as one might expect, the benefits and risks of ambulatory phlebectomy are very similar to those of EVLT. Patients are able to walk out of the office with no down time!</p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;"><strong style="box-sizing: inherit; zoom: 1;">When is this method used?</strong></p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;">Ambulatory Phlebectomy is used for the treatment of tortuous varicose veins and tributary veins off the main great or small saphenous vein.&nbsp; Ambulatory phlebectomy is most often utilized for below knee varices.&nbsp; In the calf, the saphenous nerve is near the saphenous vein.&nbsp; In the mid calf the nerve moves away from the vein.&nbsp; Damage to the saphenous nerve causes some transient numbness.&nbsp; In order to avoid injuring the nerve, phlebectomies or ultrasound guided foam sclerotherapy is often utilized as an adjunct to endovenous ablation.&nbsp; Phlebectomies are also often utilized to treat tortuous veins on the side anterior or lateral aspect of the thigh.</p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;"><strong style="box-sizing: inherit; zoom: 1;">What kind of results are achieved?</strong></p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;">Around 90% of patients achieve long-term success, although new varicose veins can develop in the future in different locations as with any other therapy.&nbsp; Some patients may experience some tenderness over a treated vein due to trapping of blood.&nbsp; This is treated in the office by removing the trapped blood under local anesthesia.</p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;"><strong style="box-sizing: inherit; zoom: 1;">What should you do going forward or post-treatment to ensure vein health?</strong></p> <p style="box-sizing: inherit; zoom: 1; margin-bottom: 1.5em; font-family: Roboto, sans-serif; font-size: 16px; background-color: #ffffff;">Exercising, maintaining a healthy body weight and not spending long periods sitting or standing can help ensure vein health. Also check in with your doctor if you notice new veins or you condition not improving.</p> <p>&nbsp;</p> Phlebectomy requires total focus and concentration on the part of the surgeon while utilizing fine-tip instruments through the micropuncture skin opening. Usually only 10 to 20 vein segments can be removed at a time, in one-hour sessions. Show Edit Destroy
Topical Laser Treatment <p>Tiny, &ldquo;feathery,&rdquo; and a &ldquo;blush&rdquo; of spider veins (called &ldquo;telangiectasia&rdquo;) are too small for sclerotherapy needles to get inside the vein for injection.&nbsp; Using a hand-held device with a tiny &ldquo;hair-thin&rdquo; probe that is attached by a cord to a machine that generates micro-bursts of high-frequency energy (4 MHz) which is released through the tip of the micro-probe and delivered to the tiny spider vein.&nbsp; The heat causes the blood vessels to close as the blood coagulates.&nbsp; It does not work well for the larger veins which are more amenable to Sclerotherapy, but it does work well for the tiny spider veins.&nbsp; It is a complementary technology to needle-based Sclerotherapy for the full spectrum of cosmetic vein treatment.</p> Show Edit Destroy
Lifestyle Changes <p>Examples of conservative options for addressing varicose veins, spider veins, or any type of venous insufficiency include making some reasonable lifestyle changes.</p> <p>Some examples are:</p> <p>&nbsp;</p> <p><strong>Changing your diet: </strong>&nbsp;</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;*Practicing portion control</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;*Choose healthier food options.</p> <p>It&rsquo;s no secret that weight loss can positively impact your overall health but losing excess weight can also significantly lessen the pressure on your legs veins in particular, resulting in improved blood flow.</p> <p>&nbsp;</p> <p>&nbsp;</p> <p><strong>Exercise more:</strong></p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;* Take the stairs instead of the elevator</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;* Walk 15- 20 minutes a day</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;*Alternate between standing or sitting often</p> <p>These are all ways to increase your body&rsquo;s movement can help the blood circulate in your legs and throughout your body.&nbsp;Many people might be surprised to learn that prolonged periods of standing or sitting can negatively affect your vein health.</p> <p>&nbsp;</p> <p>&nbsp;</p> <p><strong> Medical compression stockings:</strong></p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Compression stockings help relieve the pain and swelling experienced by many patients with varicose veins of people whose work requires prolonged sitting or standing. You can purchase these in our office. Just ask one our staff members.</p> <p>&nbsp;</p> <p><strong>&nbsp;What kind of results are achieved?</strong></p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Lifestyle changes may prevent new varicose veins from forming but won&rsquo;t get rid of existing varicose veins. This treatment option is meant to help manage pain and reduce more varicose veins from forming. If your condition becomes unmanageable or you want to reduce the appearance of varicose veins you may need further procedures to treat your condition.</p> Healthy, Beautiful legs lead to an active lifestyle! Show Edit Destroy

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