Vascular Care & Surgery

Fortunately, most vein disease can be seen by looking at the size and color of the vein at the skin surface. In some cases, however, the diseased vein may be deeper in the body and not visible through the skin. As a result, paying close attention to other symptoms is important in diagnosing vein disease. Many patients with vein disease experience cramping, aching, burning, itching, soreness, or “tired” or “restless” legs, especially in the calf muscles. If you experience these symptoms, your Vein Center physician can quickly and easily perform a test to determine if you have vein disease.

Vein disease of the legs is one of the most common medical conditions. Approximately half of the population has some form of vein disease. Varicose veins affect between 15-25% of all adults, and approximately 50% of all people over age 50. Women have a higher incidence of vein disease than men.

The single most important cause of vein disease is heredity. Approximately 70% of all patients with varicose veins have parents with the same condition. Pregnancy, especially multiple pregnancies, is a contributing cause of vein disease. Other factors influencing vein disease are age, obesity and jobs that require long periods of standing.

Generally no. If you have a family history of vein disease, there is nothing you can do to change your genes. Being overweight can accelerate the progression of vein disease, and long periods of standing can also add to the problem. Diet and footwear are generally believed to be irrelevant in the formation of vein disease.

Veins are the blood vessels that return blood to the heart from the body. To overcome the force of gravity, inside the veins are one-way valves which open to allow blood flow to the heart, and close to prevent “reflux” of blood back toward the feet. When these valves fail to function, or if the vein is damaged so the valves do not completely close, blood can begin to pool in the vein and cause a variety of complications.

Depending on the type and stage of vein disease, there are many different treatments. Your vein center physician will explain all of the options. The following are common treatments performed for vein disease:

Compression Stockings 
For minor pain from varicose veins, a compression stocking may be beneficial. The compression stocking will assist the leg in the pumping of blood back to the heart. While the vein disease symptoms may be relieved, compression stockings will not make the varicose veins go away.

Sclerotherapy 
Used commonly for spider veins and small varicose veins, sclerotherapy involves injecting a small volume of a liquid into the diseased vein. The sclerosing liquid acts upon the lining of the vein to cause it to seal shut, eliminating the vein completely. Sclerotherapy is quickly performed in a physician’s office and no anesthesia is required.

Surgical Stripping 
Historically, the only treatment for large varicose veins has been to surgically remove or ‘strip’ the vein from the body. Surgical stripping is done in an operating room under anesthesia and requires a considerable recovery period for the patient. More recently, a modified version of stripping known as ambulatory phlebotomy has grown in use. In this version of surgical stripping, multiple incisions are made to hook and remove the vein one portion at a time. More incisions are made than in standard vein stripping, but the damage to the leg and post-surgery recovery time are minimized.

Endovenous Ablation Therapy 
In the last several years, the use of endovenous ablation has become an accepted alternative to surgical stripping to treat varicose veins. In endovenous ablation therapy, a thin fiber is inserted into the diseased vein, generally through a small puncture in the leg above where the visual symptoms appear. The physician then delivers energy (radiofrequency or laser) through the fiber which causes the vein to close as the fiber is gradually removed. Endovenous ablation therapy can be performed in a physician’s office in less than one hour, and the patient is encouraged to walk immediately following the procedure.

Patients should wait at least three months after pregnancy or major surgery before being treated for vein disease. Persons with deep vein thrombosis or incompetence, and patients who cannot ambulate for other reasons are not good candidates for treatment.

Because there are many veins in the leg, the blood that would have flowed through the closed vein simply flows through other healthy veins after the procedure. The loss of the diseased vein is not a problem for the circulatory system.

Varicose veins generally worsen over time. Initially, slight pain and restlessness in the diseased leg will be felt. If untreated, this pain will increase and result in limitations in walking and cramps during sleeping. Eventually, varicose veins can lead to open sores on the foot, blood clots and tissue loss.

Fortunately, sclerotherapy and endovenous ablation therapy have rarely been associated with any serious complications when properly performed. Common minor complications of these procedures include bruising, mild itching, tingling, tenderness and tightness in the treated leg for up to two weeks after the treatment.

No. We are happy to see patient self-referrals. After your visit, if you would like us to send correspondence to your primary care doctor, we will gladly do so.