What is Venous Reflux?

Symptoms of Venous Disease include but not limited to:

  • Leg pain
  • Swelling of the legs or ankles
  • Pain that gets worse when you stand and goes away when you raise your legs
  • Cramping of the legs
  • Aching, fatigue, throbbing, or heaviness on the legs
  • Itchy legs
  • Weak legs
  • Restless Leg Syndrome (irresistible urge to move the legs to relieve the sensations)
  • Thickened skin
  • Ulceration on the legs
  • Varicose veins
  • Discoloration/Skin changes of the legs

Venous disease is one of the most under-diagnosed diseases in medicine. It affects approximately 50% of the population over 50 years old. There are two types of blood vessels in the body; arteries and veins. The arteries take blood away from the heart. The veins bring the blood back to the heart. Normally, healthy leg veins have one-way valves that open and shut and allow the blood to move upwards from the lower limb toward the heart. These one-way valves keep the blood moving in one direction. For a variety of reasons, the valves may become floppy or incompetent, not closing all the way and causing blood to go in both directions. Over the course of time the back flow will cause increasing pressure in the vein, resulting in swelling of the vein. This causes compression on the structures surrounding the veins, such as nerves, muscles, tissues, etc. This causes symptoms such as swelling, restless leg syndrome, fatigue, heaviness, cramping, burning, itching, and skin changes. All of which can affect quality of life. If this is left untreated, chronic venous disease can become aggressive with symptoms worsening over time.

How is it treated?
There are various methods for treatment for Venous Reflux. The most conservative treatment is the use of compression stockings. These socks gently compress the legs to promote the valves to work more effectively. However, if compression stockings are not effective, or only provide minimal relief, the superficial vein must be reduced to decrease or eliminate symptoms.

What is Venous Ablation?
The Venefit procedure is an outpatient relatively painless ultrasound guided procedure. Our physicians will thread a tiny catheter into a small opening of the skin. The small catheter is powered by radiofrequency energy that provides heat to the vein wall, thus closing it off to prevent worsening symptoms. As the thermal energy passes through the vein, the vein wall minimizes in size, and it is closed off. Once the diseased vein is closed off, blood will then re-route to the other healthy veins.


Click here for more information on the Venous Closure Procedure:
http://www.youtube.com/watch?v=Z_kH8uZm_3Y
Patient education material provided by Coviden.

Venous Ablation Pre-treatment Guidelines
On your initial visit, we will assess the severity of the venous reflux through venous duplex ultrasound to determine whether venous ablation is appropriate and likely to improve symptoms.

Take a self guided assessment to see if you are at risk for developing chronic venous insufficiency http://www.rethinkvaricoseveins.com/self-assessment-and-screening/

before-after

What is Sclerotherapy?
Sclerotherapy successfully treats small varicose and spider veins. This procedure involves injecting foam directly into the vein causing the vein to scar and collapse, which then forces the blood to reroute through healthier veins. After the procedure these veins eventually fade. Keep in mind that for some, several sclerotherapy treatments may be required to completely treat the varicose and spider veins.

Sclerotherapy Pre-treatment Guidelines
During your visit one of our physicians will evaluate your veins and check for any underlying blood vessel disease to determine whether sclerotherapy is appropriate and likely to improve symptoms such as aching, swelling, burning, or night cramps.

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