Venous disorders are classified as conditions that damage the veins in your legs leading to chronic venous insufficiency. The veins in your legs are responsible for transporting blood back to your heart using valves to prevent backward blood flow into your ankles or feet. Damage to these valves can cause venous incompetence leading to increasd blood pressure in the veins in your legs which may cause serious complications and put your overall health at risk.
At 901 Vascular, our specialists can diagnose and treat all venous disorders, providing comprehensive care and relief from symptoms. Learn more about various venous diseases and their available treatment options.
An ultrasound scan is the only definitive way to diagnose vein disease. A technician uses this test to take an image of the inside of the veins in your leg. A qualified medical doctor will review the test results to determine if the valves inside the veins are working properly.
Varicose veins and chronic venous insufficiency (CVI) are recognized by many insurance companies, including Medicare and private insurers, as treatable medical conditions.
Varicose veins are large, raised blood vessels that commonly appear on the inner legs or in the lower pelvic region that are caused from the increased blood pressure in the veins in your legs. These superficial veins can be seen through the skin in a bulging, bluish-purple hue. While varicose veins themselves are not a threatening medical condition, they can be uncomfortable and even painful to some individuals. Venous disease can worsen over time and to treat progression would require professional treatment.
Vein disease in the legs can cause varicose veins and other painful symptoms that can impact how you live. We believe life shouldn’t be limited by pain caused by leg vein disease, and that’s why we’re here to help you understand your pain and break free from it.
Vein disease in the legs can cause varicose veins and other painful symptoms that can impact how you live. We believe life shouldn’t be limited by pain caused by leg vein disease, and that’s why we’re here to help you understand your pain and break free from it.
There are a number of factors that can put an individual more at-risk for developing varicose veins. Some of these include:
Similarly to varicose veins, spider veins are very superficial blood vessels that can be seen directly under the skin. These veins have a red or bluish hue and can be uncomfortable or cause itching. Spider veins affect only the capillaries, the smallest blood vessels in the body, and typically appear on the legs or face.
Treatment for spider veins is typically considered a cosmetic venous option by most insurance carriers.
They can occur with varicose veins or be a solitary skin issue without a medical venous disease accompanying the spider veins. They can occur due to a family history of spider veins, in response to weight gain such as pregnancy, or in response to skin injury/surgery.
While both varicose and spider veins can be uncomfortable, most complaints of pain come from patients suffering with symptomatic varicose veins. These swollen blood vessels are larger than spider veins, causing cramps and aches in the legs. Additionally, varicose veins can cause swelling, ulcers. Less commonly, chronic venous insufficiency can lead to inflammation or superficial thrombus to develop in affected veins.
Deep vein thrombosis (DVT) occurs when a blood clot forms in a vein located deep in the body, typically in the lower legs, thighs, or pelvis. These blood clots may partially or completely block off the flow of blood in the legs and could potentially embolize other parts of the body such as the lungs and cause major problems. While on its own DVT is not life threatening, the potential for the clot to break loose and lodge elsewhere makes it a serious condition you must receive immediate medical attention for.
While DVT can occur without obvious symptoms, be aware of new swelling in the leg, leg pain, a change of color of the skin (red or purple), and or one leg acutely becoming larger than the other leg. These can all be signs that you are experiencing deep vein thrombosis and may need to speak to your medical provider for an evaluation.
DVT can be caused by anything that prevents blood from properly flowing back to the heart from the legs. There are several risk factors that can cause deep venous thrombosis to develop.
Similarly to varicose veins, spider veins are very superficial blood vessels that can be seen directly under the skin. These veins have a red or bluish hue and can be uncomfortable or cause itching. Spider veins affect only the capillaries, the smallest blood vessels in the body, and typically appear on the legs or face.
When left untreated, leg vein disease can progress into a more serious condition known as Chronic Venous Insufficiency. If CVI is left untreated, legs can sometimes develop painful sores or wounds on the skin’s surface, called ulcers. Ulcers typically appear near the ankle or lower leg and are brought on from the increased buildup of fluid and blood pressure from veins affected by CVI.
A venous leg ulcer is a chronic sore that takes more than two or three weeks to heal and is caused by increased venous pressure in the legs. Unlike typical cuts and scrapes, these ulcers may not heal without proper treatment and may also cause discolored skin around the wound, or give off discharge. While they are not life-threatening, there is always a risk for infection and further complications. Leg ulcers may also come back repeatedly if the underlying issue is not addressed.
Venous leg ulcers can also form if you have previously or currently experienced varicose veins.
Patients who receive early vein closure treatment along with compression stocking therapy for venous leg ulcers experienced significantly shorter time to healing and extended time free from ulcers.
While many of these afflictions have no concrete cure, there are several treatment options to reduce inflammation and appearance. Compression stockings are a conservative treatment option utilized by practitioners to reduce overall swelling and discomfort but they do not treat the vascular source but can help relieve symptoms of chronic venous insufficiency.
While these passive methods can eventually help lower the visual appearance and pain of varicose veins, there are also procedures that can minimize symptoms more rapidly. For one, sclerotherapy is a minimally invasive procedure where a solution is injected directly into the veins. This solution scars the interior of the spider vein or varicose vein, causing it to eventually collapse and fade from view once absorbed by the body naturally. Blood is then naturally rerouted through the healthier veins through competent venous valves.
Additionally, patients can undergo venous laser ablation. Much like sclerotherapy, this procedure is minimally invasive. After the skin is numbed, a small wire is inserted into the vein and delivers laser energy, sealing off the vein while remaining healthy veins continue to move blood around. After venous laser ablation, you may have some mild bruising around the treatment site, however these bruises will eventually fade and leave you with clearer legs and less painful veins.
Using an ultrasound, your physician will position the catheter into the diseased vein through a small access site.
A series of injections numb the area around the vein that will be treated.
The vein wall is heated and the catheter is withdrawn from the vein.
The vein is “heat sealed” as the catheter is removed. A multilayer compression wrap is applied from foot to groin post procedure.
You will have an ultrasound imaging exam of the leg being treated. This exam is important for assessing the diseased superficial vein and planning the procedure.
Your doctor will discuss the procedure with you. Here is a brief summary of what to expect:
*Individual results may vary. Images courtesy of Dr. Kathleen Gibson via Medtronic Venous Asset Image Library
Adverse events can include nerve injury, hematoma, phlebitis, thrombosis, and/or pulmonary embolism.
Thermal shrinkage of the vein wall with radiofrequency energy or heat
Healing of vein access site, anesthetic needle stick sites, and also healing of ablated vein section
Is the ClosureFast procedure painful?
Most patients report feeling little, if any, pain during the ClosureFast procedure.3 Your doctor will give you a local or regional anesthetic to numb the treatment area.
When can I return to normal activity?
Patients treated with the ClosureFast procedure may resume normal activity more quickly than patients who undergo surgical vein stripping or laser ablation. With the ClosureFast procedure, the average patient typically resumes normal activity within a few days.2 For a few weeks following the treatment, your vein specialist may recommend a regular walking regimen and suggest you refrain from strenuous activities (heavy lifting, for example) or prolonged periods of standing.
When will my symptoms improve?
Most patients report relief of symptoms after two days, with a noticeable improvement in one to two weeks.
Is there any scarring, bruising, or swelling after the procedure?
Most patients report limited to no scarring, bruising, or swelling following the ClosureFast procedure.3
How is the ClosureFast procedure different from endovenous lasers?
Both ClosureFast and lasers use thermal technology to deliver heat into the diseased vein, but they each use a different method of delivery. Despite their similarity in using heat, a 2009 study showed that the ClosureFast procedure is associated with lower rates of pain, bruising, and complications and a faster improvement in patients’ quality of life when compared to 980 nm laser ablation.4
How is the ClosureFast procedure different from vein stripping?
During vein stripping, incisions are made in the groin and calf, and a tool is threaded through the diseased vein to pull the vein out of the leg. With the ClosureFast procedure, only one small incision is made at the insertion site and the vein is then treated and left in place. ClosureFast is a minimally invasive approach that reduces the likelihood of pain and bruising, associated with vein stripping surgery.1
Is the ClosureFast procedure covered by insurance?
Many patients have access to the ClosureFast procedure through their insurance coverage plan. Insurance companies detail access to the ClosureFast procedure and other radiofrequency ablation procedures in coverage policies for varicose veins or chronic venous insufficiency. As with all healthcare procedures, you may also have some cost associated with receiving treatment, such as a copay or coinsurance. Please reach out to your insurance company to discuss your specific plan coverage and potential costs prior to seeking treatment
You will have an ultrasound imaging exam of the leg being treated. This exam is important for assessing the diseased superficial vein and planning the procedure.
Your doctor can discuss the procedure with you. Here is a brief summary of what to expect:
*Individual results may vary. Images courtesy of Dr. Kathleen Gibson via Medtronic Venous Asset Image Library
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Office: (901) 519-4690
Fax: (901) 519-4691
Email: info@901-vascular.com
6584 Poplar Ave. Suite 102
Memphis, TN 38138