Family history is the biggest factor in the development of venous disease for men and women.В For women, the hormonal fluctuations of puberty, pregnancy, and menopause can play a role as well.В Regular exercise (to keep the calf muscles toned), weight control, and use of compression stockings may help.
Yes, there have been smaller scale studies suggesting this link.В The medical literature continues to grow in this area.
There is evidence, especially after a race, that use of athletic compression stockings can improve post-event aching and pain.В There may also be a benefit for athletes with recurrent tendinitis issues as well.
Absolutely! By increasing the efficiency of the calf muscle pump and reducing the effective diameter of these faulty veins, athletes with venous disease can definitely benefit from the use of compression during exercise.
Personal preference plays a big role with this, but by integrating compression starting at the foot, it is more physiologic for the calf muscle venous pumping action.
Spider veins, are dilated vessels that form just under the skin and result in red, blue or purple clusters of veins visible on the skin’s surface. Besides the appearance of the veins, other symptoms may include skin redness;В a firm, tender and warm vein; and for some patients, pain and swelling.
Spider veins can be caused by pregnancy, heredity, weight gain and standing or sitting for long periods of time. These are the same things that cause varicose veins.
Spider veins don’t actually increase during the winter but at the beginning of summer, our tans have faded so the spider veins may be more obvious. Once we get into our summer clothes and begin wearing shorts, capris or swim suits, we become more aware of them. Many women are not comfortable with the cosmetic appearance of their spider veins and will continue to wear long pants in the summer.
Although women are affected at a higher percentage than men, men can also be troubled with varicose veins and their associated symptoms (and benefit from treatment).
Not necessarily. Some of your visible veins may be larger size reticular or even varicose veins. Each of our patients receives a screening ultrasound prior to treatment so that we can determine exactly what venous problems exist and develop an appropriate treatment plan. You may call our office to schedule a consultation to learn if you have spider veins and the right treatment for you.
The actual cause of varicose veins is inefficient, faulty vein valves. These valves don’t close properly, allowing blood to leak back with gravity and pool in the vein. This causes the veins to bulge and stretch and result in many unpleasant side effects such as aching and throbbing pain, heavy and tired legs, and poor circulation.
Depending upon the severity, walking, anti-inflammatory medications and cold compresses may be recommended. Most patients will benefit from wearing prescription strength compression stockings. However, in most cases, sclerotherapy is the best treatment to eliminate the veins.
Heredity is a primary factor in over 80% of varicose vein cases. Other contributing factors may include pregnancy, obesity, hormone therapy, standing or sitting for long periods of time and injury.
Sclerotherapy is a simple treatment that involves using a tiny needle to inject medicine into the veins, which causes them to collapse and disappear.
The number of treatments needed will vary depending upon the patient and the severity of the spider veins. Most of the veins will disappear during the first treatment and will continue to improve over time but additional treatments may be needed.
Spider veins may be triggered by pregnancy or hormonal variations and sometimes result in itching, restless leg and minor aches and pains. Although surface veins are mainly a cosmetic problem, they can also be an indication of more serious vein disease deep below the surface.
The good news is that most patients are able to return to their normal activities immediately. We do recommend that you wear prescription strength compression stockings for several days after treatment. Those stockings are custom-fitted and available through our office.
Insurance will reimburse a high percentage of the treatment cost if there is a documented problem of venous insufficiency with associated symptoms. We can provide the diagnostic and procedure codes for pre-certification by your insurance company. It is important to note that each insurance company reimburses different amounts for these treatments. We will work with you to help you understand your coverage.
Yes, this is the first step to tailoring a treatment plan that is right for you. During your initial visit, the affected areas will be examined to determine if a Doppler Duplex Ultrasound Scan will be necessary. Once the appropriate treatments have been determined, we will review the costs and other relevant details with you to ensure you are fully informed.
The first step in finding the right treatment for damaged veins is finding its source. A Doppler Duplex Ultrasound Scan provides a visual window, revealing the diseased, refluxing veins beneath the skin’s surface. With this diagnostic capability, we can pinpoint the exact cause of varicose veins and customize a treatment plan for each individual patient – and each damaged vein. Because the problem is dealt with at its source, the treatments are quicker, more effective and less painful than traditional methods, such as vein stripping.
Varicose (VAR-i-kos) veins are enlarged veins that can be blue, red, or flesh-colored. They often look like cords and appear twisted and bulging. They can be swollen and raised above the surface of the skin. Varicose veins are often found on the thighs, backs of the calves, or the inside of the leg. During pregnancy, varicose veins can form around the vagina and buttocks.
Spider veins are like varicose veins but smaller. They also are closer to the surface of the skin than varicose veins. Often, they are red or blue. They can look like tree branches or spiderwebs with their short, jagged lines. They can be found on the legs and face and can cover either a very small or very large area of skin.
Varicose veins can be caused by weak or damaged valves in the veins. The heart pumps blood filled with oxygen and nutrients to the whole body through the arteries. Veins then carry the blood from the body back to the heart. As your leg muscles squeeze, they push blood back to the heart from your lower body against the flow of gravity. Veins have valves that act as one-way flaps to prevent blood from flowing backwards as it moves up your legs. If the valves become weak, blood can leak back into the veins and collect there. (This problem is called venous insufficiency.) When backed-up blood makes the veins bigger, they can become varicose.
Spider veins can be caused by the backup of blood. They can also be caused by hormone changes, exposure to the sun, and injuries.
About 50 to 55 percent of women and 40 to 45 percent of men in the United States suffer from some type of vein problem. Varicose veins affect half of people 50 years and older.
Many factors increase a person’s chances of developing varicose or spider veins. These include:
Most varicose and spider veins appear in the legs due to the pressure of body weight, force of gravity, and task of carrying blood from the bottom of the body up to the heart.
Compared with other veins in the body, leg veins have the toughest job of carrying blood back to the heart. They endure the most pressure. This pressure can be stronger than the one-way valves in the veins.
Varicose veins can often be seen on the skin. Some other common symptoms of varicose veins in the legs include:
Spider veins rarely are a serious health problem, but they can cause uncomfortable feelings in the legs. If there are symptoms from spider veins, most often they will be itching or burning. Less often, spider veins can be a sign of blood backup deeper inside that you can’t see on the skin. If so, you could have the same symptoms you would have with varicose veins.
Varicose veins may not cause any problems, or they may cause aching pain, throbbing, and discomfort. In some cases, varicose veins can lead to more serious health problems. These include:
You should see a doctor about varicose veins if:
If you’re having pain, even if it’s just a dull ache, don’t hesitate to get help. Also, even if you don’t need to see a doctor about your varicose veins, you should take steps to keep them from getting worse (see How can I prevent varicose veins and spider veins?).
Your doctor may diagnose your varicose veins based on a physical exam. Your doctor will look at your legs while you’re standing or sitting with your legs dangling. He or she may ask you about your symptoms, including any pain you’re having. Sometimes, you may have other tests to find out the extent of the problem and to rule out other disorders.
You might have an ultrasound, which is used to see the veins’ structure, check the blood flow in your veins, and look for blood clots. This test uses sound waves to create pictures of structures in your body.
Although less likely, you might have a venogram. This test can be used to get a more detailed look at blood flow through your veins.
If you seek help for your varicose veins, there are several types of doctors you can see, including:
Each of these specialists do some or all of the procedures for treating varicose veins. You might start out by asking your regular doctor which specialist he or she recommends. You also might check with your insurance plan to see if it would pay for a particular provider or procedure.
Not all varicose and spider veins can be prevented. But, there are some steps you can take to reduce your chances of getting new varicose and spider veins. These same things can help ease discomfort from the ones you already have:
Current treatments for varicose veins and spider veins have very high success rates compared to traditional surgical treatments. Over a period of years, however, more abnormal veins can develop because there is no cure for weak vein valves. Ultrasound can be used to keep track of how badly the valves are leaking (venous insufficiency). Ongoing treatment can help keep this problem under control.
The single most important thing you can do to slow down the development of new varicose veins is to wear gradient compression support stockings as much as possible during the day.
No, usually need to wait 2 months after delivery.
Each session will be 30 minutes unless the maximum volume of medication has been reached.