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Varicose veins are a common affliction and affects nearly 1 out 4 Americans. Fortunately, most of us with varicose veins will not have any significant issues or complications. Simple at home or work measures including exercise, compression stockings, leg elevation and smoking cessation will be enough to keep symptoms at ease.

For patients with symptoms including leg pain, leg heaviness, itchy or discolored skin, and restless legs despite conservative measures, a new approach is needed. Many are aware that a consultation with a vein clinic near me is needed, however are unsure how to find the most qualified physician. Within each major zip code, you might search and find at least 10 different vein treatment centers. As you are probably aware, not all of them are equally experienced or skilled to manage vein disease.  

So let’s begin with some advice on selecting which doctor is best for you from your internet search:

1) Be certain that your vein doctor is board-certified and “trained” in vascular treatments. This is more than passing a written test, but also informs you that the vein doctor completed a formal residency or fellowship in endo-vascular treatments. Consider specialists with backgrounds in vascular surgery, interventional radiology or interventional cardiology.

2) Vein evaluation is a must! If you are asymptomatic and primarily concerned about cosmetics, you should not consider more involved procedures like EVLT or EVLA (Endovenous laser ablation). Vein ablation is best suited to manage patients who have medical necessity based on signs and symptoms of venous insufficiency. A vein specialist can rightly assess your condition and determine whether or not a medical condition exists.

3) If you are having treatment for venous insufficiency, the most advanced techniques are endo-vascular ablation, foam sclerotherapy, and venaseal. In some cases, MOCA or mechano-chemical ablation can also be considered. Stripping is an older technique and is no longer the preferred or best treatment for underlying vein disease. It has a higher level of complications and is less effective.  For more information, visit the homepage of the Vein Specialist Centers. 

4) Phlebectomy is still very useful for large unsightly veins that are not suitable for ablation or sclerotherapy either due to their tortuosity or proximity to skin and other collateral tissue. Additionally, treating large protuberant veins with simple sclerotherapy near me can sometimes lead to longer healing periods and long lasting cosmetic skin discoloration. Phlebectomy is a fast and efficient tool to eliminate large varicose veins without any large incisions.

5) Support staff is another way to measure a clinic’s commitment to the highest standards. Check and see if your ultrasound technologist performing important reflux studies has passed his/her certification exams. They will let you know if they are RVT (registered vascular technicians) or RVS or RpHS (registered phlebololgy sonographers)

6) The above factors focus on being certain on the qualifications of your vein doctor and the breadth of their skills to offer various treatment solutions tailored to your symptoms, anatomy, and vein presentation. The other qualities are more abstract and are the individual feeling you get about your interaction with the staff and vein doctor. Being given appropriate time and patience to your questions and concerns reflects on how much value the vein clinic places on the individuals care. Don’t fall prey to high volume centers that emphasize procedural volume over outcomes and quality. If you feel less than satisfied with your initial consultation, it’s very reasonable to consider a different vein clinic even if you have to travel some extra miles.

Just remember if you can’t get the time and answers to your questions, what is the likelihood you will see the time and commitment given to your vein treatment clinic. Getting high level care is difficult because the experience of vein doctor is so variable and due to financial constraints, many clinics today are trying to fit as many cases in a limited daily schedule. Something has to give and that generally is quality. The final results will make the extra commute worthwhile and that level of expertise can only be delivered by the very best centers for vein treatment committed to continuing education, investment into new technology, and you the patient for time.

article source: http://www.onfeetnation.com/profiles/blogs/your-legs-deserve-the-best-care

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#Medbikini started trending on twitter after a scientifically written article published in the peer-reviewed Journal of Vascular Surgery examined social network behavior.  The article entitled, “Prevalence of unprofessional social media content among young vascular surgeons,” intended to objectively and scientifically provide answers to “evaluate the extent of unprofessional social media content among recent vascular surgery residents and fellows.” In short, social media accounts were created by investigators and then used to search and analyze the platforms of young surgeons for “unprofessional behavior.” This data was then collected and analyzed further by screeners and submitted to the editorial board at the Journal of Vascular Surgery for review.  Those editors then approved the article for publication (which has since been retracted after the firestorm).

The unprofessional behavior was deemed to be HIPAA violations, intoxication, unlawful behavior, possession of drugs, profanity, or offensive comments about work.  Potentially unprofessional content included:  holding alcohol, inappropriate attire, censored profanity, controversial political or religious comments, and controversial social topics.  Inappropriate attire included pictures in “underwear, provocative Halloween costumes, and provocative posing in bikinis/swimwear.” The crux to the outcry is that the criteria were created by the authors themselves and was, therefore, flawed.

 

article source: http://chatchatty.com/index.php/blogs/1257/7973/medbikini-unmasks-bias-and-forces-the-retraction-of-a-journal

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If you’ve considered having your spider or varicose veins treated, you may have read about sclerotherapy, laser vein removal or vein ablation. These are minimally invasive treatments for spider and varicose veins intended to collapse poor circulating veins and promote healthier circulation using your other healthy, natural veins.  

Treatments like cryo-sclerotherapy for spider veins and ablation eliminate the unhealthy portion of your veins without surgery. The varicose vein doctor will generally perform these procedures using local anesthetic within the comfort of an office or ambulatory care setting.  Without incisions, the procedure is minimally invasive with quick recovery and no down time.  You can drive in and drive out yourself from the procedure.

But do you need those veins?
To take a vein out of your circulatory system might sound severe but our bodies are wonderfully resilient. The varicose veins or spider veins are diseased and are no longer performing their job. In treating them, our body finds alternative pathways and uses healthy veins to carry blood. And don’t worry, you’ll never run out of healthy veins.

There are two major treatments for spider veins on the legs:

Sclerotherapy:
This approach uses visual inspection or ultrasound imaging technology to visualize the patient’s vascular system and target the desired spider veins for removal. After the patient’s veins are mapped, a vein specialist injects the varicose veins with the solution while the physician monitors the procedure in real-time to guide the placement of the syringe and target the correct vein.  Painless sclerotherapy can be accomplished with local anesthetic, external cooling (cryo-sclerotherapy) and physical stimuli at injection sites.  

Laser treatment:
Laser treatment for spider veins is primarily intended to treat surface, tiny veins that can be difficult to cannulate with a needle. While sclerotherapy can treat a wider range of spider and reticular veins, laser treatments for spider veins remain popular. 

Deciding which spider vein treatment NYC is right for you is done in consultation with a vein specialist.  Considerations include the evaluation for co-existing medical conditions, underlying venous insufficiency, insurance coverage, out of pocket costs, and treatment goals. The right vein specialist can help you navigate the different options and find the best fit for you.  

 

article source: http://www.cross.tv/blog/200375

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In clinical trials, radiofrequency ablation for varicose veins and spider vein treatment has proven to be safe and effective for truncal veins. More importantly, they have proven to be associated with better long term results, faster recovery and improved quality of life in comparison to older, dated methods like surgical stripping. The modern day minimally invasive techniques for vein treatment Long Island have been revolutionary.

Equipment

The mostly commonly used device used by a vein specialist is the RF ClosureFASTTM by Medtronic. The ClosureFAST system is based on radiofrequency, thermal induced destruction of vein walls similar to the concept of laser treatment for spider veins.

Procedure

Radiofrequency vein ablation is minimally-invasive and can be performed directly in the office. Most vein specialists in NJ perform the procedure in a dedicated room that provides a sterile environment and houses the necessary equipment. In general, thermal ablation is utilized for truncal veins like the GSV and SSV or some of the tributaries.

Access for the ablation catheter is obtained by venupuncture under ultrasound guidance. Prior to access, the area of treatment should be sterilely prepped and draped per usual protocols. Lidocaine or similar local anesthetic is used to numb the region of interest. Using the modified Seldinger technique, the vein is prepared for treatment with exchange of wires for a percutaneous sheath. In the case of the GSV access can be obtained anywhere distal to the SFJ (or in the case of the SSV, distal to the SPJ) that provides adequate treatment of the culprit vein. The ablation catheter is then advanced into its target position under careful ultrasound guidance making sure that any positioning into deep venous structures is avoided. Before the heat sources is turned ON, the saphenous sheath in the region of interest is infused with diluted tumescence anesthetic (combinations of lidocaine, saline, bicarbonate, and epinephrine). Epinephrine is used sometimes opted for by the vein specialist in the solution to minimize the vein size when treatment is performed. Tumescence has three purposes: 1) anesthetic 2) collapse the targeted vein to the size of the catheter where treatment can be more effective against the venous walls, and 3) direct collateral tissue and nerves away from the targeted region to reduce risks of injury.

Once adequately anesthetized, the varicose vein center in Long Island will activate the RF generator and heat the tip of the catheter. The catheter will then be withdrawn 6.5cm with each treated segment until the catheter has fully treated the targeted segment and can be withdrawn in entirety from its insertion site. The sheath is also withdrawn and hemostasis at the access site is achieved by manual pressure. Post procedure after care instructions are then provided to the patient by the vein treatment clinic per usual protocol.

At minimum, the patient will return to his vein specialist with in 1 week to rule out any unintended complications, like DVT. Thereafter, each vein clinic Long Island follow their own protocol to assess the need for additional treatments based on any continued symptoms.

Overall success rates for RF ablation is >90% in long term follow-up with fearsome complications like DVT or allergic reactions in the proper hands of a qualified vein doctor being less than 1%.

 

article source: http://spiderveinnj.wikidot.com/vein-ablation-using-radiofrequency-energy

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Varicose veins in the legs are diseased veins that arise due to valve dysfunction. Valves in the veins function like ladders as blood rises to the level of the heart. The proper opening and closure of these valves allows essentially unidirectional flow of the blood. With valve dysfunction, the blood falls backwards or refluxes into the lower legs. This results in dilation of the veins and symptoms of heaviness, pain,cramping. The medical condition that results is known as venous insufficiency.
 
Early stages of venous insufficiency can be asymptomatic or show subtle signs such as the development of spider and varicose veins. Untreated, this can lead to more progressive issues including leg pain, edema, skin discoloration, ulcerations and deep vein thrombosis.

Early Treatment For Vein Disease :

Symptoms or signs of vein disease allow for early detection of disease. However, it's not uncommon to see patients present late with stasis dermatitis, leg edema, or ulcerations due to poor referral patterns. Many times, your primary care physician may not recognize early symptoms of vein disease. They may also have little awareness of where to send patients for optimal treatment.
 
As such, many patients seek out a vein center with self referrals. A proper evaluation includes careful history and examination along with a duplex venous ultrasound when medically appropriate. The key is to identify the root cause of your symptoms and visible veins.
 
The confirmation of symptomatic vein disease should be treated early with compression stockings, leg elevation, and exercise.
 
Advanced stage disease or patients who have continued symptoms despite conservative measures may benefit from vein closure procedures. This is far different than vein stripping procedures of the past.
 
RF vein ablation is the gold standard now for venous insufficiency treatment. It is both safe and effective for treatment of the underlying cause of varicose veins. In comparison to vein stripping, ablation has improved long-term results, faster recovery and improved quality of life compared.
 
Other popular and effective treatments include sclerotherapy and varithena 1% formulated polidocanol for large, tortuous veins. More dilute concentrations can be applied to spider and reticular veins. Phlebectomy and clarivein also have complimentary roles within a vein practice and are performed by skilled vein doctors.
 
If you have identified an issue, please consider asking your primary care physician or specialists for any preferred vein specialist centers. Don't be shy about conducting your own research about the right vein doctor for you.

 

article source: http://njveinclinic.mystrikingly.com/blog/the-101-of-varicose-veins

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Why is sclerotherapy performed?

Sclerotherapy and laser treatments for spider veins are the foundations of phlebology care. Many patients want to treat telangiectasias (spider veins on the legs), reticular veins and varicose veins. While most patients are worried about the physical appearance of their spider veins, a comprehensive assessment will demonstrate only a fraction having purely cosmetic veins. These individuals often have underlying venous insufficiency that will require treatment prior to sclerotherapy for telangiectasias.

Who should be performing sclerotherapy?

Sclerotherapy is routinely performed for spider vein treatment, but should be reserved for a board-certified vein specialist.  Ideally, these vein doctors will have been recognized by their peers in medicine.  Popular platforms include Top Doctor, Castle Connolly and Leap Frog Awards.

In many states, registered nurses are allowed to perform sclerotherapy, as well as physician assistants and nurse practitioners, with proper training. It is expected that physicians should be skilled at sclerotherapy and understand the benefits and risks of the treatment.

 

Without hands-on training, it is difficult to become skilled at practicing sclerotherapy. While one can learn the theory, benefits and risks of sclerotherapy through literature, the skills needed to perform the procedure are learned only through direct experience.

What is used for sclerotherapy?

The liquid agents that are commonly used include, hypertonic saline, sodium tetradecylsulfate, glycerin, and polidocanol. Regardless of what agent is used, one should be thoroughly familiar with the appropriate concentrations and volumes of liquid for safe and effective results. There is a direct relation with the pressure used to inject, the volume of sclerosant and the concentration used to obtain successful results. The liquid can be converted to foam sclerosant for increased potency using the Tessari method. This involves taking a small concentration of the liquid sclerosant and mixing it with air in a 3:1 to 4:1 ratio. Given the increased potency of foam, a smaller volume and concentration is needed for effect.

Where to have sclerotherapy?

The cost of spider vein removal is variable and is an important consideration for most individuals, especially in light of recent economic downturns. However, we strongly recommend that sclerotherapy is only performed by board-certified and competent health professionals. The sclerotherapy procedure is office-based, but can be performed in procedure centers or hospitals depending on the physician preference.  

In the NYC metropolitan area, visit www.princetonvascular.com for treatment serviced by board-certified professionals.  The focus is on minimally-invasive treatments for spider and varicose vein treatment.  The centers most near to the metro area include locations in Clifton, Paramus and Wayne NJ.

 

article source: https://sjveinclinic.bcz.com/2020/05/21/vein-treatment-with-sclerotherapy/

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Varicose and spider veins can be hereditary, therefore, problem veins are usually around before we start thinking about getting treatment for them. But at what point should you seek treatment for varicose veins? Should it be when they start aching or swelling or itching?

 

As soon as you think you have varicose veins, you should consider a consultation with a local expert vein doctor to get an assessment and management plan. Symptoms can include leg pain, achiness, tiredness, and swelling. These represent progressive symptoms of vein disease that can be stopped. Remember, not all varicose veins on the legs are visible!
Healthy lifestyle choices and exercise can help manage some symptoms, however leaving vein disease untreated is not advised. Early recognition and management is the key to preventing vein disease from getting worse.

 

Do Compression Stockings Help Varicose Veins?
 
Along with general good health habits, compression stockings are recommended for visible varicose veins especially in the presence of symptoms. Varicose veins appear when the one-way valves in your veins fail and allow blood to leak backward. As a result, blood pools in the lower legs and dilates the veins to cause venous insufficiency. When you wear compression stockings, your veins are supported and enable the blood to flow more effectively. The external pressure improves blood flow by compressing refluxing veins and redistributing flow to the healthier parts of your venous system. In doing so, it can help to keep inflammation down and reduce the swelling and achiness in your legs.

A common complaint is they are uncomfortable to wear, especially during hotter weather. For this reason, it is just as important to choose the proper material and fitting. There are numerous types and manufacturers of compression stockings on the market today. Every patient can find an option tailored to treat his or her specific symptoms. A vein specialists can assist with recommendations. Gradient compression legwear is sold at different compression levels, and vein doctors in Princeton can help you with your purchase. That’s especially important given the fact that the wrong purchase can actually worsen your condition.


Keep in mind that wearing compression stockings is not a cure for varicose veins, but rather for symptomatic relief. Compression stockings undoubtedly help many patients find relief from varicose vein pains. With many patients, compression stockings can help avoid varicose vein surgery. However, there isn’t sufficient evidence to suggest that they’re an effective treatment on their own. And while managing the symptomatic pain is crucial to those suffering from venous reflux, it’s important to always seek the advice of a vein specialist when determining the best vein treatment for you. There are many new technologies available for varicose vein treatments, including a number of non-invasive procedures that can eliminate the symptoms of vein disease altogether.

If exercise and compression stockings are not helping, you need to seek professional treatment. Vein specialist centers should have board-certified vein doctors in both vascular surgery and cardiovascular specialties. Patients should be offered only the latest treatments. You will notice the difference in your vein consultation. 

 


article source: http://anner.booklikes.com/post/1991197/how-to-get-rid-of-varicose-veins

 

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Many people are aware that varicose veins in the legs are associated with labor-intensive jobs that involve standing all day, or that they tend to affect people who have a family history with the condition. But those aren’t the only ways varicose veins become uncomfortable and aggravated — in fact, the way you work out could be putting you at risk.Though varicose veins shouldn't stop you from exercising, it’s important to know what you should make a habit of and what you should avoid.  The vein center near me and the surrounding areas are accustomed to seeing avid runners and can provide the best tips on how to get rid of spider veins and varicose veins.

 

Take It Easy and Avoid Impact:

Similar to how excessive standing can be problematic for the health of your veins, high-impact exercises can aggravate and worsen the condition for those predisposed to it. This includes activities like running, particularly on hard surfaces like concrete. It is recommended to wear comfortable shoes, wear compression stockings and sticking to softer surfaces like grass to help improve blood flow from the legs and decrease aches and pains. But if your body simply can’t handle the strain of running and other high-intensity activities, walking is a far safer alternative. It’s not too strenuous, and it might actually be the most beneficial physical activity for your circulation. If you’re at a job that involves extended periods of sitting, taking short breaks to walk around or climb stairs has proven extremely helpful. That being said, even walking can be a difficult task for those already suffering from varicose vein pain. A good method to increase blood flow without straining yourself physically is to rotate your ankles and rock your legs back and forth. 

The Gym: What to Do and What to Avoid:

For starters, the elliptical and the stationary bike are great, low-impact exercise implements that help you burn calories and increase blood flow without putting too much strain on your body.If exercise machines aren’t your style, swimming is another excellent choice to log some physical activity that won’t have your veins regretting it afterward. That’s because swimming places the legs in a horizontal position, rather than straining them through interaction with a tough surface.On the flip side, it may be wise to stay away from heavy lifting. Weight-lifting has a similar effect on the body to running in that it can interfere with or restrict blood flow from the legs to the heart, causing blood to pool in the veins and enlarge them. This is a result of the straining and increased abdominal pressure that the exertion involved in lifting heavy objects requires. Sit-ups, lunges, squats, and even yoga can have a similarly strenuous effect on varicose veins.  

 

For greater discussion on the effects of exercise on veins, consider visiting a varicose veins doctor near me.  Or better yet, fill out an online vein consultation and consider a video chat or photo submission to start your journey.  

 

article source: https://njvaricoseveinspecialists-pws-annerasheed.pbworks.com/w/page/139952454/Exercise%20and%20Varicose%20Veins

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Varicose veins and spider veins are often confused with each other and used synonymously by many people. However, there are a lot of differences. Here we will explain those differences so you can identify what you have, and what is the best vein treatment plan.

Varicose veins are veins that are large, swollen, twisted, and are protruding from under the skin. Sometimes they are visible with the naked eye, but many times, they are not visible with simple examination.

Telangiectasia (aka Spider veins) are tiny capillaries right on the surface of the skin. These usually form tiny networks or "webs" (hence the term "spider veins") and can be either pink/purple or red in color.

What do Varicose Veins and Spider Veins have in common?

1. They are both unsightly and are of a cosmetic concern for most patients

2. They can both cause symptoms of heaviness, aching and tiredness

3. They both are often the result of an underlying cause

4. They can both be treated with the latest technological advancements in Venous Disease

The big differences between the two is in appearance:

1. Varicose veins are large, swollen blood vessels that are twisted. They form in the legs.

2. Spider veins are smaller and have a more web-like appearance. Also, spider veins can form on the legs, chest, and even on the face.

Patients with varicose veins and spider veins can be treated in the same manner many times. If you think you have either of these, you should find the best vein clinic new jersey and have a thorough examination and detailed assessment. Screenings with advanced technology to diagnose vein disease such as a Duplex Ultrasound Machine can determine the extent of venous disease.

One should never assume that spider veins or varicose veins are only on the surface of the skin and not part of a larger medical issue. Spider veins and varicose veins are usually an indicator of severe underlying venous disease. It is troubling to see patient after patient receive no formal evaluation of their veins despite obvious symptoms. This is not only counter-productive and costly but also dangerous.

The rule should be to always have your legs properly assessed before any vein treatment---a simple ultrasound can help you find a cure with the best treatment plan.

Living with varicose and spider veins can be unsightly, painful, and can have longterm health effects. It is important to get your vein disease assessed and diagnosed by a a varicose vein doctor nj who specializes in endovascular procedures.

 

article source: https://www.debwan.com/blogs/28854/Spider-Veins-and-Varicose-Veins-What-s-In-a-Name

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We all have experienced some sleepless nights at some point. We are affected by many things in our lives and stress plays a large role in our sleep pattern. However, there are also several other factors that can affect the quality of our sleep.

In this article, we will discuss the issue of varicose veins and what affect the condition can have on your sleep. We will also provide some simple things you can do at home to improve your condition and hopefully get a good night’s rest.

Varicose Veins and The Impact on Sleep

Varicose veins and muscle cramps go hand in hand. However few patients and even some physicians are unable to put the two conditions together. Doing so, may help you find the solution you need.

To begin with, varicose veins are more common than you think. In fact, 25% of the population has some form of vein disease. Given the large array of symptoms associated with varicose veins ,it is no surprise that restless legs and muscle cramps associated with vein disease is one of the most common causes of poor sleep.

The symptoms are worse at night with varicose veins when some of the circulation starts to improve with getting our feet up. All the swelling, pooled blood, and toxic metabolites start to circulate and with less distraction, the discomfort becomes more apparent.

We often attribute the condition to restless leg syndrome. The body senses the imbalance in your body and creates involuntary movements and contractions of your legs to promote some of the blood movement. The symptoms of RLS and vein disease are blurred with aching, throbbing, cramps and uncontrolled leg movements.

Treatment becomes directed at restless leg syndrome rather than addressing the underlying issue that is vein disease. However, unlike RLS, vein disease is very treatable. A vein doctor New Brunswick NJ can help provide the diagnosis if varicose vein disease is suspected.

How to Sleep With Varicose Veins

The first steps are conservative and in many instances, very effective. We review some simple steps you can take at home to help alleviate sleepless nights from vein disease.

Compression Stockings

The foundation of good vein treatment is the use of compression stockings. Many individuals will purchase compression stockings for use at home and work. Ideally, they are appropriately sized and fitted by a qualified vein doctor Edison NJ. The typical strength is 20-30 mmHg and they can be obtained as knee-high or thigh-high depending on the condition. For patients with bothersome symptoms on both sides, waist level compression stockings can also be considered. The primary goal of compression stockings is preventative.

Hydrate

Flush your system out before you go to sleep. This keeps toxic local metabolites from building up in the legs during the daytime that lead to cramps and muscle twitching.

Elevate Your Legs

This goes for both the day and night time. The more you can keep the swelling down in your legs by elevating your feet and compression stockings, the less likely you are to experience symptoms of vein disease.

Stretching and Massage

Before going to sleep, give your muscles a stretch to help them relax. Massaging your legs can also help settle any tension you have in your legs.

Vein Treatment

This can only be considered in consultation with a vein center New Brunswick NJ providing specialty consultation for vein disease. The diagnosis depends on a careful history and examination to look for clues of vein disease. If medically appropriate, an ultrasound will evaluate the size and direction of blood flow in your legs. This provides important information about the likelihood of vein disease potentially causing symptoms of restless leg syndrome.

Modern vein treatments are simple and safe using minimally-invasive techniques. RF vein ablation and sclerotherapy are the primary tools and target poorly circulating veins. Diseased veins are collapsed from within and healthy circulation is promoted by the re-direction of blood. This stops blood from pooling up in your legs and causing symptoms of vein disease.

 

article source: http://njveinclinic.mystrikingly.com/blog/restless-leg-syndrome