If my patient only has visible signs of spider veins (according to your CEAP chart) what’s the likelihood they may have other varicosities going on?

As a matter of review the CEAP system is based on Clinical findings(usually on physical examination), Etiology(congenital, primary, or seconday), Anotomic findings(superficial, deep, or perforating veins), and Pathophysiology(reflux or obstruction). It is quite common for patients to have only spider veins(C-1), but have significant underlying venous reflux that can be diagnosed by history( pain, heaviness, […] Read More

Why send patients to a vein group as opposed to a surgical group that does arterial and venous work?

Great question.  I’m glad you asked.  Many vascular surgical groups do fine work in the diagnosis and treatment of peripheral arterial disease, carotid arterial disease, and abdominal aortic aneurysms, but often approach venous reflux disease as a peripheral (pardon the pun) aspect of their clinical practice.  As a result, they will often focus on the […] Read More

I’m a physical therapist. We are trained that exercise can heal the body; how do we know when to send a patient to you if they still have leg pain and we’ve been working with them?

We always appreciate the hard work of physical therapists who help patients overcome pain issues.  Often times, we see patients referred from orthopedic surgeons, neurosurgeons, physiatrists, and physical therapists.  These patients frequently have musculoskeletal issues addressed with various treatment modalities including an intensive physical therapy regimen.  The musculoskeletal symptoms can include pain localized to hip, […] Read More

Understanding Vulvar Varicosities

Theresa M. Soto, MD  FACOG, FACS As patients and clinicians are becoming more familiar and comfortable with the examination, diagnosis and treatment of varicose veins of the lower extremities, vulvar varicosities remain an enigma. The more delicate nature of the issue, lack of understanding of the disease process, as well as the limited availability of […] Read More

The Danger of DVT’s (Deep Vein Thrombosis)

Dangerous blood clots form in the leg veins of over 2.5 million Americans each year. According to the American Heart Association, about 600,000 people in the United States are hospitalized each year for a deep vein thrombosis (DVT), in which a blood clot forms in a leg vein. DVT, with its risk of pulmonary embolism […] Read More

What is the difference between DVT and EHIT?

Endovenous thermal ablation is an accepted method of treatment for superficial vein reflux with a relatively low incidence of procedure-related complications.  Deep venous thrombosis (DVT) is the formation of a thrombus within the deep venous system and is a recognized complication associated with less than 1% of endovenous ablation procedures.  Endovenous heat induced thrombus (EHIT) […] Read More

Why should I send patients to a vein group when they could be treated for both the veins and arterial side with a vascular group? Do vascular groups have same capabilities for treating veins?

As with all medical and surgical practice, expertise arises from education, dedication, fascination, and specialization. While there are certainly practitioners who are excellent at treating many aspects of venous disease, CVR is dedicated to the treatment of venous disease.  Because of this, we have all of the necessary tools (radiofrequency, laser, sclerosants) to treat virtually […] Read More

Restless Leg Syndrome (RLS)

Restless legs syndrome (RLS) is a condition in which your legs feel extremely uncomfortable, typically in the evenings while you’re sitting or lying down. It makes you feel like getting up and moving around.  RLS can begin at any age and generally worsens as you age. Restless legs syndrome can disrupt sleep — leading to […] Read More

Venotonics: Reducing Symptoms of Venous Insufficiency

  Venotonics, also known as venotropics or phlebotropics, are a class of medicinals that have effect on veins and are used to alleviate venous diseases and disorders and particularly venous insufficiency. No venotonic has been shown to cure venous insufficiency or to be as effective as surgical ablation to improve the symptoms of venous insufficiency, […] Read More

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