Why should I send patients to a vein group? Venous Reflux Disease

venous reflux disease

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

My patient only has signs of spider veins (according to your CEAP chart)

spider veins

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

Understanding Vulvar Varicosities

Vulvar Varicosities

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 […] Read More

DVT Awareness Month: The Patient Perspective


By ROB KISER, DO Often physicians fall into the trap of philosophical “Essentialism.” We believe, as we were taught, that each disease entity is a specific thing, a rigid constellation of symptoms. We expect the anatomy of each patient to be that of our textbooks, and should it not, we consider it anomalous for diverging […] Read More

What is the difference between DVT and EHIT?

deep vein thrombosis

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 […] Read More

Restless Leg Syndrome (RLS)


Restless Leg Syndrome (RLS): What you Need to Know 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. […] Read More

Venotonics: Reducing Symptoms of Venous Insufficiency

symptoms of venous insufficiency

 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 […] Read More

Veins and pregnancy: How long should a patient wait come to CVR?

veins and pregnancy

Veins and Pregnancy It is reported that more than 40 percent of pregnant women experience problems with varicose veins of the legs and/or vulva during their pregnancy. Treating patients during pregnancy is not advised due to multiple reasons.  During pregnancy, the lower extremity venous system is constantly changing. The body increases blood volume during pregnancy. […] Read More

Difference between vein stripping and the procedures CVR performs?

vein stripping

Vein stripping is a surgical procedure usually performed under general anesthesia in the hospital setting to remove diseased saphenous veins and their associated varicose veins. The surgery involves making one or more incisions in the groin or leg to gain access to the diseased vessel.  Next, a special wire is inserted into the vein and […] Read More

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