The Connection Between Restless Legs Syndrome and Venous Insufficiency

By Robert C. Kiser, DO, MSPH Restless legs syndrome (RLS) – also called Willis Ekborn Disease – was first described by Chinese physicians in 15291, and 1763 by French physicians2. The condition was first suggested to be associated with venous insufficiency Dr Karl A Ekbom in 1944.3  RLS is characterized by unpleasant or painful sensations […] Read More

If my patient only has visible signs of spider veins (according to your CEAP chart) what’s the likelihood they may have underlying venous disease?

The Edinburgh Vein Study published in 1999 in the British Medical Journal estimated that over 80% of the total population had reticular varicosities or telangiectasia (spider veins).  However, the prevalence of varicose veins, as reported in studies, has not matched that of reticular varicosities or telangiectasia.  Reported rates of varicose veins in the literature range […] Read More

How long after pregnancy do you recommend a patient come to CVR? Between pregnancies?

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. It also decreases […] Read More

What is the difference between vein stripping and the procedures CVR preforms?

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

Will a patient need to be taken off any regular medication prior to receiving treatment?

Prior to receiving vein treatments in our clinics, you may take any medications that are part of your normal routine. Blood thinning medications including Aspirin, Plavix, Aggrenox, Coumadin, Pradaxa, to name a few, are all okay to continue. Blood thinning medications should not affect the success of your treatments.  Taking blood thinning medications during treatments […] Read More

Internal and Family Medicine and Vein Disease

If chronic venous disease is left untreated, it can progress to a more serious form of venous disease. Signs and symptoms of chronic venous disease worsen over time, including pain, swelling, cramping, restlessness and fatigue of the legs, as well as, skin damage and ulcers in more severe cases. Those with the disease may experience […] Read More

What happens if the patient is having a bypass and they need the Great Saphenous vein?

What happens if the patient is having a bypass and they need the Great Saphenous vein? Generally, if the Great Saphenous Vein (GSV) is diseased enough that ablation is recommended, then the vein is not suitable for any type of use in a bypass surgery settingeither peripheral arterial bypass or coronary artery bypass grafting (CABG). […] Read More

Understanding Post Thrombotic Syndrome

By Gautam Shrikhande, MD In patients with deep venous thrombosis (DVT), the most significant immediate concern is that of pulmonary embolus.  Over the next several months to years, however, development of post thrombotic syndrome (PTS) presents a much more prevalent chronic morbidity.  PTS refers to the signs and symptoms that occur as long term consequences […] Read More

New Treatment Methods in Phlebology

By Robert C. Kiser, DO, MSPH Phlebology is a rapidly advancing branch of medicine. It has been Just over 10 years that thermal closure techniques such as radiofrequency and laser ablation were invented, and now they are the standard of care for ablation of superficial venous insufficiency. Thermal closure is extremely effective and safe. It […] Read More

Maintaining the Quality in Venous Care

Over the course of the last few years, the world of venous care has evolved at a staggering pace. There are more phlebology practices now than ever before, and unfortunately there is significant variance in the quality of vein care provided by the various practitioners. This may be due to the great variability of training […] Read More

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