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

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

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