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 […] 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?

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

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

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