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 […] 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

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

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

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