Questions & Answers

Questions and answers

Members of our medical team answer questions we’ve received from referring physicians. Q: I’m an orthopedist. What can you tell me about vein conditions and joint pain? We seem to have some crossover when it comes to my patients’ symptoms. A: Joint problems are usually secondary to musculoskeletal causes, or secondary to various types of […] Read More

March is DVT Awareness Month

DVT

Dangerous blood clots form in the leg veins of over 2.5 million Americans each year. According to the American Heart Association, about 600,000 people in the United States are hospitalized each year for a deep vein thrombosis (DVT), in which a blood clot forms in a leg vein. DVT, with its risk of pulmonary embolism […] Read More

The Connection Between Restless Legs Syndrome and Venous Insufficiency

Restless Leg Syndrome

Restless legs syndrome (RLS)– also called Willis EskboM Disease – was first described by Chinese physicians in 1529, and 1763 by French physicians. The condition was first suggested to be associated with venous insufficiency by Dr. Karl A. Ekbom in 1944. RLS is characterized by unpleasant or painful sensations (dysesthesias or paresthesias) in the legs […] Read More

Top 10 Myths Regarding “Vein Disease”

vein disease

1.    Vein treatments are for cosmetic concerns only. Often thought as a cosmetic nuisance, varicose veins represent an underlying venous disease that can lead to chronic pain, swelling and skin ulcerations. 2.    “My parents and grandparents suffered, so it’s my fate to suffer also.” Nowadays there exists office based, minimally invasive, safe and effective treatments […] Read More

If my patient only has visible signs of spider veins (CEAP chart)

spider veins

If my patient only has visible signs of spider veins The medical term for spider veins is telangiectasias and in addition to the cosmetic issues they are associated with, they can also cause symptoms such as itching, burning, dry skin, warm skin, bleeding, or pain.   These veins measure <1mm, while reticular veins measure from 1-3 […] Read More

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

dvt

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

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