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Treatment Procedures for Varicose Veins - The Vein Centre

Treatment Procedures for Varicose Veins

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Treatment choices for varicose veins depend on several factors:

  • Whether you are seeking treatment for cosmetic benefits.
  • Whether your varicose veins are causing pain or discomfort.
  • The presence of skin changes, such as ulcers, or other signs of poor circulation.
  • Insurance coverage for treatment procedures.

While in many cases, treatment choices are a matter of personal preference, there are instances where certain invasive treatment options become necessary. Here is an overview of some of the most common procedures used to treat varicose veins:

Sclerotherapy

There are two types of sclerotherapy depending on the severity and size of the varicosities:

  • Standard sclerotherapy involves injecting a solution into the veins, which lead to scarring and closing of the specific area. Once closed, blood can no longer pool in the area, causing the veins to shrink and fade over a period of one month. In some cases, the vein must be injected more than one time for the procedure to be effective. Standard sclerotherapy can be performed in your vein specialist’s office without the need for anesthesia.
  • Foam Sclerotherapy is commonly reserved for large varicosities or veins not responding to standard sclerotherapy. The procedure is very similar; however, a foam solution is used as a sealant to close the affected veins.

Laser Surgery

Laser surgery for varicose veins is considered a newer technological advancement. This procedure involves the use for lasers to emit high frequency light pulses into the affected vein. Over time, treated veins will begin to fade and eventually disappear. Treatments may need to be repeated for the best outcome. Treatment can be performed in your vein specialist’s office without anesthesia.

Catheter Assisted Radio Frequency or Laser Energy Procedures (Ablation)

This procedure uses a catheter heated by radio frequencies of laser energy to heat seal the affected vein. A small catheter is introduced into the vein, which is heated; it is then removed, which cauterizes, or seals, the varicose vein. This treatment is usually reserved for large varicosities with associated skin changes or producing pain and discomfort. The procedure is usually performed by a vein specialist certified in interventional radiology or an interventional radiologist in an outpatient setting. Although it is minimally invasive, the affected area is prepped and draped to prevent infection. A topical anesthetic is used to minimize discomfort.

Ligation and Vein Stripping

The procedure uses a series of small incisions to access the affected vein and ligate, or tie off, and remove the affected vessel. Removal of the affected areas does not affect circulation, as larger veins in the legs will pick up the slack. Vascular surgeons perform the procedure in either an outpatient surgery suite or in an operating room depending on which veins are affected. Local, regional, and general anesthesia may be used depending on risk factors and size and severity of the affected veins.

Ambulatory Phlebectomy

Ambulatory phlebectomy is similar to vein stripping, except on a much smaller scale. The procedure is reserved for more superficial and smaller varicosities. Pieces of the affected vein are removed, utilizing small puncture sites in the skin. Local anesthesia specific to the puncture sites is used in the procedure. Minimal scarring is expected, and recovery time is generally shorter than in ligation and stripping procedures. Ambulatory phlebectomy may be performed in an outpatient surgery center or your vein specialist’s office, if equipped.

Endoscopic Vein Surgery

Endoscopic vein surgery is generally reserved for varicose veins with leg ulcers or associated circulatory symptoms. It is also used in cases unresponsive to other treatments. The procedure involves the insertion of a thin video camera in the affected area and then uses small incisions to close and remove the varicosities. The procedure is generally performed in endoscopic outpatient surgery centers under conscious sedation.

There are various options for the treatment of varicose veins depending on the severity, associated symptoms, and cosmetic benefits. Prior to discussing these options, it is important to review your health insurance options for coverage. Your vein specialist is the best person to discuss your individual cases and preference, and he or she can provide the most appropriate options for your case.

cosmetic problem

Why Varicose Veins are More Than a Cosmetic Problem

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You might think that varicose veins appear to be cosmetic problem, but these unsightly and unattractive veins can cause potentially dangerous health problems.

The Ugly Truth

 

Dismissing varicose veins as “just cosmetic” is bad for your health. Without consulting your doctor, there is really no way to know if you have some kind of vein disease. Varicose veins are bulging, twisted veins that can be seen and felt right under the skin. Spider veins are a smaller version of varicose veins that can appear as red or blue lines in a webbed pattern. Varicose veins and spider veins differ, largely because varicose veins can lead to more serious health problems.

If your varicose veins are left untreated, dangers can occur such as:

Leg swelling– As pressure builds up in the veins, fluid from the blood can leak into the surrounding tissues, causing swelling.

Skin Ulcers– Varicose veins can cause swelling, which over time can result in skin changes. Because of this, skin can become less likely to heal even from minor injuries.

Deep Vein Thrombosis– Deep vein thrombosis is a serious medical condition that requires immediate medical treatment. The leg can be swollen, warm, and painful. There is a risk in that part of the blood clot may break off and move into the lungs, causing a life threatening condition called pulmonary embolism.

Lymphedema– Lymphedema can occur when lymph builds up in your body’s soft tissues. Lymph is a fluid that contains white blood cells that defend against germs. Blockage of the lymphatic vessels leads to fluid retention.

Fortunately, symptoms can be relieved and complications can be prevented through a variety of treatment options today. At The Vein Centre, we offer minimally invasive procedures that eliminate unsightly, uncomfortable veins without a major disruption to your daily schedule. To learn more about your treatment options, contact The Vein Centre today at 615-269-9007.

vein treatments evolved

How Vein Treatments Have Evolved Over The Years

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Varicose Veins

Varicose veins have been around since the beginning of time and we have been trying to find relief and treatment for centuries. Fortunately, treatments have evolved considerably from the early days. One of the very first treatment methods used to treat varicose veins was compression therapy, as well as undergoing surgery to physically remove the swollen vein with a scalpel. Varicose veins would be dissected through a small incision with no aesthetic. This old-age treatment method was terrifying and very painful. Compression therapy is still used today along with new modern technology to eliminate varicose veins.

The old way of thinking was that varicose veins were just a “cosmetic” problem or just a sign of “growing older.” Most general doctors quickly learned that varicose veins are a medical condition that requires a specialist. Many doctors now refer their patients out to vein treatment clinics like The Vein Centre.

Vein Treatments

The three most common modern types of vein treatment are:

  1. Sclerotherapy
  2. Endovenous Laser Treatment
  3. Pulsed Light Therapy

First, sclerotherapy involves injecting a solution directly into the vein. The solution causes the vein to shrink, and then dissolve over a period of weeks. The body will naturally absorb the treated vein.

Second, in endovenous laser treatment, a thin fiber is inserted into the damaged vein through a very small entry point in the skin. A laser light is emitted through the fiber, as the fiber is pulled back though the vein.

Third, pulsed light therapy is primarily used for spider veins, which are varicose capillaries, but are smaller in in diameter than regular veins. Pulsed light is used to heat them from the outside and cause them to ablate.

The Vein Centre offers all three of these vein treatments. In all three treatments, the ablated blood vessels are reabsorbed by the body, leaving no trace. You should first expect to see results within a few weeks of the procedure.

The recovery time in all three modern vein treatments is remarkably fast. Many people return to work and their normal activities the same or following day of the procedure.

Modern vein treatments have evolved tremendously since the very first procedures. Today, treatments are now quick, painless and require no down time. To learn more about the vein services we offer, give us a call today at 615-271-9013!

laser vein treatment

Positive Effects of Laser Treatments on Varicose and Spider Veins

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Interest in laser treatment for varicose veins is on the rise, and depending the severity of the veins, amazing results can be achieved with this treatment.  Laser treatments relieve pressure from the varicose vein, and lasers can be very effective in treating blood vessels that are resistant to sclerotherapy, typically veins smaller than 1-2 mm in diameter.

The first notable laser therapies were called pulsed dye lasers (PDL’s) and were developed in the late 1980’s. Over the past ten years, different versions that used longer wavelengths have vastly improved delivering better results. The key to successful laser therapies is utilizing wavelengths that are better absorbed by the blood vessel.

Doctors will choose the type of wavelength and duration by considering the size and type of vein to be treated; the deeper the vein, the longer the wavelength required to penetrate it. Most patients that receive laser treatments for varicose veins experience zero pain, thus no medication is required to take, and often the smaller veins are completely gone immediately, larger ones take some time to disappear.

Simple laser treatments are done on the exterior of the skin to treat smaller spider and varicose veins and endovenous laser treatments are done to treat the large, deep varicose veins. Laser treatments are far less painful than invasive surgeries such as vein stripping, and has a much shorter recovery time.

The legs are not the only area where spider veins can rear their ugly heads; in fact it is quite common for spider veins and broken capillaries to appear on the face. This is the most common and recommended method of treatment for spider veins on the face and redness, and is much less intimidating than getting them injected.

Laser therapy is a safe and time-proven method that improves the overall appearance of varicose veins, and causes little, if any discomfort with no downtime. There are many benefits to using laser treatments against varicose veins large and small when done by a certified surgeon. At The Vein Centre our board certified surgeons have over 100 years of combined experience.

non invasive vein treatment

Noninvasive Treatment For Varicose Veins

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Varicose veins are warped, enflamed veins that become tender because they are over-filled with blood. We have valves in our veins to help us keep blood flowing to our hearts, but in varicose veins, that valve is missing or damaged. The veins typically begin to manifest in the legs, and become visible above the skins surface, usually taking on a blue hue. The good news is, even though they can be tough to look at and cause a lot of pain and discomfort, they are not deadly, and there are noninvasive treatments available.

There are more invasive treatments that require surgery, for example, a surgery known as “vein stripping” is done to destroy varicose veins. This procedure requires making incisions into the skin and physically removing the vein from the body. Luckily, current developments have been made that get rid of varicose veins using noninvasive procedures. These new, noninvasive methods can be done in a doctor’s office under local anesthesia and usually have minimal side effects.

The first method is known as Sclerotherapy, which is primarily used to treat smaller varicose veins, known as spider veins. The doctor injects a solution directly into the spider vein which irritates it, causes it to breakdown and vanish. The solution is called sodium tetradecyl sulfate and it works by increasing blood clot and scar tissue development inside the vein, thus assisting the veins to decrease in size.

Another option is to get them treated with an intense pulsed light (IPL) laser that essentially zaps them away. The laser causes the vessel to shut by use of heat, causing the veins to shrink and reabsorb into the body. The IPL treatments are completed in a doctor’s office and usually takes around 20 minutes, and most people can resume their normal activities the same day.

The final method is radiofrequency ablation therapy. The word ablation basically means heat is utilized to cause tissue damage to form scar tissue. In this case radiofrequency energy is used to heat and damage the vein wall, and it’s this scar tissue that seals the varicose vein, eventually causing it to disappear. For this procedure, compression stockings or wrapping legs in bandages are recommended for a few days after treatment. Usually the doctor will conduct an ultrasound after the procedure to ensure the scar tissue has completely closed off the veins.

The purpose of these treatments is to reduce associated pain and to improve the appearance of the legs, with little down time and risk. These noninvasive methods are very effective and have helped improve the lives of many individuals suffering with varicose veins by eliminating pain and improving the overall appearance of the legs.

If you’re interested in treating your varicose veins, contact The Vein Centre, today. 615-269-9007.

 

 

Varicose veins

Venous Diseases | Who Is At Risk For Vein Diseases?

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People Who Are At Risk Of Venous Diseases
Many things can increase your risk for varicose veins and venous disease. Carrying extra weight on your body, pregnancy, having a lack of movement and aging are all possible causes of venous disease. Having a family history of varicose veins and vein disease can also play a role in whether you will have these problems too.

Carrying heavy weight around the pelvis can contribute to vein problems, as can abdominal tumors, which can elevate pressure that leads to varicose veins. Working in an environment that requires you to stand for long periods of time may also add pressure to the veins. Patients who have cardiovascular disease in addition to varicose veins are at higher risk for developing other vein problems, such as high blood pressure. Other vein issues are correlated to varicose veins, including too much water retention, congestive heart failure, swelling in the legs, and skin infections or skin conditions. Weakened valves of the veins cause varicose veins, which usually become that way over a long period of time rather than by short-term activities, like crossing one’s legs.
Three sets of vessels comprise the circulatory system, which includes:

  • Arteries
    Arteries bring oxygen-carrying blood from the heart to the tissues. In the normal course of blood circulation, small amounts of fluid and protein leak from arteries and veins.
  • Lymphatics
    Lymphatic vessels bring protein-rich fluid back into the circulation. The third type of blood vessel is the vein.
  • Veins
    Veins bring oxygen-depleted blood from the organs and tissues to the heart and lungs, where it is re-oxygenated.

Blood is pumped through the body from the heart and returns to the heart through muscle contraction of the arms and legs. Because the venous system uses low pressure for circulation, the physical signs of venous disease sometimes require rigorous testing before your physician can come up with a diagnosis.

Diseases of the veins typically fall into two categories, which include either blockage from blood clots (thrombosis) and/or insufficient vein drainage. Read more about thrombosis and insufficient vein drainage.

Contact The Vein Centre to get a proper diagnosis of your vein problems today!

varicose veins the vein centre treatment

The Benefits Of Vein Treatment Services The Vein Centre Provides In Nashville, TN

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Benefits Of Having Vein Treatment Services, Vascular Surgeries, and Vein Therapy Services From The Vein Centre in Franklin, Nashville, and Mount Juliet

The Vein Centre of Nashville, Tennessee performs vascular surgery which involves surgery of the vein structures and arteries of the body, including the aorta, carotid arteries, and arteries of the lower extremities like the iliac artery, tibial artery, and femoral arteries.

The skilled team at The Vein Centre provides solutions for patients suffering from problems associated with the circulatory system. This includes artery problems, lymphatic problems, and vein problems.

The Vein Centre render services for patients needing vascular surgery, vein surgery, vein treatments, and vein therapy. Patients who benefit from vein surgery and treatments include individuals suffering from problems with varicose veins, spider veins, lymphatic vessel issues, blood circulation, venous diseases, thrombosis, superficial thrombophlebitis, deep vein thrombosis, pulmonary embolism, blood clots, vein diseases, circulatory vein diseases, and trousseau’s syndrome.

Vascular surgery involves surgery of veins. In some of The Vein Centre locations, vascular and vein surgery solutions are offered as well as dialysis access surgery and transplant surgery, if necessary.

Patients needing services offered by The Vein Centre can find relief in any of the three locations they offer their services. The Vein Centre is located in Franklin, Nashville, and Mount Juliet, Tennessee.

To make an appointment with a doctor at The Vein Centre, call 615-269-9007, complete the contact form here, or come by for a visit at one of The Vein Centre locations below:

ASPEN GROVE

125 Cool Springs Blvd, Suite 250
Franklin, TN 37067
Phone: 615-503-9895
Fax: 615-778-3249

BELLE MEADE

4535 Harding Pike, Suite 304
Nashville, TN 37205
Phone: 615-269-9007
Fax: 615-269-3448

MOUNT JULIET

660 South Mount Juliet Rd, Suite 211
Mount Juliet, TN 37122
Phone: 615-932-8346
Fax: 615-891-5048

varicose veins needing vein surgery

Keep Varicose Veins Away By Following These Lifestyle Changes & By Getting Modern Vein Treatments

By | Vein Health, Vein Surgery, Vein Therapy, Vein Treatments | No Comments

Varicose veins are unsightly veins that become twisted and often accompany swelling and discoloration when they are severe.  Varicose veins can lead to blood clots and pain, especially when lifestyle habits remain the same.

Lifestyle Changes To Prevent Varicose Veins

Veins, like all life habits, are often something that change with aging and having an physically inactive lifestyle.  There are several things you can add to your daily routine that can help prevent varicose veins.

Lifestyle changes that help prevent varicose veins from forming include the following tips:

  • Improving your leg strength by exercising.
  • Refraining from crossing your legs for long periods of time.
  • Elevating your legs whenever you’re resting or sleeping.
  • Avoiding standing for extended periods of time.
  • Avoiding excessive exposure to the sun.
  • Maintaining a healthy weight.

If lifestyle changes do not help alleviate the pain of varicose veins or if your pain becomes more severe, your doctor may recommend a surgical procedure.  Sometimes unhealthy veins can be caused by health issues like diabetes or other inherited.  When veins become a daily struggle and begin affecting your self esteem, developing some useful habits can help prevent varicose veins from forming.  Popular preventive options for keeping blood flow evenly distributed includes wearing compression stocking, getting minimal vein surgeries to name a few.  Other vein treatment options may be sought out when varicose veins become severe and unsightly.

Compression Methods for Improving Circulation & Vein Health
Compression is used when the doctor gives the patient a special pair of paintyhose or stocking.  The way compression works is by applying pressure over the areas that suffer from varicose veins so that the blood can flow more easily to the heart.  These stockings place pressure on the legs.

Medical Problems Associated With Unhealthy Veins
In some cases varicose veins can lead to blood clots and chronic inflammation.  Varicose veins can also lead to sores or ulcers on the legs.  In severe cases, veins could rupture.  They may then suggest taking a more aggressive approach, such as surgery or laser treatments.

Lasers and Radiofrequency Vein Treatments
Other treatment options for varicose veins use radiofrequency or lasers to remove the veins or seal off blood flow.  Such procedures may cause bruising or swelling immediately afterward.  But with time, they improve the appearance of the legs. You should always talk to your doctor about your treatment options and the risks before choosing a method.

Surgical Procedures  & Vein Treatments
The least common surgical procedure performed for varicose veins is called vein stripping, which is an operation that is used to remove the varicose veins through incision of the veins. Vein-stripping surgeries is less common due to newer, less invasive options available today.  

The most modern vein surgeries and vein treatments available for varicose veins include:

  • LASAR ABLATION
    Laser ablation is a process in vein therapy that removes material from a liquid surface by irradiating it with a laser beam. This is performed at a low laser flux and the material is heated by the absorbed laser energy, then evaporates or sublimates.
  • VNUS CLOSURE
    The VNUS Radiofrequency (RF) therapy is a minimally invasive procedure where the doctor performing the procedure inserts a very small catheter into the vein and delivers radiofrequency energy to the vein wall, causing the vein to shrink, collapse, and seal shut.
  • SCLEROTHERAPY
    This minimally invasive procedure is used to treat spider veins. A solution of various concentrations, called tetradechol, is injected into the vein.
  • AMBULATORY PHLEMBECTOMY
    Ambulatory phlebectomy is an outpatient procedure usually performed under local anesthesia.

To learn more about the vein services offered in your area, contact the Vein Centre today at 615-269-9007 to get your free consultation!