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Vein Therapy

Pelvic-Venous-Insufficiency

Pelvic Venous Insufficiency (PVI): Affecting Millions of Women

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According to the American Journal of Radiology, pelvic pain is a common condition, which affects millions of women worldwide. It accounts for 25% of all hysterectomies and 33% of all investigative laparoscopic procedures performed for pelvic pain. Leading causes of pelvic pain in women include pelvic congestion syndrome or PCS and pelvic venous insufficiency or PVI. PVI often leads to PCS, which is a chronic condition causing severe pain and tenderness in the lower abdomen, back, hips, and thighs.

What Is Pelvic Venous Insufficiency?

Pelvic insufficiency results when circulation in the major pelvic veins is compromised. Blood pools within the venous system causing pressure on the walls of the veins. Over time, the veins swell and dilate to accommodate blood flow. The one-way valves in the veins weaken allowing blood to flow backwards and pool, causing further pressure on already weakened venous walls. The venous swelling and pressure on adjacent organs and tissues lead to pelvic congestion syndrome or PCS. If left untreated, damage to the veins may become permanent and surgical procedures are needed to correct the problem.

Am I at Risk for Pelvic Insufficiency?

Women of childbearing age, between 20 and 45 years of age are most at risk for PVI. Multiple pregnancies also increase the risk. PVI is also associated with obesity and rapid weight gain due to the increased weight of the fetus, uterus, and abdominal tissues pressing on pelvic veins. Other risk factors include blood clots and a history of varicose veins.

How do I know if I have Pelvic Venous Insufficiency?

Like varicose veins, pelvic venous insufficiency can have no symptoms. Most often, possible symptoms include severe, dull pain in the pelvic area, lower back, buttocks and thighs. Heaviness is often associated with the pain, and menstruation and prolonged standing tend to worsen the symptoms. Painful intercourse and urinary symptoms may also occur. Dilating venous tissues also release neuro-transmitting chemicals, leading to additional depression and anxiety in conjunction with the pain.

Tests for PVI include soft tissue imaging with and without dye. The most common include:

• Ultrasounds to visualize the venous structure around abdominal and reproductive organs. Doppler ultrasounds enable the physician to visualize venous circulation in real time.
• CT Scans provide the opportunity for measuring the diameters of affected veins in order to diagnose the potential severity of the condition.
• MRI’s with and without contrast provide an excellent diagnostic tool to examine the extent of blood pooling and congestion in affected areas.
• Venography is an invasive procedure performed when non-invasive imaging is not sufficient to provide a definite diagnosis. Contrast dye is injected via catheter directly into pelvic veins and measurements are taken to diagnose the severity of venous dilation.

How is PVI Treated?

Non-surgical treatment of PVI and PCS are aimed at treating ovarian dysfunction. Hormonal management with progesterone based birth control pills or treatments are used for their contracting effects on the veins. In some cases, estrogen-inhibiting implants are used in the management of PVI.

Interventional and surgical options are aimed at correcting pelvic vein engorgement and include ligating affected veins or blocking blood flow to the affected area by embolization. In severe and debilitating cases not responding to medical or less invasive surgical treatments, full or partial hysterectomies may be required to prevent irreversible tissue damage.

If you are experiencing any of the symptoms indicative of PVI, your primary doctor or OBGYN may refer you to a venous specialist for further testing and management of your symptoms. The vein specialists at The Vein Centre will assist you in making the best possible decisions specific to your case. Contact us or call The Vein Centre today at 615-269-9007!

safe vein exercise

How to Safely Exercise with Varicose Veins

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Exercising Safely 

Improving circulation and heart health is a primary benefit of a regular exercise program. Exercise improves muscle tone in your legs, which helps to pump blood back to your heart. Regular, low impact, and cardiovascular exercise can even help reduce the appearance and alleviate symptoms of varicose veins.

If you have varicose veins, it is important to check with your doctor prior to starting an exercise program. Based on your individual case, your doctor will advise you on which types of exercises to avoid. As a general rule, people with varicose veins may benefit from regular exercises aimed at strengthening the calf muscles.

Which Types of Exercises Should I do?

Low impact cardiovascular or weight-bearing exercises are best if you have varicose veins.

Walking is both a very natural and low impact exercise for the heart and lower legs. Taking a brisk walk outside burns calories, strengthens the leg muscles associated with circulating venous blood, and provides fresh air and access to vitamin D producing sunlight. A brisk 30-minute walk daily may even reduce the appearance of varicose veins and prevent new ones.

Bike Riding, Cardio Machines, and Ellipticals are also good alternatives for low impact exercising. It is best to combine bike riding with other forms of exercise due to the sitting nature of the exercise, however, bike riding also strengthens the calves and buttocks increasing circulation in both the upper and lower legs. Resistance levels on cardio machines can also be adjusted for varying intensities. Caution should be taken with heavy resistance due to strain on the venous walls. If pain is experienced during the activity, you should decrease the resistance or stop the activity. If the pain does not improve or worsens, you should notify your doctor.

Recommended Static Exercises assist in building muscle tone and strength, which act as natural compression for swollen veins. Static exercises using the weight of your legs as leverage are generally enough to increase tone and circulation to the legs. Examples of these exercises include leg lifts and calf raises with no weights or light ankle weights. Bicycle legs performed by lying flat on your back and moving your legs in a bicycle type motion use the weight of your own legs to build strength and endurance.

Which Type of Exercises Should I Avoid?

Heavy Weight Lifting, Lunges, and Squats place an added strain and pressure on venous walls in the legs. You have probably noticed bulging veins on people that lift heavy weights. The same amount of strain placed on varicose veins can worsen the condition. Weight lifting does have benefits in an exercise program, such as increasing bone density, boosting metabolism, and increasing circulation. If you do weight lift, a circuit training program alternating cardio and lifting will reduce the strain on vein walls. Remember to use lighter weights or your own body weight as resistance and maintain proper breathing while lifting. Discontinue the activity if veins become worse or painful.

Running is excellent for cardiovascular health, however, it is treacherous on the joints and legs due to its high impact. Running on asphalt or concrete is even worse if you have varicose veins. If your veins aren’t painful and you prefer running, try running on softer surfaces, such as grass or rubberized tracks.

When to Consult a Specialist

Your vein specialist is your primary resource when choosing an exercise program appropriate for your needs. Consult your doctor prior to beginning an exercise program and after vein procedures to determine your best course of action. Always consult your specialist for changes in pain or worsening of the condition.

Contact us online or call The Vein Centre today for more information and to schedule a consultation!

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!

Healthy vein yoga poses

5 Yoga Poses for Healthy Veins

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Have you noticed swollen or spidery veins on your legs or feet? If so, you may be suffering from varicose veins. Varicose veins can cause long-term health complications due to irregular blood supply to the heart. But don’t stress! Yoga can help alleviate this condition.

Sitting for long hours or frequently walking in high heels are just a few ways you can develop varicose veins. The affected veins are large, swollen, and clearly visible under the skin.

Yoga- How Does It Help?

Yoga can alleviate the pain caused by the pressure in your veins. The recommended poses for alleviated pressure are typically leg elevation poses. Elevating your legs helps ease pressure and blood flow to the heart. Here are a few yoga poses to try:

Uttanasana

Stand straight and place your hands on your hips. Inhale, and bend your hips as you exhale. Make sure to place hands on the floor besides your feet. Keep your feet parallel to each other. Push your torso forward as your extend the stretch and lift the tailbone. Hold, then release.

Dandasana

Sit on the floor with your legs together, extended out in front of you. Sit forward and draw your thighs together. Flex your feet and press out through your heels. Pull the tops of your thighs up towards your hips and down to the floor. Draw your lower belly in and up. Draw your shoulders back and down along the spine. Bring the bottom shoulder blades towards each other. Stay in this position between 5-10 breaths.

Navasana

Sit in Dandasana and lift your legs off the ground. Try to balance and lift your hands off the floor, stretching them out in front of you. Breathe long and deep. Release.

Viparita Karani

Position yourself across a wall and raise your legs up the wall. Lie down and stretch your arms to the sides, making sure your palms are facing upwards. Close your eyes and breathe. Release after a few minutes.

Pawanmuktasana

Lie flat on the floor with your back on the ground. Fold your knees and hug them. Lift your head off the floor, and bring your nose in between your knees. Hold the pose for a few seconds as you breathe deeply, and then release.

Yoga takes patience and practice and is an effective way to promote healthy veins. You may find these simple yoga poses to help relieve pressure from your veins. If you have any questions about veins, schedule a healthy leg consultation by contacting The Vein Centre today, at 615-269-9007!

laser vein treatment

Positive Effects of Laser Treatments on Varicose and Spider Veins

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

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

vein treatments

Causes of Varicose Veins & Lifestyle Changes to Prevent Them

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When Are Varicose Veins?

Over half of women in the United States that are over the age of 50 suffer from some form of varicose veins.  Men get varicose veins as well but in most cases the majority of varicose vein cases involve women.  Varicose veins occur when your veins become enlarged, dilated, and overfilled with blood in compacted areas. Varicose veins often accompany bluish, purple, or red colored pigmentation that are raised and often painful.

Symptoms of varicose veins include:

  • Raised dark blue blood vessels, especially in the thigh and calf areas.
  • Aching, tender, heavy, or sore legs.
  • Swelling in the ankles or feet after standing for a long period of time, accompanied by varicose veins.

Severe symptoms of varicose veins that require medical attention include:

  • Swelling that becomes unbarible, or the skin over your varicose veins becomes discolored, ulcerated, flakey, or prone to bleeding.  This could be a signal that you are developing stasis dermatitis. To prevent potentially serious circulatory problems the veins may be removed with surgery.
  • You have warm, tender, and red varicose veins. This could be a sign of a blood clot in the vein known as phlebitis.
  • You have injured a varicose vein resulting in a burst of blood.


What Causes Varicose Veins?
Varicose veins happen when veins are not functioning as they normally would when they are in healthy condition. Veins have one-way valves that prevent blood from flowing backwards. When vein valves malfunction, blood begins to collect in the vein instead of continuing to travel toward your heart.

The following are potential causes for varicose veins include:

  • standing for long periods of time
  • pressure on the midsection of the body, especially the abdomen
  • obesity, which adds weight to the body and increases the pressure on the legs
  • chronic heart valve conditions, which are usually congenital
  • pregnancy
  • Menopause

Lifestyle Changes To Prevent Varicose Veins

The following changes can help prevent varicose veins from forming:

  • Avoid standing for extended periods of time.
  • Avoid excessive exposure to the sun.
  • Maintain a healthy weight.
  • Improve your leg strength by exercising.
  • Refrain from crossing your legs for long periods of time.
  • Elevate your legs whenever you’re resting or sleeping.

The Vein Centre

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!