treatment spider vein - Discussion of Varicose Veins and FAQ's about treatment options
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Discussion of Varicose Veins and FAQ's about treatment options

What are varicose veins, spider veins, and reticular veins? Varicose veins are ropy, swollen veins that are close to the surface of the skin. Reticular veins are the smaller, fine blue veins that are under the skin. Spider veins are smaller, red or blue veins that are in the skin layer.


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Varicose veins occur when the vein valve fails to function normally. Blood is allowed by the healthy vein valve to flow normally in one direction. Once the integrity of the vein is compromised, blood flow becomes abnormal. Blood flows back in the opposite direction, which causes pooling inside the vein. This condition consequently results in swelling.

Due to blood pooling in the veins, varicose veins is characterized by a dull sensation of pain, cramps, feeling of heaviness in the legs or fatigue after standing for a short period. It is a general belief that the condition does not constitute much of a medical problem, except for the ugly, depressing sight it creates. Unfortunately, this is only true as long as the condition is treated on time.

How Does Endovenous Therapy Work? Endovenous Laser Therapy (EVLT) treats the incompetent greater saphenous vein (GSV). The GSV vein courses along the inside part of the leg from the groin to the ankle, and is frequently the underlying cause of varicose veins. The procedure is done in the office under local anesthesia using ultrasound guidance. A laser fiber is passed through a small sheath inserted into the GSV. As the laser is activated, the resulting heat treats the inner lining of the vein causing it to seal. The whole procedure is performed through a tiny skin incision, so there is no post-operative scarring. Pressure is applied to the treated veins using compression hose or other compressive dressings. The recovery time from EVLT is rapid as there are no large surgical incisions or side effects of general anesthesia. Normal activities can be resumed the net day. Vigorous physical activity such as weight lifting and aerobics are not advised during this time, and we advice that patients do not take plane flights for at least one week after the procedure. Why Endovenous Laser Therapy Instead of Other Treatment of Varicose Veins? The benefits of EVLT are the following: 1. A simple procedure 2. Performed under local anesthetic 3. Minimally invasive, so minimal risk of scarring and postoperative infection 4. The procedure takes about one hour and avoids surgery in the operating room with its associated costs 5. Rapid recovery with reduced postoperative pain 6. Normal activities can be resumed almost immediately 7. Excellent clinical and aesthetic results 8. Covered by most insurance companies including Medicare after failure of conservative medical management

Endovenous Laser Treatment (EVLT) -works by heating the inside of the vein, which causes it to seal shut and disappear. This treatment requires that a very thin laser fiber be inserted into the damaged underlying vein.

For more questions about all things venous, including deep venous thrombosis (DVT) and the latest management techniques such as thrombolysis of DVT's and pulmonary emboli, please visit my vein website at www.my-varicose-veins.com. I am a Vascular Surgeon in Dallas. I have been voted by my colleagues to be one of the best Vascular surgeons in the Dallas Fort-Worth area according to Dallas Magazine for 2006. My expertise is in circulation surgery, especially in vein problems. I am being featured in the cable TV show "Heartbeat of America" hosted by William Shatner and Doug Llewelyn from "The People's Court." I also will be featured in the Dallas Fort-Worth edition of Redbook, Women's day, and Good Housekeeping for the April/May edition for my work on varicose veins. http://www.my-varicose-veins.com

clinical syndrome in patients with varicose veins and other chronic venous insufficiency. How to treat varicose and spider veins? >> Frequent rest periods with the legs elevated.

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Varicose veins are enlarged, discolored veins. They appear swollen and twisted. Varicose veins are typically 3 millimeters or more in diameter. They are commonly found on the backs of the calves or on the thighs. Varicose veins are often painful and itchy. Scratching them can cause open sores to appear.

>> In mild cases, lightweight elastic compression stockings should ease the discomfort but they will not remove the varicose veins. >> A loss of weight, if obesity is a problem.

What Is Involved In The Care After Treatment? We recommended compression hose or some other type of compression dressing after treatments. These dressings are usually worn for one day following sclerotherapy and 1-2 weeks after EVLT. Compression stockings come in different styles, sizes and colors. We advise return to a normal physical activity routine after the procedure, but vigorous aerobic exercise is not recommended for 2 weeks after ELVT. Sclerotherapy patient can resume normal exercise the day after treatment.

The best way to prevent or stop the evolution of varicose veins is by paying more extensive care to the condition of your legs. Soft massaging and special foot baths are of great help in stimulating the blood flow in the area and increasing the blood vessels resistance.

How can varicose veins be treated? There are several ways to treat varicose veins, depending on the symptoms and types of veins present: 1. Compression stockings: The conservative management of varicose veins is to wear compression hose, exercise, control your weight, and elevate your legs above your waist as much as possible in order to drain the vein blood out of your legs. Compression hose will assist the vein in pumping blood up the leg and back to the heart. However, this technique will not make the varicose veins go away. Nevertheless, the use of compression hose is very important in not just preventing worsening of varicose veins, but also in preventing recurrent problems after treatment. 2. Sclerotherapy: This technique is used for the treatment of smaller varicose veins, as well as reticular veins and spider veins. A small amount of a medication (sclerosant) is injected directly into the diseased vein. The medication irritates the inner lining of the vein and causes it to seal shut. The newer types of sclerosants are not painful when injected using a very tiny needle, and multiple sites of injection are typically needed. In addition, one usually needs anywhere from 2-6 treatments to obtain 70-80% clearance of the spider veins. The procedure is performed quickly and easily without the need for anesthesia. Sometimes, we use ultrasound guidance for sclerotherapy. The number of treatments required will vary with each individual, depending on the extent of visible varicosities and spider veins. A range of 2-6 treatments can be expected in order to achieve a 70-80% clearance of the spider veins. We also use a Lyra 1064 nm YAG laser to treat stubborn spider veins. 3. Surgical Stripping: In the past, surgical removal or "stripping" of the diseased vein out of the leg was the best treatment we could offer patients with vein problems. This procedure required an operating room, general or spinal anesthesia, and recovery times that varied from 2-6 weeks. Vein stripping is an antiquated procedure and should be very rarely used in the management of varicose veins with the newer techniques that are currently available. 4. Microphlebectomy: This procedure involves the use of several, 1 mm, tiny incisions along the course of the leg veins in order to remove the diseased vein in segments. These tiny incisions heal well with minimal discomfort. Microphlebectomy can be performed by itself or in combination with another type of vein treatment. 5. Endovenous Laser Therapy: The use of lasers in the management of vein problems is replacing the standard surgical approach to treating large varicose veins. With Endovenous Laser Therapy (EVLT) a very thin fiber or catheter is inserted into the diseased vein through a small needle puncture in the leg, requiring only local anesthesia. The laser delivers energy directly to the inner lining of the vein, causing the vein to close. The procedure can be performed in the physician's office in approximately one hour. Patients are usually able to resume their routine activities immediately after the procedure.

Varicose veins are a common occurrence in the western world, anyone who doesn't suffer the condition, must have, at least seen someone who does. Though varicose veins do not always constitute a problem that requires urgent medical attention, they can be quite unsightly and depressing.

Aromatherapy This is an excellent choice amongst the natural treatment for varicose veins, as the oils can help with the swelling that may occur with varicose veins. Massaging the area around the veins with certain oils, can help reduce the size of the veins as well as reduce swelling.

Natural remedies for varicose veins exist which can reduce the severity of the veins. Rather than just hide the symptoms, herbal supplements can address the root of the problem. Basically, by improving overall health of the circulatory system and its veins, this problem can be banished. There are natural remedies which work by increasing circulation and strengthening the veins.

eczema (eczema), because of waste products building up in the leg. >> Minor injuries to the area may bleed more than normal and/or take a long time to heal.

Spider veins and small varicosities frequently form on the legs. These can be easily and safely treated using painless injections of special solutions which shrink the blood vessels. Effective treatment usually requires several visits to the office with gradual improvement after each visit. On the initial visit, your vein problem will be assessed and an estimate regarding the time required and the approximate cost of your treatment will be given. After treatment is complete, reassessment and treatment may be required on a periodic basis to ensure that your vein problem never returns.Sometimes larger veins require more aggressive treatments. For medium sized veins, surgical treatment may be required. This can usually be done under local anesthetic using a procedure known as ambulatory phlebotomy. For the largest veins, a new, painless treatment known as Endovenous Laser Treatment or EVLT is used. Dr. Ursel was one of the first doctors trained in Canada to do this procedure and now teaches other doctors to do it.Dr. Ursel was one of the first doctors for treatment of spider veins.

 

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Varicose veins are enlarged, twisted, painful superficial veins resulting from poorly functioning valves. Varicose veins are common. They mostly affect women. Varicose veins are also called varicosity and varicosis. In severe cases, varicose veins can lead to skin changes resulting in eczema, pigmentation, and ulceration or bleeding.

Who is at risk for varicose veins? There are numerous risk factors for varicose veins. These risks include a family history of varicose veins, obesity, pregnancy, hormonal changes at menopause, work that requires prolonged standing or sitting, and past vein diseases such as phlebitis (inflammation of a superficial vein) or deep venous thrombosis (blood clot in the deeper veins). Women also tend to suffer from varicose veins more than men. In addition, varicose veins can appear after trauma to the area.

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The reason varicose veins develop is not fully understood. One of the basic problems is damage to the valves. This means that blood can't travel up the veins as easily, and is more likely to pool. It is possible that people inherit a tendency for weak valves. Alternatively, the vein walls may become weak, which causes bulging of the vein and so damage to the valves. There is a greater risk of getting varicose veins during pregnancy, and if you are very overweight because this increases the pressure in your abdomen and so in your veins.

The word "varicose" refers to a vein that is unnaturally and permanently distended. Vein walls or vein valves near the skin can become damaged from natural stretching or weakening because of the pressure of the blood flowing through the veins. Varicose veins often appear through the skin on a person's legs as blue, bulging and twisted veins; in some cases the veins may be raised or stand out on the surface of the skin.

What are the symptoms of varicose veins? Varicose veins may cause aching of the legs. The ankles, calf and feet may swell towards day's end, especially in hot weather. Varicose veins can become sore and inflamed, causing redness of the skin around them. Skin changes from long standing vein problems include thickening of the skin, a brown discoloration, red rashes, and skin infections. Some patients with severe vein problems can develop sores on the ankles, known as venous ulceration. These are often difficult to heal, and can be helped by treating the underlying vein problem to prevent the reflux that led to the ulceration.

Sclerotherapy - This is a non-surgical procedure in which a solution is injected into the problem varicose veins or spider veins in order to cause its disappearance.

What Are The Complications Of Vein Management? Sclerotherapy and EVLT have rarely been associated with any serious complications. Minor complications of these procedures include bruising, mild itching, tingling, tenderness and tightness in the treated leg for up to two weeks after the treatment. Allergic reactions to the sclerosant have been reported, but are extremely rare. Ulceration of the skin after sclerotherapy can rarely occur. If they occur, the usually heal in 2-3 months and leave a small scar. Deep Vein Thrombosis is a very rare complication following sclerotherapy of larger varicose veins or EVLT. Other potential complications include: 1. Staining or brown pigmentation at the site of treatment. This occurs in about 30% of patients. In most cases the staining resolves but it may take many months. 2. Clots under the skin. These clots may affect the treated veins. These are not dangerous and can be removed through a small incision if necessary. Most of these clots dissolve by themselves. 3. Bruising at the injection sites usually resolves within one to two weeks. 4. Capillary matting is an increase in the number of fine red vessels around the injection site. This problem may disappear on its own, or can be treated by further injections.

Varicose veins are abnormally swollen (dilated) and tortous (twisted) veins. Varicose veins are usually situated quite near the surface and are often visible beneath the skin. Varicose veins can vary in size from quite small (2-3mm across) to very large (2-3cms across). Very small veins are called "thread veins" or "spider veins". These veins are different to varicose veins because they are situated within the layers of the skin itself. Although they may be unsightly, they are not the same as varicose veins and can be more difficult to treat.

Will Getting Rid Of Varicose And Spider Veins Hurt My Circulation? The varicose veins that are being treated are not doing their job, and therefore are not missed when they are treated. The body has numerous other veins that are taking blood back towards the heart, and they take over the role of the varicose veins after treatment.

They begin as tiny capillaries and appear as blue or red squiggles. They are small red, blue or purple veins that commonly appear on the surface of the thighs, calves and ankles. It's estimated that at least one third of the adult female population is troubled with this common problem. People often seek treatment for spider veins because of cosmetic concern. However, it is also common for spider veins to cause symptoms, such as aching, heaviness, itching and night cramps.

These are Symptoms for varicose and spider veins >> Aching, heavy legs (often worse at night and after exercise). >> Appearance of spider veins (telangiectasia) in the affected leg.

The first sign of varicose veins is a swelling along the course of the veins. This may be followed by muscular cramps and a feeling of tiredness in the legs behind the knees. In some cases, the normal flow of blood towards the heart may be reversed when the patient is in an upright position. This results in veinous blood collecting in the lower part of the legs; the skin becomes purplish and pigmented, leading to what is known as varicose eczema or varicose ulcers. Both these conditions cause severe pain.

Will Abnormal Veins Come Back After Treatment? After sclerotherapy for spider veins, a small number of patients who have a natural tendency to form spider veins will need yearly treatments or "touch-ups". Larger varicose veins can also recur, especially if one gains weight, or does not wear compression hose. These recurrences are usually not as severe as the initial episode, and can be treated with sclerotherapy or microphlebectomy.

A vein is a blood vessel that carries blood low in oxygen content from the body to the lungs and heart. It is a normal part of the circulatory system. Veins can become budge with pools of blood when they fail to circulate the blood properly. These visible and bulging veins, called varicose veins, are often associated with symptoms such as tired, heavy, or aching limbs. In severe cases, varicose veins can rupture, or open sores (called "ulcers") can form on the skin. Varicose veins are most common in the legs and thighs.

complete removal of the vein from ankle to groin may be necessary (ligation and stripping). Several treatments may be required before a satisfactory resolution is achieved. Laser treatment can also be effective for these varicose and spider veins. The majority of people with varicose veins manage by using simple conservative treatment measures. Varicose veins are not a disease in themselves although they can cause daily irritation and worry. People with this problem should consult their GP to discuss whether treatment is necessary.

>> In some people the skin above the ankle may shrink (lipodermatosclerosis) because the fat underneath the skin becomes hard. >> Restless Legs Syndrome Restless Legs Syndrome appears to be a common overlapping

>> Ankle swelling. >> A brownish-blue shiny skin discoloration near the affected veins. >> Redness, dryness, and itchiness of areas of skin - termed stasis dermatitis or venous

What causes varicose veins? The normal function of leg veins is to carry blood back to the heart. During walking activity, the calf muscle acts as a pump, compressing the leg veins and forcing blood back towards the heart.To prevent blood from going in the wrong direction, veins have one-way valves valves that prevent blood from flowing backwards down the leg. If the valves are faulty (a condition known as valvular incompetence), blood flows back into superficial veins and down the leg. This process is known as reflux. Reflux results in veins enlarging and becoming varicose. Once veins become varicose, they lose their ability to snap back into their correct shape, and become more plastic rather than elastic. Varicose veins unfortunately cannot heal themselves, and this condition is either stabilized with compression hose, or managed with one of the vein treatment plans. The greater saphenous vein is one of the most frequently damaged veins that leads to varicose veins in the leg.

>> The injection of a sclerosing solution into the vein will close it. >> If the condition becomes more serious and the whole leg is affected by varicose veins, a

Will My Health Insurance Cover My Care For Vein Problems? Most insurance companies will cover treatments for varicose veins that are causing problems despite conservative management. Conservative management means a trial of compression hose for 3-6 months. If you continue to have pain or swelling despite wearing compression hose, then most insurance carriers will cover EVLT or microphlebectomy. Insurance does not usually cover the treatment of spider veins, and these treatments are paid for by the patient.

There are all sorts of ointments and gels based on the active ingredients in herbs like chamomile, calendula or chestnut extract.

Some people would rather turn to holistic treatments to prevent and ease varicose veins. Acupuncture cannot help the problem get better, but activating certain acupuncture sights can help to keep varicose veins from getting worse. Some people turn to aromatherapy. Cypress and geranium essential oils are used by blending twelve drops of them with another oil and rubbing the mixture on the legs, not just the veins. Oil of rosemary is also massaged onto the veins to help stimulate circulation.


 
 
     
 
 





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