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Your circulatory system relies on nearly 100,000 miles of blood vessels to deliver oxygen and nutrients throughout your body. While the blood-flow through your arteries is powered by the pumping of your heart, the veins directing blood back to your heart and lungs rely on a series of one-way valves. These valves defy the pull of gravity to keep your circulatory system functioning efficiently.

In healthy veins, these valves close completely to keep your blood from flowing downward towards your feet. When valves malfunction due to defect or disease, they can eventually cause a significant amount of discomfort and distress. Left untreated, vein disease can lead to a number of chronic health complications, including venous stasis ulcers.

 

Understanding Venous Stasis Ulcers

Venous stasis ulcers are wounds caused by the accumulation of fluid that commonly accompanies vein disorders. As fluid leaking from dysfunctional veins accumulates into surrounding tissues, the flesh surrounding the area becomes irritated, inflamed, and begins to break down. Over time, the breakdown of tissues combined with the lack of oxygen and nutrients causes ulcers on the lower leg. The lack of circulation impairs healing. Left untreated, venous stasis ulcers can cause a significant number of health complications, including severe infections and necrosis.

pain in leg

 

How Venous Stasis Ulcers Evolve

Healthy vein function depends on the contraction and expansion of muscles throughout your body to keep blood circulating from your feet to your heart. As muscles contract blood moves forward. As muscles relax, the one-way valves within your veins form a tight seal to keep blood from slipping backward until the next surge of forward momentum.

When the valves inside your veins lose their ability to form a tight seal, a condition known as chronic venous insufficiency, blood and accumulated fluids seep downward as muscles relax. As veins take on more fluids than they can withstand, the increase in pressure causes the veins in the affected area to stretch and bulge. The first visible signs of venous insufficiency are often spider veins or varicose veins.

Under the additional pressure from blood pooling in the lower leg, the smaller blood vessels begin to leak plasma, proteins, and blood cells. The surrounding tissues swell from fluid accumulation (edema). As protein deposits starve the affected areas of nutrients and oxygen, fluid accumulation interferes with the removal of waste products.

Before the onset of venous stasis ulcers, those affected by venous insufficiency may notice swelling, changes in skin pigmentation, changes in skin texture, or any combination of these symptoms.

 

Recognizing the Signs, Symptoms, and Stages of the Disease

As a complication of venous insufficiency, venous stasis ulcers affect an estimated 25 percent of our population. The signs and symptoms of venous insufficiency are commonly classified into three distinct phases. The phases of the disorder progress over time, particularly if this chronic health condition is left untreated or poorly managed. The three stages of venous insufficiency are identified by the following symptoms:

 

  • Venous Insufficiency Stage 1

    One of the earliest symptoms of chronic venous insufficiency is varicose veins, the appearance of dark, rope-like veins most commonly appearing in the lower leg. While many people initially consider the appearance of varicose veins little more than an uncomfortable cosmetic issue, as the condition progresses, varicose veins can cause a significant amount of discomfort. In addition to the appearance of twisted, bulging veins, fluid accumulation can cause a general feeling of heaviness in the legs, itching, tingling, and swelling of the feet, ankles or calves.

 

  • Venous Insufficiency Stage 2

    As the symptoms of venous insufficiency progress, the discomfort can be more pronounced. As a result of the breakdown of iron in the blood, skin can turn various shades of red and brown. The skin on the lower leg eventually starts to show outward signs of the internal dysfunction. Skin may appear thickened, hardened, scaly, or bumpy, a skin condition known as stasis dermatitis. As inadequate blood supply impairs the skins ability to regenerate, even mild trauma or scratching can injure traumatized skin. Those living with chronic venous insufficiency may also find their skin can appear thin, shiny, weepy, or crusty. Since venous insufficiency impairs the healing process, skin damage can easily become infected.

 

  • Venous Insufficiency Stage 3

    Venous Stasis ulcers commonly occur during the third phase of venous insufficiency, open sores that fail to heal. Venous stasis ulcers commonly begin as a small sore on the surface of the skin but can quickly expand. The most common location for venous ulcers to appear is near the ankle, but they could appear anywhere on the lower leg. Venous ulcers that form above the ankle are often the result of skin trauma or scratching. While ulcerations can cause a significant amount of pain, many find the wound itself relatively painless unless infection sets in. With proper treatment, venous ulcers can heal, but healing can take a considerable amount of time.

varicose veins

Those Most at Risk of Developing Venous Stasis Ulcers

While having varicose veins increases your risk of developing venous ulcers, chronic venous stasis ulcers can also be the result of a blood clot obstructing blood flow in the deep veins of the leg, deep vein thrombosis (DVT). When venous ulcers develop because of a blood clot, the resulting condition is known as post-thrombotic syndrome. While vein disease does not discriminate by age or gender, the condition is more prevalent in those over the age of 50 and more common in women than men.

Knowing the risk factors for developing venous stasis ulcers (VSU) may help you avoid this potentially devastating complication of circulatory issues. There are a significant number of circumstances that increase your risk, including:

  • Family history of VSU
  • Varicose veins
  • History of edema (leg swelling)
  • Uncontrolled or undiagnosed high blood pressure
  • Previous history of blood clots
  • A history of diabetes or diabetic neuropathy
  • Congestive heart failure
  • Trauma to the legs

compression stockings

Treatment Options for Venous Stasis Ulcers

At first, venous ulcers are generally shallow and irregularly shaped. As the deterioration of the affected tissue progresses, the ulcer can extend deeper into the underlying tissues, involving the tendons, ligaments, and bone. The goal of venous ulcer treatment is to minimize edema, control infection, heal the wound, and prevent reoccurrence. Many leg ulcer patients experience alternating periods of healed and open ulcerations. Those with venous stasis ulcer commonly find the skin lesions will return unless the underlying cause is corrected.

To effectively treat venous stasis ulcers, doctors commonly evaluate the venous and arterial circulation in the affected area to identify the underlying cause. Once the cause is determined, physicians are in a better position to develop a successful plan of action. Doctors treating venous ulcers may recommend one or more of the following options:

 

  • Compression Stockings

    Compression stockings are one of the first lines of defense for the treatment of venous ulcers. Graduated compression stockings help minimize swelling and support vein function. Compression stockings also promote wound healing and help reduce the risk of reoccurrence by boosting circulation. Your physician might also suggest covering the wound with a transparent dressing, a clear, plastic-like film worn under the compression stocking to protect the wound and promote healing.

 

  • Unna Boot Therapy

    Similar in function to compression stockings, an Unna boot is created from a moist gauze bandage that securely wraps the affected limb from the toes to just below the knee. The treated gauze commonly contains zinc or a combination of zinc and calamine to fight infection and help the ulcer heal. As the treated gauze dries, it hardens to form a custom-fit, secure boot that helps improve circulation and minimize edema.

 

  • Topical Preparations

    For the discomfort of venous dermatitis, your doctor may recommend using a prescription anti-fungal preparation to prevent the spread of infection. If skin rashes result in an uncomfortable itch, or if scratching causes skin injury, hydrocortisone cream is often prescribed to minimize the risk of further damage. Since topical antibiotics can increase inflammation, they are commonly avoided.

 

  • Debridement

    For an ulcer failing to heal because of infection or tissue damage, wound debridement may be the first step to promote healing. Debridement removes damaged, necrotic tissue from the wound while activating platelets and growth factors in the treatment area. There are several methods of debriding a wound, including chemicals, irrigation, or surgical intervention. In many cases, debridement can decrease the severity of scarring.

 

  • Vein Ablation

    Vein ablation closes off the damaged areas of a diseased vein, redirecting blood flow to a healthy vein. If your vein specialist recommends ablation, they will likely suggest one or more of several available options depending on the location and size of the dysfunctional area. Troublesome veins can be sealed using radiofrequency waves, laser heat, chemical foam, or a glue-like substance.

 

  • Ambulatory Phlebectomy

    Ambulatory phlebectomy is a relatively common method of treating varicose veins close to the surface of the skin. This minimally invasive procedure involves removing damaged blood vessels through small incisions. After a phlebectomy, patients are commonly advised to wear compression stockings to improve circulation. Most people get back to their usual activities within the first 24 hours after the procedure.

 

 

Enhancing Your Ulcer Treatment with Conscientious Self-Care

Those at risk of developing venous stasis ulcers should make a habit of checking the condition of their feet, ankles, and legs daily, mindful of any changes in the color or texture of their skin. Once a doctor establishes a treatment plan, it’s important to follow through with any recommended lifestyle modifications. Just a few of the self-care strategies commonly recommended for managing venous ulcers include:

 

  • Wearing Compression Stockings as Recommended

    Whether your physician prescribes knee-high or thigh-high compression stockings, it’s important that stockings are worn consistently. In general, compression stockings are worn from the time a person wakes until they are ready to turn in for the night. When stockings are donned immediately upon waking, there is less opportunity for accumulated fluids to pool in your lower legs.

 

  • Staying Active

    Physical activity promotes vein health. Those who remain active and walk frequently benefit from the pumping action of calf muscles reducing pressure in the veins, oxygenating tissues, and removing accumulated waste products. When walking is not an option, circulation can be enhanced by frequently moving your feet to engage your calf muscles and rotating your ankles. Even short bursts of moderate activity throughout the day promotes healing.

 

  • Elevating Your Legs

    Your vein specialist will likely advise you to elevate your legs above heart-level 3 or 4 times throughout the day. By simply elevating your legs for 15 minutes at a time, you reduce the pressure in your veins significantly. Make an effort to graduate the elevation from your knees to your feet. Placing a single pillow under your feet without supporting your legs could cause your knees to hyper-extend, which can make elevating your legs uncomfortable.

 

  • Making Healthy Lifestyle Choices

    Maintaining a healthy lifestyle has a direct impact on vein health. A nutritious diet, regular exercise, maintaining a healthy weight, and following the recommendations of your health care provider can slow the progression of vein disease, ensure the successful outcome of vein treatment, and promote healing.

 

 

Treating Venous Insufficiency Reduces Your Risk of Venous Stasis Ulcers

Venous Stasis Ulcers are often caused by faulty veins in the lower leg. Most often, the condition evolves over time. The first signs of venous insufficiency could include a feeling of heaviness in your legs and the gradual appearance of bulging veins. As the condition progresses, you may notice leg pain, changes in skin color and texture, and ulcerations.

Even with lifestyle modifications, damaged veins are not likely to improve on their own. Left untreated, venous insufficiency can have a significant impact on your overall health and wellbeing. That’s why it’s important to have problematic veins treated before the disease has an opportunity to progress. Even with the best medical care, venous stasis ulcers can take many months to heal and can reoccur. Preventing ulcers is considerably more comfortable than waiting for ulcers and skin damage to respond to treatment.

Significant advances in technology and methodology have made treating venous insufficiency and venous stasis ulcers easier and more effective than ever before. For state-of-the-art vein care in Henderson, NV, contact Vegas Valley Vein Institute. At Vegas Valley Vein Institute, you benefit from our comprehensive treatment approach, traditional and state-of-the-art non-surgical treatment options, and the expertise of the Valley’s leading vein care specialist.

 

Additional Sources:

https://www.winchesterhospital.org/health-library/article?id=2013166525

https://www.webmd.com/skin-problems-and-treatments/eczema/venous-stasis-dermatitis#2

https://medlineplus.gov/ency/patientinstructions/000744.htm

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4144244/

Venous Stasis Ulcers

Venous Stasis Ulcers

Venous stasis ulcers are painful, slow-healing sores on the leg that occur from backwards blood flow in the veins of the limb. They typically occur on the lower part of the leg at or above the onside of the ankle when blood pools and can’t pump back to the heart, a condition known as chronic venous insufficiency.

In some cases, venous stasis ulcers can lead to serious complications, such as necrosis or severe ulceration. Fortunately, there are treatments for venous insufficiency that can prevent the future development of venous ulcers.

Venous Insufficiency and Venous Ulcers

Venous Insufficiency and Venous Ulcers

Venous insufficiency, also called venous reflux, is a debilitating leg issue in which the blood can’t flow up through the veins toward the heart. Healthy veins contain a number of specialized, one-way valves that open to allow blood to flow upward and close to prevent blood from flowing back down. When these valves are damaged or malfunctioning, venous insufficiency occurs.

As the valves deteriorate, the blood flows backwards and increases the pressure in the vein, dilating it. Blood stagnates, or pools, in the veins of the lower legs, putting pressure on the venous wall and causing inflammation and discomfort.

In many patients, untreated superficial venous reflux leads to the deposition of red blood cells in the tissues. Hemoglobin, the protein in red blood cells that carries oxygen, and hemosiderin, the accumulation of iron from the breakdown of hemoglobin , leaves deposits in the skin in the form of dark staining.

In severe cases, chronic, untreated venous insufficiency can cause open sores to develop on the skin, known as venous ulcers. These ulcers occur at the site where blood pools, due to the swelling that prevents the movement of nutrients and oxygen to the tissues.

Venous insufficiency can also cause varicose veins, a condition in which the superficial veins, or the veins closest to the surface of the leg, enlarge, twist, or bulge. In addition to being unsightly, varicose veins can cause pain, discomfort, or the development of venous ulcers.

If left untreated, venous ulcers can become infected, even gangrenous, leading to more risks or complications.

What Causes Venous Insufficiency and Venous Stasis Ulcers?

What Causes Venous Insufficiency and Venous Stasis Ulcers

Venous insufficiency risk increases with age, but it can also be a result of genetic factors. If your family has a history of varicose veins, it’s more likely that you’ll also develop them. Those living either a sedentary lifestyle or spending long periods on their feet are also at risk of venous insufficiency.

Venous insufficiency can be caused by a partial blockage of the veins, such as a deep vein thrombosis (DVT), or blood clot.

Other risk factors include:

  • Diabetes mellitus.
  • Congestive heart failure.
  • Peripheral vascular disease.
  • Pregnancy.
  • Obesity.

Symptoms of Venous Insufficiency and Venous Stasis Ulcers

What Are the Symptoms of Venous Insufficiency and Venous Stasis Ulcers?

The most common symptom of the onset of venous insufficiency is chronic swollen ankles, feet or calves. The swelling is typically accompanied by cramping, dull aching or a feeling of heaviness in the legs, which worsens after prolonged periods of standing.

As venous insufficiency progresses, patients will experience skin discoloration with brown patches or flaking and hardening of the skin around the ankles. Left untreated, these can lead to venous ulcers.

Venous ulcers present with irregularly shaped, shallow wounds. Though they start small, they frequently expand to  large wounds, typically around the lower leg on the medial or inside ankle. The base of the ulcer is usually red and may have exudate, or oozing of blood, depending on the level of infection. These wounds are often very painful. Frequently the entire leg will also swell, and the skin will take on a firm and reddish-brown appearance, known as stasis dermatitis.

Stasis dermatitis is another complication that’s common in individuals with poor venous circulation and often occurs in the lower legs, with or without ulcers. Like venous insufficiency, stasis dermatitis can cause swelling in the legs and feet, open sores and itchy, red skin.

It’s believed that stasis dermatitis is the result of a protein called fibrinogen, which leaks into the tissues and is converted into an active protein, fibrin. Fibrin then surrounds the capillaries in what is known as fibrin cuffs. This damages the tissues by preventing oxygen from entering.

Left untreated, stasis dermatitis can cause:

  • Chronic venous ulcers.
  • Osteomyelitis, a bone infection that can lead to septic arthritis, impaired bone growth, bone death or skin cancer.
  • Osteomyelitis that  may lead to amputation.
  • Bacterial skin infections, such as abscesses or cellulitis.
  • Permanent scarring of the affected areas.

Stasis dermatitis has the same risk factors as venous insufficiency. In fact, stasis dermatitis is a result or complication of prolonged venous insufficiency.   it can be prevented by treating the symptoms of venous insufficiency before stasis dermatitis can cause ulcers.

Preventing Venous Insufficiency and Venous Ulcers

Preventing Venous Insufficiency and Venous Ulcers

Fortunately, venous insufficiency and venous ulcers, along with their complications, can be prevented through a number of lifestyle changes.

Cigarette smoke is a vascular constrictor, which means it tightens the veins and arteries in the body. As a result, smokers are more likely to experience circulatory problems, so it’s important to quit smoking to prevent venous insufficiency from progressing.

Obesity is also a big risk factor in venous insufficiency. Reaching a healthy weight through diet and lifestyle changes is an effective way to reduce the pressure on the veins in the lower leg, which subsequently alleviates many of the symptoms of venous insufficiency.

Many underlying conditions have venous insufficiency as a potential complication. Individuals with high blood pressure or diabetes are more likely to develop venous insufficiency and venous ulcers, so efforts should be made to correct these conditions with the help of a physician.

Regular exercise promotes healthy circulation and reduces swelling in the lower legs. Individuals with a sedentary lifestyle are more likely to experience circulatory problems and venous insufficiency, so it’s important to have an active lifestyle. This could be as simple as short walks, light jogs or riding a stationary bike a few times a week. Mild stretching also helps to improve blood flow in the legs.

Tight clothing and shoes can restrict blood flow in the legs and increase the risks of chronic venous insufficiency. Individuals at risk for venous insufficiency should wear loose-fitting clothing and well-fitting shoes, avoiding high heels altogether.

Salt or sodium in food can contribute to water retention, which worsens the swelling in the legs and puts pressure on leg veins. Over time, this weakens the venous walls and may lead to insufficiency. Individuals at risk for insufficiency should lower salt intake and monitor sodium in processed foods to keep blood pressure levels healthy and reduce swelling.

Combined, these lifestyle changes promote healthy blood pressure levels and circulation, as well as helping to maintain a healthy weight, all of which work to reduce the risk of venous insufficiency.

Diagnostic Testing

Diagnostic Testing

In addition to a thorough medical history and physical examination to evaluate risk factors, diagnostic testing for venous insufficiency and and the development of future venous stasis ulcers may include:

  • Duplex ultrasound: This is a vascular ultrasound procedure done to evaluate the blood flow and condition of the venous walls. Two types of ultrasound are used, a doppler and B-mode. The B-mode transducer obtains an image of the vessel, while the doppler probe evaluates the direction and speed of the blood flow within the vessel.
  • Magnetic resonance venography (MRV): This is a procedure that uses a combination of a large magnet and radio frequencies to produce detailed imagery of structures and organs. It uses intravenous contrast dye, which gives the blood vessels an opaque appearance, to get a holistic view of the venous system,.
  • Ankle-brachial index: This is a noninvasive test that’s used to check for peripheral artery disease, which is the narrowing of blood vessels that reduce blood flow. This test compares the blood pressure in the ankles with that of the arm to isolate and evaluate the blood flow in the legs.

Venous Stasis Ulcers Treatment OptionsTreatment Options

Venous Insufficiency and Varicose Veins

Treatment for chronic venous insufficiency depends on many factors, including:

  • Specific symptoms.
  • Age.
  • Severity of condition.
  • Tolerance for medication or procedures.

Many noninvasive treatment options are available for venous insufficiency, all of which aim to reduce the swelling and improve the blood flow to the heart. These include:

  • Elevating the leg above the heart, which helps the blood flow away from the foot and toward the heart, decreases the blood stasis and, by extension, decreases swelling.
  • Exercise, which stimulates the muscle movement and circulation in the legs to restore normal blood flow.
  • Compression stockings, which are specialized medical devices that apply pressure to the leg and ankle to improve blood flow and reduce swelling.

Medication is also among the options for treating venous insufficiency, including:

  • Diuretics: These are medications that draw fluid from the body and excrete it through the kidneys to reduce edema.
  • Anticoagulants: These are medications that thin the blood, reducing the potential for blood clots and pooling.
  • Pentoxifylline: This is a medication that improves blood flow.

Surgical treatment options for venous insufficiency or varicose veins include:

  • Surgical repair of the veins or valves. This is not typically feasible.
  • Removing the damaged vein. Vein stripping or phlebectomy.
  • Minimally invasive endoscopic surgery, which involves the insertion of a thin tube with a camera to locate and seal varicose veins. This is mainly theoretical and Not common.
  • Vein bypass, which is a procedure that transplants a healthy vein from another area of the body to the affected vein. This is typically used for the upper thigh, and only in severe cases–often of the deep vein system. .
  • Vein ablation:a procedure that destroys or closes off the source of reflux,damaged vein.This typically involves a catheter placed within the vein.
    • Radiofrequency ablation converts radiofrequency waves to heat
    • Endoscopic venous laser therapy uses laser to heat the blood
    • Venaseal uses a gluelike substance to occlude the vein.
    • Varithena uses a Microfoam of chemical and oxygen to ablate the source vein.
  • Ambulatory phlebectomy, which is an outpatient procedure that involves local anesthetic for specific areas of the leg before removing smaller varicose veins.
  • Sclerotherapy, which involves a chemical injected into the damaged vein to restrict blood flow. This allows the blood to travel through healthy veins, and eventually the damaged vein will be absorbed. Sclerotherapy is only used in severe cases on small to medium-sized veins.

 

Venous Stasis Ulcers

Venous Stasis Ulcers prevention

Ulcers are easier to prevent than treat, especially when venous insufficiency is identified and treated early. Once they develop, several treatment options exist:

  • Topical creams: In some cases, a topical cream with hydrocortisone can be used to minimize itching. Anti-fungal creams may also be used to prevent the development or spread of infection onto the feet or toes. In most cases, however, antibiotic creams may worsen inflammation and are avoided.
  • Compression stockings: In addition to treating the underlying venous insufficiency, compression stockings may also be used to facilitate circulation and prevent backwards blood flow, reducing the swelling near the ulcer site. Compression stockings may also prevent venous ulcers from worsening and promote healing of existing ulcers.
  • Unna boots: An Unna boot is a moist gauze bandage that is used on the lower leg from the area of the ulcer to below the knee. The gauze hardens to create a firm, tight boot around the leg. This support improved blood flow in the veins and facilitates healing of the ulcer.
  • Transparent dressing: A transparent dressing is a clear, plastic-like film that is applied directly to a wound. A support stocking is usually placed over the dressing to improve circulation.
  • Hydrocolloid dressing: A hydrocolloid dressing is a specialized bandage with a breathable layer that prevents liquid and pathogens from accessing the wound, while the inner layer absorbs exudate from the wound to promote healing.

Surgical options for venous stasis ulcers include:

  • Debridement: Debridement involves the surgical removal of all non-viable, infected tissue and bone from an ulcer that isn’t healing properly. This process activates the platelets and growth factors to promote healing. This is often done if there are signs of infection, such as an elevated white blood cell count, fever and increased drainage of the ulcer.
  • Laser treatment: Laser treatment may be used for chronic venous insufficiency if the veins in the leg should be closed to reduce pressure at the site of the venous ulcers. This procedure involves the insertion of a tiny fiber into the vein through a catheter, which uses a laser to destroy the diseased portion of the vein.
  • Closure ablation: Ablation involves the insertion of a thin, flexible catheter that heats the venous walls with radiofrequency energy to destroy the vein tissue. This renders the vein incapable of carrying blood, leaving it to be absorbed by the body.

Vein Treatments at Vegas Valley Vein Institute

Vein Treatments at Vegas Valley Vein Institute

At Vegas Valley Vein Institute, we offer a full service vein evaluation and treatment. Vegas VAlley Vein utilizes numerous technologies and procedures to address venous insufficiency and prevent the future development of venous stasis ulcers.

Venefit – Radiofrequency Endovenous Ablation

The Venefit (VNUS Closure) Procedure is a non-surgical alternative for treating varicose veins.  This uses radiofrequency (RFA) energy to heat and contract the collagen within the venous walls, causing them to collapse and seal. Radiofrequency endovenous ablation is a minimally invasive ambulatory treatment alternative to the surgical stripping of a vein. It addresses the underlying cause of varicose veins, making it a highly effective treatment for venous reflux disease. Once closed, the blood then travels through healthy veins.

Venefit is an outpatient procedure with minimal downtime, with many patients returning to work the same day and to normal activity within one to two days. Venefit provides long-lasting relief of symptoms and leaves little to no scarring.

VENASEAL

The VENASEAL procedure closes the problematic veins by occluding them with a methylmethacrylate glue like substance. By closing off the problematic veins, blood is then forced to route through healthier working veins that do not have valve problems and reflux.

VARITHENA

VARITHENA Microfoam Chemical ABlation  is a chemical foam made with polidocanol and oxygen.  The foam is injected through an IV or small butterfly needle. It is observed owith Ultrasound and allowed to flow through even the large and tortuous veins.  It can be stopped by simple pressure and as the oxygen is absorbed across the vein lining, the medication is left on the vein wall to cause a chemical ablation or destruction of the targeted problematic veins.

Asclera

Asclera is a sclerosing agent that’s injected into the vein and damages the endothelium, or the cells that line the wall of the vein. This causes blood platelets to attach to the lining, causing it to clot over time. The clotted vein is eventually replaced with scar tissue.

Asclera is a fast, minimally invasive procedure that leaves no scars and provides immediate relief of symptoms. The results are long-lasting as well. Unlike Varithena, Asclera is really only of value in treating spider veins and small reticular veins.  We often utilize Asclera to complete a patient’s leg vein treatments–clearing unsightly spider and reticular veins after one or more other modalities above have been utilized to treat the underlying larger veins that are the source of the problem.

Ambulatory Phlebectomy

An ambulatory phlebectomy is a method of removing varicose veins on the surface of the legs. This procedure is performed under local anesthesia and involves small punctures or incisions to remove the varicose veins.

Because an ambulatory phlebectomy is done with local anesthetic, there’s minimal recovery time and patients return to normal activity in one to two days. It also provides long-lasting results and minimal scarring.

Visit Vegas Valley Vein Institute

If you suffer from varicose veins, or other symptoms of venous insufficiency, Vegas Valley Vein Institute can help. We’ll work with you to evaluate the severity of your condition and determine the best treatment option(s) for your unique needs. We offer many minimally invasive treatment options to treat varicose veins and prevent the complications that come from venous insufficiency. Contact us today to schedule your consultation!

Deep Vein Thrombosis

Deep Vein Thrombosis

Deep vein thrombosis (DVT) happens when a thrombus, or blood clot, occurs in one or more of the deep veins in your body. While a DVT can form in other areas, they most commonly occur in the legs.

Though DVT typically causes leg pain or swelling, instances may also occur without symptoms, making them much harder to detect. DVT usually develops as the result of medical conditions that affect the way the blood clots or as a result of sitting for extended periods of time.

Left untreated, a DVT blood clot can break off and travel to the lungs, causing a pulmonary embolism, which is life-threatening. It can also lead to complications in the legs, such as post-thrombotic syndrome and chronic venous insufficiency.

Fortunately, a DVT is preventable, and it is treatable if discovered early.

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pressure on the veins

Varicose veins and spider veins are unsightly and uncomfortable conditions that affect many people, and, in the case of varicose veins, they can lead to serious complications. To help alleviate the symptoms of varicose veins, you may consider laser or surgical procedures that are designed to relieve pressure on the veins and promote better circulation.

Fortunately, there are many different types of vein treatments to choose from, and they can all be performed on-site at a vein treatment clinic. The recovery time is minimal as well, so you’re able to return to your normal routine in no time.

If you’re considering vein treatment, take a look at this guide to vein conditions, vein treatments and what to expect before, during and after your surgery.

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restless leg syndrome

Restless Leg Syndrome

Also known as Willis-Ekbom Disease, Restless Leg Syndrome (RLS) is a condition that’s characterized by unpleasant and uncomfortable sensations in the legs and an uncontrollable urge to move them. Restless leg syndrome has many possible causes, including venous disease, and effective treatment revolves around managing the symptoms to improve quality of life. So, if you’re suffering from RLS and are diagnosed with an underlying venous disease, there is hope for treatment and relief of symptoms.

While the severity may differ between affected individuals, most patients report symptoms that occur in the late afternoon to evening hours, with the worst effects occurring at night when the patient is resting. This can also occur when the patient is inactive or sitting for long periods of time, such as on a road trip.

Because the condition worsens during the night, RLS can cause sleep disturbances and difficulty returning to sleep after arousal. In many cases, moving the legs or walking can temporarily relieve the discomfort, but the sensations return once the movement stops.

RLS is classified as a sleep disorder, due to the symptoms being triggered by resting and worsening in the evening, and a movement disorder, since patients are forced to move in an effort to relieve discomfort. Though these classifications apply, RLS best fits the category of neurological-sensory disorder, since the symptoms and underlying condition are caused by the brain.

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beautiful legs with venefit

Benefits of Venefit (VNUS)

Approximately 1 in 4 adults suffer from varicose veins, the bulging, twisted veins that appear on the thighs, calves and feet. Varicose veins can be uncomfortable and unsightly, not to mention the burning, throbbing, cramping and swelling that many patients also experience.

Fortunately, the Venefit procedure is the latest development in varicose vein treatment, which can get rid of unpleasant veins with minimal discomfort and recovery time.

Find out more about the benefits of the Venefit procedure and how it can end your varicose vein and leg discomfort for good in today’s blog.

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evlt vs. rfa varicose vein treatment

Varicose veins are often a painful condition.  Your veins may become enlarged as a result of abnormalities in venous circulation. Varicose veins are typically located on the lower legs, and many people with this condition find them unsightly. In addition to the protrusion and discoloration of the veins on your legs, you can also experience heaviness and achiness in the legs, which can make work and daily activities much more difficult than it should be.

Fortunately, treatments are available for varicose veins that have proven to be effective. Two of the most popular treatments are endoscopic venous laser therapy (EVLT) and radiofrequency ablation (RFA). Learn more about your options and get an idea of which might be best for you with this handy EVLT vs. RFA comparison.

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Vegas Valley Vein Institute

2450 W. Horizon Ridge Parkway STE 100
Henderson, NV 89052
(702) 341–7608

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(702) 472–9892

Dr. Irwin B. Simon

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(702) 735-2305

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