Treatment by LASER. Understanding Varicose veins and. Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD)

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Treatment by LASER. Understanding Varicose veins and. Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD)"

Transcription

1 Understanding Varicose veins and Treatment by LASER Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD) Orange city Hospital & Research Institute 19, Pandey Lay out, Veer Sawarkar Square, Nagpur Telephone: , , Fax: Patient Education Booklet

2 Introduction Varicose veins are twisted, enlarged veins. The word "varicose" comes from the Latin root "varix," which means "twisted." Any vein may become varicose, but the veins most commonly affected are those in your legs and feet. That's because standing and walking upright increases the pressure in the veins in your lower body. For many people, varicose veins can cause aching pain and discomfort. For very few are simply a cosmetic concern. Sometimes the condition leads to more serious problems like cellulites, phlebitis and deep venous thrombosis (DVT). Varicose veins may also signal a higher risk of other disorders of the circulatory system. Varicose veins are dark purple or blue in color and may appear twisted and bulging like cords. They commonly appear on the backs of the calves or on the inside of the leg. However, they can form anywhere on your legs, from your groin to your ankle. Spider veins are similar to varicose veins, but they're smaller. Spider veins are found closer to the skin's surface and are often red or blue. They occur on the legs, but can also be found on the face. Spider veins vary in size and often look like a spider's web or a tree branch. Varicose veins is a very common condition in the India, affecting up to 25 percent of women and up to 15 percent of men. Causes and Risk factors for varicose veins Blood act as a media to circulate the nutrients to all the body tissues. Heart is the pump of the body which circulates 5 6 liters of blood in the body. The Arteries carry pure blood from your heart to the rest of your tissues. Veins return impure blood from the rest of your body to your heart, so the blood can be recirculated. To return blood to your heart, the veins in your legs must work against gravity. Muscle contractions in your lower legs act as pumps, while toned, elastic vein walls help blood return to your heart. Tiny one way valves in your veins open as blood flows toward your heart then close to stop blood from flowing backward down. The common causes for development of varicose veins are Sitting or standing for long periods (inactivity) People who have to work in sitting or standing posture for long periods like teachers,policemen, doctors, engineers, computer workers, housewives etc. can develop varicose veins as compared to others.

3 Obesity, Weight more than 15 % of your expected BMI, put more pressure on your legs and can aggravate development of varicose veins Aging, With ageing veins can lose elasticity, causing them to stretch. Aging cause s wear and tear on the valves in your veins eventually that wear causes the valves to malfunction allowing blood that should be moving toward your heart to flow backward. Thus dilatation and valve incompetence leads to faster development and worsening of the varicosities. Sex Women are more likely than men are to develop the condition because of the heredity, hormonal, pregnancy and obesity. Leg injury Leg injury directly or indirectly to the veins of the leg can traumatize valves and lead to early development of varicose veins Pregnancy Some pregnant women develop varicose veins. Pregnancy increases the volume of blood in your body, but decreases the flow of blood from your legs to your pelvis. This circulatory change is designed to support the growing fetus, but it can produce an unfortunate side effect enlarged veins in your legs. Varicose veins may surface for the first time or may worsen during late pregnancy, when your uterus exerts greater pressure on the veins in your legs. Smoking Smoking causes laxity of walls of the vein leading early development varicose veins as compared to non smokers as per the literature. Hormones (progesterone) Hormonal misbalances especially in the females tend to relax vein walls, obesity and incompetent valves which further are responsible for the development of varicose veins. Taking hormone replacement therapy or birth control pills may increase your risk of varicose veins. Heredity (being born with weak vein valves) Varicose veins can run in your family. If your parents are suffering from varicose veins then the chances having the disease is % in females and % in males.

4 DVT Thrombosed (blood clotting) deep veins of the legs cause extra burden on the superficial veins leading to their dilatation and varicose vein formation. Signs and symptoms In initial phase No discomfort / pain. In later state Prominent dilated and tortuous veins. They can become painful and following signs and symptoms do occur, they may include: An achy or heavy feeling in your legs, with burning, throbbing, muscle cramping Swelling in your lower legs. Prolonged sitting or standing tends to make your legs feel heavy and worse. Itching around one or more of your veins. Hyperpigmentation (blackening) of skin in lower legs. Skin ulcers near your ankle, which represent a severe form of vascular disease and require immediate attention. Complications Extremely painful ulcers may form on the skin near varicose veins, particularly near the ankles. Ulcers are the result of long term "water logging" of these tissues, caused by increased pressure of blood within affected veins. Brownish pigmentation usually precedes the development of an ulcer. See your doctor immediately if you suspect you've developed an ulcer. Occasionally, veins deep within the legs become enlarged. In such cases, the affected leg may swell considerably. Any sudden leg swelling warrants urgent medical attention because it may indicate a blood clot a condition known medically as thrombophlebitis. When to seek medical advice Self help measures can help you ease the pain of varicose veins and may prevent them from getting worse. But if you're concerned about how your veins look and feel and selfcare measures haven't stopped your condition from getting worse, see your doctor. Screening and diagnosis In making a diagnosis, your doctor will examine your legs while you're standing and will look for swelling. He or she may also ask you to describe the pain and aching in your

5 legs. Finally, your doctor may perform an ultrasound Doppler test to see if the valves in your veins are functioning normally or if there's any evidence of a blood clot. Treatment Fortunately, treatment usually doesn't mean a hospital stay or a long, uncomfortable recovery. Less invasive techniques generally allow varicose veins to be dealt with on an outpatient basis. Self help measures such as exercising, losing weight, not wearing tight clothes, elevating your legs and avoiding long periods of standing or sitting can ease pain and prevent varicose veins from getting worse. Varicose veins that develop during pregnancy generally improve without medical treatment within three months after delivery. If you don't respond to self help or if your condition is more severe, your doctor may advise one of these varicose vein treatments: Vein stripping. This procedure involves removing a long superficial vein through surgical incisions followed by large and many scars. Removing the vein won't affect circulation in your leg because veins deeper in the leg take care of the larger volumes of blood. The success rate of the surgery with time has proved to be very less with very early recurrence. Ambulatory phlebectomy Your doctor removes smaller varicose veins through a series of tiny skin punctures. Local anesthesia is used in this outpatient procedure. Scarring is generally minimal. Endoscopic vein surgery. You might need this operation only in an advanced case involving leg ulcers. Your surgeon uses a thin video camera inserted in your leg to visualize and close varicose veins, and then removes the veins through small incisions. Sclerotherapy. In this procedure, your doctor injects small and medium sized varicose veins with a solution that scars and closes those veins. In a few weeks, treated varicose veins should fade. Although the same vein may need to be injected more than once, sclerotherapy is painful, only effective in smaller veins and recurrence is very common. Radiofrequency Occlusion. The RF Closure procedure is a treatment alternative to surgical stripping of the greater saphenous vein. A small catheter is inserted, usually through a needle stick in the skin, into the damaged vein. The catheter delivers radiofrequency energy to the vein wall, causing it to heat. As the vein warms, it collapses and seals shut. The procedure is generally done in an outpatient or in office setting. It may be done under local anesthesia. Following the procedure, the catheter is removed and a bandage or compression stocking is placed on the treated leg.

6 Endovenous Laser Therapy (EVLT) is a safe and simple varicose vein treatment that closes varicose veins without surgery. Doctors are using new technology in laser treatments to close varicose veins of all sizes and all nature and spider veins. With EVLT, a laser is threaded through a tiny incision and through the full length of the varicose vein. As the laser is slowly withdrawn, heat is applied to the vein walls, causing the vein to permanently close and disappear. The body then reroutes the blood to healthier veins. No other tissue in the legs is affected. This procedure is FDA approved for the treatment of varicose veins. ENDOVENOUS LASER THERAPY (EVLT) FOR VARICOSE VEINS Preparation for the procedure: Procedure : Post Procedure Care: Complications : Advantages : Laser treatment works by sending laser energy into the dilated vein, which heats up and burns the veins from inside and dries and destroys it in its complete course. Under sonography guidance access into the dilated abnormal large veins as well as branch and tributary veins and incompetent perforators (bridging veins between deep and superficial veins) are taken as per seen on USG/ Doppler. The laser fiber is passed through out the course of the accessed vein and tip of the laser fiber is parked away from the deep veins. Further the procedure is carried out under perivenous local anaesthesia (tumescent anesthesia) with the help of small needle pricks. With the delivery of Laser energy at the tip, heat is generated which destroys the vein by causing it to collapse and seal shut. Thus all the abnormal dilated tortuous veins are burnt off. These burnt veins heal with fibrosis (permanent sticking) and thus abnormal superficial veins are taken out of circulation.

7 Advantages of LASER Treatment : Minimally invasive Outpatient procedure. immediate back to work Very high success rate Very low recurrence and complication rate The procedure is outpatient and patient starts work immediately. Catheter assisted procedures. In one of these treatments, your doctor inserts a thin tube (catheter) into an enlarged vein and heats the tip of the catheter. As the catheter is pulled out, the heat. This procedure is usually done for larger varicose veins. Be a cautious consumer When it comes to treatment options for varicose veins, it pays to be a cautious health consumer. Advertisements claiming "unique," "permanent" or "painless" methods to remove varicose veins may be appealing, but they may not actually measure up to those claims. Before undergoing any procedure, ask your doctor about any health risks and possible side effects. You may want to inquire about treatment costs, as well. Most insurance policies don't cover the expense of elective cosmetic surgery for varicose veins. However, in many cases, if you have signs or symptoms such as swelling and bleeding, insurance may cover the treatment. Current treatments for varicose veins and spider veins are highly successful. However, it's possible that varicose veins can recur. Prevention There's no way to completely prevent varicose veins. But improving your circulation and muscle tone can reduce your risk of developing varicose veins or getting additional ones. Traditional, common sense approaches include: Exercise. Get your legs moving. Walking is a great way to encourage blood circulation in your legs. Your doctor can recommend an appropriate activity level for you. Watch your weight, and your diet. Shedding excess pounds takes unnecessary pressure off your veins. What you eat makes a difference, too. Follow a low salt,

8 high fiber diet to prevent the swelling that may result from water retention and constipation. Watch what you wear. Avoid high heels. Low heeled shoes work calf muscles more, which is better for your veins. Don't wear tight clothes around your waist, legs or groin. Tight panty leg girdles, for instance, can restrict circulation. Elevate your legs. To improve venous circulation, take several short breaks daily to elevate your legs above the level of your heart. For example, lie down with your legs resting on three or four pillows. Avoid long periods of sitting or standing. Make a point of changing your position frequently to encourage blood flow. Try to move around at least every 30 minutes. Don't sit with your legs crossed. This position can aggravate circulation problems Self care Wearing compression stockings is often the first approach to try before moving on to other treatments. Compression stockings are worn all day. They steadily squeeze your legs, helping veins and leg muscles move blood more efficiently. The amount of compression varies by type and brand. Stockings today come in a variety of strengths, styles and colors. With the variety offered, you're likely to find a stocking that you're comfortable wearing. You can buy compression stockings at most pharmacies and medical supply stores. Prices vary. Prescription strength stockings also are available. When purchasing compression stockings, make sure that they fit properly. Using a tape measure, you or your pharmacist can measure your legs to ensure you get the right size and fit according to the size chart found on the stocking package. Compression stockings should be strong but not necessarily tight. If you have weak hands or arthritis, getting these stockings on may be difficult. There are devices to make putting them on easier.

SCRIPT NUMBER 122 VARICOSE VEINS - 2 (TWO SPEAKERS)

SCRIPT NUMBER 122 VARICOSE VEINS - 2 (TWO SPEAKERS) SCRIPT NUMBER 122 VARICOSE VEINS - 2 (TWO SPEAKERS) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: VARICOSE VEINS - 2 PROGRAM NUMBER: 122 SUBJECT: SYMPTOMS, CAUSES, TREATMENT, PREVENTION OF VARICOSE VEINS

More information

treatment of varicose and spider veins patient information SAMPLE a publication by advancing vein care

treatment of varicose and spider veins patient information SAMPLE a publication by advancing vein care treatment of varicose and spider veins patient information a publication by advancing vein care Since most veins lie deep to the skin s surface, vein disorders are not always visible to the naked eye.

More information

VARICOSE VEINS. Information Leaflet. Your Health. Our Priority. VTE Ambulatory Clinic Stepping Hill Hospital

VARICOSE VEINS. Information Leaflet. Your Health. Our Priority. VTE Ambulatory Clinic Stepping Hill Hospital VARICOSE VEINS Information Leaflet Your Health. Our Priority. Page 2 of 7 Varicose Veins There are no accurate figures for the number of people with varicose veins. Some studies suggest that 3 in 100 people

More information

TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info

TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info www.heartofthevillages.com TIRED & ACHING LEGS? If you suffer from varicose and spider veins, you are not alone. It is estimated that there are more

More information

Varicose Veins and Spider Veins

Varicose Veins and Spider Veins page 1 Varicose Veins and Spider Veins Q: What are varicose veins and spider A: Varicose (VAR-i-kos) veins are enlarged veins that can be blue, red, or fleshcolored. They often look like cords and appear

More information

X-Plain Varicose Veins Reference Summary

X-Plain Varicose Veins Reference Summary X-Plain Varicose Veins Reference Summary Introduction Varicose veins are very common, in both women and men. Varicose veins can be painful and unattractive. Vein doctors use non-invasive ultrasound imaging

More information

THE ELITE LASER VEIN CENTER Los Angeles, California

THE ELITE LASER VEIN CENTER Los Angeles, California THE ELITE LASER VEIN CENTER Los Angeles, California WWW.ELITEVEIN.COM New Horizons in the Treatment of Varicose Veins Varicose Veins Bulging, twisted, blue or purple veins below the surface of the skin,

More information

THE VEIN CENTER. State-of-the-Art Treatment for Varicose Veins and Spider Veins

THE VEIN CENTER. State-of-the-Art Treatment for Varicose Veins and Spider Veins THE VEIN CENTER State-of-the-Art Treatment for Varicose Veins and Spider Veins Vein Disorders Nearly 50 percent of the adult population suffers from undesirable, sometimes painful vein disease. The most

More information

Patient Information Understanding Varicose Veins

Patient Information Understanding Varicose Veins Patient Information Understanding Varicose Veins The Circulatory System Arteries carry oxygenated blood to your legs and the veins carry de-oxygenated blood away from your legs. The blood returns to the

More information

Tired, Aching Legs? Swollen Ankles? Varicose Veins?

Tired, Aching Legs? Swollen Ankles? Varicose Veins? Tired, Aching Legs? Swollen Ankles? Varicose Veins? Healthy Legs 2006 http://healthylegs.com Page 1 Venous disorders are widespread Leg problems are widespread throughout the world, but what most people

More information

F REQUENTLY A SKED Q UESTIONS. and Spider Veins

F REQUENTLY A SKED Q UESTIONS. and Spider Veins page 1 Varicose Veins moves up the legs. If the one-way valves become weak, blood can leak back into the vein and collect there. This problem is called venous insufficiency. Pooled blood enlarges the vein

More information

Varicose veins - 1 -

Varicose veins - 1 - Varicose veins - 1 - Varicose Veins About 3 in 10 adults develop varicose veins at some time in their life. Most people with varicose veins do not have an underlying disease and they usually occur for

More information

Center for Vein Restoration

Center for Vein Restoration Committed to Your Complete Vein Care Welcome! At Center for Vein Restoration we believe that the treatment of venous insufficiency is not a luxury but a necessity. We are nationally recognized as the leader

More information

Spotlight Series: Interventional Radiology. Varicose Veins and Venous Insufficiency

Spotlight Series: Interventional Radiology. Varicose Veins and Venous Insufficiency Spotlight Series: Interventional Radiology Varicose Veins and Venous Insufficiency What is venous insufficiency? Spectrum of Disease Spider veins and telangiectasias Small reddish and purple veins near

More information

V03 Varicose Veins Surgery

V03 Varicose Veins Surgery V03 Varicose Veins Surgery What are varicose veins? Varicose veins are enlarged and twisted veins in the leg. They are common and affect up to 3 in 10 people. More women than men ask for treatment, with

More information

The veins of the lower limbs can be subdivided into three subtypes: deep veins, superficial veins, and connecting veins (figure 1).

The veins of the lower limbs can be subdivided into three subtypes: deep veins, superficial veins, and connecting veins (figure 1). VEIN DISEASE Vein disease may seem insignificant and harmless at first, but if left untreated, it can develop into a major problem. It occurs when veins have trouble transporting blood back to the heart

More information

Baby Your Legs! Get relief for: Heavy, tired or aching legs Swollen ankles and feet Varicose or spider veins. Managing leg health during pregnancy

Baby Your Legs! Get relief for: Heavy, tired or aching legs Swollen ankles and feet Varicose or spider veins. Managing leg health during pregnancy Baby Your Legs! Get relief for: Heavy, tired or aching legs Swollen ankles and feet Varicose or spider veins Managing leg health during pregnancy Common leg health problems during pregnancy Venous disorders

More information

Venous Reflux Disease and Current Treatments VN20-87-A 01/06

Venous Reflux Disease and Current Treatments VN20-87-A 01/06 Venous Reflux Disease and Current Treatments Leg Vein Anatomy Your legs are made up of a network of veins and vessels that carry blood back to the heart The venous system is comprised of: Deep veins Veins

More information

Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients

Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients Are You at Risk? Leg problems are widespread throughout the world, but what most people don t know is that approximately

More information

CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE

CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE Introduction CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE Original authors: Niren Angle, John J. Bergan, Joshua I. Greenberg, and J. Leonel Villavicencio Abstracted by Teresa L. Carman New technology has

More information

Varicose veins and spider veins

Varicose veins and spider veins Varicose veins and spider veins Summary Varicose veins are knobbly, twisted and darkish-blue in appearance, and are most commonly found on people s legs. Varicose veins are caused by faulty valves within

More information

Recurrent Varicose Veins

Recurrent Varicose Veins Information for patients Recurrent Varicose Veins Sheffield Vascular Institute Northern General Hospital You have been diagnosed as having Varicose Veins that have recurred (come back). This leaflet explains

More information

Suffering from varicose veins? Patient Information. ELVeS Radial Minimally invasive laser therapy of venous insufficiency

Suffering from varicose veins? Patient Information. ELVeS Radial Minimally invasive laser therapy of venous insufficiency Suffering from varicose veins? Patient Information ELVeS Radial Minimally invasive laser therapy of venous insufficiency Do you suffer from heavy legs or visible veins? This makes diseases of the veins

More information

EndoVenous Laser Therapy (EVLT) Information Booklet. Dr. Dueck. Varicose Veins

EndoVenous Laser Therapy (EVLT) Information Booklet. Dr. Dueck. Varicose Veins EndoVenous Laser Therapy (EVLT) Information Booklet Dr. Dueck Varicose Veins Varicose veins are abnormally large veins that protrude from under the skin in the legs. They can be associated with a brown

More information

Do you have any of these varicose vein symptoms?

Do you have any of these varicose vein symptoms? Do you have any of these varicose vein symptoms? Heaviness Achiness Swelling Throbbing Itching HASTI Symptoms Ask your doctor if Varithena is right for you Varithena (polidocanol injectable foam) is a

More information

Varicose Vein Treatment (Endovenous Ablation of Varicose Veins)

Varicose Vein Treatment (Endovenous Ablation of Varicose Veins) Scan for mobile link. Varicose Vein Treatment (Endovenous Ablation of Varicose Veins) Varicose vein treatment, also known as endovenous ablation, uses radiofrequency or laser energy to cauterize and close

More information

Understanding Varicose Veins

Understanding Varicose Veins Understanding Varicose Veins Professor Bruce Campbell Published by Family Doctor Publications Limited in association with the British Medical Association IMPORTANT NOTICE This book is intended not as a

More information

Beaumont Hospital. Varicose Veins. and their TREATMENT. Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM

Beaumont Hospital. Varicose Veins. and their TREATMENT. Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM Beaumont Hospital Varicose Veins and their TREATMENT Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM Department of Surgery Beaumont Hospital and Royal College of Surgeons in Ireland

More information

Spider and Varicose Veins

Spider and Varicose Veins KRAMES. PATIENT EDUCATION Procedures for Spider and Varicose Veins How Vein Problems Develop Easing Symptoms with Self-Care Minimally Invasive and Surgical Treatment Options , J ;Yf 'i Understanding Problem

More information

Endovenous Laser Therapy

Endovenous Laser Therapy Information for patients Endovenous Laser Therapy Northern General Hospital You have been given this leaflet because you will be having Endovenous Laser Therapy (EVLT). This leaflet explains more about

More information

Post-thrombotic syndrome

Post-thrombotic syndrome Information for patients Post-thrombotic syndrome Sheffield Vascular Institute Northern General Hospital You have been diagnosed as having Post-Thrombotic Syndrome. This leaflet explains more about Post-

More information

SEDICO Newsletter Issue 8. Varicose veins

SEDICO Newsletter Issue 8. Varicose veins SEDICO Newsletter Issue 8 Definition: Varicose veins Varicose veins are veins that have become enlarged and twisted. The term commonly refers to the veins on the leg, although varicose veins occur elsewhere.

More information

Modern Varicose Vein Treatments: What Every Patient Should Know

Modern Varicose Vein Treatments: What Every Patient Should Know The Skin and Vein Center Oneonta Laser Derm & Day Spa Natural Good Looks and Leg Veins Our Specialty Dr Eric Dohner, MD 41-45 Dietz St Oneonta, NY 13820 607/431-2525 www.oneontalaserderm.com Modern Varicose

More information

Guidance. This guidance has been updated to take into account the NICE clinical guideline 167(1).

Guidance. This guidance has been updated to take into account the NICE clinical guideline 167(1). Bedfordshire and Hertfordshire Priorities Forum Statement Number: 9 Subject: Varicose Vein Surgery Date of decision: September 2014 Date of review: September 2017 Guidance This guidance has been updated

More information

What are spider veins? What is the best treatment for spider veins?

What are spider veins? What is the best treatment for spider veins? Laser Spider/Leg Vein Q & A What are spider veins? Millions of women and men are bothered by unsightly spider veins on their faces and legs. Spider veins or telangiectasias are those small red, blue and

More information

Medicare C/D Medical Coverage Policy

Medicare C/D Medical Coverage Policy Varicose Vein Treatment Medicare C/D Medical Coverage Policy Origination Date: June 1, 1993 Review Date: September 16, 2015 Next Review: September, 2017 DESCRIPTION OF PROCEDURE OR SERVICE Varicose veins

More information

Varicose Veins & Pregnancy

Varicose Veins & Pregnancy A Guide to Varicose Veins & Pregnancy What are varicose veins? Varicose veins are bulging and unsightly blue veins that occur on the legs. They can occur at any age in both men and women, but are very

More information

Patients First. Varicose Veins: Treatment Options. Deep veins, enclosed by muscle, lie deep in the legs and carry the most blood to the heart.

Patients First. Varicose Veins: Treatment Options. Deep veins, enclosed by muscle, lie deep in the legs and carry the most blood to the heart. Patient Education About your surgery Varicose Veins: Treatment Options Deep veins, enclosed by muscle, lie deep in the legs and carry the most blood to the heart. This handbook will help you understand

More information

Surgical Options for Venous Disease. Sandra C Carr MD Vascular Surgery Meriter Wisconsin Heart

Surgical Options for Venous Disease. Sandra C Carr MD Vascular Surgery Meriter Wisconsin Heart Surgical Options for Venous Disease Sandra C Carr MD Vascular Surgery Meriter Wisconsin Heart Chronic Venous Disease Approximately 23% of adults in the US have varicose veins Estimated 22 million women

More information

Graduated compression hosiery (stockings)

Graduated compression hosiery (stockings) What is compression hosiery? Compression hosiery are elasticated stockings which give support to your legs. In graduated compression hosiery, the pressure given by the stockings is greater at the ankle

More information

When Diabetic Patients Need Compression Socks

When Diabetic Patients Need Compression Socks When Diabetic Patients Need Compression Socks When Diabetic Patients Need Compression Socks As someone diagnosed with diabetes, you have been working closely with your physician, diabetic educator and

More information

Treatment for Varicose Veins

Treatment for Varicose Veins Treatment for Varicose Veins Your blood vessels are made up of arteries and veins. Arteries bring blood rich in oxygen from the heart to all parts of your body. Veins carry blood back to the heart where

More information

Venous Leg Ulcer. Vascular services

Venous Leg Ulcer. Vascular services What is a venous leg ulcer? A venous leg ulcer is an area of broken skin on the lower leg caused by increased pressure in the veins in the leg. It can vary in colour and size and you may also have symptoms

More information

Information for patients who require Foam Sclerotherapy for Varicose Veins.

Information for patients who require Foam Sclerotherapy for Varicose Veins. Information for patients who require Foam Sclerotherapy for Varicose Veins. Why do I need this procedure? Everybody has two sets of veins in the legs. These include the superficial and deep veins. Their

More information

Dr. Linde is an international beauty expert and an acclaimed keynote speaker at conferences all over the world. He is specialized in the treatment of

Dr. Linde is an international beauty expert and an acclaimed keynote speaker at conferences all over the world. He is specialized in the treatment of VEINS Dr. Linde is an international beauty expert and an acclaimed keynote speaker at conferences all over the world. He is specialized in the treatment of fat pads, wrinkles and transformations of the

More information

The Treatment of Varicose Veins and Spider Veins

The Treatment of Varicose Veins and Spider Veins The Treatment of Varicose Veins and Spider Veins St. Joseph Vein Center Surgical Specialists of St. Joseph, P.C. Glen H. Hastings, M.D., F.A.C.S. 820 Lester Ave., Suite 105 St. Joseph, MI 49085 (269) 983-3368

More information

Peninsula Commissioning Priorities Group. Commissioning Policy Varicose Vein Referral

Peninsula Commissioning Priorities Group. Commissioning Policy Varicose Vein Referral NHS Devon NHS Plymouth Torbay Care Trust Peninsula Commissioning Priorities Group Commissioning Policy Varicose Vein Referral Varicose Vein Referral Guidelines 1. Description of service/treatment Most

More information

PROVIDER POLICIES & PROCEDURES

PROVIDER POLICIES & PROCEDURES PROVIDER POLICIES & PROCEDURES SCLEROTHERAPY TREATMENT OF SUPERFICIAL VARICOSE VEINS OF THE LEGS The purpose of this document is to provide guidance to providers enrolled in the Connecticut Medical Assistance

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 17 SURGICAL THERAPY FOR DEEP VALVE INCOMPETENCE Original author: Seshadri Raju Abstracted by Gary W. Lemmon Introduction Deep vein valvular incompetence happens when the valves in the veins (tubes

More information

DEEP VEIN THROMBOSIS. James St.George, M.D., RPVI, RVT, RPhS

DEEP VEIN THROMBOSIS. James St.George, M.D., RPVI, RVT, RPhS DEEP VEIN THROMBOSIS James St.George, M.D., RPVI, RVT, RPhS Originally Published In Florida Times Union March 2014 James St.George, M.D., RPVI, RVT, RPhS Dr. St. George is the Medical Director of St Johns

More information

CHINOOK VASCULAR - ENDOVENOUS LASER ABLATION PROCEDURE

CHINOOK VASCULAR - ENDOVENOUS LASER ABLATION PROCEDURE CHINOOK VASCULAR - ENDOVENOUS LASER ABLATION PROCEDURE Endovenous Laser Ablation is a minimally invasive option for treating great saphenous vein incompetence (leaky valves). The first stage of your surgery

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 1 NORMAL VENOUS CIRCULATION Original author: Frank Padberg Abstracted by Teresa L.Carman Introduction The circulatory system is responsible for circulating (moving) blood throughout the body. The

More information

Varicose Veins Operation. Patient information Leaflet

Varicose Veins Operation. Patient information Leaflet Varicose Veins Operation Patient information Leaflet 22 nd August 2014 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the

More information

Varicose Vein Information Pack

Varicose Vein Information Pack Varicose Vein Information Pack What are Varicose Veins? Varicose veins are veins under the skin of the legs which have become widened, bulging and tortuous. They are very common and do not cause medical

More information

LASER TREATMENT FOR VARICOSE VEINS

LASER TREATMENT FOR VARICOSE VEINS LASER TREATMENT FOR VARICOSE VEINS How can varicose veins be treated by laser? Laser treatment of varicose veins, Endovascular Laser Ablation (known as EVLA), is a minimally invasive procedure for treating

More information

Tired legs, varicose veins

Tired legs, varicose veins Tired legs, varicose veins Everything you need to know What are varicose veins? Varicose veins are swollen, enlarged and twisted veins in the deep or superficial venous system of the legs, due to loss

More information

What Patients are Saying

What Patients are Saying What Patients are Saying The day after my VenaCure procedure, I was active all day and felt fine. My outcome has been terrific! The bruising was gone, the veins were also gone and my legs looked wonderful.

More information

A Guide to Healthier Legs

A Guide to Healthier Legs A Guide to Healthier Legs Are You at Risk? Keeping Your Legs Healthy Leg problems are widespread throughout the world. According to the American College of Phlebology, more than 80 million Americans suffer

More information

Venefit treatment for varicose veins

Venefit treatment for varicose veins Oxford University Hospitals NHS Trust Venefit treatment for varicose veins Information for patients Your consultant has recommended that we treat your varicose veins with a procedure known as Venefit radio

More information

Medicare C/D Medical Coverage Policy

Medicare C/D Medical Coverage Policy Varicose Vein Treatment Origination Date: June 1, 1993 Review Date: July 20, 2016 Next Review: July, 2018 Medicare C/D Medical Coverage Policy DESCRIPTION OF PROCEDURE OR SERVICE Varicose veins of the

More information

Yes when meets criteria below

Yes when meets criteria below Vein Disease Treatment MP9241 Covered Service: Prior Authorization Required: Additional Information: Medicare Policy: BadgerCare Plus Policy: Yes when meets criteria below Yes None Dean Health Plan covers

More information

INFORMATION DOCUMENT. Minimal Invasive Therapy of Leg Veins. Types of Veins. What is the mechanism by which veins develop?

INFORMATION DOCUMENT. Minimal Invasive Therapy of Leg Veins. Types of Veins. What is the mechanism by which veins develop? INFORMATION DOCUMENT Minimal Invasive Therapy of Leg Veins (Injection Microsclerotherapy / Ultrasound Guided Sclerotherapy / Endovenous Laser Therapy-EVLA and Modified Ambulatory Phlebectomy). This document

More information

Great Customer Care. delivering quality and choice in compression hosiery. This module will help you to: CPD

Great Customer Care. delivering quality and choice in compression hosiery. This module will help you to: CPD Brought to you by Great Customer Care delivering quality and choice in compression hosiery reflect This module will help you to: Recap your knowledge of the Activa lines, styles and colours available in

More information

n t You Love to Get Back On Your Feet Ag ld a uo ni W? Look Better Feel Better Live Better

n t You Love to Get Back On Your Feet Ag ld a uo ni W? Look Better Feel Better Live Better r L a B ck O t e G n to Yo e u ov et Wouldn t Y ou Fe Again? Look Better Feel Better Live Better Center for Vein Restoration ii 1-800-FIX-LEGS Look Better Feel Better Live Better At Center for Vein Restoration

More information

Varicose Vein Surgery: What we will cover

Varicose Vein Surgery: What we will cover Varicose Vein Surgery 2010 For Coders Andy Bonin, MD Varicose Vein Surgery: What we will cover Anatomy review Duplex US Procedure review CPT coding review 1 Anatomy: The Circulatory System We are only

More information

Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE)

Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) 2011 Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) We have written this pamphlet to help you learn about deep vein thrombosis and pulmonary

More information

( VEIN)

( VEIN) Visual Sclerotherapy Treatment for Spider Veins About Center for Vein Restoration Center for Vein Restoration is nationally recognized as the leader in the treatment of varicose and spider veins. With

More information

VARICOSE VEIN ADVICE SHEET PRIVATE DAY CASE Mr Paul O Byrne

VARICOSE VEIN ADVICE SHEET PRIVATE DAY CASE Mr Paul O Byrne VARICOSE VEIN ADVICE SHEET PRIVATE DAY CASE Mr Paul O Byrne What are Varicose Veins Varicose veins are enlarged swollen veins. Most varicose veins are found in the legs. They are generally caused by a

More information

VENOUS INSUFFICIENCY. The Vascular Group, PLLC

VENOUS INSUFFICIENCY. The Vascular Group, PLLC VENOUS INSUFFICIENCY The Vascular Group, PLLC TABLE OF CONTENTS Venous Disease p. 2-3 Diagnostic Tests..p. 3-4 Venous Abnormalities p. 3 Radio Frequency Ablation. p. 4-8 Ambulatory Phlebectomy..p. 9-10

More information

Medical Coverage Policy Treatment for Varicose Veins-PREAUTH

Medical Coverage Policy Treatment for Varicose Veins-PREAUTH Medical Coverage Policy Treatment for Varicose Veins-PREAUTH Device/Equipment Drug Medical Surgery Test Other Effective Date: 9/1/2001 Policy Last Updated: 12/20/2011 Prospective review is recommended/required.

More information

Confirmed Deep Vein Thrombosis (DVT)

Confirmed Deep Vein Thrombosis (DVT) Confirmed Deep Vein Thrombosis (DVT) Information for patients What is deep vein thrombosis? Blood clotting provides us with essential protection against severe loss of blood from an injury to a vein or

More information

X-Plain Inguinal Hernia Repair Reference Summary

X-Plain Inguinal Hernia Repair Reference Summary X-Plain Inguinal Hernia Repair Reference Summary Introduction Hernias are common conditions that affect men and women of all ages. Your doctor may recommend a hernia operation. The decision whether or

More information

Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast. Information for patients Pharmacy

Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast. Information for patients Pharmacy Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast Information for patients Pharmacy Your doctor has prescribed a tablet called rivaroxaban. This leaflet tells you about

More information

Inferior Vena Cava filter and removal

Inferior Vena Cava filter and removal Inferior Vena Cava filter and removal What is Inferior Vena Cava Filter Placement and Removal? An inferior vena cava filter placement procedure involves an interventional radiologist (a specialist doctor)

More information

Blepharoplasty - Eyelid Surgery

Blepharoplasty - Eyelid Surgery Blepharoplasty - Eyelid Surgery Introduction Eyelid surgery repairs sagging or drooping eyelids. The surgery is also known as blepharoplasty, or an eyelid lift. Sagging or drooping eyelids happen naturally

More information

Weight Loss before Hernia Repair Surgery

Weight Loss before Hernia Repair Surgery Weight Loss before Hernia Repair Surgery What is an abdominal wall hernia? The abdomen (commonly called the belly) holds many of your internal organs. In the front, the abdomen is protected by a tough

More information

Clinical Review Criteria

Clinical Review Criteria Clinical Review Criteria Treatment of Varicose Veins Radiofrequency Catheter Closure Sclerotherapy Surgical Stripping Trivex System for Outpatient Varicose Vein Surgery VenaSeal Closure System VNUS Closure

More information

Surgical And Ablative Procedures For Venous Insufficiency And Varicose Veins Of The Lower Extremities

Surgical And Ablative Procedures For Venous Insufficiency And Varicose Veins Of The Lower Extremities Surgical And Ablative Procedures For Venous Insufficiency And Varicose Veins Of The Lower Extremities Description A variety of treatment modalities are available to treat varicose veins/venous insufficiency,

More information

Preventing Blood Clots in Adult Patients. Information For Patients

Preventing Blood Clots in Adult Patients. Information For Patients Preventing Blood Clots in Adult Patients Information For Patients 1 This leaflet will give you information on how to reduce the risk of developing blood clots during and after your stay in hospital. If

More information

Non-surgical treatment of severe varicose veins

Non-surgical treatment of severe varicose veins Non-surgical treatment of severe varicose veins Yasu Harasaki UCHSC Department of Surgery General Surgery Grand Rounds March 19, 2007 Definition Dilated, palpable, subcutaneous veins generally >3mm in

More information

Varicose Veins: Causes, Symptoms and Management. Andrew C. Stanley MD Section of Vascular Surgery

Varicose Veins: Causes, Symptoms and Management. Andrew C. Stanley MD Section of Vascular Surgery Varicose Veins: Causes, Symptoms and Management Andrew C. Stanley MD Section of Vascular Surgery Circulation Heart (Pump)-MI, Sudden Death Arteries (Stroke, Aneurysms, Walking dysfunction, Limb loss) Veins

More information

Laparoscopic Ventral Hernia Repair Patient Information from SAGES

Laparoscopic Ventral Hernia Repair Patient Information from SAGES Laparoscopic Ventral Hernia Repair Patient Information from SAGES Approximately 350,000-500,000 ventral hernia repairs are performed each year in the United States. Many are performed by the conventional

More information

ARTHROSCOPIC HIP SURGERY

ARTHROSCOPIC HIP SURGERY ARTHROSCOPIC HIP SURGERY Hip Arthroscopy is a relatively simple procedure whereby common disorders of the hip can be diagnosed and treated using keyhole surgery. Some conditions, which previously were

More information

Edema. Edema can also be caused by certain medical conditions or medications. It is also common in pregnant women.

Edema. Edema can also be caused by certain medical conditions or medications. It is also common in pregnant women. Edema Introduction Edema is swelling caused by extra fluid in the tissue of the body. It usually happens in the feet, ankles and legs, but it can involve your entire body. There are many causes of edema,

More information

Information for patients who require Foam Sclerotherapy for Varicose Veins

Information for patients who require Foam Sclerotherapy for Varicose Veins Information for patients who require Foam Sclerotherapy for Varicose Veins Why do I need treatment for varicose veins? Deep veins Everybody has 2 sets of veins in their legs. These are called the superficial

More information

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary Introduction Severe arthritis in the hip can lead to severe pain and inability to walk. To relieve the pain and improve

More information

Deep Vein Thrombosis (DVT) and Warfarin

Deep Vein Thrombosis (DVT) and Warfarin Deep Vein Thrombosis (DVT) and Warfarin A guide to your diagnosis and treatment Information for patients, relatives and carers Anticoagulant Clinic Tel: 01904 726785 The York Hospital, Wigginton Road,

More information

Procedure Information Guide

Procedure Information Guide Procedure Information Guide Resurfacing hip replacement Brought to you in association with EIDO and endorsed by the The Royal College of Surgeons of England Discovery has made every effort to ensure that

More information

UNITED STATES OF AMERICA BEFORE FEDERAL TRADE COMMISSION ) ) ) ) ) ) COMPLAINT

UNITED STATES OF AMERICA BEFORE FEDERAL TRADE COMMISSION ) ) ) ) ) ) COMPLAINT 9423052 B172988 UNITED STATES OF AMERICA BEFORE FEDERAL TRADE COMMISSION In the Matter of DAVID GREEN, M.D., an individual doing business as The Varicose Vein Center, a sole proprietorship. ) ) ) ) ) )

More information

Endoscopic Plantar Fasciotomy

Endoscopic Plantar Fasciotomy Endoscopic Plantar Fasciotomy Introduction Plantar fasciitis is a common condition that causes pain centralized around the heel. It may be severe enough to affect regular activities. Health care providers

More information

MEDICAL COVERAGE POLICY. SERVICE: Varicose Veins of the Lower Extremities. PRIOR AUTHORIZATION: Required.

MEDICAL COVERAGE POLICY. SERVICE: Varicose Veins of the Lower Extremities. PRIOR AUTHORIZATION: Required. Page 1 of 5 MEDICAL COVERAGE POLICY Important note Even though this policy may indicate that a particular service or supply may be considered covered, this conclusion is not based upon the terms of your

More information

What are Varicose Veins? Varicose veins: a problem since the antiquity

What are Varicose Veins? Varicose veins: a problem since the antiquity What are Varicose Veins? Varicose veins and Telangiectasia (spider veins) are usually normal veins that progressively stretch, bulge and become visible. Varicose veins may be caused by a hereditary factor;

More information

Muskegon Surgical Associates, P.C. 1316 Mercy Drive Muskegon, Michigan 49444 231-739-1932 231-739-9461 1-888-874-5892 (Toll Free) www.msapc.

Muskegon Surgical Associates, P.C. 1316 Mercy Drive Muskegon, Michigan 49444 231-739-1932 231-739-9461 1-888-874-5892 (Toll Free) www.msapc. Muskegon Surgical Associates, P.C. 1316 Mercy Drive Muskegon, Michigan 49444 231-739-1932 231-739-9461 1-888-874-5892 (Toll Free) www.msapc.com www.msa-veincarecenter.com Welcome The Vein Care Center at

More information

Understanding blood clots or venous thromboembolism (VTE) in pregnancy and after birth

Understanding blood clots or venous thromboembolism (VTE) in pregnancy and after birth Understanding blood clots or venous thromboembolism (VTE) in pregnancy and after birth 4 Recovering from a heart attack Recovering from a heart attack 4 If you are pregnant, or have just had a baby, you

More information

Venous Thrombosis and Pulmonary Embolism Treatment with Rivaroxaban

Venous Thrombosis and Pulmonary Embolism Treatment with Rivaroxaban Venous Thrombosis and Pulmonary Embolism Treatment with Rivaroxaban Information for patients and families Read this booklet to learn: about venous thrombosis and pulmonary embolism how the medicine Rivaroxaban

More information

Varicose Vein Surgery

Varicose Vein Surgery Information for patients Varicose Vein Surgery Northern General Hospital You have been diagnosed as having varicose veins and your specialist has recommended varicose vein surgery. This leaflet explains

More information

Plantar Fascia Release

Plantar Fascia Release Plantar Fascia Release Introduction Plantar fasciitis is a common condition that causes pain around the heel. It may be severe enough to affect regular activities. If other treatments are unsuccessful,

More information

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs Orthopaedic Spine Center Graham Calvert MD James Woodall MD PhD Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs The cervical spine consists of the bony vertebrae, discs, nerves and other structures.

More information

VARICOSE VEINS AND TREATMENTS INFORMATION FOR PATIENTS BOOKLET 2. ISRCTN51995477 EudraCT 2008-001069-26

VARICOSE VEINS AND TREATMENTS INFORMATION FOR PATIENTS BOOKLET 2. ISRCTN51995477 EudraCT 2008-001069-26 VARICOSE VEINS AND TREATMENTS INFORMATION FOR PATIENTS BOOKLET 2 ISRCTN51995477 EudraCT 2008-001069-26 Varicose veins & treatment (surgery/laser/foam) Version 5, October 2011 We are performing a research

More information

PATIENT INFORMATION DEEP VEIN THROMBOSIS. with people in mind

PATIENT INFORMATION DEEP VEIN THROMBOSIS. with people in mind PATIENT INFORMATION DEEP VEIN THROMBOSIS with people in mind 2 I DVT - PATIENT INFORMATION Who should read this booklet? Deep Vein Thrombosis (DVT) or blood clots in the leg can occur at any age but can

More information