In the last two decades, we have witnessed a major turning point in the treatment for varicose veins and venous reflux disease and we may possibly be on the brink of the next big shift.
In the 1890s, Friedrich Tredelenburg introduced the idea that visible varicose veins were caused by underlying truncal valve dysfunction and to provide a cure for that, he brought about the Tredelenburg ligation. Prior to this, treatments had only been made to diminish visible varicose veins alone. The following century displayed little advance in varicose vein treatment. Although most people point to the introduction of endovenous surgery as the major turning point, all of our innovative and modern advances stem from the development of venous duplex ultrasonography in the mid-1980s and early 1990s. It was because of this noninvasive imaging modality that we were enabled to see the venous function in real-time. Our understanding of venous disease took a great leap forward.
The Advent of Venous Duplex Ultrasound
The introduction of venous duplex ultrasonography split the venous world into two main factions. Some doctors have continued to practice ablative surgery and some have moved onto some form of thermal ablation. Other nonthermal ablative techniques are becoming more widely used.
A large number of medical professionals remain unaware of the haemodynamic approach to varicose veins and venous reflux disease, championed by the conservative haemodynamic correction of venous insufficiency method (CHIVA). Advocates of this approach present series’ where the results have been demonstrated to be comparable with stripping. Whereas those of us who treat all of the reflux pathways would regard such results as suboptimal, the randomized studies that have been performed where surgeons ignore perforator vein reflux and pelvic vein reflux, appear to display stripping as equivalent to the thermal ablation techniques. As such, the haemodynamic approach may begin to gain some traction.
The Endovenous Revolution
From the point of venous duplex ultrasonography, the biggest revolution in the treatment of varicose veins was the invention of successful endovenous thermal ablation. By the end of the 1990s, catheter-bansed radiofrequency ablation and endovenous laser ablation had proven to be successful, causing endovenous surgery to take off. Not only did these techniques destroy varicose veins but the catheters were introduced under ultrasound control into the distal vein and passed proximally, without the need for open surgery.
This minimally invasive approach allowed the development of tumescent anaesthesia. With truncal ablation and phlebectomy being possible under tumescent anaesthesia, true “walk-in,walk-out” ambulatory surgery became possible for the treatment of varicose veins. More than just a new technique of treating veins, this allowed vein centres to be set up outside of hospitals, enabling them to concentrate on ambulatory venous surgery.
All thermal ablation devices require tumescence because of the heat generated during treatment. This has led to the investigation and development of nonthermal, and therefore, non-tumescence placed ablation techniques.
Pelvic Venous Reflux
Over the past ten years, pelvic venous reflux and pelvic congestion syndrome have become increasingly recognizes as part of the varicose vein disease profile. Although we barely started investigating and treating this condition, it has been given much more attention by the venous community as of recent times.
Many of the lessons learned in the 1990s for varicose veins of the legs are having to be retaught to better understand pelvic veins. In the 1990s, doctors began to realize that examining varicose veins with venography, particularly supine, is somewhat optimal compared to venous duplex ultrasonography. With approximately 20% of female patients with leg varicose veins with a major contribution from pelvic vein reflux and 3% of males, it is now impossible to offer a full varicose vein service unless pelvic veins are assessed and provision for treatment is included as part of the service.
What Does the Future Hold for Varicose Vein Treatment?
One of the most exciting new treatments for varicose veins and venous reflux disease is HIFU: high intensity focused ultrasound. By externally focusing ultrasound to cause ablation at one specific point targeted internally, HIFU is a truly non-invasive technique, a quantum leap forward from minimally invasive techniques. Additionally, those of us interested in vein research will be able to explore whether ablation of all venous reflux is required, or whether a haemodynamic “CHIVA” approach can be used successfully to target specific areas of venous reflux.
Physician’s Vascular Services: Providing Innovation and Health to Every Patient
The professionals at Physician’s Vascular Services advocate for modernized treatments to provide patients with the best results possible. Get started with us today by giving us a call to learn more about our treatment options.
Varicose veins can be a physical nuisance and a deterrent to your health and bodily systems. When being diagnosed with a condition of varicose veins, patients can be quick to ponder on what they can do to treat their varicose veins and how they can further prevent them. If you’re quick to roll your eyes at being advised to exercise, we’re here to show you how you can directly benefit from exercise. Exercise can not only keep your condition from progressing, but it can also ease the symptoms. Some patients may experience more severe symptoms than others, but either way, no one loses from taking up physical activity. Read on to learn more if exercise is safe for you and about the best exercises for varicose vein prevention.
How to Determine if Exercise is Safe for You
Most forms of exercise are safe and rather advantageous. Although some exercises can be intense and not everyone may be able to withstand the level of extreme physical activity. If you have any doubts about whether the physical activities are safe for you, ask your doctor or primary care provider. If you’re pregnant, be sure to talk with your obstetrician before taking up new exercise regimens. Even if you are not experiencing any doubt, it is still recommended to listen carefully to your body.
How to Prevent Varicose Veins Through Exercise
Many doctors recommend at least thirty minutes of physical activity. If necessary, you can break up the recommended time throughout your day to reach thirty minutes of exercise.
As simple as walking may seem, it is rather effective. Walking tends to burn a high count of calories and it is safe for people of all ages and fitness levels. Taking regular walks can help you lose weight, maintain healthy blood pressure, and strengthen your bones and muscles. Each of these factors can either help you prevent or cause varicose veins.
Bicycling is a low-impact exercise, despite how intense it might seem! Similar to walking, it can increase circulation while simultaneously protecting your joints. Regular cycling can also strengthen your calf muscles and promote healthy blood flow. Both traditional and stationary bikes can be used. If a bike is out of your reach, you can also stretch your leg muscles by lying on your back, drawing your knees toward your chest, and making pedaling motions with your legs. This can increase your blood flow significantly.
Leg lifts are optimal as they are simple, yet effective. They do not require any special equipment! For leg lifts, you start off by lying flat on your back and lift each of your legs, one at a time. Hold each leg in the air for a few seconds before alternating legs. This exercise is significant in helping you stretch the muscles of your legs. Many people also practice leg lifts while standing. In addition to stretching your muscles and improving circulation, this exercise can increase flexibility. In order to do leg lifts while standing up, you can hold onto a stable object such as a chair or a desk and extend each leg in front of you. Hold this position for a few seconds for the best effectivity and then alternate legs.
Lunges are a significant form of exercise as they touch on many different muscle groups in your feet and calves. When the muscles in your feet and calves are strong and healthy, they can help keep blood flowing in the right direction and prevent any blood clotting. You can begin lunges by standing with your feet slightly apart, aligning with your shoulders. Proceed by stepping forward and bend your knee. Be sure to keep your knee directly above your ankle. Hold the lunge for a few seconds, then straighten up and switch legs.
Stretching out the muscles that lie in your feet also helps improve muscle strength and blood circulation. You can initiate this exercise by resting your weight on the ball of your foot for a few seconds, then gradually lower your heel. Next, rest your weight in your heel and lift the ball of your foot. You can perform this stretch while standing or sitting. If you are standing, be sure to hold onto a stable object for balance.
Elevate Your Legs
Raising your legs while sitting and lying down can help relieve swollen or achy legs caused by backed-up blood flow. You can begin by lying on your back on the floor or on your bed. Next, raise your legs straight up in the air. If necessary, you can also prop them against the wall. Hold this position for a few minutes and proceed by lowering your legs to the ground. Repeat to meet the desired time of physical activity.
Get Started with Physician’s Vascular Services for Varicose Vein Prevention
If you are thinking of taking up these exercises to prevent any further formation of varicose veins, it is best to talk to a doctor. You can also discuss any alternative forms of prevention of varicose veins. Contact Physician’s Vascular Services so we can assess your condition and offer methods of preventative care.
Varicose veins are the epitome of eyesores. We go out of our way so much to pamper our bodies and keep ourselves looking youthful and fresh, but varicose veins completely negate that effort. Compression socks are used for a number of reasons, and surprisingly they also support the beauty of our skin and legs. Compression socks can not only help make the veins look less visible, but also reduce the amount of pain you may be experiencing. You might be speculating how exactly compression socks can treat those annoying spider-like veins on your legs, and thankfully for you, we have the answers.
The Function of Compression Socks
Compression socks are made with the technology to improve blood circulation throughout your feet and legs. Varicose veins are caused by flawed veins that direct blood flow into the wrong pool. Compression socks are fitted and snug so that they can squeeze your blood into the direction it should be going into. This pressure also allows blood to flow back to the heart.
The Type You Should Use
Now that you’re familiar with their function, there are different compression socks you can choose from. Support pantyhose exert the least amount of pressure possible. Compression stockings provide more support and pressure as opposed to the choice of the pantyhose. Prescription compression stockings are available in a range of pressures. They are fitted to your leg by a specialist to meet your circulation needs.
When to Wear Them
The time of day in which you need to wear compression socks depends on your physical activity. If you find yourself sitting upright or standing for most of the day, you would be wearing them during those instances. If you tend to put your feet up at night for more comfort you could also wear compression socks to improve circulation, then.
Receiving the Vein Care You Need
Here at Physician’s Vascular Services, we understand the importance of every body function- and that includes even the smallest of veins. Contact us today to get started with a varicose vein treatment plan!
Some people get varicose veins, some don’t. Although, just because not everyone gets them does not mean we should overlook them. Varicose veins not only indicate a stump in our blood circulation, but it also comes with the possibility of speaking for other things going on in our bodies. There are some major occurrences taking place within our bodies that can be explained by the presence of varicose veins.
If you’re confident that you take care of yourself and aren’t putting harmful things in your body, the varicose veins you have may just be a genetic feature. Nonetheless, if this is the case, you should consult with a doctor to receive treatment because varicose veins can worsen over time, whether they are inherited throughout your family or not.
For the most part, varicose veins are visible, but you could still have them even if you don’t see them. If you ever find yourself experiencing short but sharp pains, there lies the possibility of you having varicose veins in your body. If you have a lot of fatty tissue between layers of skin and the muscle, this may be where (in the case you do have varicose veins) they lie. Some surface veins are at the tip of where the muscle and skin meet, but it is still possible for them to be varicose veins, as well.
Available Treatment for You
The ways our bodies speak to us can vary; varicose veins are a form of our bodies telling us to seek the treatment we need. Here at Physician’s Vascular Services, we can take care of tending to your varicose veins. Call us today to learn more about how you can prevent future growth of varicose veins!
We’ve all heard the phrase, sitting is the new smoking. This popular colloquialism refers to the idea that excessive sitting — much like the avid smoking of the mid 20th century—is now causing people a lot of health problems and conditions that might not have been much of a problem before. This is precisely what is happening with a large number of people who report back pains and back problems due to a lot of sitting at work. These sedentary desk jobs, however, have also proven to give people problems with circulation and cause varicose veins.
Sitting down for long periods of time can restrict circulation and this can exacerbate inflamed veins. This doesn’t just happen when sitting in front of a desk but with other jobs that require a lot of standing. Some of the things that happen when sitting all day include a weakening of the leg muscles, heart disease, depression, bad posture, and so on. It all depends, of course, on other factors, but one thing that can also happen is a restriction of blood flow to your legs.
So what happens when your job requires you to sit down for long periods of time and does not encourage much physical movement? There are a few things you can do to help keep your circulation moving throughout the day.
Take breaks regularly. One important thing you can do is remind yourself (set up an alarm on your computer or phone) and stand up at least every hour or so. Take a little walk, stretch your legs, and, if you really want to get crazy and its work appropriate, do some burpees or jumping jacks.
Watch your diet. What you eat affects how you feel and every aspect of your health. One way to help with overall health and wellness is to ensure that your diet consists of plenty of fruits and vegetables to support healthy digestion and nutrient intake. Balance your diet with plenty of protein and healthy carbs and you’ll be good to go.
Avoid processed sugars. One of the biggest enemies to good health in our modern world includes the excessive consumption of processed sugars. Having too much unhealthy sugar will increase inflammation and thus have an adverse effect on your health, circulation, and regular digestion. Processed sugars also make you feel bloated, tired, and don’t provide any real nutrition to get you through the challenges of the day.
Consider compression. Compression stockings can be quite beneficial if your job requires a lot of standing or sitting. They can provide additional aid in helping blood move through your veins.
Visit a Vein Doctor for Appropriate Treatment
If you begin to experience symptoms of varicose veins or spider veins, make sure to talk to a vein doctor as quickly as possible to discuss remedies, treatments, and lifestyle changes that can help your legs. The more you wait, the bigger the issue might become and so you want to treat yourself as quickly as possible. Visit Physicians Vascular Services today and speak with a professional.
Varicose veins can be a pesky annoyance. From itchiness to pain and unsightly veins on our legs, there is nothing good about varicose veins. Unfortunately, one of the biggest causes of varicose veins is pregnancy. Pregnancy can often lead to varicose veins because of the pressure placed on your inferior vena cava, a large vein that transports blood from your legs and feet back to your heart. As your uterus expands during pregnancy, it places pressure on this vein and can restrict its blood flow a bit, leading to varicose veins. If you have them while you’re pregnant, you can’t, unfortunately, receive treatment. However, these tips can help you alleviate some of the pain and discomfort associated with varicose veins.
Tip #1: Get Up and Move Around
If you work in an office or another environment that requires you to sit for many hours a day, it can increase your chances of getting varicose veins in general, not just during pregnancy. Try getting up and walking around regularly. Stretch a little, walk around the office, maybe even try walking during your lunch break. This can help get your blood flowing and reduce your chances of developing varicose veins.
Tip #2: Watch What You Wear
Clothes that are too tight can restrict your blood flow, which as we all know, is not good for your odds of not getting varicose veins. When pregnant, try wearing looser clothing.
Tip #3: Wear Maternity Hose
There are specialized maternity support pantyhose that you can buy that can help to reduce your chances of developing varicose veins or alleviate some of the symptoms caused by these pesky veins. They’re slightly compressed, which can help to improve blood flow.
Tip #4: Keep Your Feet Elevated
As you get further along in your pregnancy, keeping your feet elevated can help with varicose vein symptoms. They can also help with feet swelling that is common during pregnancy.
Contact Physician’s Vascular Services Today!
While you can’t receive varicose vein treatment while pregnant, should your varicose veins persist long after pregnancy, we can help. We offer a wide variety of varicose vein treatment options that can help alleviate the pain and discomfort these nuisance veins can cause. If you’re still pregnant, however, well, take advantage of these tips to try and alleviate your pain and discomfort. Feel free to call us today to learn more about varicose veins and the many ways we can help.
When it comes to receiving vein care, doctors will use a variety of medical imaging methods, tools, and equipment to diagnose and treat varicose veins. At Physician’s Vascular Services, we are accredited in medical imaging by the American College of Radiology. So what exactly is medical imaging and how does being accredited benefit you? Let’s discuss.
What is Medical Imaging?
Medical imaging, or radiology, is essentially a branch of medicine that relies on imaging for diagnosing and treating diseases and other health issues. It may sound scary, but chances are you’ve already undergone medical imaging in your life before. For example, if you or your partner were pregnant, you’d receive an ultrasound so you and your doctor can view images of the baby while in the womb. You may also have received an MRI to search for issues below the surface, such as an ulcer or abscess tooth. It’s also commonly used to detect and diagnose cancer, including breast MRIs which look for breast cancer and other issues.
Medical imaging is 100 percent safe, which is why it is often used by medical professionals in multiple disciplines. It can be used both for diagnosing issues and during treatment of different diseases, so the need for surgery is not necessary. That is why medical imaging is so important. It allows doctors to diagnose and treat issues without the need for surgery.
Medical Imaging and Varicose Vein Care
At Physician’s Vascular Services, we rely on medical imaging to diagnose and treat varicose veins, ulcers, and other issues caused by venous reflux. Medical imaging allows us to reduce the number of varicose veins you have without having to perform surgery. We often use ultrasound technology to guide our tools during varicose vein removal and to diagnose varicose veins beforehand, making sure everything is done accurately, efficiently, and comfortably.
How Does Our Accreditation Help You?
As an accredited vein care center, you can guarantee you’ll receive the best care with nothing but the best in equipment and methodology. Being accredited means we must hold ourselves to high standards set by the American College of Radiology. This means you can rest assured knowing we’ll actively help you reduce your varicose veins while also maintaining a professional, comfortable environment.
Schedule An Appointment Today!
Don’t wait to treat your varicose veins and their associated complications. Call us today to schedule an appointment, so you can receive the vein care you deserve!
Varicose veins are not a new concept, and they’re certainly not selective when it comes to who does or doesn’t suffer from them. What they are is a nuisance to those who suffer from them, even to celebrities. In fact, numerous celebrities have suffered from pesky varicose and spider veins, much like us average folk do.
Here are three celebrities who have treated their pesky varicose veins to obtain the beautiful legs that allow them to wear what they want—whether it’s a red carpet look or skinny jeans—feel comfortable, and avoid the health risks associated with untreated varicose and spider veins.
#1: Emma Thompson
The wonderfully talented actress, activist, screenwriter, comedian, and author Emma Thompson admitted to having varicose veins and receiving treatment to help rid her legs of their peskiness. While always gorgeous, even something as annoying as varicose veins can make someone as magnificent as Emma Thompson feel down, which is why she chose to receive treatment. And she’s still just as gorgeous as ever!
#2: Britney Spears
Yup, even the Queen of Pop has suffered from pesky varicose veins. This just proves that varicose veins aren’t exclusive—they’ll go after queens too. Britney, who is a mother of two, may have developed them because of her two pregnancies. Pregnancy, unfortunately, can cause women to develop them. Luckily, there are treatments available that can help rid you of them so you can look great, feel like yourself, and not have to worry about the many health risks associated with varicose veins.
#3: Kristin Davis
Even with her goddess-like status, Kristin Davis is just as human as the rest of us (well, in some ways). She, too, has received treatment to rid her legs of varicose veins. Whether for health or cosmetic purposes, she proves that seeking professional treatment is always helpful.
No Shame in Treatment
One thing these three amazing women have in common—aside from being amazing—is that they’ve all received scrutiny for receiving varicose vein treatment, as if it’s some terrible thing women should be ashamed of. There’s no shame in receiving treatment. There’s no shame in doing so solely because you’re unhappy with how your legs look because of them, and there’s certainly no shame in doing so for health purposes. Not only can varicose vein treatment help with how your legs look but it’s also a good idea because varicose veins can cause serious issues, like blood clots. If you’re looking to seek treatment, Physicians Vascular Services can help. Call today!
It begins with bats. Because bats communicate using the reverberating and reflection of high-frequency sounds. This was, in a sense, the source of ultrasound technology. In the early 1940s an Austrian neurologist used ultrasonic beams to diagnose brain tumors. And as early as 1952, the technology began being used to view pregnancies.
The Beginnings of Ultrasound Technology
People might be surprised to know that the beginnings of ultrasound technology begin with a Catholic priest in Italy in 1794. Lazzaro Spallanzani, a physiologist and biologist, made a series of contributions to the understanding of the body, animal reproduction, and animal echolocation. He conducted experiments on bat behavior and bat navigation. It was he that discovered that bats don’t, in fact, see very well and don’t use their vision for a whole lot. Instead, they are using a different sense: their hearing. So he sought the answer and found that bats navigate using the reflection of echos from high-frequency sound.
The Study of Ultrasound Physics
In 1877, two Frenchmen discovered piezoelectricity, which is the electric polarization of a substance that results from the application of mechanical stress. This breakthrough would lead to the development of underwater sonar detections systems. This, of course, became important for submarines to use in navigation and the detection of icebergs and incoming objects.
An Austrian physician named Karl Dussik became the first one to employ ultrasound in diagnosing brain tumors. It was only around the 1950s that ultrasound technology was used for the viewing of early pregnancy. In 1965, the first International Conference on Diagnostic Ultrasound was held in Pittsburgh. It was around this time that the technology started being used for the detection of certain vascular issues.
In 1973, the occupation of sonographer was created and in 1975 a team from Washington University images of blood-flow using a Doppler system. The images were recorded and superimposed on 2D anatomical images. A Doppler radar is used to detect velocity data on objects from a distance. The 1980s brought the real-time color Doppler imaging, color flow imaging. Echocardiography —a sonogram of the heart— was evolved and further developed in the 1990s thanks to the technology.
The Continuing Developments
The ultrasound works by emitting inaudible sound waves to create a visual image. In the years since further advancements and developments have continued allowing for further precision when it comes to diagnosis of heart conditions and to detect abnormalities or conditions in early pregnancy.
How Ultrasound is Vital for Vein Disease Diagnosis and Treatment
When people seek treatment for some kind of vein condition, a lot of the initial studies are conducted with ultrasound. Ultrasound combined with the Doppler radar a complete picture of the vein structure can be seen. This pictures can help your vein doctor asses how blood is flowing in your veins and if there are any visible blood clots. The technology allows for clear imaging to see the condition of the vein and the position. It is also non-invasive so it can be used as a way to diagnose without having to introduce any instruments or incision.
Ultrasound technology is used in a variety of treatments for venous disease. It accurately helps doctors find where the vein problems are and is used in endovenous ablation, sclerotherapy, and microphlebectomy. Ultrasound is also used for sclerotherapy, when a solution is injected into the spider vein to damage it and prompt the body to eliminate the damaged veins.
Vein Problems? Call Us For More Information
If you’re experiencing pain in your legs from spider veins or varicose veins, come in today to get it checked out. We use ultrasound for a variety of tests and procedures and have only the latest technology to ensure the best possible result.
We’ve spent a lot of time on our blog discussing the causes, treatments, and symptoms of venous disease. We’ve gone over tips to alleviate some of the discomfort and how to prevent it, but we have yet to spend a lot of time discussing the wonders of the human circulatory system. Probably most vein doctors were drawn to the practice because —at some point in their studies— they were blown away by the intricacy and brilliance of the human circulatory system.
The body is composed of a number of complex biological systems that perform certain functions and allow our body to work properly. These systems are the digestive, endocrine, immune, lymphatic, nervous, muscular, and circulatory systems. So at any given second, there are multiple gears turning in your body that allow you to be alive and in a functional state.
The veins are part of the circulatory system and are responsible for the flow of blood, nutrients, oxygen, carbon dioxide, and hormones throughout the body. There are three types of blood vessels inside of us: arteries, veins, and capillaries. Each have a specific task. Arteries carry oxygenated blood away from the heart, veins carry blood back to the heart, and capillaries connect the two. Some of these vessels can be very small and measure less in width than a human hair. The network of blood vessels of an adult—if laid out into a straight line— would expand close to 100,000 miles. A baby’s would reach about 60,000 miles.
Other Fun Facts About Hearts, Veins, and Self Catheterizations
The Three Layers in Every Vein. They are incredibly complex and within each vein there are three layers. The outer layer is composed of connective tissue. The middle layer—called tunica media—is muscle and fiber. The innermost layer, tunica intima, is the one that comes in direct contact with blood and is made up of smooth cells and has a hollow center.
How Veins Led to the Study of the Heart. Early 20th century medicine believed that the heart was off limits and there was no sensible ways to cure or study the complex ailments of the heart. A German physician named Werner Forssmann was the first person to perform a self catheterization that proved the medical community wrong by showing that the heart could be studied through the veins. This painful experiment set the foundations to the study of cardiology. He threaded a thin tube through his vein, pushed it, and had it go all the way to the heart. As evidence of his discovery, the doctor had his assistant take an X-Ray to show that he had in fact reached the heart through the vein in his inner left elbow. He won the Nobel Prize in 1956 for his contribution.
Strong Veins are Essential to Your Health. Because veins perform the necessary function of carrying blood back to the heart, veins that are weak can begin to cause problems. This is called venous insufficiency. Valves in the veins help guide the blood in the right direction. When these fail, the veins become bulged and become varicose veins. This can cause pain, discomfort, and bigger problems.
The Bigger the Mammal the Slower the Heart. Heart rate is inversely related to body size. The heart of a blue whale is the size of a small car—think compact care—and only beats five times per minute. A human heart, on the other hand, beats about 75 times per minute. A human heart beats about the same amount per minute as a sheep.
You Need Your Heart But Your Heart Doesn’t Need You. Well, this might be a bit of an exaggeration but the truth is that the human heart can beat outside the body for some time. As long as the oxygen receives oxygen it can continue to beat, as it produces its own electrical pulses.
Suffering from Leg Pain? Your Veins Might Be the Cause
Here at Physicians Vascular Services, we specialize in the veins and their role in the circulatory system. We may not think about our veins often but their health and strength is directly tied to our overall health and wellness. Problems with veins can disrupt a person’s daily life. If you think you suffer from varicose veins, give us a call. There is a solution.