Varicose and Spider Veins
Chronic Venous Insufficiency
Many men and women develop chronic venous insufficiency over the course of their lives and don’t realize it until it is serious. This underdiagnosed and undertreated condition associated with varicose veins can be the root cause of a number of serious symptoms including:
- Fatigue or heaviness
- Pain such as throbbing, burning, stabbing
- Restless Leg Syndrome (RLS)
Chronic venous insufficiency is an underlying problem for many patients with varicose veins and spider veins. Venous insufficiency means that blood cannot return from the legs effectively so it tends to pool in the ankles and legs. This leads to the symptoms listed above and may also lead to staining of the skin and even skin breakdown (ulceration).
Varicose veins are enlarged and twisted rope-like veins that appear near the surface of the skin. While they can develop anywhere in the body, they are most commonly found in the legs and ankles because standing and walking increase pressure in the lower extremities.
In normally functioning veins, tiny one-way valves open as blood flows toward the heart and close to prevent blood from flowing backward. When these valves malfunction, blood pools in the veins, resulting in a buildup of pressure that weakens their walls and causes them to bulge.
Over time, the increased pressure can cause additional valves to fail. This venous reflux, or venous insufficiency, leads to the development of varicose veins and spider veins.
Genetics play the greatest role in whether an individual gets vein varicose veins disease or not. One study found a 90% risk of developing varicose veins if both parents have them. These veins are not functioning properly and should be treated.
Another major risk factor is pregnancy and multiple pregnancies, in particular. Prolonged standing, menopause and blood clots (deep vein thrombosis or DVT) are also associated with developing varicose veins.
A multidisciplinary approach combining vein ablation, phlebectomy and sclerotherapy is often necessary to effectively treat varicose veins. Miami Beach Vein Institute provides customized treatment plans for each of our patients incorporating the most advanced, minimally invasive techniques available.
Spider veins or telangiectasia are small veins on the surface of the skin, which become dilated and discolored. These veins are usually less than 3 mm and red, blue or purple in appearance. These small veins are primarily cosmetic in nature and can appear on the legs, face or chest.
Small spider veins can appear in different distributions with associated underlying causes and appropriate treatments.
Unlike some centers which administer a single treatment to the smallest of these veins and advise patients the veins will come back, we address the root cause of the cosmetic issue in order to provide a more lasting, durable treatment.
In addition, we use only FDA-approved sclerotherapy products including Asclera and Sotradecol. Using FDA-approved products allows us to tightly manage results in a predictable fashion while ensuring our patients are getting safe products manufactured to the highest quality standards in the world.
Spider veins or telangiectasias are small veins on the surface of the skin which become dilated and discolored. These veins are usually less than 3 mm and red, blue or purple in appearance. These small veins are primarily cosmetic in nature and can appear on the legs, face or chest.
Small spider veins can appear in different distributions with associated underlying causes and appropriate treatments. Many women suffer from a crown of spider veins on the outside or back of their thighs. In the picture on the right, these bright purple or red spider veins tend to be driven by underlying reticular veins, bluish veins lying deeper under the skin surface.
While those blue veins may be less of a cosmetic issue, addressing them is critical to successfully treating the outer thigh spider veins. We use specialized vein viewing technology to identify deep vessels feeding problem spider veins and treat those as part of a comprehensive treatment regimen in order to deliver durable results.
Many patients struggle with leg or ankle ulcers for years before finding appropriate care. Venous ulcers are typically found in the lower leg or ankle, also called the gaiter area. Over 75% of chronic wounds of the lower leg and ankles are due primarily to vein disease. These ulcers usually follow a period of discoloration of the skin and can be quite painful. Often, treatment is focused on the overlying skin disruption – local creams, antibiotics, bandages and skin grafts.
Without treating the underlying vascular disease, however, these ulcers tend to persist or recur.
Many patient present to us after years of ulcer care and failed attempts to treat the arterial system, never having had a proper venous evaluation. Because Dr. Malvehy personally performs all patient evaluations, he is often able to pinpoint the diseased vessel and work with the patient to initiate a treatment regimen to address the underlying cause. Using a combination of treatments – all performed in the office with local anesthesia in under an hour – almost all venous ulcers can be addressed.
If you believe you have an ulcer or chronic wound or lower leg, you should seek attention from a vein specialist (also called a phlebologist) to evaluate for venous disease.
VenaCure EVLT – Varicose Vein Treatment
VenaCure EVLT treatment eliminates unsightly varicose veins with no hospital stay, minimal-to-no scarring, no lengthy recovery and minimal-to-no side effects. In less than an hour, you can be free from bulging, twisted varicose veins and back to enjoying your everyday activities. The VenaCure EVLT procedure is safe, fast, and effective. With VenaCure EVLT treatment by AngioDynamics you can show off your legs again.
The VenaCure EVLT system uses targeted laser energy to seal the vein shut and help you look and feel better fast. For detailed information please visit: www.Venacure-evlt.com.
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