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Varicose Veins
 
These unsightly bulging veins are usually related to a medical condition known as venous reflux. Venous reflux (back flow) occurs when the vein’s valves malfunction. This can cause blood to pool in your leg veins which presents as varicose veins. You may have fatigue, heaviness, aching, burning, throbbing, itching, cramping and restlessness of the legs. Venous reflux is diagnosed with a painless ultrasound study of your leg veins. Non-surgical treatments such as elevation and compression stockings can reduce swelling and aches but do not address the underlying disease. Sclerotherapy alone is often ineffective without treating the internal source of reflux. If left untreated, it can lead to eczema, inflammation, pigmentation and even ulceration.
 
 
What causes vein valves to malfunction leading to venous reflux and backflow?
  • Birth-related or Familial (inherited “weak” veins).
  • Hormone changes related to birth control or pregnancy. This causes the vein to enlarge and increases pooling of blood within leg veins damaging the valve.
  • History of blood clot resulting in damaged vein and valve.
  • Pelvic obstruction from a mass or pregnancy physically blocks the return of venous blood and damages the valve.
  • Gravity - Occupations requiring long periods of standing also increase pooling of blood within leg veins causing damage to the vein’s valve. Venous reflux is commonly seen in teachers, nurses, retail business, and factory workers.
 
Treatment options for Varicose Veins

All patients with varicose vein disease should undergo an ultrasound to evaluate for reflux or backflow. If no reflux is identified, the veins can simply be removed with TriVex™ procedure or injected with sclerotherapy with minimal risks of recurrence. If reflux is found, the reflux must be treated first or at the same time as the varicose vein treatment in order to have long lasting results.

Traditionally, patients with venous reflux disease were treated with vein stripping resulting in pain and bruising and 2-4 weeks downtime. Now with the innovative Closure® procedure using radiofrequency to collapse and seal shut the vein, patients can resume normal activities within 1-2 days. Other treatments are also available to further address the cosmetic concern including endoscopic removal of bulging varicose veins with TriVex™ procedure if needed.

All these procedures are performed on an outpatient basis allowing for a quick recovery. The Closure Procedure is also available at our office. The office based approach translates into safer and more expeditious care for patients, avoiding hospitalization and the risks of general anesthesia. Patient financial responsibility is also reduced when hospital and/or anesthesia service is eliminated.These procedures deliver excellent relief of symptoms as well as good cosmetic results. In addition, the Closure treatment is covered by most health insurances if venous reflux is present, including Medicare, Blue Cross Blue Shields, United Healthcare, Aetna, Cigna, AMCO, Coresource, Qualchoice, and many more.

 
Dr. Lee will perform a detailed history and physical examination at your initial consultation to determine the cause of your vein problem. She may obtain more information through judicious uses of office ultrasound when needed. Dr. Lee will then advise you about your findings and all your options, whether it is simple sclerotherapy or other minimally invasive outpatient procedures.
 
 
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