The Vein Center at Virginia Surgical Associates

Men Get Varicose Veins Too

There is a common misconception that varicose and spider veins are only experienced by women. While it is true that women are more likely to develop venous disorder such as varicose veins, men are not immune to venous disease. Unfortunately this misconception often allows vein disease in men to continue untreated until the advanced stages are reached and surgical treatment is required.

A properly functioning system of veins carries oxygenated blood from the lungs to the body’s extremities where the blood then deposits the oxygen before travelling through a series of valves back to the lungs to refuel. When venous disease occurs, these valves weaken and failing to close, resulting in blood flowing the wrong direction and draining backwards in the legs.

As blood drains backwards in the veins it begins to pool, resulting in the formation of unsightly varicose veins. These veins are often painful and result in symptoms including heaviness or pain in the legs. What was once thought a mere cosmetic issue for women, has been discovered to be a serious medical condition affecting both sexes. Recent technological strides have made invasive varicose vein surgery a thing of the past. A number of non-surgical treatment options include:

  • Compression Therapy (reduces the pain of varicose veins, but does not remove them)
  • Schlerotherapy
  • Endovenous Laser Treatment (EVLT)
  • Ambulatory Phlebectomy

Varicose veins affect over 60% of Americans, as much as 20% of those being men. Misconceptions about vein disease results in many of those suffering with varicose veins to never seek treatment. Learn more about Varicose Veins and contact The Vein Center at Virginia Surgical Associates today to schedule an appointment. Visit us online or call us today at (804) 477-8613 to learn more about our alternatives to varicose vein surgery.

Compression Stockings Cannot Cure Varicose Veins

Over 40 million men and women across the United States suffer varicose veins. Once regarded as a merely cosmetic problem, the medical community now recognizes varicose veins as a potentially serious medical issue.  It is now understood that when left untreated varicose veins have the potential to cause life threatening complications. Many individuals living with varicose veins suffer from lifestyle limiting symptoms including pain, swelling, and fatigue. Varicose veins and their associated symptoms will often worsen without treatment.

Commonly, the first step in the treatment of varicose veins is the use of compression stockings. These medical grade elastic stockings provide the surface of the leg with an added layer of support and encourage circulation. Many insurance companies have adopted a policy requiring a period of wearing compression stockings to see if symptoms decrease before considering approval for any further treatments.

Unfortunately, compression stockings cannot cure varicose veins, nor will they prevent new varicose veins from forming. Compression stockings can only relieve, not repair, the effects of venous disorders. Even if symptoms are significantly reduced, stopping usage of the hose will cause them to return and the vein damage to progress.

For a long-term solution to eliminate the pain of varicose veins, contact The Vein Center at Virginia Surgical Associates to speak with a specialized vascular surgeon about the minimally invasive surgical options available. Contact us at (804) 477-8613 to learn more about compression stockings, permanent vein removal treatment options or to schedule an appointment

Please note: Compression stockings should only be worn when prescribed by a doctor. Fit and strength instructions should be followed to ensure effective treatment. Stockings purchased at a department store will not provide the accurate level of compression and will be ineffective in relieving symptoms.

Can I Exercise My Varicose Veins Away?

Unfortunately exercise cannot eliminate existing spider veins or varicose veins.

However, regular exercise can help prevent further development of spider or varicose veins. Exercise helps guard against vein disease by improving circulation and increasing the muscle strength in the legs. Specific exercises that target the legs, including walking or running, have been shown to slow the development of spider and varicose veins. While daily targeted exercise can help, there is no way to completely prevent all spider and varicose veins, as they are caused by hormonal changes, heredity, age and injury.

There are other lifestyle changes that can be implemented to help prevent the development of spider and varicose veins. Protecting skin from sun damage by wearing sunscreen and protective clothing will help slow the aging process of skin and the breakdown of surface veins. A healthy diet can also improve vein health. Limiting salt intake and staying hydrated is essential for the circulatory system. Sitting or standing for long periods increases strain on the veins, to relieve swelling that may occur elevate legs as soon as possible.

For those with a family history of developing spider and varicose veins, all of these measures may be implemented to prolong your vein health. However, if spider or varicose veins do develop, The Vein Center at Virginia Surgical offers many non-invasive pain-free treatment options to relieve your varicose veins.

Our board certified vascular surgeons specialize in the treatment of symptomatic and cosmetic vein disorders. Contact us today to discuss your varicose and spider vein treatment options.

Pregnancy and Varicose Veins

Many women develop varicose veins, or find they get worse, during a pregnancy. During pregnancy the veins on the right side of a woman’s body are under increased pressure, especially the veins in the legs. However, there are many factors that will influence the appearance of varicose veins during pregnancy:

Genetics – A primary cause of varicose veins. If there is family history of varicose veins you are at a much higher risk of developing them, even outside of pregnancy.

Age – The older you get, the more stress your veins have been under. Women in their 30’s-40’s suffer from varicose veins more frequently than women in their 20’s.

Number of Prior Pregnancies – Pregnancy puts significant strain on the leg veins. Each successive pregnancy weakens the veins and results in an increased number of varicose veins.

The Position and Size of the Baby – As the baby grows it obstructs the blood flow upward. The larger the baby and its position can cause decreased circulation to the lower extremities resulting in varicose veins.

Hormone Levels – During pregnancy, hormones cause the tissues in the lower body to soften, including the veins in the legs, potentially causing vein collapse.

Weight Gain – Again resulting in circulatory issues, weight gain increases the chances of varicose veins.

Decreased Activity – The fatigue and/or exercise restrictions associated with pregnancy may cause a woman to be less active while pregnant. Decreased muscle use can contribute to blood pooling inside of veins, forming varicose veins.

Following a pregnancy, some varicose veins may disappear within three to four months. If not, there are many non-invasive vein removal procedures with minimal down time that can be performed following childbirth.

To learn more about possible treatment options for varicose veins, following a pregnancy, or anytime, contact The Vein Center at Virginia Surgical Associates at (804) 477-8613. Offering three convenient locations in Richmond, Midlothian and Mechanicsville, our board certified vascular surgeons will find the best vein treatment option for you.

Common Questions Regarding Varicose Vein Treatment – Part Five

In the final installment of this series the doctors, nurses, and staff at the Vein Center at Virginia Surgical Associates will continue to answer questions most commonly asked by patients when seeking varicose vein treatment options. Today’s post will focus on insurance coverage of varicose vein treatment and post-treatment expectations.

  • Does insurance cover sclerotherapy?

If you are considering surgery for removal of varicose veins, contact your insurance company to discuss the requirements for approval. In most cases insurance companies will require proof that the surgery is medically necessary. If your varicose veins are causing severe symptoms including swelling, pain, ulcers or clots, insurance companies will likely cover the cost of the treatment. In many cases, insurance companies will require a patient to wear compression hose for a period of time to see if the symptoms dissipate prior to approving any further treatment. Unfortunately, if the treatment is done for purely cosmetic reasons the cost will not be covered by insurance.

  • What problems could arise if my varicose veins are left untreated?

The majority of individuals with varicose veins do not develop any further complications. However it is possible for untreated varicose veins to cause severe medical issues. Possible complications include; superficial thrombophlebitis, bleeding, venous eczema, venous pigmentation and venous ulceration.

  • Once treatment is complete will the veins return?

All of the treatment options offered at The Vein Center have very high success rates and it is unlikely that the veins that have been treated will return. However, following treatment, new varicose or spider vein may develop and require further treatment. If you are concerned about new veins occurring, an ultrasound can be used to track venous insufficiency.

 

The Vein Center at Virginia Surgical offers three convenient locations, Midlothian, Mechanicsville, and Richmond varicose vein treatment centers. Our board certified vascular surgeons specialize in the treatment of symptomatic and cosmetic vein disorders. Contact us today to discuss your varicose and spider vein treatment options.

Common Questions Regarding Varicose Vein Treatment – Part Four

In Part 4 of this series the doctors, nurses, and staff at the Vein Center at Virginia Surgical Associates will continue to answer questions most commonly asked by patients when seeking varicose vein treatment options. Today’s post will focus on the varicose vein treatment procedure of sclerotherapy.

  • Does sclerotherapy hurt?

During the injection patients may experience a burning sensation that lasts up to 10 seconds as the sclerosing agent works its way into the vein. The goal of sclerotherapy is to irritate the vein to cause it to swell and stick together. This irritation may sting for a short period. Anesthesia is not typically necessary during sclerotherapy and, many patients report that the procedure was much less uncomfortable than they anticipated.

  • How many veins are treated per session?

Approximately 30-40 veins can be treated each session, depending on the size and severity of each vein and the length of the treatment appointment.

  • How long does it take for injections?

The number of veins treated will dictate the length of the procedure but generally each treatment session will last around 30 – 60 minutes. No down time is required following treatment; some patients even schedule sclerotherapy appointments on their lunch break and return to work for the afternoon.

  • Do I have to wear compression stockings after sclerotherapy?

Compression stockings are frequently prescribed following sclerotherapy to aid in the compression of the veins to ensure they stick together and do not re-open. Compression therapy will minimize the amount of blood entering the injection and promote faster healing. The duration that compression stockings must be worn for following treatment will vary for each patient.

 

The Vein Center at Virginia Surgical offers three convenient locations, Midlothian, Mechanicsville, and Richmond sclerotherapy treatment centers. Our board certified vascular surgeons specialize in the treatment of symptomatic and cosmetic vein disorders. Contact us today to discuss your varicose and spider vein treatment options.

Common Questions Regarding Varicose Vein Treatment Part Three

 

In Part 3 of this series the doctors, nurses, and staff at the Vein Center at Virginia Surgical Associates will continue to answer questions most commonly asked by patients when seeking varicose vein treatment options. Today’s post will focus on the outcomes and effects following varicose vein treatment.

  • How many treatments will I need?

It is impossible to get accurate idea of exactly what kind of treatment and how many treatments will be needed without our doctors and nurses meeting with you in person. Please visit our contact page or call (804) 477-8613 to book your complimentary varicose vein treatment screening.

It is also important to know that the laser varicose vein treatment helps remove veins, but do not prevent the formation of new problematic veins and procedures may be necessary in the future to address newly developed varicose veins.

  • How soon do my veins go away after treatment?

Once the veins have been treated and are closed, your body will break them down and absorb them. Absorption can take up to 12 months after treatment is completed but symptoms of varicose veins usually begin to diminish after the first or second treatment.

  • What are the most common side effects?

The most common side effect of varicose vein treatment is bruising around the treated area. Other side effects may include temporary numbness, swelling, or a tingling sensation. Following sclerotherapy some patients experience a brownish mark at the injection site which will fade over time.

The experts and the Vein Center will discuss all possible risks and side effects during your consultation.

  • When can I return to normal activity?

 With the exception of strenuous exercise, following varicose vein treatment healthy individuals can return to their daily routines immediately. Walking for 30 minutes 2-3 times a day is generally recommended. Depending on your case and type of treatment you may return to exercise including athletic training in as little as 5-7 days.

 

The Vein Center at Virginia Surgical offers three convenient locations, Midlothian, Mechanicsville, Richmond varicose vein treatment centers. Our board certified vascular surgeons specialize in the treatment of symptomatic and cosmetic vein disorders. Contact us today to discuss the vein treatment options that are right for you.

 

Common Questions Regarding Varicose Vein Treatment – Part Two

In Part Two of this series the doctors, nurses, and staff at the Vein Center at Virginia Surgical Associates will continue to answer questions most commonly asked by patients when seeking varicose vein treatment options. Today’s post will focus on different forms of therapy and offer some specific details about sclerotherapy.

  •  What are some treatment options available to help my varicose veins?

The expert physicians at The Vein center offer a wide range of varicose vein treatment options. As each case is different and the best course of treatment will be selected based on the severity of your case as well as your overall health.

VenaCure EVLT (Endovenous Laser Treatment) – a minimally invasive procedure that uses targeted laser energy to close the unhealthy vein and provide immediate relief of symptoms.

Sclerotherapy – is a treatment which injects a solution that irritates the vein and causes it to close.

Ambulatory Phlebectomy – a surgical technique where the affected varicose veins are removed through small incisions.

  • What is sclerotherapy?

Sclerotherapy treatment involves and injection of a sclerosing agent into the affected varicose veins. This solution causes an irritation to the inner lining of the vein, causing it to close. This treatment can be used alone or in conjunction with other therapies.

  •  Does sclerotherapy work for everyone?

Studies show that 50% to 80% of veins treated by sclerotherapy are eliminated. Less that 10% of people do not respond to sclerotherapy injections at all.

You are not eligible for sclerotherapy if you are pregnant, breastfeeding, or bedridden. If you have had a blood clot in the past you must discuss this with your doctor to determine your eligibility based on your overall health and the location of the clot.

  •  What medicine/solution is used for sclerotherapy?

There are many solutions available for sclerotherapy. Hypertonic saline (salt water) is still available, but most physicians use polidocanol, sodium tetradecyl sulfate, or glycerine.

The current agents we use are called Sotradecol or Polidocanol, both of which have been used for many, many years with excellent results, and much less discomfort as compared to saline.

The Vein Center at Virginia Surgical offers three convenient locations, Mechanicsville, Richmond, and Midlothian sclerotherapy treatment centers. Our board certified vascular surgeons specialize in the treatment of symptomatic and cosmetic vein disorders. Contact us today to discuss sclerotherapy and other vein treatment options.

Common Questions Regarding Varicose Veins and their Treatment

The doctors, nurses, and staff at The Vein Center at Virginia Surgical Associate offer Mechanicsville, Midlothian, and Richmond varicose vein treatment centers. We are dedicated to providing quality care to all patients. Through years of experience we have become a wealth of knowledge when it comes to vein treatment options. We have developed a list of questions commonly asked by patients when seeking some sort of vein treatment. Over the next five postings we will answer these questions to provide you with important information regarding common vein problems and vein treatments.

Part 1 of 5

What causes varicose veins?

Varicose veins are caused by weak or damaged valves in the veins. As the heart pumps, oxygenated blood travels throughout your body. Once the blood has reached its destination, veins carry the de-oxygenated blood back to your heart for re-circulation.

In your legs, the upward flow of blood is fighting gravity. Veins have small valves that open to push the blood upward towards the heart and close to prevent them from flowing backward. When the valves weaken and the valves do not seal correctly, blood can leak back through the valve and collect. This problem is known as venous insufficiency. When backed-up blood collects in the vein and causes the veins to enlarge, this is what is known as varicose veins.

Could I have prevented my vein problem?

Unfortunately no, there is nothing you could have done to prevent varicose or spider veins. The leading factors associated with varicose veins are: genetics, gender, pregnancy, and age. However, progression can be slowed with compression therapy, avoiding sitting or standing for extended periods of time and maintaining a healthy diet.

Do varicose or spider veins ever improve without treatment?

Varicose vein disease does not improve without treatment. When varicose veins are left untreated patients often suffer from fatigue, pain, or swelling of the ankles and legs. More advanced conditions may develop in severe cases.

Check back for the next part of our series that will focus on treatment options for your varicose veins.

The Vein Center at Virginia Surgical offers three convenient locations, Midlothian, Mechanicsville, and Richmond varicose vein treatment centers. Our board certified vascular surgeons specialize in the treatment of symptomatic and cosmetic vein disorders. Contact us today to discuss your varicose and spider vein treatment options.

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