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Vascular Conditions

You are not alone – nearly half of all Americans have vein disease! Varicose veins are found in up to 20% of all adults and more than 50% of adults 50 and over.

Symptoms can vary from leg aches and pains to disabling ulcerations. Even the smallest cosmetic concern can be a sign of a more serious and treatable, underlying problem. Don’t wait to get your free assessment!

Venous Disease

Venous disease results when veins’ walls and valves become damaged and weak.

Approximately 20 to 25 million people in the U.S. suffer from some form of venous disease (about 27 percent of American adults). With a venous disorder or disease, valves are too weak to perform their normal function of moving blood to the heart, allowing the blood to pool or flow in both directions.



Spider Veins

These are small veins near the skin surface which are usually red, purple or blue in color.

They are more of a cosmetic problem as they are highly visible and tend to have numerous branches. Spider veins can itch and burn…and sometimes they are indicative of an underlying vein disorder. These are typically treated with sclerotherapy, a nearly painless injection which allows you to leave the office and immediately return to normal activity.

Varicose Veins

These are veins close to the surface of the skin which become twisted and enlarged.

You can often feel them along the inside of your legs, your thighs, and the back of your calves. The become filled with blood when the one-way valves no longer function properly, allowing the blood to pool in your legs. As a result, many people experience pain, aching, cramping, itching, throbbing or restless legs.

Leg Ulcers

Leg or skin ulcers are wounds appearing on the surface of the skin.

Also known as venous stasis ulcers, these can occur from insufficient or abnormal blood flow and result in shallow, painful wounds on the legs or ankles. Leg ulcers may begin as a discolored or dark spot and can be very slow to heal. Prompt treatment is essential to prevent worsening and infection of the ulcer.

Deep Venous Thrombosis (DVT)

Deep vein thrombosis, or DVT, can cause blood clots that may form in both the deep and superficial veins, causing significant pain and discomfort. In many patients, the clot with dissolve over time, but often the vein and vein valves become irreversibly damaged in the process, causing post-thrombotic syndrome in about 50% of patients treated with blood thinners alone. This results in pooling of blood in the leg, chronic leg pain, swelling, and fatigue, and sometimes skin ulcers.

This requires evaluation by a vascular expert yet most of the time people are diagnosed and sent home from the emergency department without any follow-up. In fact, most ultrasounds performed in the hospital do not provide any evaluation of the superficial veins. Therefore, you may be one of the many patients with pain in their legs who are sent home with a “normal” study.

Deep vein clots can be life-threatening. Our vascular experts have extensive experience in venous thrombolysis a minimally invasive procedure that helps to get rid of clot in the legs and avoid the long term serious complications of venous thrombus (clot). Not all patients are candidates, but if you have a DVT you need to be absolutely sure that you are receiving the appropriate evaluation. In fact, the vast majority of patients with DVT in Jacksonville emergency departments are never even evaluated by a vascular specialist!

May-Thurner Syndrome / Iliac Compression Syndrome

May-Thurner Syndrome, also referred to as iliac vein compression syndrome, is a common cause of left lower extremity clots (DVT). This condition is the result of an anatomic variant with compression of a pelvic vein by the overlapping artery. It is especially prevalent in women, often between 20-40 years of age, who can also present with left sided leg swelling and varicose veins.

Pelvic Congestion Syndrome

Pelvic congestion syndrome can be alleviated with a catheter-directed nonsurgical treatment, which helps to eliminate the blood flow within the diseased vein. To help relieve the painful pressure, tiny coils are used to help eliminate the abnormal blood flow. The treatment is performed through a vein in the neck or groin, leaving only a band-aid with an immediate return to normal daily activities.

Sclerotherapy Treatment for Spider Vein Removal
Written by Dr. Gesner | June 07, 2017 sclerotherapy spider vein removal

Minimally invasive sclerotherapy is a leading treatment for spider veins and small varicose veins for good reason:...


Symptoms of Vascular Conditions

– Leg pain or swelling
– Dull, generalized aching in the legs
Restless legs
– Night cramps
– Burning or itching around varicose veins
– Discolored, dry, itching skin near the ankle
– A rash or skin ulceration on the ankle or lower leg

Risk Factors for Venous Disease

Age – Varicose & spider veins usually appear between the ages of 30-70 and progressively worsen.
Genetics – A family history of varicose veins increases your chance of developing the disease.
Gender – Women are more likely to develop venous insufficiency.
Pregnancy – Hormonal changes during pregnancy or menopause may be a factor.
Obesity – Being overweight puts added pressure on your veins.
Occupation – Standing or sitting for long periods of time increases your risk of venous disease.

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