If you have tired achy legs or unsightly bluish discolorations
and swelling of your legs, become one of the hundreds of thousands
who have changed their lives with Laser and Sclerotherapy of their
Varicose and Spider Veins.
WHAT ARE VEINS ANYWAY?
Veins are the blood vessels that return used or deoxygenated
blood back to the heart to be reoxygenated. Arteries take fresh
oxygenated blood to our organs and muscles. Healthy veins have
one way valves that allow our muscles to push this blood back
to the heart.
ABOUT YOUR VEINS
Veins are part of the body's circulatory system, along with the
heart, arteries, and capillaries. This amazing system contains
an estimated 60,000 miles of vessels that reach trillions of living
Like arteries, veins are composed of three layers and a hollow
core of lumen through which blood flow. The inner layer (or intima)
is the sensory part and is able to detect pressure and chemicals.
The thick middle layer (or media) is composed of some elastic fibers,
smooth muscle, and white fibrous tissue. The outer layer (or adrentitia)
consists of elastic and coliagenous fibers. Although veins don't
have the elasticity of arteries, they are able to stretch and to
accommodate changes in the volume and pressure of the blood flowing
Veins are more numerous than arteries. In venous circulation,
blood flows from the superficial veins to the deep veins. The superficial
just beneath the surface of the skin are used when drawing g blood
or giving injections. They collect the blood of the skin and play
an important role in regulating body temperature. Superficial veins
are connected to each other by communicating veins and are connected
to deep veins by perforating veins. Deep veins are located near
principal arteries. In the lower extremities, 90% of the blood
volume flows through the deep veins, while only 10% flows through's
Since blood pressure in veins is normally much lower than in
arteries, veins walls are weaker than artillery walls. By the time
the blood reaches the veins, particularly in the lower extreme
ties, the hydrostatic pressure it exerts on vein walls averages
only 2mmHG. The pressure pushing blood through the veins in a standing
adult is barely enough to overcome the force of gravity pushing
the blood back down.
WHAT ARE VARICOSE VEINS?
When these valves fail, our veins become swollen and dilated
with stagnant blood. We see this as bluish swollen blood vessels
which are most visible on the upper and lower legs. We feel this
with aching and pain in our legs.
the blood in the veins of the legs does not move efficiently back
to the heart, it begins to pool in the veins. When this happens,
the pressure within threes vessels rises, causing vein walls
to weaken and stretch or distend As more and more blood pools,
distention prevents the valves in the veins from coming together
properly. Under normal conditions, these valves would open to
allow blood to flow up the leg and then close to prevent blood
from flowing back down the leg. When the vein is distended and
the valves cannot close properly, blood flows backwards,which
increases blood pressure in the vein even more. At this point,
varicose veins can be the unfortunate result.
Varicose veins are visibly enlarged veins that are often bluish
in color and may appear twisted. They can be painful, or they may
cause no discomfort at all. If the deeper veins in the legs are
healthy, varicose veins may only be a cosmetic problem. However,
a person with varicose has a greater chance of developing phlebitis
(inflammation of the vein), thrombophelebitis (inflammation of
a vein with a blood clot), or deep vein thrombosis (deep clot in
a deep vein that can break away, lodge in the lungs, and become
WHY DO VEINS FAIL?
Veins fail for many reasons; heredity, mechanical and hormonal
effects of pregnancy and poor muscle tone. Vessels greater than
1/4 inch in diameter and blue in colour are generally called Varicose
Veins. Those smaller, are called Spider Veins or Telangiectasias,
and are blue or more reddish and occur on the face and upper legs.
The circulatory system, comprised of the cardiovascular system
and the lymphatic system, contains an estimated 60,000 miles of
vessels reaching trillions of living cells. About 7200 quarts of
blood pass through the heart in 24 hours. About 35 trillion erythrocytes
transport oxygen and remove carbon dioxide from cells in the body
tissues. The blood also delivers nutrients and regulatory hormones,
and removes waste products at the cellular level. Leukocytes and
lymph provide immunity against disease.
are a part of the body's circulatory system, along with the heart,
arteries, and capillaries. This amazing system contains an estimated
60,000 miles of vessels that reach trillions of living cells.
The heart is a muscle that pumps about 7200 quarts of blood pass
through the heart in 24 hours. Arteries carry oxygen-rich blood
away from the heart and throughout the body to the tiny capillaries.
In the capillaries, body cells exchange carbon dioxide for oxygen
and waste products for nutrients. Veins carry the deoxygenated
blood back to the heart, which then then pumps it to the lungs
to release its carbon dioxide and pick up more oxygen. From there,
the newly oxygenated blood returns to the heart, and the cycle
begins again. This cycle of circulation is essential to sustain
By the time blood reaches the veins, the force of the heartbeat
is weak. Blood fights gravity as it struggles to flow effectively
up through the veins veins to the legs. The heart needs extra pumping
help and gets it from the muscles in the feet and calves, which
surround the deep veins. The rhythmical contraction and relaxation
of these muscles as a person walks squeezes and releases the veins
to help move blood up the leg. This "calf muscle pump" reaches
its maximum effectiveness after only 7 steps!
Additional help comes from special, one-way valves within the
veins. These valves open to allow blood to flow up the vein, then
close to prevent any backflow. Venous valves help to keep blood
flowing in the right direction, from the surface or superficial
veins to the deep veins and eventually back to the heart.
HOW DOES IT WORK?
Legs and Life
- Muscles contract with each step and squeeze the veins. The
valves lead the venous blood in the right direction
- The sole of the feet through its "venous sponge" pushes
the blood up into the leg with each step.
- Respiration plays a role in bringing the blood from the legs
to the abdomen and from the abdomen to the heart.
IN CASE OF A BREAKDOWN
The Blood no longer goes up in the body: it stagnates.
WHAT TREATMENTS ARE AVAILABLE?
All varicose veins regardless of their size receive a careful evaluation
from our physicians to ensure that they are not symptomatic of
more serious venous disease. Our evaluation will help us to recommend
which treatment is best for you.
When veins are swollen and bluish they generally can't be repaired.
Treatment involves using microneedles to inject small amounts of
medicine into the diseased veins. This treatment generally causes
very little pain and causes the vein to turn pale an gradually
disappear. Veins are treated from the largest to the smallest and
may take several treatments. Each treatment takes approximately
15 minutes and may consist of several injections.
Laser Vein Therapy
consists of our physicians adjusting the laser to deliver a very
precise dosage of light energy to the diseased vein.
This light energy is absorbed only by this vein and
not the surrounding tissue. This energy causes the
blood in the vein to coagulate and eventually cause
the body to remove the diseased vein by absorbing it
in the body. Different types of lasers are used for
different types of veins.
WHAT OTHER TREATMENTS ARE AVAILABLE?
In more severe cases of varicose veins Sclerotherapy and Laser
Therapy may not be effective until other treatment options are
first utilized. Before any treatment options are discussed, you
will be fully evaluated by a physician. Your medical history
will be reviewed. Prior treatments of your veins will have to
be considered. The extent of your new disease and such factors
as your skin type are also considered. We will discuss fully
with you what treatment we feel will best help your problem.
In cases of more severe varicose veins, treatment may be best
accomplished by Surgery. If this is what we feel will help you
best, we will discuss our reasons with you fully and if you wish
to pursue this option, we will refer you to a surgeon with special
skills in this area.
Post Varicose & Spider Vein Therapy
IS RECOVERY PAINFUL?
No. After Sclerotherapy and/or Laser Therapy we will wrap your
leg with elastic compression bandages to help your veins to stay
closed. These are kept on for 48 hours. We then ask you to wear
support hose to further compress your veins for 2-3 weeks. We dispense Sigvaris
Support Hose, or visit their web site at http://www.sigvaris.com.
You will see some bruising around the treated sites for the first
week. You may also see some brownish discoloration of the skin
when larger vessels are treated. This goes away after 3 to 4 weeks.
We ask you to avoid strenuous exercise for the first 48 to 72 hours.
Thereafter while wearing compression hose you may resume normal
activity. Treated veins may take several treatments and generally
fade away after 6-8 weeks. Some further improvements may be seen
after several months.
Compression therapy stockings apply maximum pressure at the ankle
level, progressively decreasing toward the top of the affected
leg. They fight the pressure exerted byt he blood on the wall of
the veins. They reduce the vein diameter and increase blood flow.
HOW MANY TREATMENTS WILL I REQUIRE?
The majority of Varicose Veins will be gone after 1-2 treatments.
Some veins are more difficult to treat and require more treatments.
Generally treatments may be repeated every 2-3 weeks depending
on your response. New diseased veins may develop down the road
and require further treatment then.
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