Excellence

Is Multiple Sclerosis Caused by Venous Insufficiency?

November 7th, 2011

Multiple Sclerosis, also known as MS is an autoimmune disease that affects the brain and spinal cord. It affects women more than men and is most commonly diagnosed between ages 20 and 40, but can be seen at any age.
MS is caused by damage to the myelin sheath, the protective covering that surrounds nerve cells. When this nerve covering is damaged, nerve impulses are slowed down or stopped.
Researchers are not sure what triggers the inflammation. The most common theories point to a virus or genetic defect, or a combination of both. Recently, however, venous insufficiency has been implicated as a cause of MS.
Venous insufficiency refers to the backflow of blood within veins due to faulty valves. In people with varicose veins, the leg veins are affected. But, in patients with MS, the cerebral veins may be insufficient. Impaired venous drainage from the central nervous system is termed chronic cerebrospinal venous insufficiency. There are some studies that implicate chronic venous insufficiency of the cerebral veins as a cause for MS. But, there have been recent studies which refute this. At this point, it is an area of investigation, but further studies are required.

Deep Venous Thrombosis Afflicts Serena Williams, Richard Nixon and more….

July 9th, 2011

What do Serena Williams, Richard Nixon, Dan Quayle, Dick Cheney and David Bloom have in common? They have all suffered a potentially fatal deep venous thrombosis (DVT).

Deep venous thrombosis (DVT) mainly affects the large veins in the lower leg and thigh. The clot can block blood flow and cause swelling and pain. When a clot breaks off and moves through the bloodstream, this is called an embolism. An embolism can get stuck in the brain, lungs, heart, or other area, leading to severe damage.

Blood clots may form when something slows or changes the flow of blood in the veins. Risk factors include:

  • After a pacemaker catheter has been passed through the vein in the groin
  • Bedrest
  • Cigarette smoking
  • Family history of blood clots
  • Fractures in the pelvis or legs
  • Giving birth within the last 6 months
  • Heart failure
  • Obesity
  • Recent surgery (especially hip, knee, or female pelvic surgery)
  • Too many blood cells being made by the bone marrow (polycythemia vera), causing the blood to be thicker and slower than normal

You’re also more likely to develop DVT if you have any of the following conditions:

  • Blood that is more likely to clot (hypercoagulability)
  • Cancer
  • Taking estrogens or birth control pills.
  • Long airplane flights: London’s Heathrow Airport reports one passenger death a month from DVT. One nearby hospital recorded thirty passenger deaths from DVT in the past three years including a 28-year-old man. To reduce the risk of DVT during air travel,  passengers are advised to wear compression stockings on flights, frequent moving aroudnt he cabinand pumping the calf muscles, leg elevation and avoidance of sedentary positions for long periods of time without moving.

Immigrants at Ellis Island Turned Away for Varicose Veins?

July 9th, 2011

It’s hard to believe that immigrants entering the United States through EllisIsland, in the early 1900′s could be considered as unfit if they had varicose veins.  But, historical documents suggest that Doctors had only seconds to examine each passenger, checking for 60 symptoms, from anemia to varicose veins. Each person was then asked a set of 29 questions, sometimes over and over again, and by a series of different inspectors.  ’If the immigrant’s papers were in order and they were in reasonably good health, the Ellis Island inspection process would last approximately three to five hours. The inspections took place in the Registry Room (or Great Hall), where doctors would briefly scan every immigrant for obvious physical ailments. Doctors at Ellis Island soon became very adept at conducting these ”six second physicals.” By 1916, it was said that a doctor could identify numerous medical conditions (ranging from anemia to goiters to varicose veins) just by glancing at an immigrant.

source:  http://www.nps.gov/elis/historyculture/upload/Brief-History-of-Ellis-Island.pdf

La Jolla Vein Care Welcomes Dr. Helane Fronek, MD, FACP, FACPh

July 9th, 2011

La Jolla Vein Care is pleased to welcome Dr. Helane Fronek to its staff of venous disease specialists.  Helane Fronek MD, FACP, FACPh entered the field of phlebology in 1985 and has been an integral part of the development of this new medical specialty.  As the Director of the Varicose Vein Clinic at Scripps Clinic, she provided cutting edge treatment for the entire spectrum of superficial venous disorders and conducted research on venous leg ulceration, compression therapy, and emerging therapies for varicose veins.  Dr. Fronek is a past president of the American College of Phlebology, the largest medical organization devoted to vein care.  She is a respected speaker and educator in all aspects of diagnosis and treatment for venous disease and communication in the medical arena.  Dr. Fronek was the first recipient of the American College of Phlebology’s prestigious Leadership Award.  Board-certified in both Internal Medicine and Phlebology, she is also Assistant Clinical Professor of Medicine at UC-San Diego School of Medicine, where she teaches medical students the practice of physical examination and the art of medicine.  Dr. Fronek has dedicated her career to providing technically excellent and compassionate care to her patients and to inspiring and teaching the next generation of phlebologists.  Dr. Fronek is well known for authoring, ‘The Fundamentals of Phlebology’ which is a medical textbook used by most Phlebologists entering the field.

Dr. Oz Show Highlights Foam Sclerotherapy Treatment for Varicose Veins

June 2nd, 2011

The June 1st episode of The Dr. Oz Show brought attention to foam sclerotherapy. He describes it as latest, most advanced technique to eradicate painful, varicose veins. Dr. Oz’s guest demonstrated how the procedure is performed: He used a vein light to visualize the veins, followed by a painless injection of a foamed solution. He also mentions that the old Varicose Vein Treatments hurt because of the saline solution that used to be used, but newer solutions such as polidocanol, are nearly painless.

We’re pleased that Dr. Oz brought much need attention to foam sclerotherapy, as we have been using it as an alternative to surgery for years. What most people don’t realize is that foam sclerotherapy is not new, but rather newly recognized. Foam sclerotherapy offers patients a non-surgical alternative for the treatment of varicose veins. There is essentially no down-time and return to normal activities is immediate.

Newest Technology for Treating Spider Veins

April 15th, 2011

La Jolla Vein Care is pleased to announce its newest device for treating small spider veins—The VeinWave. This device uses radiofrequency energy to destroy spider veins with a high degree of precision, thus making it easier than ever to remove unsightly veins on the face or legs. The VeinWave is considerably more advanced than laser technology because it capable of pinpointing the damaged vein with greater precision, keeping the surrounding skin unharmed. By focusing specifically on the damaged vein, patients can eliminate the sunburn appearance that often results after laser treatments.

Free Varicose Vein Screening

April 15th, 2011

If you experience the discomfort and swelling of varicose veins, you may be suffering from venous insufficiency or venous reflux disease. Approximately 25 million people in the United States suffer from this condition. Currently, La Jolla Vein Care is offering a free varicose vein screening for a limited time. During the screening, you’ll get a patient history, examination of your the legs, and a recommend plan of treatment (if necessary).  So call (858) 550-0330 today and schedule an appointment. It’s the first step in keeping you healthy and looking good—and it’s free!

Dr. Bunke Featured in San Diego Woman Magazine

April 15th, 2011

 

Dr. Bunke In San Diego Woman Magazine

 

Dr. Bunke and her associate, Dr. Sardo were featured in the April issue of San Diego Woman Magazine.  The articles highlight their careers and their specialty practices in medicine. Dr. Bunke describes the evolution of varicose vein treatments from surgery to minimally invasive procedures.  She expresses that most varicose veins can be treated without surgery or anaesthesia. This is a huge advancement in the field of venous disease, considering only a decade ago vein stripping surgery was the gold standard for varicose vein treatment.

Dr. Sardo’s article describes her prominent career as a plastic surgeon, which has helped her help patients look better, feel better, and achieve greater health. 

Dr. Sardo

Radiofrequency Technology: The Next Wave for Treating Varicose Veins

April 15th, 2011

La Jolla Vein Care is excited to introduce the VNUS Closure procedure to its patients. This procedure is also known as radiofrequency ablation (RFA). The procedure is minimally invasive—and it’s an advanced alternative to laser treatment. The result? Better outcomes with less pain and less bruising. In particular, this procedure is beneficial when there is venous insufficiency present in the Greater Saphenous and Small Saphenous veins, making it clear that the next wave of technology for vein treatment is here—and it’s at La Jolla Vein Care. 

The VNUS CLOSURE

The VNUS Closure

 

Before and After

Before and After Treatment of Varicose Veins with VNUS Closure

The Wonders of Sclerotherapy

November 12th, 2010

Removing varicose and spider veins has never been easier. Click here to view a 3D animation that explains how sclerotherapy can make your veins disappear—without surgery.

Sincerely,

Executive Team