Modern Vein treatments are done in the office, minimally invasive, no vein strippings, no painful saline injections. Multiple therapies are customized to your needs.
Start with a free vein screening where we just talk to you, imagine that? We show you a video of some treatment options, tell you if you will need an ultrasound scan for diagnosis, vein treatment mapping. and possible hoops to jump if you are trying to meet insurance guidelines and restrictions…..or schedule you for cosmetic injections, if that is all you need.
We will teach you about compression stockings and socks that are medically good for your circulation and van prevent Blood clots that are genetically influenced and by prolonged travelling, sitting, standing, well just life! We carry compression garments in the office and we are all registered “hose fitters,” yes they should be fitted. If we don’t have your size, we order with a credit card or cash or flexible spending and ship to your home.
So stop worrying. We are great with verbal anesthesia with our MD, RN, MA staff to hold hands, order Valium if necessary for medical treatments, topical anesthetics, local anesthetics, or a cute squeeze ball for good measure. We listen intently to your needs.
There are new FDA treatments that have just come out and we are excited to teach you about that too- a new Glue called VenaSeal that requires no compression stockings after treatment- if you qualify by ultrasound scan and our MD diagnosis.
Call us today 480-775-8460 and schedule your first step to healthy legs! Sincerely Submitted, Terri Morrison RN, BS Co-Founder MorrisonVein Institute
Yes, but what methods can we use and what guidelines should be used and will Insurance companies allow necessary follow up?
Phlebology Doctors Ask : Should we use Surgery? Foam Sclerotherapy? or Heat? When should we use compression?
Most patients need secondary treatments after ablation because of their disease process: some of the refluxing veins are too small or tortuous, they have bulging skin veins that would result in hard sclerosed coagulum after cosmetic injections and lead to matting and staining which is a real problem for patients at least in the short term of their life.
There are real needs for perforating veins to be treated if they result in unhealed ulcer patients, but most post ablation patients do not need normal perforators closed to be efficiently treated.
ONE TRIAL showed why perforators were closed:
University of Pittsburgh group (Dillavou) in a Retrospective Review, looked at 73 ulcers (avg 28 mos duration), all with perforator incompetence, w/o superficial incompetence
~ 1/3 from post deep vein thrombosis( DVT), 1/3 had Deep Vein Incompetence( Reflux)
They used STS/Poli foam + foam pads from STD pharmacy plus compression wraps
Multiple injection sessions of ultrasound guided injections into the damaged, refluxing perforating veins.
Mean follow up 30 months: 32 (52%) healed; 30 (48%) non-healed
Kiguchi M, et al. J. Vascular Surg 2014;59:1368-76
Other methods of closing perforators are with Closure Fast (RF), Varithena, and VenaSeal ( Cyanoacrylate adhesive) 2 studies below:
Cyanoacrylate adhesive was shown to be effective in a European Multi-center Trial with 70 patients because they preferred no tumescent anesthesia and no post procedure compression garments. 93% of patients were “recanalization free” at one year: Proebstle, et al JVS Vand L 2014, 2, 1: 105-106 and a VeClose study in the USA of 222 patients where they compared Radiofrequency to Cyanoacrylate adhesive and they were similar 96% vs 99% Study in JVS 2015 with Morrison, N and Gibson, K
Compression garments and compression bandages come in all shapes and sizes. Insurance companies require use of compression and other conservative treatment modalities sometimes for months before allowing surgery or endovenous procedures but they won’t often reimburse. Compression is level 1 standard of care for ulcers but with proper use may prevent these ulcers in the first place. To be continued…..
Compression stockings for prolonged sitting and standing
We will talk in future blogs more about compression but for most post op procedures (except VenaSeal glue), compression wraps, stockings, socks or elastic velcro wraps properly fitted and applied help the healing process and limit the inflammatory processes that can lead to matting, staining and phlebitis.
Come talk to us @Morrison Vein Institute 480-775-8460 Sudies compliments of Dr. Nick Morrison’s slides for lecture in 2015.
Venous patients come to see a doctor about their veins for many reasons:
Cosmetic or surface veins may bring them for a consult because they are embarrassed to wear clothing that reveals them to others.
“Veins are inherited” many women say that their Mom, Dad, Grandparents had “awful legs” and they don’t want to get that way…
“Veins Hurt” and many doctors or family members haven’t believed them. They are told it is a “natural part of aging”, the symptoms are all in their head, “everyone’s legs hurt” when they stand at their job, restless legs are inherited but not related to their veins, and even worse they didn’t know that deep vein thrombosis, pulmonary embolism and multiple miscarriages could be related to their thrombophilia and vein disease and could have been prevented in so many with preventative treatments and compression stockings.
Varicose veins and spider vein treatments have improved over the last 15-20 years. They heard horror stories about vein stripping and painful saline injections. They saw people suffer with recurrences even after stripping and injections and didn’t know why? Who should they pick and what therapy should they have?
Vein ruptures: the typical one is a women hits a fragile vein while shaving, or a man knocks against a vein with lifting at a job and the result is dramatic at first and they usually seek attention right away.
PATIENTS MUST THEN FIND A VEIN DOCTOR, A PHLEBOLOGIST WHO HAS EXPERIENCE IN ALL TREATMENT MODALITIES:
RADIO-FREQUENCY OR LASER ABLATION TECHNIQUES WITH HEAT
CHEMICAL ABLATION USING FOAM SCLEROTHERAPY FOR ULTRASOUND GUIDED TREATMENT OF THE REMAINING REFLUXING VEINS AFTER SAPHENOUS VEIN CLOSURES
VENASEAL, CYANOACRYLATE ADHESIVE WHICH REQUIRES NO HEAT, NOR LOCAL TUMESCENT ANESTHESIA
SURFACE VEIN SCLEROTHERAPY USING FDA APPROVED MEDICINES CALLED ASCLERA OR STS ( SODIUM TETRADECHOL SULFATE) OR VARISOLVE FOAM FOR SPIDER VEINS, TELENGECTASIAS, VENULECTASIAS THAT COULD RUPTURE, AS MENTIONED ABOVE.
AMBUALTORY PHELBECTOMY: MICROSURGERY DONE IN OFFICE TO REMOVE BULGING SKIN VEINS INSTEAD OF JUST INJECTING THEM OR LEAVING THEM, FAR WORSE.
NOW ALL THESE PATIENTS NEED AN EXAMINATION FIRST WITH SPECIFIC VENOUS ULTRASOUND BY A VEIN SPECIALIST RVT OR RVPh (Medical doctor)
THEN THE PROCESS OF TEACHING ABOUT ALL THE THERAPIES AVAILABLE AND THOSE THAT ARE UNIQUE TO THE PATIENT.
THIS IS WHERE THE REAL TALENTS OF THE PRACTICE COME IN BECAUSE THEY HAVE TO TELL THE PATIENT WHAT IS NEEDED AND THEN TELL THEM WHAT THEIR INSURANCE COMPANIES WILL ALLOW OR WILL NOT!
4-6 HOURS OF TEACHING AND HAND HOLDING FOR THE PATIENTS, BEGINS WITH HOURS OF WORK TO SEE IF INSURANCE IS EVEN AN OPTION AND IF NOT WHAT ELSE??
SO MY ENDING IS: THERE IS A DIFFERENCE IN VEIN CLINICS AND WE WANT OUR PUBLIC TO SEE THE DIFFERENCE THAT EXPERIENCE MAKES, COMBINED WITH A REMARKABLE TEAM OF RNS AND PATIENT ADVOCATES WHO WILL WALK VEIN PATIENTS THROUGH THE FIRST, SECOND, THIRD PART OF VEIN CARE AND REMAIN WITH THEM THROUGH THE JOURNEY OF GENETIC VEIN DISEASE WITH A COMPREHENSIVE APPROACH TO HEALTHY LEGS!
Recent randomized trial in Ferrara, Italy, by Sergio Gianesini MD, et all, Int. Nat. Angiology March 2016 studied forty men and women golfers with the median age of 48 years old, golfing for 18 holes and divided them in groups with no compression, 18 mmHG compression ( our light weight compression in the US.), and 23 mmHg of compression ( our Class 2 Medical sock or stocking. A standard venous ultrasound, echo color doppler was used and water testing called Plethysmography. Also questionnaires, for assessments of fatigue before and after were used.
Those participants who had no compression reported and with testing proved that they had an increase in leg volume of at least 5%, ie:swelling and fatigue. The 18 mmHg only reduced the volume by 1% but the 23mmHg stockings reduced the leg volume by 4% and significantly reduced fatigue and tiredness at the end of 18 holes.
This is only one of hundreds of new studies around the world of “Phlebology = Vein Care” that will finally encourage athletes of all ages, sizes, shapes to use compression socks for healthier legs, help our venous circulation and improve our recovery times between our sports activities, and our daily lives. Medical compression stockings properly fitted can prevent even major life events like deep vein thrombosis ( blood clots) and pulmonary embolism, leg ulcers and minor symptoms too.
“CHRONIC VENOUS INSUFFICIENCY (CVI) is one of the most common vascular diseases in the developed world and is a major contributor to psychosocial morbidity.” And one of the worst outcomes of venous disease is leg ulcers, esp for patients over 65- up to 4% of the population! Compression bandaging is the most recognized therapy but due to lack of education of the healthcare professionals regarding application and other treatment modalities, lack of patient funds, poor insurance reimbursement for stockings and bandaging- patients suffer for at least a year or up to 10 years needlessly.
Ross K Smith and Jonathan Golledge wrote a paper ( Phlebology 2014 Vol 29 (9) 570-579) on a review of circulatory markers in CVI and their abstract and paper to follow shows providers could evaluate patients levels of estradiol, homocysteine and vascular growth factors that were most consistently associated with primary chronic venous insufficiency.
Circulatory markers studies can improve pathogenic understanding, increase prognostic understanding and enhance diagnostic and treatment modalities.
Early recognition of vein disease with comprehensive diagnostic evaluation and in-office minimally invasive vein treatments: revolutionary glue ablations, radiofrequency or laser ablations and ultrasound guided chemical ablations of ” faulty valve- diseased” saphenous veins, accessory veins, pudendal veins, and even pelvic vein disorders can prevent the road to leg ulcers, DVTs, and varicose vein disease disorders.
Schedule a vein screening and learn about vein disease from Morrison Vein Institute.
We have been dedicated to vein disease for 20 years.
Hereditary risk factors for vein disease such as family history of veins combined with age, sedentary lifestyle, prolonged sitting or standing, and increased BMI, cigarette smoking, and pregnancies, all add to our chances of varicose and spider veins. The venous circulation is supposed to go up the legs back to the heart as the diagram above depicts. But with reflux, venous disease called venous insufficiency, the blood goes down the wrong way causing blood pooling and a cascade of events over time.
50% of women by the time they are 50 years old can have vein disease and 25% of men and this goes up 10% a decade. So with early intervention of easy in office vein venous ultrasound scan for a diagnosis and vein map, vein treatments there is a way ti minimize our disease process. Combine this with exercise, leg elevation, calf muscle pump exercises and good medical compression socks or stockings, we can minimize detrimental effects of varicose veins and their symptoms and complications: skin changes, restless legs, leg swelling, cramping, heaviness, feet ” burning” sensation, vulvar varicosities, deep vein thrombosis, thrombophlebitis, itching, and of course surface veins.
Come talk to us, see an informational video, get measured for compression socks and plan for healthier legs. 480-775-8460 Tempe, Scottsdale firstname.lastname@example.org for questions. We look forward to seeing you.
Another death from a blood clot was reported yesterday in the news: Michael Johns was an Australian singer and American Idol finalist. He passed away at 35 years old. “Fans are wondering why a simple issue could have turned fatal?” Quoted from yahoo health: “blood clots are an under appreciated killer in this country.” Genetics, vein disease, blood disorders, cancer, major accidents and surgeries can play a role in forming blood clots in the legs known as DVTs. A venous ultrasound, without any use of dyes, can diagnose blood clots in the leg. Many can be treated in an outpatient setting using compression stockings, ice, anti-inflammatory meds or Lovenox injections, leg elevation alternated with ambulation. After initial treatment of the phlebitis or DVT, these patients need to have their underlying vein disease treated and wear medical grade compression stockings for long airplane rides and car rides. Many of these patients have undiagnosed vein disease and could benefit from a vein screening from a professional phlebologist: vein specialist. Call Morrison Vein Institute at 866-GRT-LEGS for a screening. Also, buy graduated compression stockings and look up http://www.phlebology.org to learn about Phlebology, which is the study of veins and vein disease.
Please wear compression stockings on airplane flights and long car rides to avoid blood clots. It could save your life. A famous rapper, Heavy D died of a pulmonary embolism, aka blood clot, after a long flight. If you have restless leg, feet or ankle swelling, or pain in your legs, please seek help from a Phlebologist, aka Vein Doctor. They can treat the veins in your legs, so you don’t have to live with those symptoms or get a blood clot.
Venous reflux is an inherited disease which involves backward flow of blood and subsequent pooling of blood in the leg veins with prolonged sitting and standing. This can lead to varicose veins, leg swelling and deep vein thrombosis (DVT). Blood is meant to flow; if it becomes stagnant there is a potential for it to clot. The blood in veins is constantly forming microscopic clots that are routinely broken down by the body. If the balance of clot formation and blood movement is disrupted, significant clotting can occur. People who sit or stand for long periods of time experience decreased leg muscle activity which slows blood flow in the leg. Prolonged travel increases the risk of clotting. Working at a desk also increases someones risk level. Other contributing factors to consider include: vein disease, smoking, high cholesterol, high blood pressure, being overweight, pregnancy, recent surgery, and/or blood clotting disorders. Seek help from a Phlebologist if you are at risk for a blood clot. If you think you may have a current blood clot, go to the Emergency room immediately. The trip may save your life.
Venous reflux is an inherited disease which involves backward flow of blood and subsequent pooling of blood in the leg veins with prolonged sitting and standing. This can lead to varicose veins, leg swelling and deep vein thrombosis(DVT).
Blood is meant to flow; if it becomes stagnant there is a potential for it to clot. The blood in veins is constantly forming microscopic clots that are routinely broken down by the body. If the balance of clot formation and blood movement is disrupted, significant clotting can occur.
People who sit or stand for long periods of time experience decreased leg muscle activity which slows blood flow in the leg. Prolonged travel increases the risk of clotting. Working at a desk also increases someones risk level. Other contributing factors to consider include: vein disease, smoking, high cholesterol, high blood pressure, being overweight, pregnancy, recent surgery, and/or blood clotting disorders.
If you suspect you have a blood clot, go to the emergency room. If you have had a DVT in the past, seek help from a Phlebologist(vein specialist).