Chronic Venous Insufficiency (CVI): Treatment that Eliminates the Cause
If you’re among the 2-5% of Americans diagnosed with chronic venous insufficiency or CVI, you probably could tell a sad story of multiple treatment failures and endless suffering. Your life is likely compromised by swollen, discolored and thickened leg skin and venous stasis leg ulcers that resist healing. Perhaps you spend your waking hours exhausted – full, heavy, aching leg pain, restless legs and night cramps make night time a dreaded ordeal to get through. You can neither tolerate walking or standing on your feet for any length of time. You may have given up your job and any hope of participating in activities that you once enjoyed. As the quality of your life deteriorates, you probably feel desperate for answers to end this disease of your veins that has robbed you of a quality life.
The Disease Process behind Chronic Venous Insufficiency (CVI)
All diseases of the veins in your legs begin when valves in the veins become incompetent, producing a reversal in vein blood flow and increasing blood pressure in the venous system called venous hypertension. Initially, spider and varicose veins occur as superficial veins dilate or become enlarged from an increased blood volume and venous pressure. As venous congestion worsens, pressure increases and causes fluid to leak into surrounding tissues. Besides the resulting swelling or edema, impaired exchange of wastes with oxygen and nutrients at the capillary level can produce skin thickening, discoloration, tissue death, venous ulcers and severe infection called cellulitis. All of these symptoms are collectively called CVI. Problems in both the saphenous and perforator vein systems are often present in a patient with chronic venous insufficiency.
State-of-the-Art Vein Treatment for Curing CVI
The treatment of CVI has traditionally involved invasive vascular surgery procedures associated with a long and difficult recovery requiring hospitalization and general anesthesia – that is, when the condition is properly diagnosed and treated. Unfortunately, many patients are misdiagnosed and mismanaged. Often they are inappropriately treated for Peripheral Artery Disease (PAD) or limited to symptomatic remedies such as wound care. When leg ulcers and cellulitis persist, patients may be told that amputation is their only option.
Many of the patients treated by Dr. Jeffrey B. Alpern, D.O., cardiovascular surgeon and vein specialist at VSA, arrive skeptical and desperate for answers. They leave overjoyed when they get their life and health restored from a simple, relatively painless venous insufficiency, varicose vein removal, and/or venous leg ulcer office procedure. Patient satisfaction is extremely high as the symptoms related to venous pathology are permanently eliminated.
When you come to VSA for treatment of your chronic venous insufficiency, we provide unmatched services that are associated with a 96-99% cure rate and virtually no complications. State-of-the-art procedures performed by Dr. Alpern are unknown to most vein treatment doctors. Comfortable Saphenous and Perforator Laser Ablation procedures at VSA are performed in the office from a single needle stick with a local anesthetic. You will resume walking immediately after your procedure and return to your normal activities within a few days to a week. Request an appointment today and let us help you to regain a quality of life you thought was not even possible.
Vein Treatment Common Questions
An underlying venous problem can lead to more serious problems such as blood clots, bleeding, skin pigmentation and ulcers. Relatively simple procedures can eliminate these conditions before they become catastrophic and life threatening events. Treatments for venous diseases are generally covered by health insurance plans and Medicare.
During your initial visit, all of the following are provided:
- Office consultation with physician
- Ultrasound screening
- Diagnosis and treatment plan
- Comfortable, relaxed environment
- Professional caring staff specializing in state-of-the-art vein treatment
- Awake but comfortable with local anesthesia
- No incisions or sutures (stitches)
- Minimal to no scarring
- All procedures done through a simple needle stick
- Most patients do not require pre-medication and can drive themselves to and from the procedure
- Little downtime – resume walking the same day
- Post operative discomfort managed through OTC pain medicine
Besides people with an obvious vein problem (bulging veins), the following symptoms may be related to underlying venous disease:
- Restless legs
- Itchy legs
- Swollen legs
- Strange sensations on the legs
- Leathery skin on the legs
- Skin discoloration on the legs
- Leg ulcers
When your venous screening exam reveals the presence of venous disease, we accept for payment whatever your insurance company or Medicare pays. Anyone who subscribes to our vein treatment eNewsletter will be entitled to receive a free vein screening exam at VSA. This includes patients interested in aesthetic vein treatment (not reimbursable by insurance).
Chronic Venous Insufficiency Common Questions
A serious form of venous disease, chronic venous insufficiency or CVI occurs from high blood pressure in the venous system from incompetent one-way valves in the veins that permit blood to flow backwards. Prolonged and severe blood pooling causes vein to dilate or stretch and fluid to leak in to the tissues producing swelling. Impaired exchange of oxygen and nutrients with waste products in the capillaries results in discoloration, thickening of skin and ultimately death of the tissues.
Diseases of the veins, also called venous disease, are associated with these symptoms in the early stages:
- Aching, tired, heavy legs
- Restless legs or strange sensations in the legs at night
- Flaking or itching skin on the legs
- Leg swelling
- Superficial Spider and varicose veins on the legs
With progression of venous disease, symptoms may include:
- Twisted, large varicose veins on the legs
- Brownish leathery-looking skin on the legs
- Venous leg ulcers
- Cellulitis or infection of the tissue surrounding a venous ulcer
Risk factors for venous disease include a history of blood clots such as deep vein thrombosis (DVT), obesity, traumatic injuries, family history, sedentary life style, occupations that involve prolonged sitting and standing, severe illnesses, medications and pregnancy.
Diagnostic and treatment procedures for venous disease are generally covered by Medicare and private health insurance. Cosmetic vein treatment is ineligible for reimbursement and remain the patient’s responsibility. Our front office will gladly assist you in the insurance reimbursement process.
Chronic venous insufficiency is generally caused by pathology in the Saphenous and/or Perforator venous systems. Severe varicose vein disease is almost always related to problems in the Saphenous system. Most ulcers of the lower legs are caused by incompetence of perforator veins in the calf. The exact pathology is detected through a highly specific ultrasound scan performed in our vein center. Laser ablation procedures for each of these problems is performed through a single needle stick after local anesthesia is administered. This simple, quick and relatively painless office procedure has proved to be highly effective and well tolerated. Patients are able to resume normal activities within a few days and the ulcers when present, completely heal within several months.
More About Vein Treatment and VSA…
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State-of-the-Art Vein Treatment
You are one step away from the most effective, technologically advanced procedures for the safe and virtually painless treatment of spider veins, varicose veins, venous leg ulcers and chronic venous insufficiency. These state-of-the-art aesthetic and medical procedures are fast, comfortable, without side effects, associated with a rapid recovery, and performed in the office while you remain awake. Procedures for the treatment of venous disease are generally covered by insurance and Medicare.
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Contact Vein Specialists of Arizona (VSA)
- Address: 9515 W. Camelback Rd., Suite 108 Phoenix, AZ 85037
- Phone: (623) 428-0068
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Vein Specialists of Arizona is conveniently located in Phoenix close to Anthem, Avondale, Camp Verde, Casa Grande, Cave Creek, Chandler, Cottonwood, Flagstaff, Gilbert, Glendale, Goodyear, Kingman, Lake Havasu City, Lakeside, Maryville, Mesa, Peoria, Prescott, Prescott Valley, Scottsdale, Sierra Vista, Sun City, Sun City West, Surprise, Tempe, Tucson and Yuma.