Treatment of Hand Veins

Increasingly, veins in the hands are becoming popular among aesthetic treatments.  However, in light of the complex arterial and venous anatomy of the hand, its imperative that such treatment be only considered in the hands of specialized vein doctors in NJ. 

Treatment options for undesired veins in the hands include sclerotherapy and ambulatory phlebectomy.

With sclerotherapy, the target vein is directly injected with either polidocanol or STS.  Foam sclerotherapy may be preferred for best vein treatment effect.  Compression therapy pos treatment is advised, however is done with elastic bandages for 48 hours without interruption.  

Ambulatory phlebectomy is also performed for hand vein treatments.  Under sterile technique and local anesthesia, a small Mueller hook is used to exteriorize the target vein similar to varicose veins in the legs.  Post procedure, compression is similar to sclerotherapy.  With either sclerotherapy or ambulatory phlebectomy, the main side effect is bruising and swelling.

Article Source: https://southjerseyveinclinic.weebly.com/blog/treatment-of-hand-veins

Evaluation of the Vein Patient

The history of the patient who presents with varicose veins will be symptoms of leg pain, leg swelling, leg cramps, or fatigue in the legs. Patients may also reports restless leg syndrome or itchy varicose veins. Their primary concern can be as simple as “Are varicose veins dangerous?”

Significant considerations to the vein doctor include: family history of varicose veins or dvt, blood clotting disorders, age, pregnancy and gender. Occupation plays a large role in the development of varicose veins. Employment or lifestyles that require prolonged periods of sitting or standing are inciting factors for venous pooling and venous hypertension. Teachers, bus drivers, bank tellers, transit workers, clerical or office assistants tend to be prone to developing venous insufficiency. These professions tend to be a large majority of patients seen at the best vein clinics New Jersey.

During the evaluation with a NJ vein doctor, it’s important not to lose track of the patients main concerns such as “eliminate spider veins” or “what is most important for you if we proceed with treatment?” For this reason, it’s important that before proceeding with any vein treatment, the vein specialist really consider what is causing the patient discomfort or pain. In the end, if the pain is related to sciatica, pain relief is unlikely with any cure for spider veins.

Important vein specific features include leg swelling (especially if unilateral), prior DVT, prior episodes of superficial thrombophlebitis, and bleeding leg ulcerations.

Vein treatment should also be considered in the context of important co-morbidities including cardiac disease such as prior myocardial infarctions, arrhythmias or heart failure. Vein treatment is elective and should not compromise a patient’s health status. Other considerations include diabetes, know history of blood clots or DVT, stroke, allergic reactions, musculoskeletal issues that can prove difficult for patient positioning. The vein doctor should also be aware of any mobility issues as it is important for patients to be able to recover post vein treatment with sufficient walking that promotes healthy circulation.

Previous surgical history can be relevant especially if the patient has had prior vein stripping or radio-frequency ablation procedures.

The physical examination cannot be overemphasized. Visual inspection for spider veins, varicose veins , and reticular veins will be obvious. The patient should also be inspected for skin discoloration, swelling, leg ulcerations. Scarring or pigmentation from prior ablation or sclerotherapy should also be inspected for. Advanced changes can include stasis dermatitis and even lipodermatosclerosis that in the presence of venous insuffiency should be considered by a vein specialist for treatment. These findings of vein disease form the basis of the CEAP classification of vein disease.

These features of the history and physical examination are hallmarks of a comprehensive examination. Anyone looking for the best vein doctor near me should expect not only a board-certified vein specialist, but also an attentive doctor.

Article Source: https://njvaricoseveins.kinja.com/evaluation-of-the-vein-patient-1839802432

Vein Disease in Men

Don’t underestimate varicose veins in males.  There can be a serious problem lurking.  

While it is true that vein treatment NJ is primarily sought by  women, up to 50 percent of men in the United States may develop varicose veins in their lifetime.  This is just as true in Mt. Laurel, New Jersey.  

And varicose veins are not just a cosmetic concern—they can lead to discoloration, bleeding, skin ulcers, and a “heavy leg” sensation that may seriously slow your roll.  These are signs of poor blood circulation in your lower extremities.

What Causes Varicose Veins in Men?

The problem involves veins in the lower extremities that suffer from high pressure from within.  Naturally, blood pools in these veins due to gravity, resulting in high pressure within the veins.  Over time, these vein walls can become damaged from the constant pressure and suffer from venous insufficiency.   This is when symptoms such as leg cramps, heaviness, and swelling should no longer be ignored.  So if you are asking yourself “Do varicose veins cause leg pain?” the answer is a resounding YES!  Venous insufficiency is more common in individuals who sit or stand for prolonged periods, increasing age, obesity, and most importantly patients with a family history.  

Is There A Difference Between Men and Women Who Have Varicose Veins?

Venous insufficiency is a progressive disease process most commonly identified by varicose or spider veins.  Women tend to present earlier in the disease because they are often more in tune with their bodies. While the appearance of spider veins in the legs may not bother some men, it’s important to be aware that these are early signs of vein disease and preventing more serious complications requires awareness.   The diagnosis can only be made by a qualified vein doctor who specializes in ultrasound.

 How To Prevent Varicose Veins?

There are some simple things you can do at home before you schedule a Mount Laurel vein center visit:

• Exercise daily for both your heart health and your venous health
• Compression stockings with at least 20-30 mmHg of compression 
• Avoid uncomfortable footwear especially during longer periods on your feet
• Elevate your legs especially when sitting for long stretches of time
• Change your sitting or standing position regularly

How to Treat Varicose Veins?

Fortunately, treatment for varicose veins has become incredibly simple and safe due to major advances in the field.  Surgery is no longer required. Instead, the options are now minimally-invasive and do not require any downtime.   In fact, many patients return to work the very same day after a quick treatment session. Most importantly, the procedures are covered by all major medical insurance and Medicare making varicose vein treatment cost tolerable. 

At the Mt. Laurel vein clinics, there are board-certified vascular specialists who have received formal venous training during vascular surgery and cardiovascular fellowships.   Safe and effective varicose vein treatment requires the best varicose vein doctors in NJ.



Article Source: http://njveins.over-blog.com/2019/12/vein-disease-in-men.html