If you have any questions or concerns about your vascular health, please schedule an appointment with Jilanne Rose at our Phoenix, Arizona office. With over 10,000 peripheral vein procedures to her credit, she is the Arizona Vein Specialist who can help you with any vascular concerns you may have.
And please share this with someone you care about!
Factors of venous insufficiency:
The biggest and most prominent factor is genetics. Most people have a parent or grandparents that had bad veins and it passes on down the line. The onset of vein insufficiency in women is about the age of 35 and in men it’s a little older at 45.
Women and CVI
Things in women that can make chronic venous insufficiency worse: In pregnancy, with the increase in blood volume and hormonal shift, this increases the prevalence of the vein insufficiency and speeds up the time. The other thing that contributes to it is hormone replacement. When we first started replacing hormones in women we used to slam them with these huge doses of estrogen and progesterone. Those massive doses increased the incidence of vein insufficiency. It is not so prevalent now with the bioidentical hormones. They have dialed down birth control pills and that type of thing. So now, it is not as much of a factor but it certainly used to be.
Things such as smoking, hypertension, and obesity – a lot of those contribute to vascular compromise; however, usually most of those contribute more to the arterial type of disease.
Venous Insufficiency Causes?
So very briefly –what causes vein insufficiency? Essentially I like to relate it to stretching a rubber band out. You can stretch that rubber band out so many times and then you can’t make it regain its elasticity. That is very similar with veins.
Because of gravity and values that exist within these veins once they become weak and dilated the veins always remain stretched out. For that reason often times we get the symptoms we do. So if we are standing in a stationary position for a long period or if you are sitting for long periods of time, such as on long flights or long drives, the blood settles in pools in these weak veins and that is what causes swelling, night cramps, fatigue, heaviness, restless legs and numbness and tingling. Some people progress into itching, recurrent infections of the legs, and then eventually wounds if it progresses to that point.
This is one of the classifications that we use that are required to classify how significant veins are. The reticular veins are the ones you see on the surface of the skin, the little red wispy, almost spider vein-like eruptions.
The varicose veins are the larger ones that almost look like little ropes or cords under the surface of the skin.
Edema is a fancy word for swelling. A lot of people will get swelling around the ankles. If swelling gets real significant it just builds and progresses up the leg.
Pigmentation or eczema - a lot of times with chronic venous insufficiency, when that blood settles and pools in these veins, the skin starts to lose the nutrients it needs to stay healthy on the inside so that the body starts to try to protect its self. It starts to toughen up the skin and then the skin can turn brown. If you are pale or fair skinned, your skin turns a little bit darker. If you are darker complected sometimes it will actually turn black. It normally progresses and then you wind up with lipodermatosclerosis, another fancy term. The tissue starts to turn and break down and cause ulcers.
Question: I have spider veins on my legs and they really hurt to the touch. Can that be dangerous to my health? Answer: In the large picture, pain associated with spider veins is not life threatening. It would be worthwhile to have an evaluation by a qualified provider to see if these spider veins are…Read More
I am scheduled for a right leg radiofrequency ablation. I have venous insufficiency in the saphenous vein and have had a blood clot before. Question: In 2006, I underwent an artificial lumbar disk implant. This failed causing artificial disk to move into the spine. While surgeon removed the artificial disk implant, he nicked the liac…Read More
My doctor said my vein is too large to have sclerotherapy performed first, is this true? Question: I have a few visible spider veins on my lower leg that I want treated with foam sclerotherapy. However, the doctor wants me to do endovenous laser treatment before the sclerotherapy. According to him, my vein is way…Read More
I’m having the same pain that I had before my ablation procedure, except it is in a different new location. How long will this go on? Question: It’s been 2 months since my GSV endovenous laser ablation procedure. I have the same pain that I had before the procedure, except it’s in a new location.…Read More
I recently had the VNUS procedure done (both legs, multiple veins). Is it normal to have open, circular wound with redness and slight weepiness? Question: All of the other areas are healing nicely, but the area on my shin (a bit off center) has a much larger wound. It has been quite red in the…Read More
Question: How big of a size do compression stockings come in? Answer: Compression socks should be comfortable and supportive. If the stockings are making your symptoms worse, it is likely that they do not fit you correctly. There are numerous companies that make standard sized compression stockings. Some make 7 to 8 different sizes. Additionally,…Read More
Question: WHAT CAN I DO TO GET RID OF MY VARICOSE VEINS? Answer: There are numerous options to treat varicose veins. Some are considered medically necessary, while others are strictly cosmetic. Larger veins are treated in a myriad of ways depending on the provider you consult with and their proficiency in a given intervention. The…Read More
Question: I knelt down the other day and injured the large varicose vein over my knee. It bruised quickly and felt very sore, so I put a pressure bandage on it. Since then, the vein bruise has spread and is now about 12″ up my thigh. It is very red, and I’m not sure what…Read More
Question: What treatment options are available for my CVI? I can’t sit or stand in one place and I have heavy, aching legs all of the time. I started to have achy, heavy leg feelings about a month after I sprained my right ankle and scratched my left knee last April. I was diagnosed with…Read More
Question: During the EVLT laser procedure I really didn’t feel well, especially when the laser was on. I felt dizzy and the smell of “burning” freaked me out. Even after I was done, it took me couple hours to feel normal again. Is that normal? Answer: The “odor” and sometimes a taste is normal during…Read More