Why is sclerotherapy performed?
Sclerotherapy and laser treatments for spider veins form the foundations of a phlebology practice. Patients present for sclerotherapy to treat telangiectasias (spider veins on the legs), reticular veins, and varicose veins. While patients may reports only cosmetic concerns, a comprehensive assessment will demonstrate only a fraction having purely cosmetic veins. Most will have underlying venous insufficiency that will require correction prior to sclerotherapy for telangiectasias. Who should perform sclerotherapy? Sclerotherapy is routinely performed only by a board-certified long island vein specialist near me, but this can vary state to state. In many states, registered nurses are allowed to do sclerotherapy, while also physician assistants and nurse practitioners also can perform with proper training. Certainly physicians should be skilled at sclerotherapy and understand the risks and benefits of treatment. It is difficult to become adept at sclerotherapy without hands-on training. While one can learn the theory, risks, benefits of sclerotherapy through the literature, the skills needed to perform the procedure are learned only with direct experience. What to use for sclerotherapy?Commonly used liquid agents include hypertonic saline, sodium tetradecylsulfate, glycerin, and polidocanol. Regardless of what agent is used, one should be thoroughly familiar with the appropriate concentrations and volumes of liquid to be used for safe and effective results. There is a direct correlation with the pressure used to inject, volume of sclerosant and concentration used to obtain successful results. The liquid can be converted to foam sclerosant for increased potency using the Tessari method This involves taking a small concentration of the liquid sclerosant and mixing it with air in a 3:1 to 4:1 ratio. Given the increased potency of foam, a smaller volume and concentration is needed for effect. Where to perform sclerotherapy? Foam sclerotherapy must be performed by board-certified competent health professionals. The procedure is office-based at the vein specialist near Oyster Bay NY, but can also be performed in procedure centers or hospitals depending on the physician preference. For a expert recommendation visit with the top vein clinic near Oyster Bay source:https://beautyandhealth-1.jimdosite.com/
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We all have experienced some sleepless nights at some point. We are affected by many things in our lives and stress plays a large role in our sleep pattern. However, there are also several other factors that can affect the quality of our sleep.
In this article, we will discuss the issue of varicose veins and what affect the condition can have on your sleep. We will also provide some simple things you can do at home to improve your condition and hopefully get a good night’s rest. Varicose Veins and The Impact on Sleep Varicose veins and muscle cramps go hand in hand. However few patients and even some physicians are unable to put the two conditions together. Doing so, may help you find the solution you need. To begin with, varicose veins are more common than you think. In fact, 25% of the population has some form of vein disease. Given the large array of symptoms associated with varicose veins ,it is no surprise that restless legs and muscle cramps associated with vein disease is one of the most common causes of poor sleep. The symptoms are worse at night with varicose veins when some of the circulation starts to improve with getting our feet up. All the swelling, pooled blood, and toxic metabolites start to circulate and with less distraction, the discomfort becomes more apparent. We often attribute the condition to restless leg syndrome. The body senses the imbalance in your body and creates involuntary movements and contractions of your legs to promote some of the blood movement. The symptoms of RLS and vein disease are blurred with aching, throbbing, cramps and uncontrolled leg movements. Treatment becomes directed at restless leg syndrome rather than addressing the underlying issue that is vein disease. However, unlike RLS, vein disease is very treatable. A vein dr can help provide the diagnosis if varicose vein disease is suspected. How to Sleep With Varicose Veins The first steps are conservative and in many instances, very effective. We review some simple steps you can take at home to help alleviate sleepless nights from vein disease. Compression Stockings The foundation of good vein treatment is the use of compression stockings. Many individuals will purchase compression stockings for use at home and work. Ideally, they are appropriately sized and fitted by the best vein doctor. The typical strength is 20-30 mmHg and they can be obtained as knee-high or thigh-high depending on the condition. For patients with bothersome symptoms on both sides, waist level compression stockings can also be considered. The primary goal of compression stockings is preventative. Hydrate Flush your system out before you go to sleep. This keeps toxic local metabolites from building up in the legs during the daytime that lead to cramps and muscle twitching. Elevate Your Legs This goes for both the day and night time. The more you can keep the swelling down in your legs by elevating your feet and compression stockings, the less likely you are to experience symptoms of vein disease. Stretching and Massage Before going to sleep, give your muscles a stretch to help them relax. Massaging your legs can also help settle any tension you have in your legs. Vein Treatment This can only be considered in consultation with a vein center providing specialty consultation for vein disease. The diagnosis depends on a careful history and examination to look for clues of vein disease. If medically appropriate, an ultrasound will evaluate the size and direction of blood flow in your legs. This provides important information about the likelihood of vein disease potentially causing symptoms of restless leg syndrome. Modern vein treatments are simple and safe using minimally-invasive techniques. RF vein ablation and sclerotherapy are the primary tools and target poorly circulating veins. Diseased veins are collapsed from within and healthy circulation is promoted by the re-direction of blood. This stops blood from pooling up in your legs and causing symptoms of vein disease. Article Source: http://toparticlesubmissionsites.com/venous-insufficiency-masquerading-as-restless-legs/ The gold standard of treatment for spider veins clinics in NJ is non-surgical treatments including endovenous laser vein ablation and endovenous radiofrequency ablation. Both forms of treatment are catheter based technologies performed using ultrasound guided percutaneous entry. However, ablation is not suitable for all patients due to variable presentations of vein disease and anatomical considerations. In fact, contra-indications to catheter based treatment include: 1) superficial veins close to the skin 2) proximal nerves or arterial circulation 3) tortuous veins.
In these instances, a more suitable treatment is microfoam delivery of polidocanol, otherwise known as foam sclerotherapy. The difference between foam sclerotherapy and the more common and well-known sclerotherapy is the compounding of the sclerosant with mixture of air (nitrogen, oxygen, and carbon dioxide). The elements are in variable concentrations and allow for the liquid sclerosant to be compounded into a foam mixture that adheres better to target vessel walls. This is important for larger targets like varicose veins and in some cases reticular veins. Vein specialists will use either foam or liquid sclerotherapy for spider vein treatment NJ depending on the condition being treated.
Foam sclerotherapy can be aided by ultrasound in certain situations prescribed by the vein doctor. In most vein clinics, the preferred solution is now polidocanol given its efficacy and safety profile. There is also the FDA-approved Varithena that is ideal for large varicose veins, perforators and neovascularization. Varithena comes in 1% polidocanol pre-packaged, but is unique from physician compounded foam sclerotherapy because it is pre-packaged as a low-nitrogen microfoam that clinically has proven to be safer and more efficacious. It can be used on the upper and lower portions of the leg. However, despite the increased safety profile ,the medication should only be administered by qualified vein doctors near me that understand the mechanism of action and appropriate use criteria. In general, foam sclerotherapy is administered following direct cannulation of the target vein. With polidocanol, the preferred concentration is 0.5%-1.0% depending on the size of the target vein. With generic polidocanol, the liquid sclerosant is mixed with an air-filled syringe in 3:1 or 4:1 ratios until a foam is created. The injected foam has an immediate action on the vein walls inducing chemical ablation; this process continues for months to years as the vein is slow reabsorbed by the body. It is important to inform patients of the possibilities to feel tenderness or lumpy nodules after treatment that may look worse for a period of time, but will heal with good effect. Follow up is important post procedure as per the protocol and is standardized in most vein centers. The post procedure care after sclerotherapy follow up will include a duplex ultrasound to evaluate vein treatment effect and any complications post sclerotherapy. Article Source: http://msnho.com/blog/southjerseyveincenter Varicose veins in the legs are diseased resulting from damage to valves within the veins. As veins dilate and stretch from genetic predisposition, valves can are unable to come together and prevent blood from pooling in the legs. The medical condition that results is known as venous insufficiency.
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AuthorLena Siddiqi Archives
January 2022
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