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Vein Care

Veins are part of a complex network of blood vessels that stretch for more than 60,000 miles in the adult human body. Whether you seek relief from painful varicose veins, treatment for a blocked vein or the removal of unsightly spider veins, our doctors will go the extra mile in treating your vascular condition.

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Helping maintain your veins

About 34 major veins and many smaller veins connected to capillaries run through our bodies. From the big blue ones you can see on your arms and legs to the tiny venules that connect veins and capillaries, they all play an important role in delivering blood and other nutrients to different parts of your body. When this complex system isn’t working the way it should, it can have a big impact on your health and quality of life.

We specialize in minimally invasive treatments that help you feel better and boost your confidence, like laser therapy for varicose veins and spider veins. And if you ever have questions or just want to talk, we’ll be here for you.

Vascular surgeon marking up veins on patient's leg with die before surgery.
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Conditions

Our specialists detect, diagnose and treat both cosmetic and clinical vein conditions, like:

Chronic venous disease
Deep vein thrombosis (DVT)
Iliac vein
Pelvic venous syndrome
Spider veins
Varicose veins
Venous stasis
Venous ulcers

Vein condition symptoms

If you’re experiencing any of the following symptoms, you may be living with a vein condition:

  • A feeling of “heaviness” in your extremities
  • Burning or itchy skin
  • Leg or ankle swelling
  • Pain, aching or cramping
  • Restless legs
  • Skin thickening and inflammation
  • Ulcers
  • Unsightly or bulging veins
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Testing

When you walk through our doors for your first appointment, a board-certified vascular surgeon will review your risk factors and symptoms, followed by a clinical examination for vascular disease.

We’ll also schedule you for an innovative, non-invasive test called a duplex ultrasound. This technique uses sound waves to give us a clear view of your veins, their valves and how the blood flows through them. By better understanding your veins and how they function, we can reveal the structures that need treatment.

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Treatments

Once we’ve pinpointed your condition, we’ll work with you to create a treatment plan tailored to your unique needs. Most of our treatments are minimally invasive, which means you benefit from shorter procedures, less pain and quicker recovery times compared to other techniques. These treatments include:

  • Non-invasive testing for all types of venous disease
  • Radiofrequency and laser ablation of dilated saphenous veins (the main superficial vein in the inner side of the thigh and calf)
  • Sclerotherapy for varicose veins and spider veins
  • Laser treatment for spider veins
  • Recanalization and stenting for iliac, subclavian, innominate or venacaval obstruction
  • Treatment for perforating veins
  • Vein valve transplantation and valve repair for deep venous reflux
  • Venous bypass
  • Vena cava filter placement and retrieval
Varicose vein treatments

When the valves of the great saphenous vein — one of the major veins in the lower half of your body — don’t close properly, blood flows in the wrong direction. This causes these veins and their nearby branches to expand and swell, creating varicose veins. 

Varicose veins may lead to aching pain, throbbing and discomfort. They can also cause more serious problems, including skin ulcers or deep vein thrombosis, which is a blood clot in a deeper vein.

Ambulatory microphlebectomy for varicose veins

An ambulatory microphlebectomy is a smart treatment option when varicose veins are too large or close to the surface of the skin to be treated with other procedures like endovenous laser treatment or sclerotherapy. It’s typically performed with only local anesthesia, so you can leave our office the same day. 

Here’s what to expect from an ambulatory microphlebectomy:

  • Local anesthesia is used to numb the targeted area for the procedure, so you’ll be awake the whole time.
  • Your surgeon makes incisions that are so small they usually don’t need stitches.
  • Using surgical instruments, your surgeon delicately grasps and removes the veins with a hook-like tool through the incisions.

People can typically return to normal activity following the procedure.

Endovenous laser ablation

This minimally invasive technique uses laser therapy to treat superficial veins. The procedure takes about an hour to complete, and most people can return to normal activity afterward. Here’s how an endovenous laser ablation works:

  • Local anesthesia is used to numb the affected area, typically around the knee. 
  • Your surgeon will then make a tiny incision to insert and guide a catheter to the affected vein using ultrasound imaging. 
  • A small laser fiber is threaded through the catheter to the diseased vein where it then emits heat energy to close and collapse the vein. As a result, the vein can no longer carry blood flow. Your body will absorb the collapsed vein over time as blood re-routes to other veins. 

Laser treatment for varicose veins

Thanks to the power of lasers, we can treat varicose veins without making any incisions. These lasers target the problematic saphenous vein, causing it to shrink. This technique avoids the sometimes painful bruising and groin incisions associated with traditional techniques, which may cause a week or 2 of disability. With this approach, you’ll be back to your regular routine within a day or 2.

Sclerotherapy

This minimally invasive procedure is used to treat smaller varicose veins and spider veins. During the procedure, medicine is injected into the vein which causes the vein to shrink and disappear over time. The procedure takes approximately 15–30 minutes. Patients can typically return to normal activity following the procedure.

Venous ulcer treatments

Venous ulcers form after a blockage in the leg reduces blood flow and causes high blood pressure within the veins. To treat venous ulcers, we numb the affected area with local anesthesia, then insert a stent (a small metal tube) in the veins to open them up, similar to the technique used in blocked heart vessels. 

Erasing spider veins

Spider veins are small, dilated blood vessels that appear close to the surface of the skin. They often look like a web of thin, reddish or purplish lines. Spider veins are usually harmless, although considered cosmetically undesirable for some people.

We offer a full range of state-of-the-art treatments for spider veins, including sclerotherapy and laser therapy. You don’t need a physician referral for spider vein treatment, and we can help set up an appointment for you.

Pelvic venous syndrome treatments

Pelvic venous syndrome is a condition characterized by abdominal pain that gets worse during menstruation or sexual contact. This discomfort is caused by malfunctioning valves in the veins around the uterus and ovaries.

We have years of experience treating this complex condition. We typically use a catheter-based technique to block the problematic malfunctioning veins.

Anasuya Gunturi MD, PhD talks with patient at Lowell General Hospital's Women's Wellness Center clinic appointment.
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Family physician Sarwada Tuladhar Jha, MD talking to patient during exam at a clinic appointment and inputting health information at the computer.
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