Venous Disease

Our Medical center offers the entire spectrum of state-of-the-art vein care procedures. This includes both Laser and Radiofrequency treatment of abnormal veins. These procedures are always performed in the office under local anesthesia. Dr. Hadaya has extensive experience in modern minimally invasive vein care techniques.

Treatment of Varicose Veins

State-of-the-art vein care is minimally invasive. There is no downtime and the procedures are office based. The modern treatment modalities include:

Endovenous Laser Ablation (EVLT)

Endovenous Radiofrequency Ablation

Ultrasound Guided Sclerotherapy

Radiofrequency Perforator Closure

Visual Sclerotherapy

Surface Laser

The goal of all of these procedures is to close off abnormal veins and redirect blood into healthier deeper veins.

Frequently Asked Questions

What is phlebology?
Phlebology is a branch of medicine that deals with vein disease. The body of knowledge in phlebology has progressed to the point where specialists who are committed to the field can become Board Certified in Phlebology.

What are varicose veins (Venous Insufficiency)?

Our leg veins have many one way valves which allow blood to travel up toward the heart. Upon standing, the valves close in order to keep the blood from traveling backwards down the leg. When valves don’t close properly, blood travels backwards in the direction of gravity. This valve problem is known as venous reflux or venous insufficiency. It is unrelated to heart valve problems. The symptoms of venous insufficiency are due to the high pressure that develops in the veins as the blood travels backward.

Over time the veins below the bad valves can become dilated and varicosed. This condition always progresses and often leads to complications such as skin damage, chronic leg swelling, blood clots, ulceration and even spontaneous bleeding. The exact location of the abnormal valves is determined with an ultrasound examination that is performed in the office.

What is a Venous Ultrasound?

Venous ultrasound is a sophisticated noninvasive technology that uses sound waves to visualize which valves are abnormal. The exam is painless and also allows the physician to identify blood clots and other abnormalities. The result of this testing allows the physician to tailor treatments to each individual patient. The procedure is performed in the office and takes about 45 minutes.

How common are varicose veins (Venous Insufficiency)?

Venous Insufficiency is a very common condition that affects women more commonly than men. Other risk factors include a history of blood clots, leg trauma, multiple childbirths, obesity and prolonged sitting or standing. It is estimated that 80 million Americans are affected by venous insufficiency. Approximately 40% of women in their 40's and 50's are affected. By age 70, approximately 70% of women are affected. Men in their 40's and 50's are affected about 15-20% of the time. Generally, venous insufficiency progresses with age.

What are the symptoms of venous insufficiency?

The symptoms vary from person to person but can include the following:

  1. Leg aching, heaviness and tiredness that is worse at the end of the day
  2. Leg swelling that is worse at the end of the day
  3. Leg cramps at night
  4. Itching
  5. Restless legs
  6. Blood clots
  7. Eczema type skin rash on lower legs
  8. Leg ulcers
  9. Spontaneous bleeding
  10. Occasionally patients experience a burning or numbness in their legs

Is restless leg syndrome related to venous insufficiency?

According to a study published in the Journal of Phlebology, almost 40% of patients with restless leg syndrome also have venous insufficiency. When their venous insufficiency was treated, symptoms were improved by 80%. Approximately 30% of the patients had no improvement however.

Do all patients with venous insufficiency have varicose veins?

NO. Some patients may just have leg swelling that is worse at the end of the day. This chronic leg swelling leads to the development of a brown skin color near the ankle over time. This is known as hemosiderin staining.

Can venous insufficiency lead to chronic leg swelling?

There are many reasons why people develop chronic leg swelling. Venous insufficiency is a very common underlying cause. Left untreated, this can damage the lymphatic system of the legs, which further exacerbates the leg swelling. Ultimately, the skin becomes damaged and a condition known as stasis dermatitis occurs. In this situation, the skin becomes brown in color and can develop an open ulcer or even become infected. Other things that can lead to chronic leg swelling include blood clots, heart failure and some blood pressure medicines.

Can I be cured of my predisposition to develop venous insufficiency?

Venous Insufficiency can be treated but the patient cannot be cured of the genetic propensity to develop reflux. Therefore as the patient ages it is possible that reflux or venous insufficiency will develop in other veins.

What are reticular veins?

Reticular veins are often seen as blue-green veins under the skin. They can become large and unsightly and may lead to the development of spider veins. Some patients may experience tenderness, burning and itching in the legs.
What are Spider Veins?

The medical term for spider veins is telangiectasias. These fine red and purple veins are approximately 1 millimeter or less in size and can occur anywhere on the body. Patients most commonly seek treatment for spider veins on the legs and chest. Spider veins are often found in combination with varicose veins. There are no health risks with spider veins but they are a common cosmetic concern. The tendency to develop spider veins is inherited but can also occur after localized trauma and can worsen with pregnancy.

What are venous stasis ulcers?

Venous ulcers or stasis ulcers are often the result of long standing venous insufficiency (faulty vein valves or reflux). In most cases there is reflux of the saphenous veins and perforating veins. The high pressure within these veins eventually leads to chronic leg swelling, darkening of the skin and ultimately skin breakdown, ulceration and even bleeding. These ulcers are generally near the ankle and are very painful.