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Vein Conditions

Nearly half of the adult population suffers from undesirable and sometimes painful vein disease according to the Society for Vascular Surgery (SVS). While many patients consider varicose and spider veins to be an unsightly cosmetic issue, if left untreated varicose veins can worsen and eventually cause pain, swelling and aching in the legs as well as skin changes such as rashes, redness and sores. At Coastal Vein and Vascular, a full spectrum of venous procedures is performed onsite.

This begins with a comprehensive venous ultrasound. A specialized venous ultrasound is used to evaluate and develop a treatment plan for patients suffering from venous insufficiency. Almost all conditions can be treated in-office with minimal disruption to the patient’s schedule, and most can return to work the next day. Some of the most common vein conditions and treatments include:

Vein Conditions:

Varicose Veins: Varicose veins are simply swollen veins that you can see through your skin. Left untreated, varicose vein may worsen over time. As many as 40 million Americans, most of them women, have varicose veins.

Venous Insufficiency: This is a very common condition resulting from decreased blood flow from the leg veins up to the heart, known as chronic venous insufficiency (CVI). Veins that have lost their valve effectiveness become elongated, rope-like, bulged, and thickened. You may also experience swollen ankles, tight calves, and heavy, tired, restless, or achy legs.

Lower Extremity Wound/Ulcers: Poor circulation can lead to painful ulcers on the legs and feet. Venous ulcers are usually treated with compression of the leg to minimize swelling. Arterial ulcer treatment can vary depending on the severity of the case, but may involve endovascular therapy or bypass surgery to restore circulation to the affected leg. Dr. James E. Chalk is one of the only certified wound care specialist physicians (CWSP) in the state of North Carolina.

Vein Treatments:

Sclerotherapy: This is a common method of treating varicose veins where the physician injects a chemical into the vein in order to prevent it from filling with blood. This significantly improves the cosmetic appearance of your leg by eliminating the look of unsightly varicose veins. This is a minimally invasive procedure performed in-office with little to no down time.

Venous Ablation: This minimally invasive treatment involves the use of heat to destroy the walls of the vein and ultimately the source for the varicose vein development. It is performed in-office under local anesthesia and patients can return to normal activities within 1-2 days.

Phlebectomy: A procedure to remove individual clusters of varicose veins from the leg. A micro-incision (less than one tenth of an inch) only requires local anesthesia for most, and patients can normally resume daily activities in 1-2 days.

Compression Stockings: For more severe varicose veins, you may be prescribed compression stockings. These are elastic stocking that squeeze your veins and stop excess blood from flowing backward. In this way, compression stockings also can help heal skin sores and prevent them from returning.

For more extreme venous conditions, your physician may recommend treatments such as angioplasty or stenting, valve repair or bypass. Fewer than 10% of patients with CVI require surgery.