Questions About Vein Treatment
We treat a wide array of vein problems, including spider veins, varicose veins, perforator veins, and deep vein problems.
Spider veins are small surface veins that are distended by reversed blood flow. They appear as blue, red, or purple lines. Some may be very narrow, others are larger, but they are not raised like varicose veins.
Varicose veins are larger blood vessels that have become so distended and twisted by reversed blood flow that they protrude and appear as bumpy, twisted cords below the skin. They may be skin-colored, blue, red, or purple. They may be painful.
Perforator veins are veins that carry blood from the surface vein system into the deep vein system. If the perforator veins have problems with their one-way valves, it can cause high-pressure backflow from the larger deep veins into the smaller surface veins, contributing significantly to varicose veins.
All the veins in our legs are interconnected. Problems in the deep veins are often to blame for the varicose veins, and if the deeper veins are treated, the visible ones will subside on their own. Treatment of the visible veins, on the other hand, leaves the underlying problem untreated, and you may experience recurrence of visible veins. Treatment of deeper veins is a key component of the Pedulla Approach, part of what makes it very successful with a low recurrence rate.
We use a procedure known as Endovenous Laser Treatment (EVLT®). In this procedure a fiber-optic laser is inserted into the damaged vein. When the laser is fired, it damages the walls of the vein, closing it and stopping blood flow.
No. The venous system has many veins in the leg, and will divert blood flow to more functional veins after this one is closed. Because varicose veins are faulty, they do not make a significant contribution to proper circulation, and closing them may result in a net gain in blood flow.
Laser treatment of varicose veins may result in slight bruising, which should disappear within a few weeks of the procedure. You are likely to feel a tightness or pulling in your leg about 4-7 days after the procedure. There are no common complications, but as with all procedures there is a risk of rare, serious complications which we will discuss during your vein treatment consultation.
One alternative to EVLT is to leave your varicose veins untreated (see below). However, there are several alternative treatments available, including:
- Compression stockings
- Sclerotherapy (including ultrasound-guided sclerotherapy)
- Endovenous radiofrequency treatment
- Surgery, including:
- Stripping & ligation
- PIN stripping
- Ambulatory phlebectomy
Having evaluated all the alternatives, Dr. Dominic Pedulla believes that EVLT gives the best results–including the lowest rate of recurrence–for the greatest range of patients with the least scarring and the lowest risk of side effects. The success rate of EVLT is 93-98% for up to five years after treatment.
Untreated varicose veins often lead to continuing pain, fatigue, and additional swelling of the legs. They may also lead to skin discoloration, leg ulcers, and spontaneous bleeding. They can also cause inflamed, hardened tissue, a condition known as lipodermosclerosis. Superficial thrombophlebitis is inflammation of a superficial vein due to decreased blood flood, vein damage, and blood clots. It may cause redness, localized warmth, swelling, tenderness, and pain. Deep vein thrombosis–a serious, potentially deadly condition–may also be associated with untreated varicose veins.
Only Oklahoma Vein & Endovascular Center offers the Pedulla Approach to vein treatment in Oklahoma City. Unlike other vein treatment providers, Dr. Pedulla is triple board-certified (cardiology, vascular medicine, and vein diseases) doctor with over 20 years of cardiovascular treatment experience. His skill in using advanced imaging technology allows him to successfully determine the cause of reversed flow in veins and his deft technique means he can easily insert a laser fiber into difficult-to-enter veins to provide pinpoint treatment as necessary.
Oklahoma Vein & Endovascular Center also guarantees that your entire treatment experience will be a pleasant one, from your first contact to your final results. We also offer free, no-obligation consultations in Oklahoma City. Please contact us today and learn how we can gently and effectively treat your varicose veins.
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