Last week I attended the monthly local medical society meeting at the Benton Club in St. Joseph. The bartender gave me a tour, attempting to squeeze in every highlight of its 100+ year history, while all the other member physicians gathered and greeted each other in the reception hall. Soon we were watching a local cardiologist give a presentation on the use of a non-invasive CT Scan to compute in seconds the risk of a heart attack in patients.

As I watched the colorful pictures on the screen, I thought of my mother, who passed away at a fairly young age after living with “heartburn” for years, that was treated with medications for indigestion. Being a woman and a diabetic are both major factors that confound the symptoms of heart disease. A slightly higher index of suspicion could have saved her life and one of the newer diagnostic tools such as the Coronary Calcium Scan could have kept her health in check.

My thoughts shifted to one of my recent patients, a 93-year-old woman with advanced venous disease in her legs. She was brought to my clinic in a wheelchair by her two daughters. When I asked her what changes she hoped to accomplish, she promptly responded, “Can you help me get me out of this wheelchair?”. There was no hesitation in her voice as she expressed her desire to not only live longer but also enjoy her life along the way.

Life is a beautiful journeyI witness the daily hopes and aspirations of numerous patients like this amazing woman who is 93 years “young”. Some have the usual symptoms of heaviness in the legs, cramps, restlessness, and swelling. Many others have lived long enough with vein problems in their legs and present with clots or sores in their legs. Hope tends to be contagious. Earlier this week, while treating a patient who came with a clot in her leg, I found out that her husband was also on my schedule. He has lived with swelling and sores in his legs for many years. She indicated with pride that, “I diagnosed his problem myself and told him to come and see you”. I won’t be surprised if he will soon be able to enjoy the full use of his legs without the constant fear of ongoing pain, infection, or even risk of amputation.

My kids did not have an opportunity to spend time with my mother, their grandmother, and I never had a chance to be her doctor. I take consolation from knowing that my work allows many of my patients to enjoy a longer, healthier life. Life is much more beautiful when mothers and grandmothers are part of the journey.

Sam Gupta, M.D.

Blood Clots & Varicose Veins - 5X Higher Risk

• VEIN DISEASE - OVERVIEW
• Varicose Veins
• Chronic Venous Insufficiency
• Blood Clots
• Spider Veins
• Restless Leg Syndrome
• Edema (swelling)
• Infection / Leg Ulcers
• Neuropathy

Read More about Potentially Deadly Blood Clots

• Consultation

• Contact Us

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

New research published in the New England Journal of Medicine shows that the respiratory virus SARS-CoV-2, which causes COVID-19, is also responsible for severe damage to blood vessels increasing the risk of blood clots. One Amsterdam study found that almost one-third of patients hospitalized with severe COVID-19 demonstrated complications from blood clots.

A blood clot is a clump of blood formed when blood changes from a liquid to a thicker gel-like state. Ordinarily, this can be a life-saving mechanism to help stop bleeding; however, when the clot breaks off, it can travel through the bloodstream choking the supply of blood to essential organs such as the lungs (causing a Pulmonary Embolism) or the brain (causing a stroke).

Patients admitted to the hospital are more likely to have blood clots in the blood vessels of the legs due to immobility while hospitalized. Staying active, use of compression stockings, sequential compression devices, and, in select cases, the use of blood thinner can help lower the risk of clots.

Click to Play Video

COVID-19 Blood Clots

There are also reports of blood clots in patients with COVID-19 who are at home and staying active. Swelling in the legs is the most common sign of blood clots. Some patients with COVID-19 develop a condition called “Covid toes” – red, swollen toes that may be due to small clots in the blood vessels of the feet.

If you have leg swelling, pain in the legs, or any other sign of a blood clot, please call us at 816-396-0245 to have a duplex ultrasound screening test for blood clots. This is performed in the comfort of the office setting at Alsara Vein Clinic.

Veins, acting as “pipes,” have to frequently work against gravity to push blood back towards the heart especially when we sit or stand. These veins have valves that assist in the one-way flow back to the heart. Further, leg muscles especially calf muscles act like a pump much like a sump pump in our basement.

Click to view large image

Over time, compounded by factors such as genetic predisposition, pregnancies, hormonal changes, prolonged sitting or standing, lifting weights, and age, some veins fail. Unable to move forward, blood begins to backtrack and pool in the legs causing the familiar symptoms of heaviness, achiness, and tiredness in legs, particularly in the evenings. Increased pressure on the vein walls makes them “gnarly” or varicose. Some veins that are close to the surface of the skin can be seen from the outside as ropy veins or spider veins.

Venous hypertension (increased pressure of the blood in failed veins) predisposes you to profuse bleeding. Elevated pressure causes fluid from veins to leak out into surrounding space much like flooding in our basement when a pipe breaks.

Remember that the blood in veins is deoxygenated (has “low” oxygen content) and replete with waste products. This blood needs to be sent back to the heart where it can be enriched and put back in circulation. When there is an increased buildup of venous blood in the legs, patients may notice itching, burning, leg cramps (charley horses), and restlessness. Persistent stasis (pooling) causes hyperpigmentation (discoloration of the skin due to deposition of the hemosiderin pigment from the breakdown of red blood cells), cellulitis (skin infection), thrombosis (blood clots), and poorly healing ulcers (sores) in the legs. This is comparable to staining on the walls from leaky pipes, growth of mold, cracks in the walls, and eventually its breakdown.

These unhealthy veins in the legs are unnecessary. In the past, they were removed surgically. Modern treatment options are much easier, safer, and very effective with no downtime. Almost all insurance including Medicare offers coverage for symptomatic varicose veins. Contact Alsara Vein Clinic at 816-396-0245 to set up a Consultation today.

Veins are “pipes” that are responsible for returning blood to the heart. Varicose Veins are damaged, swollen, enlarged veins that do not work properly allowing blood to pool in legs.

Veins in the legs are far from the heart and must work against the force of gravity to pump blood back towards the heart. Heredity is a common risk factor making veins prone to weakness and failure. Other risk factors include age, pregnancies, prolonged sitting or standing, and history of trauma or clots in legs.

Complications of Untreated Varicose Veins

• 

  Blood Clot

  Compromised blood flow and inflammation can cause superficial thrombophlebitis. Patients may experience redness of the skin, increased tenderness and swelling.
• 

  Spontaneous Bleeding

  Varicose veins cause increased pressure of blood in the veins and fragile skin over time. Terminal branches of veins are pushed closer to the skin surface. This is a perfect setup for spontaneous bleeding. Even a slight scratch can lead to profuse bleeding that is usually painless. Patients may lose a significant amount of blood very quickly.
• 

  Hyperpigmentation

  Left untreated, varicose veins cause increased pressure of pooled blood in leg veins. Fluid leaks out of these veins and may result in painful swelling and discoloration of skin known as hyperpigmentation. Inflammation of skin may cause severe itching, burning and redness.
• 

  Lipodermatosclerosis

  Continued inflammation of the skin over time causes the skin to become firm and leathery. Patients feel increased tenderness of the skin. The stiffening and hardening of the skin is known as Lipodermatosclerosis.
• 

  Venous Leg Ulcer

  Long-standing venous hypertension causes damage to the skin which eventually breaks down to form an ulcer. These ulcers do not heal well and may cause itching, bleeding and infection. In rare cases, infection could lead to serious conditions such as osteomyelitis (infection of the bone) or sepsis (blood poisoning).

Varicose veins are typically located deep inside the leg and may not be visible from the outside. Initially, the symptoms include leg pain, tiredness, heaviness, itching, throbbing, or burning sensation in the legs. These symptoms are usually worse at the end of the day after a person has been sitting or standing for long periods of time and are usually better upon first getting out of bed. The recurrent increased pressure of blood in leg veins allows leakage which can cause swelling in the legs. The build-up of deoxygenated toxin-rich blood in muscles makes them prone to cramping and restlessness in legs. There is a higher risk of clot formation and bleeding that can be profuse.

Continued increased pressure of blood in the leg veins causes changes to the skin that are typically noticed in the mid-calf to the ankle area. This condition, known as stasis dermatitis, is characterized by severe itching and redness of the skin followed by hyperpigmentation (discoloration of the skin due to deposition of iron pigments). This is followed by induration (thickening of the skin) and dermal fibrosis (scar tissue): a condition known as Lipodermatosclerosis. There may be atrophie blanche (smooth, ivory-white plaques surrounded by hyperpigmentation). The final stages of chronic venous insufficiency are related to the breakdown of skin and the formation of poorly healing leg ulcers (sores). There is a higher risk of local skin infection (cellulitis), sepsis (blood poisoning), and osteomyelitis (infection of the bone).

Over the past few decades, extensive research has allowed us a much better understanding of the causes of leg ulcers. We now know that majority of ulcers in the legs are venous (varicose veins). Venous leg ulcers account for about 80% of all leg ulcers. These ulcers are typically painless unless there is an infection on top of the leg ulcer or physical irritation that can cause pain. Fortunately, we also have technology such as laser (Endovenous Laser Ablation) that allow us to treat the underlying problem at its source in a minimally invasive manner.

Vein treatments are safe, effective, virtually painless, and do not require any downtime. Your Vein Specialist at Alsara Vein Clinic has performed over 25,000 treatments and helped countless patients some of whom came with prior failed treatments or no hope that anything could be done. Call for a Consultation at 816-396-0245.

Clinical Notes:

Dona is an "active" female who came to us in a wheelchair. She has lived with ulcers in both of her legs for several years. She has received wound care for numerous years without long-term relief; ulcers and skin infections became recurrent problems for her. She has also lived with substantial leg swelling, leg cramps and extreme sensitivity to touch. She has restless leg syndrome and was prescribed medications, such as Requip. Still, the discomfort in her legs (at night) remained.

She received endovenous laser ablation of the "leaky" (refluxing) axial veins in both legs at Alsara Vein Clinic in Spring 2018. By the start of Summer 2018, the ulcers in her legs had completely healed. The swelling is almost nonexistent and, for the first time in several years, she can enjoy pain-free legs both during the day and at night.

Another Smile Restored!

What made you choose us?

A nurse practitioner's recommendation.

What symptoms were you experiencing?

Swelling in lower legs, wounds that would not heal.

How were you affected by your legs previously?

Legs had been swollen for years, couldn’t walk much; skin so tight I couldn’t move knees or ankles.

What has changed after treatment?

Swelling & sores gone, wounds healed, able to bend knees & flex ankles – walking better.

Additional Comments: What did you appreciate?

Everyone at Alsara Vein Clinic put us at ease from the start, very helpful. We loved the casual professionalism and witty banter because we knew/felt deep down you really wanted to help.

What makes us different than other medical clinics?

No stuffy robotic atmosphere. You treated us like people, not numbers.

My 9-year-old daughter recently had a major change in her career plans, from wanting to be a mermaid to being a Physician. I am still trying to find similarities between the two professions to better understand what led to this “slight” change in the career path for her. Some rightly said that children are like mirrors; they reflect all that they see and hear. Perhaps she sees the difference that our work has made in the lives of many including her teachers who came seeking care. I am certain that the stories of numerous patients have impacted her. For instance, hearing that several of my patients have “charley horses”, it was only natural for her to request one… “Dad, I would like one (charley horse) too!”

Although charley horse is a commonly used term for cramps in the leg, typically in the calf muscles, I was curious to learn about the origin of the term. There is a debate about the origin of the nickname. According to one source, there was a lame horse named Charley whose work was to help move things around a baseball park. The picture of the limping horse was so deeply entrenched in memories of the ballplayers that they started referring to each other as “charley horse” if they pulled a leg muscle or developed any minor impairment in their legs. Since the 1880s, the slang word lingered and is now commonly used to describe a sudden tightening or contracting sensation that lasts a few seconds to several hours and can be painful as well as debilitating.

The dreaded charley horse is reported to affect up to 60 percent of adults who have reported the presence of nocturnal leg cramps in the form of a painful spasm, tightening of calf muscles, and twinges. Numerous causes of charley horses have been described in the medical literature including muscle fatigue, dehydration, mineral deficiency, and poor circulation (venous insufficiency).

During the initial stages, it is a good idea to gently massage the affected areas and use over-the-counter pain medication such as ibuprofen.

There are some easy ways to help prevent charley horses including staying hydrated, eating a balanced diet, avoiding excessive sugars and caffeine, and avoiding overexertion.

There are numerous old wives’ tales about home remedies from drinking pickle juice, using quinine, to the use of a bar of soap under the bedsheet to fend off charley horses. There is scarce scientific data to back these claims. One Harvard study described an ion channel called TRPV1 that activates the spinal column and inhibits the firing of nerves to dull the pain of cramps. It is possible that the protons in pickle juice use this mechanism to help alleviate the discomfort. Remember that a mere 2 ounce shot of the juice may contain a few hundred milligrams of sodium, so anyone with heart disease, hypertension, or renal insufficiency should exercise caution. Quinine has potential side effects such as severe bleeding and heart arrhythmias. There does not seem to be any harm from using a bar of nice smelling soap if you have a strong urge to try it under your bedsheet. If nothing else, it will help your bed smell nice!

Having a magnesium, potassium, or calcium deficiency can contribute to leg cramps, however, your medical history must be taken into account before you consider using any over-the-counter supplements. It is always better to discuss with your Primary Care Provider to avoid any adverse interactions.

Although infrequent incidences of muscle spasms may not be anything to worry about, they are signs that the spasms might be more than a run-of-the-mill charley horse. Studies have shown that leg cramps at night are a very common manifestation of venous disease in the legs. Our veins are responsible for collecting de-oxygenated blood from the tissues and returning it to the heart and lungs, where the blood is replenished with oxygen and nutrients. Veins in the legs tend to fail more easily due to risk factors such as genetic predisposition, prolonged sitting or standing, pregnancies, and age. When some veins fail, the blood cannot flow through them effectively and starts pooling in the legs. In face of compromised blood flow, calf muscles are not able to function appropriately and cause cramps (charley horses) and restlessness (Restless Leg Syndrome).

I cannot emphasize enough the seriousness of repetitive muscle cramps. One of our patients, Sandra Dyer, has graciously shared her story. She and her husband came to us looking for answers after three visits to the hospital for severe leg cramps.

Like most chronic conditions, left untreated, the diseased (varicose) veins continue to worsen and may cause other complications such as swelling, skin discoloration, blood clots, poorly healing sores, infection, or bleeding.

Using modern technology, we are now able to easily seal the diseased veins with help of endovenous laser ablation, allowing you to return to normal activities, without any downtime. Treatment of symptomatic venous disease is typically covered by most insurance companies including Medicare and Medicaid.

If “charley horses” are visiting you at night, call 816-396-0245 to get back in the saddle or schedule a Consultation today.

Click to view large image

Please describe your experience with us:

Front Desk staff:

I appreciated their kindness.

Ultrasound Technologist:

Very knowledgeable.

Provider/Doctor/Nurse Practitioner:

Did a good job.

Billing/Patient Account Services:

I appreciated them dealing with my insurance.

Call Center/Patient Service Center:

Very kind.

What made you choose us?

My Dr. Kenneth Tan.

What symptoms were you experiencing?

Soreness in my leg.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

A concern for blood clots. [Now I] feel better. Dr. Gupta assured me there should not be blood clots.

What improvements have you seen in your legs?

Less pain.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

I've not visited other vein clinics.

Please describe your experience with us:

Front Desk staff:

Very helpful, personable & accommodating.

Ultrasound Technologist:

Knowledgable, careful & considerate.

Provider/Doctor/Nurse Practitioner:

Knowledgable, careful & considerate.

Billing/Patient Account Services:

Very helpful, personable & accommodating.

What made you choose us?

Referral from Urgent Care.

What symptoms were you experiencing?

Blood clotting in leg veins.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

Restless legs in the evening, painful muscle cramps in right calf and foot a couple of times per month. [After treatment] as of 3 weeks out, no problems with either issue.

What improvements have you seen in your legs?

Well, they both look a lot better! I'm thinking about becoming a middle-aged male leg model next summer.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

It was nice to feel like everyone at the clinic knew me and cared how things turned out for me. No suggestions for improvement, other than hiring smaller "mosquitos".

Signs and Symptoms

The initial signs and symptoms may include:

• Aching
• Burning or numbness
• Cramping or 'Charley horse'
• Heaviness
• Itching
• Leg pain
• Restlessness in legs
• Tiredness

• Swelling in feet ankles and calves

• Left untreated, may result in skin discoloration, bleeding veins, sores that heal poorly, and blood clots.

• Consultation

• Contact Us

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

• Signs & Symptoms
• Leg Cramps & Restless Legs

Click to Play Video

I was born and raised in St. Joseph. I work at Missouri Western State University. I have two children and six grandchildren.

I had had pain in my leg for quite some time. I had been to my primary care doctor and [was] told that I had phlebitis. They would give me medication and it would never completely go away. It finally got to the point that I began to worry whether or not I had a blood clot, because it was very sore to touch and it was a bit warm. So I went to an urgent care clinic and was told ‘no, it’s not a blood clot’ and sent home. And I just felt like there was something else going on.

And so – after my friend had been here and had such a great experience – I thought maybe this is what I need to check out. So I made an appointment and came in for a consultation and, sure enough, two blood clots were found the day that I was here.

The two big things that I noticed with my problems that I had in my leg were: it was very painful to touch. It would also be sore in that area. Sometimes, when I walked, I would have pain. And then at night I had terrible leg cramps, and I would have restless legs. They would be twitching all the time.

The pain in my leg would bother me quite a bit when I would be driving or sitting for a long period of time. And I have to travel a lot for my job. And there were times my leg would just be so sore just sitting in the car.

Well, when I first heard about it from my coworker, and she was explaining how you had helped her and what a positive experience that she had had, I started thinking ‘you know, maybe that’s what I really should check into and see if that might be able to solve my problems. If I came to you, I could find out for sure what was going on with my leg. And so, of course, I was a little apprehensive coming, and I was apprehensive with the treatment, but honestly, it was not a big deal at all, and it was so worth doing it.

I would say that my experience from the first time I walked in the door until now has been very positive. Everyone has been very professional. The staff I consider friends, as well as the people who are taking care of me. Dr. Gupta has been excellent in educating me and making sure that I was comfortable. And I’ve always been encouraged to be back in touch if I have any concerns about any issues with my legs.

The outcome from my treatment has been that I am able to go to sleep at night knowing that I am not going to wake up with any cramping in my legs. I have no problems with the restless legs anymore, and it’s just nice to be able to relax. The biggest change it’s made is that I am able to sleep at night, and get a good night's sleep, and not have to worry about waking up because of cramping.

Not only would I recommend that someone with vein problems come here, but I have recommended someone with vein problems come here. We were having a conversation about the problems in my legs and the problems in her legs, and she hadn’t really considered that it could be a vein issue. And since then, she has gone for treatment, as well, so.

Many patients now recognize that varicose veins may not be visible from the outside. Most of our patients report experiencing tiredness, cramping (charley horse), restlessness, or swelling in the legs. Those whose condition has not reached one of the advanced stages often wonder if they are at increased risk of anything that could be limb or life-threatening.

At least one-third of our patients clearly have signs of advanced venous insufficiency – when varicose veins have progressed to a point where the chronic pooling of blood (stasis) in the legs causes skin changes. They may notice skin discoloration, thickening or hardening of the skin, recurrent skin infections, bleeding that can be profuse, and poorly healing sores in the legs. In addition, varicose veins may be an early warning sign of potentially deadly blood clots.

We routinely see patients with blood clots. Some are referred by their primary care providers and others present themselves with concerns about blood clots. Yet there are many patients who are surprised to find that they have a blood clot when we examine them using duplex ultrasound.

Blood clots are far more common than most people think. Serena Williams and Hillary Clinton are among the dozens of celebrities who have suffered consequences due to blood clots. James “Jimmy” Stewart from the movie It’s a Wonderful Life and NBC journalist David Bloom lost their lives from blood clots. David Bloom’s wife, Melonie Bloom, has devoted her life to raising awareness of thrombosis.

The association between varicose veins and deep vein thrombosis (DVT) was demonstrated in a landmark Taiwanese study published in JAMA (Journal of the American Medical Association). Reviewing the health records of over 425,000 adults, the study found a higher rate of pulmonary embolism (when a blood clot in the leg breaks off and travels to the lung) and peripheral artery disease in patients with varicose veins.

• Varicose veins increase the risk of deep vein thrombosis (DVT) by five times
• DVT is a clot in the legs, which can lead to amputation or even death
• Varicose veins make people twice as likely to develop a pulmonary embolism
• Varicose veins double the risk of peripheral artery disease, which reduces blood flow

Varicose veins are veins with weakened walls that fail and cause pooling of blood in the legs. Patients with varicose veins are known to have increased levels of inflammatory and pro-thrombotic markers. These patients have a considerably high risk of forming blood clots in their legs.

Not all clots are serious, but they often tell us about an underlying problem such as impaired blood flow that can lead to greater problems down the road. As Dr. Chang, the lead author of the Taiwanese study stated, “varicose veins deserve careful monitoring and early evaluation”.

Call us at 816-396-0245. We are here for you.

Because heat dilates the veins, many vein issues increase during the summertime. As the veins expand with higher temperatures, leaky veins can get even worse, leading to more pooling of blood in your legs and problems associated with it such as pain, tiredness, cramps, swelling, and clots. There is an increased chance of seeing new spider veins, pain, and symptoms. Here are tips to help you enjoy the warm season:

1 Stay Cool

Make sure you wear clothes that won’t trap heat. Always use sunblock (SPF 30 or above) not just on your legs, but also on your face and nose, where thinner skin is more prone to developing spider veins.

2 Take a Dive

In addition to offering great respite from the summer heat, swimming is one of the best ways to promote normal circulation in your legs. Swimming is a low-impact exercise that saves your joints from the pounding, yet increases your heart rate and improves circulation overall. Also, cooling exercises like swimming and brisk evening walks are best because the lower temperatures help prevent the blood vessels from dilating.

3 Stay Hydrated

Keeping your body properly hydrated will help it effectively circulate blood, heal injuries faster, and allow for healthier skin. Though it seems like a no-brainer, patients with vein problems should pay close attention to their hydration levels during the summer when the heat can easily dry anyone out. If you plan on being out of the A/C, plan to also bring a water bottle along. Avoid caffeine.

4 Avoid Heels

We recommend flats and sandals rather than high heels as they keep your calf muscles from effectively pumping blood out of the leg. Wearing lower heels makes your calves work a little harder, keeping blood pumping throughout your legs and back to your heart where it belongs.

5 Elevate Your Legs

Since veins in our legs have to work against gravity to send blood back to the heart, it helps them if you take periodic 15-minute breaks, elevating your legs above the level of your heart. This facilitates the flow of blood back to the heart and helps “empty” some of the blood pooled in your legs.

6 Calf Pumps

Our calf muscles play a very important role in helping “push” blood upwards towards the heart against gravity. Sitting or standing for prolonged periods renders the calf pump inactive. We recommend taking breaks to walk or stand on tiptoes for 10-second intervals throughout the day whenever possible. Brisk walking, bicycling, using a stepper, and swimming is some of the best ways to strengthen calf muscles.

7 Wear Compression Stockings

They may not be at the top of anyone’s list of hot summer fashions, but compression stockings put pressure on your legs which helps to move blood up and away from your lower legs. Though you may not want to wear them outside during July and August for fear of overheating, wearing them regularly may prevent blood from pooling in your legs, which can cause or worsen vein problems.

Varicose and spider veins have ruined too many summers. To keep them from ruining this one, schedule a free consultation and complimentary vein screening at Alsara Vein Clinic at 816-396-0245 to set up a Consultation today. Current treatments allow us to permanently treat affected veins with no downtime and you can be rid of your compression stockings within days of treatments. Many insurers, including Medicare, offer coverage.

An estimated 60% of women and men suffer from vein disease.

Some of the signs and symptoms include leg pain, achy legs, burning in legs, numbness in legs, leg cramps, heaviness in legs, itching legs, restless legs, tired legs, swelling in ankles or leg calves. Left untreated, it may result in skin discoloration, bleeding veins, sores that heal poorly, and blood clots.

To understand vein disease, you must first understand the function of veins. Arteries are blood vessels responsible for delivering blood to all areas of the body, including the legs. Veins are responsible for collecting the same blood and bringing it back to the heart. Leg veins, located farthest from the heart, have to work extra hard to push blood upward against gravity toward the heart.

Studies have shown that a vast majority of people have genetically weak veins. Now, if you add more risk factors such as standing or sitting for prolonged periods of time, pregnancy, excess weight, and trauma, veins can start to fail. As veins begin to fail, blood starts to pool in the legs resulting in veins that are "varicose"—abnormally swollen or knotted.

It might be surprising to learn that restless leg syndrome, leg cramps, swollen ankles (edema), leg ulcers, varicose veins, and spider veins could all be symptoms of vein disease. We've helped thousands achieve relief with in-office treatments. Alsara Vein Clinic is located north of Kansas City in St. Joseph, MO a.k.a. St. Joe. Schedule your Free Consultation today with Alsara Vein Clinic. Walk-ins are welcome, no referral necessary!

Varicose Vein Treatments are covered by insurance, including Medicare and Medicaid.

Please describe your experience with us:

Everyone was helpful and friendly.

Front Desk staff:

Helpful, pleasant & friendly.

Ultrasound Technologist:

Kati so friendly & gentle & explains what she was doing.

Provider/Doctor/Nurse Practitioner:

Dr. Gupta very polite & explains the procedure.

What made you choose us?

Primary doctor sent me here.

What symptoms were you experiencing?

Swelling & blood clot in the right leg, swelling in the left leg.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

Couldn't do what I wanted because my leg wouldn't let me. I didn't realize there was something wrong with them.

What improvements have you seen in your legs?

Walk a whole lot better, pick legs up easier; less swelling. Legs don't give out on me. Must have had problems for years & didn't know it.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

Very friendly and explained things to us & let us watch on screen. Didn't spend any time in the waiting room. They seem to get to you right away.

Because heat dilates the veins, many vein issues worsen during the summertime. As the veins expand with higher temperatures, leaky veins can get even worse, leading to more pooling of blood in your legs and problems associated with it such as pain, tiredness, cramps, swelling, and clots. There is an increased chance of seeing new spider veins, pain, and worse symptoms. Here are tips to help you enjoy the warm season:

Five Tips To Fight Back

1. Stay Cool
   Make sure you wear clothes that won’t trap heat. Always use sunblock (SPF 30 or above) not just on your legs, but also on your face and nose, where thinner skin is more prone to developing spider veins
2. Take a Dive
   In addition to offering great respite from the summer heat, swimming is one of the best ways to promote normal circulation in your legs. Swimming is a low-impact exercise that saves your joints from the pounding yet increases your heart rate and improves circulation overall. Also, cooling exercises like swimming and brisk evening walks are best because the coolness helps keep the blood vessels from dilating.
3. Stay Hydrated
   Keeping your body properly hydrated will help it effectively circulate blood, heal injuries faster, and allow for healthier skin. Though it seems like a no-brainer, patients with vein problems should pay especially close attention to their hydration levels during the summer when the heat can easily dry anyone out. If you plan on being out of the AC, plan to also bring a water bottle along. Avoid caffeine.
4. Avoid Heels
   We recommend ats and sandals rather than high heels that keep your calf muscles from effectively pumping blood out of the leg. Wearing lower heels makes your calves work a little harder, keeping blood pumping out of your legs and back to your heart where it belongs.
5. Wear Compression Stockings
   They may not be at the top of anyone’s list of hot summer fashions, but compression stockings put pressure on your legs that helps to move blood up and away from your lower legs. Though you may not want to wear them outside during July and August for fear of overheating, wearing them regularly may prevent blood from pooling in your legs, which can cause or worsen vein problems.

Varicose and spider veins have ruined too many summers. To keep them from ruining this one, schedule a free consultation and complimentary vein screening at Alsara Vein Clinic. Current treatments allow us to permanently treat affected veins with no downtime and you can be rid of your compression stockings within days of treatments. Many insurers including Medicare offer coverage.  Click here to see Insurance We Typically Accept.

Kick start this summer with healthy legs that look and feel great.