Detailed scan for Deep Vein Thrombosis (DVT) as well as Superficial Vein Thrombosis (SVT)
The best test currently available for thrombosis (clot) in the legs is a color flow duplex ultrasound. At Alsara Vein Clinic, we utilize very high-resolution ultrasound capable of diagnosing clots in even the smaller deep veins in the calf.
Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine. All clinical staff has specialized education and training for the management of venous diseases including all types of blood clots. Urgent Care centers, Primary Care Providers, Patients, and their relatives routinely call us for same-day appointments.
At Alsara Vein Clinic, we treat vein problems all day, every day. Unlike duplex ultrasound performed at an Emergency Room that focuses only on deep vein thrombosis (DVT), we check for DVT and SVT. Do not let yourself or your loved one be another victim of an undiagnosed dangerous blood clot.
Superficial Thrombophlebitis and Deep Vein Thrombosis (blood clots) are other potential complications from varicose veins.
Varicose veins are prone to developing Superficial Thrombophlebitis (SVT) as well as Deep Vein Thrombosis (DVT). Superficial Thrombophlebitis is characterized by redness of the skin, tenderness, and pain along the affected superficial vein just below the skin surface. As opposed to deep veins, blood clots in the superficial veins are less severe and generally do not break off and go to the lungs.
Deep Vein Thrombosis or DVT on the other hand is a more severe condition. The vein in the leg still becomes inflamed and forms a blood clot. However, Deep Vein Thrombosis has the potential to cause a “pulmonary embolism” – a potentially life-threatening condition – if the clot breaks loose and travels to the right side of the heart and eventually migrates to the lungs.
Embolism: a blood clot that travels from the site where it was formed
Thrombus: a blood clot that forms in a vessel
Deep Vein Thrombosis (DVT): 5 X higher risk of DVT in people with Varicose Veins
Pulmonary Embolism (PE): blood clot travels through the heart and blocks a blood vessel in the lung
Peripheral Arterial Disease (PAD): 1.7 X higher risk of Pulmonary Embolism (PE)
A landmark study was published in JAMA, a very reputable medical journal, that demonstrated how people who have varicose veins have five times (5X) higher risk for clots in the deep veins that can be potentially fatal. Those blood clotscan take off and get lost in areas like the lungs and cause conditions like Pulmonary Embolism.
In the initial stages of varicose veins, people may only see some spider veins or ropey veins, and sometimes there are no visible veins. You may have pain, heaviness, tiredness, restless legs, leg cramps, etc. More advanced stages are when you have skin changes, discoloration, bleeding, ulcers that are slow to heal, and blood clots.
Chronic Venous Insufficiency (CVI) is a medical condition in which the veins in the body are unable to pump oxygen-depleted blood back to the heart, often resulting in chronic swelling in the legs.
How is CVI related to Varicose Veins?
As varicose vein symptoms worsen, there is increased backflow (reflux) of blood, which causes swelling in the ankles, feet, and legs. This is followed by discoloration around the ankles and feet. Left untreated, this may result in stasis dermatitis (dry, flaky rash), phlebitis (blood clots), and ulcers (skin sores).
Due to increased pressure of blood in the legs, even a minor injury may result in profuse bleeding. Poor circulation may cause frequent skin infections and sores that do not heal.
Without treatment, CVI can worsen and lead to leg swelling, skin discoloration, bleeding varicose veins, recurrent skin infections, blood clots and poorly healing sores (ulcers):
Alsara Vein Clinic has helped many patients achieve relief from Edema.
Edema (swelling) of the calf, ankle, foot, or leg is a common symptom of varicose veins that allows blood to flow backward and pool in the legs. Over time, some blood and other fluids can leak out of the vein into the surrounding tissue causing Edema (swelling). Edema Specialist and Vein Specialist Dr. Sam Gupta can help diagnose and treat Edema (swelling). Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine.
At Alsara Vein Clinic, we treat vein problems all day, every day.
Leg, calf, foot, or ankle swelling (Edema) is a common sign of varicose veins.
The normal flow of blood in leg veins is against the force of gravity; from the foot to the thigh and then up towards the heart. When veins are stretched and enlarged (become varicose), they are too weak to overcome the force of gravity causing the blood to flow backward and pool in the legs. As the pooling continues throughout the day, the pressure inside the vein walls continues to increase. Eventually, some blood and other fluids can leak out of the vein into the surrounding tissue.
The pooling of blood, increased pressure and subsequent “leakage” causes swelling in the ankles and feet as gravity pulls the fluid down. As leakage continues, swelling can also be noted in the lower calf region and extend to the knee or even the thighs.
Swelling is more noticeable at the end of the day, especially if you have spent much of it sitting or standing still. When you elevate your legs, for example when you are sleeping, gravity is no longer a force working against the flow of the blood in your leg veins hence swelling is reduced. However, when you sit or stand, the swelling recurs. Other factors that can contribute to increased swelling include lifting or straining, pregnancy, heat (such as hot baths or sauna), and hormonal changes (that further relax and stretch the weak veins).
During the initial stages of edema, graduated compression stockings may be enough to diminish the tendency of the veins to stretch and control edema. Over time, patients may notice increasing leg fatigue, swelling, thinning of the skin, and discoloration of the overlying skin. Complications such as painful blood clots in the vein, bleeding from veins close to the skin surface, and nonhealing leg sores may develop. Many patients may also notice unsightly spider and varicose veins (Corona Phlebectatica).
Because of the potentially serious and long-term complications of varicose veins, proper treatment is important, and the best results are obtained before complications have already developed. A Vein Specialist can use a Duplex Ultrasound to check “leaky” varicose veins and treatment options.
Left untreated, symptoms of varicose veins such as pain, fatigue, and swelling of the legs or ankles worsen over time. You may develop venous ulcers. Ulcers due to varicose veins are painful and difficult to heal unless the underlying venous backflow is corrected. Blood that pools in the varicose veins is depleted of oxygen and nutrients. The walls of these veins are already weakened and increased pressure allows red blood cells and fluid to leak into the tissues of the leg. This in turn causes swelling, pain, tingling, and numbness in the legs and feet.
Chronic inflammation that develops from leakage makes the skin dark and discolored, commonly known as hyperpigmentation. Over time, the skin and surrounding fat under the skin can also get increasingly irritated and inflamed turning the tissue rubbery and firm; a condition called lipodermatosclerosis.
Another possible consequence of untreated varicose veins is spontaneous bleeding from the varicose veins. Bleeding may occur even from a minor injury to your legs and cause significant loss of blood in a short amount of time.
Your Venous Ulcer Specialist at Alsara Vein Clinic will perform a detailed examination and discuss the best treatment options. It is never too late to seek care. Call 816-396-0245 for a Consultation.
Progression of Varicose Veins can lead to Venous Ulcers and Infection
Safely and permanently remove unsightly varicose veins with no downtime and minimal pain or risk of scarring
Alsara Vein Clinic believes in the comprehensive treatment of venous disorders. Our goal is to offer long-lasting results. We do not believe in band-aid treatments. Prior to performing microphlebectomy, we will examine the larger deeper veins in the legs using ultrasound. If there are problems with the deeper (feeder) veins, those must be addressed first, otherwise, the chances of the veins returning or new varicose veins developing in the area are significantly higher. The deeper saphenous veins are typically sealed using a laser (endovenous laser ablation or EVLA). When microphlebectomy is coupled with EVLA, both procedures may be performed on the same day or scheduled a few weeks apart. A study using 76 patients demonstrated that 58.2% of legs treated with EVLA alone did not require further treatment with microphlebectomy. In most cases, EVLA allowed the varicosities to decrease in size or disappear altogether.
Microphlebectomy is a permanent fix for the varicose vein. The vein cannot come back. Other veins may develop and even appear in the same location, but those that have been removed are gone for good. If new veins should develop, they can easily be eliminated with sclerotherapy injections or microphlebectomy.
The procedure itself typically takes less than one hour to perform and requires no downtime. Further, microphlebectomy may be covered by medical insurance if you are experiencing symptoms such as aching, burning, itching, or swelling in your legs caused by varicose veins. There may also be some incidence of blood clots or bleeding. If symptoms are not present, the procedure will be considered cosmetic hence insurance coverage would be unavailable.
Patients are amazed at how easy the microphlebectomy procedure is and how quickly they can see positive results. Patients often comment on how sorry they are that they waited so long to get rid of their unsightly varicose veins that are also a health hazard. Call us now at 1-844-425-7272 to schedule a consultation with our vein specialist.
Alsara Vein Clinic specializes in microphlebectomy treatments to remove unsightly varicose veins.
Restless Leg Syndrome? Alsara Vein Clinic has helped many patients achieve relief.
Varicose Veins and Restless Leg Syndrome (RLS) have many symptoms in common: an urge to move your legs, that creepy-crawly feeling, itching, tingling, and restlessness. These symptoms may be an indication of poor circulation, even if you have no visible varicose veins. Phlebologist and Vein Specialist Dr. Sam Gupta can help diagnose and treat restless leg syndrome and symptoms. Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine.
At Alsara Vein Clinic, we treat vein problems all day, every day.
Varicose veins are a common cause of secondary RLS
Jumping can be good... as long as you have control over it!
Varicose veins are a common cause of secondary RLS (restless leg syndrome). For those who have varicose veins, the symptoms of restlessness in legs center on the fact that leg muscles and tissue are not getting enough oxygen- and nutrient-rich blood. That "pins-and-needles" feeling is their body's way of telling them they need more blood flowing through their legs, and it creates an urge to move, making it difficult to sleep at night. In addition to cramps ("Charley horse") and restlessness in the legs, varicose vein sufferers may also notice heaviness, excessive tiredness, and aching in the legs. Left untreated the underlying venous insufficiency (pooling of blood in legs) may cause swelling, clots, and sores.
Primary Restless Leg Syndrome (RLS)
Some patients have Primary RLS (restless leg syndrome). This means that the cause is unknown. In addition to varicose veins, there are other secondary causes of RLS including iron deficiency anemia, kidney failure, side effects of certain medications (such as medications used to control depression), peripheral neuropathy, and dehydration (inadequate fluid intake or caffeine intake).
If you experience restlessness in your legs, consult with a Vein Specialist to see if varicose veins may be the cause. A duplex ultrasound examination in the comforts of the office setting can help determine if varicose veins are present.
Treatment of varicose veins may alleviate the symptoms of RLS (restless leg syndrome). One study found that 98% with RLS (restless leg syndrome) and varicose veins noted improvement after treatment of varicose veins with sclerotherapy.* Newer treatments such as endovenous laser ablation are more effective than sclerotherapy and offer longer-term solutions. The use of medications to mask symptoms of RLS (restless leg syndrome) may cause side effects without addressing the underlying cause. Other ways to manage symptoms of restlessness in the legs include calf exercises, weight loss, and the use of graduated compression stockings.
*Dermatol Surg. 1995 Apr;21(4):328-32. The effect of sclerotherapy on restless legs syndrome.
Restless Legs and Leg Cramps are Common Symptoms of Varicose Veins
Leg cramps and restless legs syndrome (RLS) are usually the first symptoms of varicose veins. One study showed that people suffering from varicose veins have a sixty-seven percent higher chance of experiencing cramps than those without. The same study reported that an overwhelming ninety-one percent experienced cramps most frequently in the calf region.*
Healthy veins in the legs collect de-oxygenated blood and return it to the heart and lungs where it is replenished with oxygen and nutrients. Varicose veins are “leaky pipes” in our legs that allow blood to pool and become stagnant. Due to the continued buildup of pressure in the deoxygenated blood and toxins, muscles in our legs begin functioning improperly. This results in the muscle cramps and restlessness many of our patients have experienced in their legs.
Since pressure is highest after prolonged sitting or standing due to the force of gravity, leg cramps and restless legs are noticed by patients more often at the end of the day. There can be other causes of cramps and restlessness in the legs.
However, if varicose veins are the contributing factor, the use of medications such as Requip, Mirapex, or Quinine may simply mask symptoms of RLS without addressing the underlying cause. Supplements, such as magnesium and calcium, may help relax the muscles and lead us to believe that nutritional supplements alone will rectify the problem. Unfortunately, the poor blood flow devoid of adequate oxygen remains uncorrected and the underlying disease may evolve into more serious problems such as blood clots, bleeding, infection of the skin in legs, and sores that are slow to heal.
Treatment of varicose veins may alleviate the symptoms of restless legs (RLS). In fact, one study found that ninety-eight percent of patients with RLS and varicose veins noted that the symptoms improved after using sclerotherapy.** Another study reported that eighty-nine percent of patients enjoyed improvement after endo-venous laser ablation and sclerotherapy treatments.*** New treatments of varicose veins are safe, effective, virtually painless, and require no downtime. Almost all insurance companies, including Medicare and Medicaid, offer coverage for symptomatic varicose veins. Visit the Alsara Vein Clinic YouTube channel to see patient testimonials, some of who have had cramps and restless legs before treatment. If you experience cramps or restlessness in your legs, call us right away to schedule a free consultation at 816-396-0245.
*Dermatol Surg. 1995 Apr;21(4):328-32. The effect of sclerotherapy on restless legs syndrome. **Hirai, M, et al., ‘Prevalence and characteristics of muscle cramps in patients with varicose veins’ Vasa, November 2000,
29(4):269-73. ***Phlebology. 2008;23(3):112-7. doi: 10.1258/phleb.2007.007051. The effect of endovenous laser ablation on restless legs
syndrome.
Injection Sclerotherapy and Varithena® Vein Treatments
Injection Sclerotherapy is a method of treating varicose veins and chronic venous insufficiency using medication that is injected into a vein, causing it to close. Varithena® is a new, cutting-edge treatment option approved by the FDA in 2013. It is one of the most popular and effective treatments available to improve symptoms of superficial venous incompetence and the appearance of visible varicosities. Phlebologist and Sclerotherapy Specialist Dr. Sam Gupta can help diagnose and treat varicose veins and chronic venous insufficiency with a variety of treatment modalities, including Sclerotherapy and Varithena®. Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine.
At Alsara Vein Clinic, we treat vein problems all day, every day.
Ultrasound Guided SclerotherapyInjection Sclerotherapy, also known as Echosclerotherapy, is a method of treating varicose veins and chronic venous insufficiency using medication that is injected into a vein, causing it to close. Healthy veins then take over to correct blood flow back to the heart, resulting in symptom improvement. Using ultrasound guidance is essential in achieving long-term results and ensures the most complete treatment of all diseased veins.
How Does This Vein Treatment Process Work?
When the injectable agent comes in contact with the inside lining of the vein, the treated vein collapses and is soon replaced by a thin cord of fibrous tissue. The vein is now permanently closed. This process is called sclerosis, hence the name "sclerotherapy". The treated vein is then slowly absorbed by your body and eventually disappears.
Ultrasound Guided Sclerotherapy (USGS) is a highly versatile treatment and useful to treat any residual varicose veins that may persist after Endovenous Laser Ablation varicose veins treatment. This ensures comprehensive treatment of the entire diseased network of veins for long-term benefit.
This USGS treatment assumes a major role in the treatment of venous insufficiency, as well as smaller veins, such as telangiectasias and spider veins. USGS is considered the "Gold Standard" for treating spider veins, which are smaller versions of varicose veins that are visible under the skin surface. The success of the sclerotherapy relies upon the experience and skill of the provider. Choosing the right sclerosant, target, volume, concentration, and “exposure time” make the difference between success and failure. Your Vein Specialist at Alsara Vein Clinic is highly skilled in administering USGS treatments.
Varithena® is a new, cutting-edge treatment option approved by the FDA in 2013. It is one of the most popular and effective treatments available to improve symptoms of superficial venous incompetence and the appearance of visible varicosities. Administered under ultrasound guidance, it damages the interior lining of the problem vein and causes it to close shut. Over a period of several months, the body will slowly absorb the treated veins by the process of fibrosis.
When is Varithena® recommended?
Varithena® is not used for all forms of varicose veins. It is approved for the treatment of incompetent great saphenous veins, accessory saphenous veins, and visible varicosities of the great saphenous vein (GSV) system above and below the knee. Typically, Varithena® is used for residual varicosities after the truncal veins have been sealed with other treatment modalities such as thermal ablation (EVLA, RFA) or VenaSeal™. Treatments are tailored to individual patients' needs and circumstances. Your Vein Specialist will make the determination for you.
What happens after treatment?
Post-treatment bandages are applied, and compression stockings are used for a minimum of 1 week. It is important to stay active and avoid prolonged inactivity. Also avoid excessively heavy weightlifting, high impact activities, and exposure to heat.
What are the risks involved in the use of Varithena®?
Localized numbness, tenderness, redness, tingling, and bruising are not uncommon. These changes are typically near the injection site and resolve over time.
Varithena
Alsara Vein Clinic specializes in injection sclerotherapy and Varithena® treatments of varicose veins.
During the initial stages of varicose veins, patients usually have mild symptoms, which are experienced more toward the end of the day. The onset of symptoms is often very subtle, so much so that many people forget how their legs felt before they had problems. As the condition worsens, symptoms become more noticeable.
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.
Over time, the symptoms will worsen and could result in skin discoloration, sores, blood clots, frequent skin infections, and bleeding.
It might be surprising to learn that restless leg syndrome, leg cramps, swollen ankles, ulcers, varicose veins, and spider veins could all be symptoms of vein disease. We've helped thousands achieve relief with in-office treatments.
Schedule your Consultation today with Alsara Vein Clinic.
Introducing Next Generation Spider Vein Treatments
Enjoy the best possible spider vein treatment outcomes that are long-lasting in the fewest visits possible
Alsara Vein Clinic's spider vein specialist offers the latest, state-of-the-art spider vein treatments. The most effective treatment options currently available are injection sclerotherapy (the gold standard), ultrasound-guided sclerotherapy (used to seal the deeper "feeder veins"), ohmic thermolysis (the revolutionary VeinGogh), and surface laser. We have all of these and some other options available. Typically we use a combination of treatment modalities to help you enjoy the best possible outcomes that are long-lasting in the fewest visits possible. Spider vein treatmentimaging is performed using Ultrasound, Veinlite®, and AccuVein®. Combined with Alsara Vein Clinic's expertise, years of experience, and obsession for outstanding results, you can get the results you always desired. Schedule a Consultation today.
Board Certified Providers
We use ultrasound guidance to rid unsightly spider veins at their source
Alsara Clinic uses the latest technology to provide the most effective, safest, and longest-lasting result
Many patients come to us after failed treatments elsewhere
We treat veins all day, every day; more importantly, we love what we do
Injection sclerotherapy is the quality standard for spider veins treatment. Using a special light, the vein is isolated and a small amount of medication (sclerosant) is injected inside the vein. The medication "closes" the vein and stops the flow of blood.
Although the appearance of treated spider veins improves (diminishes) immediately, the spider veins are slowly absorbed by the body over a course of several weeks or months. Typically, several veins can be treated in one session and more than one session may be required depending on the extent of your spider veins. It is also possible that repeat injections in a single vein may be necessary since some spider veins are more "stubborn" than others.
What is VeinGogh?
VeinGogh is a breakthrough treatment technology for spider veins that allows us to treat even the smallest and the curviest vein where sclerotherapy may not be an option. An extremely tiny needle focuses energy (ohmic thermolysis) directly onto the spider vein and closes it immediately.
This VeinGoghspider vein treatment is not dependent on skin types, like lasers and other light-based therapies, and provides a superior solution for sealing vessels that have shown resistance to other treatment options. The tissue on the skin surface is rarely affected and many patients report minimal, if any, discomfort compared to laser or intense pulsed light therapies used elsewhere to remove spider veins. As with sclerotherapy, over time the body absorbs the "closed" veins.
Generally, patients will require sclerotherapy treatment first, as it is still the first option in treating spider veins. VeinGoghtreatment is then recommended for any spider veins remaining that meet the criteria in size. Rest assured, Alsara Vein Clinic uses the most sophisticated technology available and highly skilled staff to meet your needs for spider vein removal treatments.
VeinGogh Spider Vein Treatment
Treating Surface Veins
Spider Vein Treatment Procedure at Alsara Vein Clinic
Are Alsara Vein Clinic's Spider Vein Treatments Right for Me?
It is important when scheduling your spider vein treatment to consider the timing in which treatments are performed in relation to sun exposure. We recommend avoiding sun exposure (including tanning beds, etc.) 1-2 weeks after a treatment is performed. In addition, we recommend using a sunscreen with an SPF of 30 or greater for 3 months post-treatment.
The recipe for beautiful legs is here. We have a collection of the most effective spider vein treatment options available anywhere. View our before & after spider vein treatment gallery. Combined with our expertise and obsession for outstanding results, you can get the legs you always desired but never thought possible. Schedule a consultation
Alsara Vein Clinic specializes in spider vein treatments using cryo sclerotherapy and VeinGogh.
Spider veins are the smaller versions of varicose veins caused by the same risk factors as underlying varicose veins. Based on the size of the surface veins (commonly referred to as “spider veins”), veins may be bluish in color (venulectasia), green (reticular veins) or red/purple (telangiectasia).
How are Spider Veins Treated?
At Alsara Vein Clinic, we have almost every treatment modality for the treatment of spider veins. Over the years, we have realized that “inside-out” is the best approach to give you an optimal, long-lasting outcome. We first scan the affected areas using ultrasound looking for any “feeder” veins beneath the skin surface. If present, we use Ultrasound Guided Sclerotherapy to close an entire cluster of spider veins at its source beneath the skin that is otherwise not visible from the outside. Any remaining surface veins are then treated using Injection Sclerotherapy (the Gold Standard) by injecting medication (Sclerosant) directly into the affected surface veins. We use Ohmic Thermolysis or Surface Laser for any remaining veins that are not eligible for sclerotherapy due to their size or location (near ankle or foot). These modalities use a spectrum of light that targets spider veins from the outside and closes them by heating the hemoglobin within the affected veins.
Occasionally, veins near the surface of the skin are too large to treat with sclerotherapy and not small enough to treat with Ohmic Thermolysis or Surface Laser. Microphlebectomy is a minimally invasive treatment to remove larger surface veins including varicose veins that appear on the skin surface. This is not to be confused with surgical vein stripping, which is a much more invasive procedure performed in the hospital setting under general anesthesia and traditionally was used to remove larger, deeper varicose veins. Microphlebectomy is performed in the comfort of our office. Using very fine instruments, the unwanted bulging veins are removed through minuscule openings without the need for sutures and typically without causing any scarring. The patient is able to resume normal activities quickly and is immediately rid of the unsightly veins that are removed permanently.
We go to extreme lengths to make sure the treatments are safe and effective, but as painless as possible.
On The Day of Your Laser/VenaSeal Treatment Procedure:
When you arrive for yourLaser/VenaSeal treatment, you will be asked to change into a pair of comfortable shorts that we provide you. If you choose, you may bring your own loose-fitting shorts.
Next, our vein specialist or our ultrasound technologist may perform a brief ultrasound scan and mark areas of interest on your leg. You are now are ready for our unique multi-step numbing process.
Multi-step Numbing Process
Your comfort is extremely important to us during the vein treatment process. We strive to reduce any discomfort as much as possible. That's why Alsara Vein Clinic has developed an exclusive multi-step numbing process to ensure your comfort every step of the way.
1. Cream
Starting even before your procedure begins, we apply a cream to the skin on your leg. This cream is produced especially for us, and begins the numbing process while preparing your veins for a smooth procedure.
2. Spray
Immediately before any needle touches your skin, we utilize a special spray which further numbs the surface of your skin, further removing any discomfort.
3. Technique
While injecting more numbing medicine into the skin, we use a special technique which numbs the skin area for the next injection. That way, your skin is numbed from outside and in.
4. Lining (Laser treatment only)
Just before the laser is used, we surround the problem vein with a special medicine which numbs, and provides a protective barrier between your vein and the surrounding tissue. Now, numbing is complete, and the laser energy is safely contained right where it needs to be.
Nitrous Oxide "Laughing Gas" (Optional)
Although the vein treatment process offered at Alsara Vein Clinic generally involves little or no pain, we also offer the use of Nitrous Oxide to help take the edge off a patient’s anxiety, helping him or her to relax through the EVLA procedure.
Nitrous Oxide is the oldest, safest, and most fast-acting sedating agent available. It has been used for centuries and is currently used by over one-third of all dental practices.
Patients experience a sense of well-being, feel more relaxed and somewhat less aware of their surroundings, as well as less responsive to any discomfort.
Nitrous oxide is breathed through a nasal mask and, after a state of relaxation is reached, local anesthesia is administered. Complications with nitrous oxide/oxygen are extremely rare. Its sedative effects are completely gone five minutes after it is stopped. It is eliminated through the normal breathing process. Patients are typically able to drive themselves home or to work. This option is available for an additional charge at your EVLA visit.
Needle-free Numbing System (Optional)
If you are uncomfortable with needles, Alsara Vein Clinic offers a breakthrough needle-free numbing system. Instead of a needle, a pressurized numbing medication is injected through the skin pores using gas pressure.
J-Tip Needle-free- Numbing Available 😃
Laser/VenaSeal Time
Laser Procedure:
During the laser procedure, you'll get to wear a super cool pair of protective glasses. As a bonus, we’ll give you a lollipop of your choice. This helps counteract any odd taste or smell, which can be a byproduct of the laser during the procedure that some patients may experience.
Venaseal Procedure:
Since the Venaseal procedure doesn’t involve the use of heat, there is no need for eye protection or dealing with that funny taste or smell. But if you’re feeling left out of the lollipop fun, just ask! We’ve got you covered.
Laser Treatment of Variose Veins
Before You Go Home (or Shopping!)
As soon as your laser treatment is complete, we will obtain some ultrasound images to ensure the target vein was treated successfully (yes, the effect is that fast) and help you with dressing and stockings. You are now good to go back to work (or shopping!)
Home Instructions
We will go over the easy-to-follow instructions before you leave our office.
You are welcome to resume normal activities immediately, including walking, low-impact activities, standing, or lifting moderate weights. In fact, staying active is crucial in keeping your calf muscles (leg pump) working. Now that we have shut down some of the bad veins in your superficial venous system, the good veins in your deep venous system will take over and rely on the pumping mechanism of your calf muscles more than ever before.
Although you are not quite ready for a marathon or heavyweight championship (or our Hot Leg Competition!), you will likely notice improvement as early as the night of the procedure. So go ahead and enjoy your legs!
In case you forgot to ask us something or have any concerns, there is no need to worry. We will call you the day after your procedure to check and see how you are doing and answer any additional questions.
On The Day of Your Non-laser Procedure:
Ultrasound Guided Sclerotherapy (USGS) or Spider Treatment
We will offer you a pair of comfortable shorts or you can bring your own loose-fitting shorts. Ultrasound and/or Vein Lite is typically used to identify and mark the areas needing treatment. One or more numbing tools may be used to reduce all possible discomfort. These procedures require less time and preparation than Laser/VenaSeal treatment. Our vein specialist will treat you and determine a follow-up plan. All instructions are provided before you leave the office.
You will receive a follow-up phone call the day after the procedure to check on you and answer any additional questions.
Varicose veins treatment using Endovenous Laser Ablation, or EVLA, is a non-surgical and minimally invasive varicose veins treatment that offers an effective alternative to the surgical stripping of veins. It is performed in the office under local anesthetic using our unique numbing system. We also offer needle-free numbing for the best comfort. Endovenous Laser Ablation is the safest, most effective, and long-term solution that science and modern medicine offers for varicose vein treatments.
How Does the EVLA Procedure Work?
Under ultrasound guidance, a thin fiber-optic probe is inserted through a tiny entry point, usually near the knee. Laser energy is delivered to seal the faulty vein so that blood cannot flow through it. This eliminates unsightly bulging and enables the blood to be diverted to healthy veins in the leg, thereby alleviating any symptoms. Immediately after the procedure patients can resume daily activity. Most patients are able to return to work immediately.
Laser Treatment of Varicose Veins
Innovative ThermaLite 1470 nm Laser System
Alsara Vein Clinic exclusively uses the leading edge EVLA technology (1470 nm laser system), which decreases discomfort and bruising, while maintaining the unparalleled efficacy and safety of laser technology. Studies have shown that Endovenous Laser Ablation (EVLA) is more effective in treating varicose veins than Radiofrequency Ablation (VNUS Closure). Traditional laser machines have utilized lower frequencies (810 nm or 980 nm) and target blood (hemoglobin) within the veins. However, there was more, although temporary, bruising and soreness noted with these laser frequencies than with radiofrequency ablation. The new ThermaLite 1470 nmlaser machines target water in the vein wall instead of hemoglobin, which results in much less discomfort, practically no bruising, and a fast return to normal activities. This is particularly important for people living active lifestyles who want to resume their activities right away and would like to wear shorts or skirts. The new 1470nm offers the best of both worlds. Alsara Vein Clinic has treated numerous patients using the new 1470 nmLaser with almost no discomfort or any bruising after the procedure. Our patients cannot be happier with the results.
VenaSeal™ is a revolutionary FDA-approved medical-grade superglue for the treatment of varicose veins. The VenaSeal™ Closure System is a non-thermal treatment option that seals – or closes – the diseased vein using a small amount of specially formulated medical adhesive that is delivered to the diseased vein. The adhesive permanently seals the vein, and blood is rerouted through nearby healthy veins. Unlike other treatment options, only a single injection of numbing medication is needed, and no compression stockings are necessary post-treatment, which reduces discomfort and recovery time. Many patients are able to return to normal activity immediately after the procedure.
VenaSeal
How do I get started with the Varicose Vein Treatment Process?
To determine whether or not the Laser Treatment or VenaSeal™ procedures we offer are right for you, please schedule a free consultation.
During this free consultation, you will meet with one of our board-certified vein specialists to assess your symptoms and discuss treatment options appropriate for you.
Treatment of ropey varicose veins may require one or more combinations of the following: Endovenous Laser Ablation, VenaSeal Closure System, Injection Sclerotherapy (including Ultrasound Guided Sclerotherapy and Catheter Assisted Sclerotherapy), and Microphlebectomy.
Large bulging veins that appear on the skin surface as ropey veins are frequently a major branch of a deeper (inside the leg) saphenous vein, such as the Great Saphenous Vein, which is often, but not always, involved. Ultrasound testing is frequently necessary to determine the level of involvement. If the saphenous vein is involved, it would likely need to be sealed first using Endovenous Laser Ablation (EVLA) or VenaSeal Closure System. This step in itself is sometimes enough to “shrink” the bulging vein. Any remaining unsightly veins may be either closed with sclerotherapy (using medication to seal the vein) or sections of the bulging veins may be removed by microphlebectomy. Unlike vein stripping, microphlebectomy is a simple, out-patient procedure performed under local anesthesia. Using very fine instruments, sections of unwanted veins are carefully removed through tiny openings without the need for sutures and with minimal risk of scarring. Vein treatments may be staged (occur on separate days) or a combination of treatments may be performed on the same day if recommended by your Phlebologist (Vein Specialist).
Now you may be able to get rid of the unsightly ropey varicose veins during your lunch break (and start looking for that pair of shorts you thought you could never wear!).
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.
Varicose veins are large, bulging veins that are often visible on the skin surface, but the majority are weak or damaged blood vessels below the surface of the skin that cause poor circulation and are only visible with help of an ultrasound.
Spider Veins are smaller versions of varicose veins that usually appear on the skin's surface as small, red to purple blood vessels that resemble a spider's web. While spider veins rarely pose a medical problem, they often signal problems in the larger veins below the skin's surface.
Chronic Venous Insufficiency is a medical condition in which the veins are unable to pump oxygen-depleted blood back to the heart, often resulting in chronic swelling of the legs.
Deep Vein Thrombosis (DVT) is the formation of a blood clot within a deep vein and can be a complication of varicose veins and chronic venous insufficiency. Classic symptoms of deep vein thrombosis include swelling, leg pain, and skin redness of the affected area.
Varicose Veins and Restless Leg Syndrome (RLS) have many symptoms in common: an urge to move your legs, that creepy-crawly feeling, itching, tingling, and restlessness. These symptoms may be an indication of poor circulation, even though you have no visible varicose veins.
Leg swelling (edema) is a common sign of varicose veins. The pooling of blood, increased pressure and subsequent “leakage” causes swelling in the ankles and feet as gravity pulls the fluid down.
Over time, you may develop leg ulcers. Ulcers due to varicose veins are painful and difficult to heal unless the underlying venous backflow is corrected.
Signs and Symptoms
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.
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 yourFree Consultation today with Alsara Vein Clinic. Walk-ins are welcome, no referral necessary!
Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine. All clinical staff has specialized education and training for the management of venous diseases including all types of blood clots. Urgent Care centers, Primary Care Providers, Patients, and their relatives routinely call us for same-day appointments.
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Alsara Vein Clinic has helped many patients achieve relief from Edema.
The pooling of blood, increased pressure and subsequent “leakage” causes swelling in the ankles and feet as gravity pulls the fluid down. As leakage continues, swelling can also be noted in the lower calf region and extend to the knee or even the thighs.
During the initial stages of edema, graduated compression stockings may be enough to diminish the tendency of the veins to stretch and control edema. Over time, patients may notice increasing leg fatigue, swelling, thinning of the skin, and discoloration of the overlying skin. Complications such as painful blood clots in the vein, bleeding from veins close to the skin surface, and nonhealing leg sores may develop. Many patients may also notice unsightly spider and varicose veins (Corona Phlebectatica).
If you experience restlessness in your legs, consult with a Vein Specialist to see if varicose veins may be the cause. A duplex ultrasound examination in the comforts of the office setting can help determine if varicose veins are present.
Leg cramps and restless legs syndrome (RLS) are usually the first symptoms of varicose veins. One study showed that people suffering from varicose veins have a sixty-seven percent higher chance of experiencing cramps than those without. The same study reported that an overwhelming ninety-one percent experienced cramps most frequently in the calf region.
Alsara Vein Clinic's spider vein specialist offers the latest, state-of-the-art 
VeinGogh is a breakthrough treatment technology for spider veins that allows us to treat even the smallest and the curviest vein where 
Spider veins are the smaller versions of 
Although the vein treatment process offered at Alsara Vein Clinic generally involves little or no pain, we also offer the use of Nitrous Oxide to help take the edge off a patient’s anxiety, helping him or her to relax through the EVLA procedure.
If you are uncomfortable with needles, Alsara Vein Clinic offers a breakthrough needle-free numbing system. Instead of a needle, a pressurized numbing medication is injected through the skin pores using gas pressure.
Alsara Vein Clinic exclusively uses the leading edge EVLA technology (1470 nm laser system), which decreases discomfort and bruising, while maintaining the unparalleled efficacy and safety of laser technology. Studies have shown that Endovenous Laser Ablation (EVLA) is more effective in treating varicose veins than Radiofrequency Ablation (VNUS Closure). Traditional laser machines have utilized lower frequencies (810 nm or 980 nm) and target blood (hemoglobin) within the veins. However, there was more, although temporary, bruising and soreness noted with these laser frequencies than with radiofrequency ablation. The new ThermaLite 1470 nmlaser machines target water in the vein wall instead of hemoglobin, which results in much less discomfort, practically no bruising, and a fast return to normal activities. This is particularly important for people living active lifestyles who want to resume their activities right away and would like to wear shorts or skirts. The new 1470nm offers the best of both worlds. Alsara Vein Clinic has treated numerous patients using the new 1470 nmLaser with almost no discomfort or any bruising after the procedure. Our patients cannot be happier with the results.
Treatment of ropey varicose veins may require one or more combinations of the following: Endovenous Laser Ablation, VenaSeal Closure System, Injection Sclerotherapy (including Ultrasound Guided Sclerotherapy and Catheter Assisted Sclerotherapy), and Microphlebectomy.