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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.
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.
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 mother Joyce, seeing how she is [after treatment].
What symptoms were you experiencing?
Pain, weakness both legs.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Couldn't stand long; weak and painful.
What improvements have you seen in your legs?
No pain, stronger legs.
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?
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
I can't say enough good things about the staff at Alsara Vein Clinic.
What made you choose us?
My doctor suggested I go to a vein doctor. I have made a wonderful choice at Alsara.
What symptoms were you experiencing?
Swelling in ankles.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
The swelling is gone now and my ankles do not swell anymore. No more pain.
What improvements have you seen in your legs?
I have no swelling or pain in my legs.
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?
Dr. Sam explains everything he is doing. He is a great doctor and I would go to no one but him. He is kind and explains every move he makes. He takes the fear out of me and I trust him completely.
Leg Pain and/or Restless Legs Syndrome is a very common symptom of deeper vein problems. We've helped thousands achieve relief.
Even if you cannot see any visible or bulging varicose veins, your ongoing leg pain and/or restless legs syndrome may still be due to venous insufficiency. Other symptoms may include heavy legs, aching legs, tired legs, burning sensation in legs, itching, leg cramps or "charley horse", leg inflammation, swelling feet or ankles, skin discoloration, sores that heal poorly, skin ulcers, bleeding, even blood clots.
An estimated 60% of women and men suffer from vein disease.
Signs and Symptoms
Aching
Burning or numbness
Cramping or 'Charley horse'
Heaviness
Itching
Leg pain
Restless legs
Tiredness
Swelling in feet ankles and calves
Left untreated, may result in skin discoloration, bleeding veins, sores that heal poorly, and blood clots.
How can I know if this is my problem?
We offer Consultations with a Board Certified Provider. They will visually examine your legs, evaluate your symptoms, answer any questions you may have, and determine whether an ultrasound "mapping" of your leg veins is necessary.
Ultrasound scanning is done in the office, is pain-free, and the results are available immediately. The Phlebologist (leg vein specialist) will perform a detailed examination, make a diagnosis, and then will discuss with you the best treatment options. Treatment is designed for each patient based on the results of the examination and ultrasound scan. Every patient is different, so an individualized treatment plan is essential.
How are varicose veins treated?
Fortunately, the days of painful vein stripping are over. Now, the treatments available are much safer, more effective, and patients are able to resume activities right away. We offer several minimally invasive, non-surgical, in-office procedures to ensure immediate and long-term results, including EVLA (Endovenous Laser Ablation), USGS (Ultrasound Guided Sclerotherapy), VenaSeal Closure System, and Microphlebectomy.
Leg problems don't wait – why should you?
If you're concerned about leg pain, endure leg pain or restless legs at night, or just wonder what is causing your lower leg pain or restless legs, claim your Free Consultation today and/or request an emailed informational brochure.
About Alsara Vein Clinic and Dr. Sam Gupta
Your Vein Specialist, Sam Gupta, M.D., M.P.H. completed his medical training at the Mayo Clinic and Masters in Public Health from Harvard University. He is one of the 795 Vein Specialists in the nation certified by The American Board of Venous & Lymphatic Medicine. He has devoted his career solely to the diagnosis and management of the entire spectrum of vein disorders. Alsara Vein Clinic is focused on varicose vein treatment and serves the greater northwest Missouri area. Many patients who have come to us with symptoms of leg pain and restless legs have found lasting relief with our virtually pain-free in-office varicose veins treatment. We offer Consultations, no referral necessary.
Veins are all we do, all day, every day. We've treated over 12,000 patients, many of whom sought relief from leg pain and/or restless legs and had no idea what was causing it.
Neuropathy in Legs? – Could be due to failed veins
Understanding the Connection Between Neuropathy and Venous Insufficiency
Veins play a crucial role in circulating blood back to the heart. In the legs, they must work against gravity to push blood upward. When some veins fail to function properly, they may allow fluid to leak into surrounding tissues, irritating nearby nerves and potentially leading to neuropathy-like symptoms in the legs and feet. However, unlike true neuropathy, which involves permanent nerve damage, neuropathy-like symptoms linked to venous insufficiency tend to fluctuate throughout the day. These symptoms usually intensify with prolonged sitting or standing, particularly in the evening, and tend to improve with leg elevation or in the morning before lowering your legs below heart level.
The failed (varicose) veins are often not visible from the outside and can only be seen with the help of ultrasound. Several factors contribute to the development of varicose veins, including genetics, aging, prolonged standing, pregnancy, and excess weight. Common symptoms include leg heaviness, fatigue, aching, cramping, and restlessness. As pressure builds in the affected veins, blood can pool, leading to fluid leakage into surrounding tissues and causing swelling (edema). If left untreated, varicose veins can progress to chronic venous insufficiency (CVI), which may result in skin discoloration, recurrent infections, bleeding, blood clots, and non-healing leg ulcers.
Duplex Ultrasound
A frequently overlooked complication of venous insufficiency is neuropathy.
According to the Oxford Dictionary, neuropathy is a condition that affects one or more nerves, resulting in symptoms like numbness and weakness. In cases of peripheral neuropathy affecting the legs and feet, individuals may experience tingling, burning sensations, pins and needles, numbness, or muscle weakness. These symptoms often worsen at night or after extended periods of sitting or standing due to fluid buildup from leaky veins, which increases pressure and inflammation. Additionally, impaired circulation from dysfunctional veins deprives nerve tissue of oxygen and essential nutrients, further contributing to nerve damage.
Unlike neuropathy caused by diabetes, infections, vitamin deficiencies, or injuries—which are often permanent—neuropathy linked to venous insufficiency can fluctuate throughout the day and may be reversible. Symptoms tend to worsen with prolonged sitting or standing but often improve when the legs are elevated. Research* indicates that 65% of patients with both conditions experienced significant improvement or complete resolution of their neuropathic symptoms after receiving vein treatment.
The good news is that at Alsara Vein Clinic, a simple duplex ultrasound can help determine whether venous insufficiency is contributing to neuropathy symptoms. Treating diseased veins is a safe, virtually painless process with no required downtime. All procedures are performed in a comfortable clinic setting, and most insurance providers—including Medicare and Medicaid—cover treatment for symptomatic varicose veins.
*Improvement of Neuropathy after Venous Ablation – Dobson et al, Journal of Vascular Surgery March 2020
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.
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.
VenaSeal™ is a relatively new varicose vein treatment option. Recently featured on The Dr. Oz Show and approved by the FDA, VenaSeal™ involves the use of a medical adhesive (medical grade superglue – cyanoacrylate) that seals the diseased veins from the inside.
Varicose veins are caused when veins in the legs fail, allowing backflow of blood. The blood pools in these veins causing them to enlarge and stretch. These veins occur deep inside the leg, and can only be seen with the help of an ultrasound. The branches of varicose veins pick up the extra volume of blood and may appear under the skin as bluish-green ropy veins or spider veins.
Over the past few decades, treatment options have evolved from aggressive techniques, such as surgical vein stripping, to minimally invasive techniques, such as thermal ablation using a laser (Endovenous Laser Ablation) and Ultrasound Guided (foam) Sclerotherapy.
Almost all modern treatment options work by closing the unhealthy veins from the inside. Once the diseased veins have been successfully sealed shut, the body absorbs them over time, while the flow of blood is restored through healthy veins, improving circulation. These treatments are performed in the comfort of an office setting and do not require any downtime.
VenaSeal™ accomplishes the task of shutting down unwanted veins using medical-grade superglue, cyanoacrylate. Patient comfort is taken to a whole new level with VenaSeal™ while maintaining the high efficacy of treatments such as thermal ablation. It requires only a single injection, sparing patients the unpleasant sensation of multiple needle pricks. There are no large incisions, and only a small application of local anesthesia is necessary, with minimal swelling, no bruising, and zero risks of thermal burns or nerve injury. This allows for fewer visits and increased cost savings. Even better, there may not be a need to wear compression stockings with this procedure. Most insurers, including Medicare, offer coverage for this procedure. Contact Alsara Vein Clinic at 816-396-0245 to set up a Consultation today.
Left untreated, they continue to worsen and turn into a serious problem.
Maybe you’ve seen the blue or purple squiggly veins on your legs that look like lines on a roadmap and wondered how to get rid of them. Maybe you are experiencing pain, cramps, restlessness, or have sores on your legs, and you were told by your Primary Care Provider that you have varicose veins. Perhaps you wondered “What the heck are varicose veins anyway” and “How do I get rid of them?”
What is a Varicose Vein (and CVI)?
In simplest terms, varicose veins are faulty blood vessels that have become overstretched and swollen with blood.
When your heart beats, it pumps blood through arteries to every part of your body carrying oxygen and essential nutrients. Since you have a limited amount of blood (about 5 liters in an adult), the deoxygenated blood returns to the heart via countless veins in your body. The veins in your legs are farthest from the heart and must work against gravity to push blood back to the heart. Compounded by other risk factors, some veins wear out over time and become “varicose”. The pooling of blood in varicose veins may cause symptoms such as heaviness, tiredness, itching, burning, cramping, restlessness and pain. Left untreated, the increased pressure of blood in the leg veins can leak out, causing problems such as edema, skin discoloration, sores in legs that heal poorly, and frequent skin infections. This condition is called Chronic Venous Insufficiency (CVI).
Who gets them?
Although varicose veins affect both men and women, they are slightly more common in women who tend to have them at an earlier age. This may also have to do with the fact that men are less inclined to seek timely medical care. Hence, it is not a surprise that men have more advanced stages of varicose veins and CVI by the time they see a vein specialist compared to women. People in general are more likely to get them as they get older.
Frequently there is a genetic predisposition to vein problems. That means that if your mom or your sister has them, you are more likely to also have them. Things that put pressure on your legs and feet — like being overweight or standing for a long time, every day, without exercise — can also cause varicose veins. Pregnancies also make veins worse due to increased pressure of the uterus and the extra blood volume.
Do I need these veins? How do I get rid of them?
Once a vein is varicose, it is a diseased blood vessel much like a “weed” in your yard. Just like weeds compete for space and nutrients in your yard (and are formidable competitors!), varicose veins have weakened walls that facilitate easy entry of blood but instead of pushing the blood back in circulation, the blood tends to pool in them causing a wide variety of problems including life-threatening blood clots.
In the past, varicose veins were “stripped” much like pulling weeds from the yard. This was a painful, imprecise, and invasive surgery with significant downtime, scarring, and risk of complications. Even worse, many patients required additional treatment due to other veins rapidly becoming varicose.
In the last 15 to 20 years, our increased understanding of venous disease, modern tools available for accurate diagnosis, and minimally invasive treatments have revolutionized how we treat vein problems in legs. After your vein specialist has performed a detailed ultrasound scan of your legs, he/she will create a “road map”. Then, using tools such as Endovenous Laser Ablation (EVLA), your Vein Specialist can seal the underlying varicose veins at their source, much like closing the large root of weeds from the inside. Any smaller, persistent veins can then be treated using injection sclerotherapy that is analogous to using a weed killer in your yard. Some unsightly varicose veins are removed by microphlebectomy, the careful removal of unwanted veins through tiny openings using very fine instruments without the need for sutures or risk of scarring.
Current treatments are very safe, effective, and provide long-lasting relief without any downtime or painful recovery. Since varicose veins and CVI are serious problems, almost all health insurance companies, including Medicare and Medicaid, offer coverage for necessary scans and treatments.
Contact Alsara Vein Clinic at 816-396-0245 to set up a Consultation today.
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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.
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.
What made you choose us?
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).
Ultrasound scanning is done in the office, is pain-free, and the results are available immediately. The 
Fortunately, the days of painful vein stripping are over. Now, the treatments available are much safer, more effective, and patients are able to resume activities right away. We offer several minimally invasive, non-surgical, in-office procedures to ensure immediate and long-term results, including EVLA (
Veins play a crucial role in circulating blood back to the heart. In the legs, they must work against gravity to push blood upward. When some veins fail to function properly, they may allow fluid to leak into surrounding tissues, irritating nearby nerves and potentially leading to neuropathy-like symptoms in the legs and feet. However, unlike true neuropathy, which involves permanent nerve damage, neuropathy-like symptoms linked to venous insufficiency tend to fluctuate throughout the day. These symptoms usually intensify with prolonged sitting or standing, particularly in the evening, and tend to improve with leg elevation or in the morning before lowering your legs below heart level.
Unlike neuropathy caused by diabetes, infections, vitamin deficiencies, or injuries—which are often permanent—neuropathy linked to venous insufficiency can fluctuate throughout the day and may be reversible. Symptoms tend to worsen with prolonged sitting or standing but often improve when the legs are elevated. Research
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.
I was born and raised in St. Joseph. I work at Missouri Western State University. I have two children and six grandchildren.
When your heart beats, it pumps blood through arteries to every part of your body carrying oxygen and essential nutrients. Since you have a limited amount of blood (about 5 liters in an adult), the deoxygenated blood returns to the heart via countless veins in your body. The veins in your legs are farthest from the heart and must work against gravity to push blood back to the heart. Compounded by other risk factors, some veins wear out over time and become “varicose”. The pooling of blood in varicose veins may cause symptoms such as heaviness, tiredness, itching, burning, cramping, restlessness and pain. Left untreated, the increased pressure of blood in the leg veins can leak out, causing problems such as edema, skin discoloration, sores in legs that heal poorly, and frequent skin infections. This condition is called Chronic Venous Insufficiency (CVI).