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About Us

About Us

Alsara Vein Clinic is a vein clinic devoted to providing state-of-the-art world class vein treatment of vein disease, varicose veins, and spider veins since 2009. Alsara Vein Clinic serves patients in St. Joseph and greater northwest Missouri.

Alsara Vein Clinic road signage

About our Vein Clinic

Our founder and lead Phlebologist, Dr. Sameer Gupta ("Dr. Sam"), is a Harvard graduate who trained at Mayo Clinic, and is a recognized leader in the treatment of vein disease throughout the world, having treated thousands of patients across the United States and abroad. He is a Diplomate of the American Board of Venous & Lymphatic Medicine. He is one of the 795 Physicians in the nation currently certified by The American Board of Venous & Lymphatic Medicine.

Many of our patients have found success after previously failed varicose vein treatments elsewhere, such as painful vein stripping, injection sclerotherapy, and radiofrequency ablation (VNUS closure). Our varicose vein treatments are virtually pain-free, performed in-office, and you can resume normal activities immediately.

Alsara Vein Clinic is located across from Dunkin' Donut Shop, between Kline Motors and Sinclair gas station at 1105 S Belt Hwy, St Joseph, MO 64507, less than a milenorth of US-36 on US-169.  There is ample parking with handicap access. The interior is very comfortable and homey.

There is no referral necessary to seek care. We offer consultations. Typically, the next step is a screening and diagnosis, which is done in the office and is pain-free. The Phlebologist (Vein Specialist) will perform a detailed examination, make a diagnosis, and will then discuss with you the best treatment options. Alsara Vein Clinic accepts most insurances. Our Patient Account Services personnel will be able to determine your insurance coverage and any copays during your visit.

At Alsara Vein Clinic, we do veins all day, every day. We love what we do, and more importantly, we love putting smiles on our patient's faces after life-changing treatments. Life is a beautiful journey. We're here to help. Call us at 816-396-0245, download our free info brochure, or visit Alsara Vein Clinic at 1105 S Belt Hwy, Saint Joseph, MO 64507 (see Map location).


Amanda Stoner

Amanda Stoner Poster web Alsara Clinic has been a great answer to my problems. And I was at my breaking point.

I came to Alsara Clinic because I was having some difficulty with my legs. They were very swollen and itchy and I had tried for two years everything from topical creams, shots, different types of medications, and nothing was getting rid of it. So I came here as a last resort to see if there was anything that Dr. Gupta could do for me.

When I came to Alsara for my mapping experience, I was very excited, and the tech that did my ultrasound was very friendly. When I had my procedure done, the room was very comfortable. I was able to relax and rest, and knowing that the staff was going to take care of me. Dr. Gupta came in and explained the procedure, and it went very well.

Since treatment, I don’t have any of those symptoms at all. I can work my bartending job and be on my feet all day and I don’t get that tired feeling anymore. I don’t have the aches; I don’t have the itching; I don’t have any of those urges anymore. I’m very thankful. And I can walk. The day that it was done, I didn’t stop going to work. I didn’t sit around the house. I stayed active. A week later, it’s like it never happened.

The staff here are amazing. They’re always nice and friendly, above and beyond; whether it was questions or assistance. I was having trouble getting compression socks in St. Joe, so the staff called around to Kansas City, and about the seventh place, they were able to locate a place that I could go to get the supplies that I needed. They could’ve just said, ‘you’re just going to have to order them and wait three or four days’. I didn’t want to have to wait. They go above and beyond, and that starts with your receptionist clear through to the techs, and definitely Dr. Gupta. I’m very blessed to have come here and had the treatment done.

I plan on taking my son to Disneyland next month, and as soon as the other leg heals, I’ll go get some capris and we’re going to go to the beach!

For anybody that has any type of Restless Leg Syndrome, spider veins, varicose veins, swelling, edema, anything, it’s a free consultation so why not try and see if Dr. Gupta can help you. Even for someone without insurance, the treatments are definitely affordable. It’s worth it. It will change your life.

Amy Hallquist

Amy Hallquist Poster web The symptoms that I had is I was struggling with varicose veins since I was in high school, and they just progressively got worse. I was having lots of swelling in my - it was mainly my right leg - I was having lots of swelling in it. Walking, it was throbbing, and I just could not tolerate much, I mean, being in an upright position very much.

I was pregnant with both of my children and ended up having blood clots with my first child, and then I had vein stripping after each pregnancy. And the vein stripping procedure was just very painful, and I wasn’t really wanting to do it again. But then, 10 years later, I was having increased problems again and decided it was time to do it. So I had seen a where this place was doing the laser and I thought ‘well, I'm going to give it a try’ and see if it was any better.

It affected my daily routines. I finally started wearing compression garments, which helped, but still by the end of the day, they were tired and sore and throbbing. And if I was up walking a lot during the day, which I do anyway with my job, then they were just swollen and throbbing and very heavy and painful.

I was feeling nervous about coming through and doing it again because the vein stripping procedure was such a hard procedure to go through. And so I wasn’t sure whether I wanted to go through anything like that again. But I knew that I couldn’t continue to have the heavy leg syndrome and just being in pain every day, so I was really kind of questioning whether laser could take care of it because I had to have the vein stripping before, so I was really kind of second-guessing whether it would even work.

I felt very comfortable after meeting Dr. Gupta. He was very calm and easy to understand, and he explained the whole procedure; explained what was going on in our vein system, um, very compassionate man. I’m just very pleased that I was able to meet him, and I was just really pleased with how he presented himself and how he presented what was was wrong, you know, what could be wrong with me. I hadn’t had the ultrasound done yet, but, just explaining the process of how veins work, so I was very comfortable with staying here and having the procedure.

Everyone was so friendly and inviting and caring. I didn’t feel out of place at all. The atmosphere was just really nice. It was a really pretty office. It was nicely kept clean. So I just really enjoyed walking in the door.

The staff is very friendly and very warming, and I just felt very comfortable coming in here and doing anything with payments or just getting my appointments. It’s easy. They call me to remind me of appointments, and I just can’t say enough about the staff. They’re fantastic people.

I was very pleased to find out that insurance did cover it.

The treatment and recovery were very easy, very good. After the procedure here, I was able to go right back to work, walk, do anything that I was wanting to do. I was very happy with the treatment afterward. The recovery was extremely fast versus the stripping. I was up and going the same day, whereas the stripping, I was down for almost a week and in a lot of pain. I just had mild discomfort during the procedure and that was it. I was up and out walking, and I was surprised that I was able to get out and going that fast.

Now, I can travel, I can fly, and I don’t have any pain at all or any increased swelling right now. [I’m] just ready to enjoy my life and get out there, and I’m extremely grateful for Alsara Clinic.

I am very grateful for finding Dr. Gupta. I feel like I have more freedom in my life. I can go out. I can work out. I can run without feeling the heaviness in my leg or increased swelling. I was extremely surprised by how the procedure went and how easy it was to do, and how much better I felt at the end. So I am very pleased with Dr. Gupta and his staff, with the procedure. And I would highly recommend if you have any kind of vein issues just to come in and get it checked out.

I would highly recommend anyone with a vein problem to come to Alsara Clinic to get it checked out and get a recommendation on how to help them. I mean, it’s a fantastic place and I can’t say how much I appreciate everything that they have done for me. To know that there is hope out there – that there is a procedure that does not include stripping of the veins – is fantastic. I mean, I’m extremely happy that I came.

It has made a difference in my journey just because now I can get out, and I can go to all of my children’s sporting events, and walk around all day and not have increased swelling in my leg. When I get home, it’s not throbbing. I can continue to come home and do my laundry, and clean the house, and do everything that I can do. I’m not sitting down and trying to prop my leg up, saying that ‘hey, I have to get off it’. Whereas, before, if I had activities all day long, I would be going home and elevating my leg ‘til the throbbing would go away. Now, I can go to all the sporting events, come home, maybe go work out, or come home and finish all my house activities, and I am feeling great.

At What Age is Chronic Pain OK?

Gray hair and occasional memory loss may be a normal part of aging, but is living in pain also part of getting older?  I have often wondered if this topic has been researched adequately.  I see many patients who report aches and pains that they have come to accept just because of getting older.

It is true that wear and tear of our joints in the knees, hips, and feet can lead to occasional aches and pains. This is different from chronic pain that is defined as pain experienced daily for over six months.  Yet, according to the National Institute of Health (NIH), fifty percent of seniors who live at home say they suffer from chronic pain. The Center for Disease Control and Prevention (CDC) reported that three-fifths of adults, 65 years and older, have pain that has lasted one year or longer.

A recent patient of mine, Pam, has lived with swelling, pain, and restlessness in her legs for several years. She loves to spend time with her three grandchildren including her beautiful 16-month-old granddaughter, Adeline.  She reported that her legs hurt at different times throughout the day and her ankles would swell up.  She would take breaks to elevate her legs and move them “back and forth” to alleviate the discomfort that was both debilitating and disruptive.   It turns out that Pam had varicose veins that were causing the pooling of blood in her legs.  A simple office-based procedure using laser restored function and eliminated the chronic pain in her legs. There was no downtime or restrictions, so she returned to caring for her grandchildren immediately following her one-hour procedure.

grandmotherModern science and medicine have enabled countless seniors to live free from disease and chronic pain while also prolonging their lives.  However, research has demonstrated that factors such as socializing and relationships are equally important factors for longevity and quality of life.  A small town in Southern London put this finding to test and combined one of the largest retirement homes with a nursery school. This project not only helped bridge the age divide but also infused a new wave of energy, with improved levels of functioning in the elderly who had advanced stages of dementia and physical limitations.

Life expectancy is higher than ever before and an estimated 10,000 people turn 65 each day. While love, family, and our relationships are essential parts of life, chronic pain does not have to be part of our beautiful journey on this planet. Call Alsara Vein Clinic at 816-396-0245 to set up a Consultation today.

sam gupta, md

Sam Gupta, M.D.

Blood Clots & Varicose Veins - 5X Higher Risk

Blood Clots & Varicose Veins - 5X Higher Risk

Suspect a Blood Clot in Leg?

Ultrasound Blood Clot med

  • Alsara Vein Clinic offers same-day appointments
  • 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.

Certified by ABVLM Sam Gupta MDDr. 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.

Call us at 816-396-0245 for a Consultation

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.

blood clots

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.

Vein Disease Menu

Amy Hallquist - Blood Clots

Blood Clots - 5X Righer Risk

  • Blood Clots:
    • 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.

Read More about Potentially Deadly Blood Clots

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

Chris Sass

Chris Sass Poster web Well, the first impression was no wait time. And the staff was tremendous, very helpful. You know, they led me to where I needed to go. They answered all my questions. It was just an awesome experience coming here versus some of the other places I’ve had to go to where there’s a wait time.

The reason I came was, as a typical male, I let my condition go. I had a history of varicose veins in the family. I’ve had a couple of sisters that have had some treatment done. I stand at my job all day long. I had to wear compression stockings because I realized I was starting to get some hyperpigmentation, some discoloring in the ankles. My legs started to really hurt me. I started to feel like they were getting really heavy. I was getting cramping at night, even cramping during the day when I’d be out running. I’d have some severe cramping in the calves, so I knew that if I wanted to stay active I needed to get this taken care of.

I knew that it was an issue and I needed to take care of it, having a family history of varicose veins, having a couple of sisters that had the procedures done. Mine were visible, so I knew I had to take care of my legs.

The recovery was quick. I mean you’re up and moving around the same day, so, I mean, you can’t ask for anything better than that. So when I run, I used to use athletic compression stockings just below the knee. Now, I don’t even use those anymore. I don’t have to. I don’t experience the calf pain, the cramping.

One of the things on my bucket list is to run a marathon before I get too old. I’ve completed three half marathons, so that’s on my bucket list and I would like to complete that.

I learned not to wait when you have problems with your legs. Put your pride behind you, come in, get the free consultation done, get your legs fixed, and it will be a whole new world for you.

It’s like I’ve got a new set of legs. t my age, that means a lot. I can continue to golf, hunting activities, run, and not have those issues anymore.

On the golf course, when my brother-in-law, who's a physician, took a look and said ‘wow, I’m going to have to get my legs done’ (because he has a similar situation), too. Yeah, my wife said she does notice the fact that my legs look a lot smoother, better color, and I don’t complain about my legs anymore.

Chronic Venous Insufficiency

Chronic Venous Insufficiency

What is Chronic Venous Insufficiency (CVI)?

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?

Refluxing Vein AnimationAs 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.

Alsara Vein Clinic offers venous insufficiency treatment.

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

Vein Disease Menu

Comparing Leg Vein Problems to a House with Leaky Pipes

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.

leg veins are like leaky pipes in a houseClick 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. wrapping pipesUnable 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.

leakage flooding cartoonRemember 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.

Complications of Untreated Varicose Veins

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

    Blood Clot

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

    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

    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

    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

    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.

DrawingPin1 Blue

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!

russell-donaWhat 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.
venous leg ulcers healed at Alsara Vein Clinic

Contact

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Contact Alsara Vein Clinic

Schedule a consultation at our St. Joseph, MO vein clinic at 1105 S Belt Hwy, ask our expert, request more info, or provide feedback:

Address

Alsara Vein Clinic
1105 S Belt Hwy
St. Joseph, MO 64507

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Phone

Number:

 816-396-0245

Toll-Free:

 844-425-7272
(844-4-ALSARA)

Fax:

816-558-6544

Forms

Hours

Monday:

8:00 am–5:00 pm

Tuesday:

8:00 am–5:00 pm

Wednesday:

8:00 am–5:00 pm

Thursday:

8:00 am–5:00 pm

Friday: Closed
Note:

Limited evening, Friday & Saturday appointments available by prior arrangement only.

Alsara Vein Clinic - St. Joseph, MO

Alsara Vein Clinic provides world-classvaricose vein treatments forvein disease,varicose veins, andspider veins in Saint Joseph, MO.Alsara Vein Clinic serves patients inSt. Joe(Saint Joseph, MO) and greater northwestMissouri.Free ConsultationsNo Referral NecessaryWalk-ins Welcome! We have a relaxed atmosphere, a very caring staff, and expert vein care fromDr. Sam Gupta, a leadingVein Specialist (Phlebologist) who completed his training at theMayo Clinic andHarvard University. He is a Diplomate ofThe American Board of Venous & Lymphatic Medicine.


Dad, I want a Charley Horse too!

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.

charley horse cartoonThe 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.

confuciusThere 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).

CHARLEY HORSE

WHAT IS IT?

WHO GETS THEM?

A "charley horse" is another term for a muscle spasm or cramp in the leg. While cramps can happen in any muscle, charley horse is most commonly noted in calf muscles and feet.

Anyone can develop a charley horse, however, according to the National Institute on Aging, not drinking enough water, poor muscle conditioning, and certain medications are factors that make people more susceptible to getting a charley horse as they age.

WHAT TO DO?

There are a few ways you can ease the pain from your charley horse. Drinking electrolytes and stretching can help to keep your muscles loose, as well as trying to take breaks from sitting for long periods of time. Applying an ice pack for 10-15 minutes following strenuous exercise can also calm down muscle tension.

If you are experiencing muscle cramps regularly, it may be a sign of blood flow in your legs due to veins that have failed. Call us for a free consultation. Your Vein Specialist will ask you some questions and likely check the blood flow using ultrasound.

Remember that vein problems in the legs affect more than half of adults. In addition to leg cramps, you may notice heaviness in your legs, tiredness, itching, burning, restlessness, or leg swelling. The affected veins are typically deep inside the legs, hence you may not see them on the skin surface.

Left untreated, blood flow in the legs continues to worsen. Varicose veins and venous insufficiency may lead to blood clots, discoloration of the skin, sores that do not heal well, bleeding veins, and frequent skin infections.

Modern treatments are minimally invasive with minimal to no pain, no downtime, and almost all insurance companies offer coverage for symptomatic venous problems.

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.

venous anatomy of the legsClick to view large image

Finding Happiness in Troubled Times

A recent survey, conducted by the National Science Foundation, reported that Americans are the unhappiest they’ve been in 50 years. The ongoing Covid-19 pandemic, lockdowns, economic instability, and political unrest are enough to overwhelm anyone.

But how does one boost their level of happiness amidst a relentless pandemic? I believe that there are ways to stay healthy and achieve fulfillment in life if we focus on our priorities. I present to you, arguably, the two most important factors backed by science to help navigate through tumultuous times.

Stay Connected with Loved Ones

Harvard University conducted the longest study of adults for clues to leading healthy and happy lives. Analysis of the data collected over the course of 80+ years revealed startling information. Researchers reported that our relationships and how happy we are in our relationships have a powerful influence on our health.

robertwaldingerIn his TED talk, Robert Waldinger, Director of the Harvard Study, states that many people tend to think that fame, fortune, and hard work will bring them happiness. The study found that social connections are the most important factor responsible for our well-being. Numerous other equally surprising correlations came out of this study, such as people’s level of satisfaction with their relationships at age 50 was a better predictor of physical health than their cholesterol levels were, and that marital satisfaction has a protective effect on mental health.

Waldinger stated in his TED talk, “Good relationships don’t just protect our bodies; they protect our brains”.  He reported that those who kept warm relationships were found to live longer and happier while the loners tended to die earlier.

Take Care of Your Health

Many people are delaying their medical care waiting for normalcy to return, which is actually nowhere in sight. Another report indicated that 80% of adults are concerned about catching the Covid-19 virus in the emergency room and avoid seeking care, even during an emergency.

Several studies have shown that being happy has a positive impact on our health, correlating to a 13-26% reduction in the risk of heart disease., ,  One doesn’t need scientific evidence to recognize that happiness can be elusive in absence of good health. In fact, the constitution of the World Health Organization defines health as “a state of complete physical, mental and social well-being”.

At an organic level, we are composed of countless cells, each performing a function while subject to growth, repair, and replacement within our body. Cells form tissue that in turn form organ systems such as skin, brain, and the vascular system.

Food is necessary for the cell to function, hence a person needs to have a balanced diet. Likewise, adequate sleep, regular exercise, and management of stress ensure proper bodily functions. The slightest breakdown in one part of our body can adversely affect various organ systems, interfering with our ability to enjoy a fulfilling happy life. Breakdown in the venous system in our legs is no exception to the interconnectedness.

Although vein problems affect almost half of the adult population, there are many who are living with heaviness in their legs, chronic fatigue, leg cramps, and restlessness in their legs but unaware of the association.

Discomfort in the legs and the inability to get a restful sleep at night due to restless leg syndrome has a compounding effect leading to a further reduction in the ability to stay active. Reduction in the activity of the calf pump leads to worsening of chronic venous insufficiency. One can see how this forms a self-perpetuating cycle leading to the deterioration of overall health and feeling of well-being.

sherlock blood clotTo make matters worse, patients are unable to make a correlation between veins and their symptoms often confusing spider veins with the diseased veins present deep inside the leg responsible for chronic venous insufficiency. Left untreated, the condition continues to worsen and may manifest as frequent skin infections (cellulitis), profuse bleeding, poorly healing sores in the legs, and life-threatening blood clots.

Gone are the days of painful vein stripping with prolonged recovery times. The latest treatment options such as Laser ablation, Varithena, and the revolutionary Venaseal (medical superglue) are minimally invasive, safe, and very effective. There is minimal to no discomfort during the procedures and there is no downtime. You can start the New Year with healthy, pain-free beautiful legs.

Always remember that life is a beautiful journey… and you will need your legs for it!

Sam Gupta, M.D., MPH

Georgia Umbaugh

Please describe your experience with us:

Front Desk staff:
Very helpful & friendly.
Ultrasound Technologist:
Very informative & nice.
Provider/Doctor/Nurse Practitioner:
Made me feel well taken care of.
What made you choose us?
Internet site was very informative and you are easy to get to.
What symptoms were you experiencing?
Leg pain, swelling, sore spot that itched a lot & one large varicose vein.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Couldn't walk as long due to fullness & swelling. Doing much, much better – made it through workday without all the pain.
What improvements have you seen in your legs?
Sore spot gone – big vein gone – legs not swelling.
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 appreciated all the special treatment that everyone provided. I felt like I knew what was going on at all times. My legs look better & feel better. The only thing you could have done to exceed my expectations would have been if I also lost about 50 lbs. but that's my next goal – Thanks for everything!

umbaugh georgia

Gisela Linn

Gisela Linn Poster web I came here a year ago, showed everybody my ugly legs – hah! And I made an appointment, and Dr. Gupta and staff worked on it. It was a year ago, and I had – oh my goodness – I had pain for 64 years because I had the [varicose] veins when I was 10.

I started having very bad varicose veins. And so they did the laser treatment on both legs, and immediately I felt relief. So, ever since, I have more energy. I do more things. My husband likes me better. I’m not as grouchy from the pain. Restless Leg Syndrome is gone. I can watch a whole movie for two or three hours without getting… fidgeting back and forth – my legs – and so on.

I just feel really blessed at this time in my life that I have legs that I can… that have no pain.

My husband says ‘What’s wrong with you?’ for forty-some years. It was miserable. It really was. It’s just… driving to Kansas City and home, my legs would be swelled up so bad, it takes three days for the swelling to go down.

At the Alsara Vein Clinic, it’s very comfortable to come in to. The girls that work here are very friendly – always have been. Dr. Gupta is absolutely the best doctor I’ve ever met. Ha! Bedside manners plus! I don’t feel anything when he works on it. He’s very conscientious. The girls are very conscientious. It’s a pleasure to come here.

Oh, I would recommend everyone that has vein problems, I would recommend go to Alsara Clinic and get your treatment. You feel so much better. Your life will change a hundred percent.

Infection / Leg Ulcers

Infection / Venous Ulcer

Suspect a Blood Clot in Leg?

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

progression of varicose veins can lead to leg ulcers and skin infection

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

Vein Disease Menu

Insurance/Self-Pay

Insurance / Self-Pay

Insurance

Alsara Vein Clinic accepts almost all insurance, including Medicaid and Medicare.

We also accept payment options such as HSA, FSA, HRA, Credit Cards, Check, CareCredit™, payment plans, and financial assistance (on a case-by-case basis). For those with veteran's benefits, we do work with the Veteran's Administration (VA).

Click to learn more about Insurance 

Self-Pay

Don't have health insurance, or if you have health insurance but your plan does not cover varicose vein treatment? You may qualify for discounted pricing as detailed in our Transparent Pricing Worksheet. You may request a copy from Patient Account Services.

Click to learn more about Self-Pay


Resources Menu

PAYMENT

Introducing Revolutionary VeinGogh Spider Vein Treatments

VeinGogh is FDA-approved technology to treat spider veins

Alsara Vein Clinic offers VeinGogh Spider Vein Treatments. We currently have two Special Offers with reduced pricing.

What makes VeinGogh special:

  • FDA-approved technology to treat spider veins
  • Immediate, visible results
  • Safe to use on legs, face, neck, and back
  • No downtime
  • No compression stockings necessary

We will have a Live demonstration of VeinGogh Spider Vein Treatment at our Free Vein Education Session here at Alsara Vein Clinic on Saturday, March, 4th, 2017 from 10:00 am - 12:00 pm. Contact Alsara Vein Clinic at 816-396-0245 to RSVP for the event. There will be free food, beverages, and vein screenings.

 
Alsara Vein Clinic specializes in treating varicose veins, spider veins, and vein disease. Chat with our staff, grab some brochures, and watch Spider Vein Treatment and Patient Education videos.

Alsara Vein Clinic • 1105 S Belt Hwy • St. Joseph, MO 64507 • 816-396-0245

Jeannette Neal

Please describe your experience with us:

Front Desk staff:
Absolutely professional staff. Great experience.
Ultrasound Technologist:
Friendly - knowledgeable.
Provider/Doctor/Nurse Practitioner:
Caring professional - explains everything to you. Friendly.
Billing/Patient Account Services:
Friendly - understanding - knowledgeable.
Call Center/Patient Service Center:
Friendly - professional.
What made you choose us?
Ad on TV.
What symptoms were you experiencing?
Leg pain - Varicose veins.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Pain was bad - hurt to stand or walk sometimes. [Now] I don't experience the pain of standing or walking.
What improvements have you seen in your legs?
Not much 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?
Everyone is so friendly & professional & caring. Happy experience. Some clinics aren't very friendly. Honestly, I don't know what else you could do better. Thank you for my great experience. Dr. Gupta is a great doctor. He & his staff are the best.

neal jeanette

Judith Allen

Please describe your experience with us:

Front Desk staff:
They are very helpful and kind.
Ultrasound Technologist:
They share their knowledge and are nice.
Provider/Doctor/Nurse Practitioner:
I love everyone in the office.
Billing/Patient Account Services:
Very helpful, very kind.
Call Center/Patient Service Center:
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.

judith allen