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.
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).
Detailed scan for Deep Vein Thrombosis (DVT) as well as Superficial Vein Thrombosis (SVT)
The best test currently available for thrombosis (clot) in the legs is a color flow duplex ultrasound. At Alsara Vein Clinic, we utilize very high-resolution ultrasound capable of diagnosing clots in even the smaller deep veins in the calf.
Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine. All clinical staff has specialized education and training for the management of venous diseases including all types of blood clots. Urgent Care centers, Primary Care Providers, Patients, and their relatives routinely call us for same-day appointments.
At Alsara Vein Clinic, we treat vein problems all day, every day. Unlike duplex ultrasound performed at an Emergency Room that focuses only on deep vein thrombosis (DVT), we check for DVT and SVT. Do not let yourself or your loved one be another victim of an undiagnosed dangerous blood clot.
Superficial Thrombophlebitis and Deep Vein Thrombosis (blood clots) are other potential complications from varicose veins.
Varicose veins are prone to developing Superficial Thrombophlebitis (SVT) as well as Deep Vein Thrombosis (DVT). Superficial Thrombophlebitis is characterized by redness of the skin, tenderness, and pain along the affected superficial vein just below the skin surface. As opposed to deep veins, blood clots in the superficial veins are less severe and generally do not break off and go to the lungs.
Deep Vein Thrombosis or DVT on the other hand is a more severe condition. The vein in the leg still becomes inflamed and forms a blood clot. However, Deep Vein Thrombosis has the potential to cause a “pulmonary embolism” – a potentially life-threatening condition – if the clot breaks loose and travels to the right side of the heart and eventually migrates to the lungs.
Embolism: a blood clot that travels from the site where it was formed
Thrombus: a blood clot that forms in a vessel
Deep Vein Thrombosis (DVT): 5 X higher risk of DVT in people with Varicose Veins
Pulmonary Embolism (PE): blood clot travels through the heart and blocks a blood vessel in the lung
Peripheral Arterial Disease (PAD): 1.7 X higher risk of Pulmonary Embolism (PE)
A landmark study was published in JAMA, a very reputable medical journal, that demonstrated how people who have varicose veins have five times (5X) higher risk for clots in the deep veins that can be potentially fatal. Those blood clotscan take off and get lost in areas like the lungs and cause conditions like Pulmonary Embolism.
In the initial stages of varicose veins, people may only see some spider veins or ropey veins, and sometimes there are no visible veins. You may have pain, heaviness, tiredness, restless legs, leg cramps, etc. More advanced stages are when you have skin changes, discoloration, bleeding, ulcers that are slow to heal, and blood clots.
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 Consultations –No Referral Necessary –Walk-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.
Alsara Vein Clinic has helped many patients achieve relief from Edema.
Edema (swelling) of the calf, ankle, foot, or leg is a common symptom of varicose veins that allows blood to flow backward and pool in the legs. Over time, some blood and other fluids can leak out of the vein into the surrounding tissue causing Edema (swelling). Edema Specialist and Vein Specialist Dr. Sam Gupta can help diagnose and treat Edema (swelling). Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine.
At Alsara Vein Clinic, we treat vein problems all day, every day.
Leg, calf, foot, or ankle swelling (Edema) is a common sign of varicose veins.
The normal flow of blood in leg veins is against the force of gravity; from the foot to the thigh and then up towards the heart. When veins are stretched and enlarged (become varicose), they are too weak to overcome the force of gravity causing the blood to flow backward and pool in the legs. As the pooling continues throughout the day, the pressure inside the vein walls continues to increase. Eventually, some blood and other fluids can leak out of the vein into the surrounding tissue.
The pooling of blood, increased pressure and subsequent “leakage” causes swelling in the ankles and feet as gravity pulls the fluid down. As leakage continues, swelling can also be noted in the lower calf region and extend to the knee or even the thighs.
Swelling is more noticeable at the end of the day, especially if you have spent much of it sitting or standing still. When you elevate your legs, for example when you are sleeping, gravity is no longer a force working against the flow of the blood in your leg veins hence swelling is reduced. However, when you sit or stand, the swelling recurs. Other factors that can contribute to increased swelling include lifting or straining, pregnancy, heat (such as hot baths or sauna), and hormonal changes (that further relax and stretch the weak veins).
During the initial stages of edema, graduated compression stockings may be enough to diminish the tendency of the veins to stretch and control edema. Over time, patients may notice increasing leg fatigue, swelling, thinning of the skin, and discoloration of the overlying skin. Complications such as painful blood clots in the vein, bleeding from veins close to the skin surface, and nonhealing leg sores may develop. Many patients may also notice unsightly spider and varicose veins (Corona Phlebectatica).
Because of the potentially serious and long-term complications of varicose veins, proper treatment is important, and the best results are obtained before complications have already developed. A Vein Specialist can use a Duplex Ultrasound to check “leaky” varicose veins and treatment options.
Left untreated, symptoms of varicose veins such as pain, fatigue, and swelling of the legs or ankles worsen over time. You may develop venous ulcers. Ulcers due to varicose veins are painful and difficult to heal unless the underlying venous backflow is corrected. Blood that pools in the varicose veins is depleted of oxygen and nutrients. The walls of these veins are already weakened and increased pressure allows red blood cells and fluid to leak into the tissues of the leg. This in turn causes swelling, pain, tingling, and numbness in the legs and feet.
Chronic inflammation that develops from leakage makes the skin dark and discolored, commonly known as hyperpigmentation. Over time, the skin and surrounding fat under the skin can also get increasingly irritated and inflamed turning the tissue rubbery and firm; a condition called lipodermatosclerosis.
Another possible consequence of untreated varicose veins is spontaneous bleeding from the varicose veins. Bleeding may occur even from a minor injury to your legs and cause significant loss of blood in a short amount of time.
Your Venous Ulcer Specialist at Alsara Vein Clinic will perform a detailed examination and discuss the best treatment options. It is never too late to seek care. Call 816-396-0245 for a Consultation.
Progression of Varicose Veins can lead to Venous Ulcers and Infection
Safely and permanently remove unsightly varicose veins with no downtime and minimal pain or risk of scarring
Alsara Vein Clinic believes in the comprehensive treatment of venous disorders. Our goal is to offer long-lasting results. We do not believe in band-aid treatments. Prior to performing microphlebectomy, we will examine the larger deeper veins in the legs using ultrasound. If there are problems with the deeper (feeder) veins, those must be addressed first, otherwise, the chances of the veins returning or new varicose veins developing in the area are significantly higher. The deeper saphenous veins are typically sealed using a laser (endovenous laser ablation or EVLA). When microphlebectomy is coupled with EVLA, both procedures may be performed on the same day or scheduled a few weeks apart. A study using 76 patients demonstrated that 58.2% of legs treated with EVLA alone did not require further treatment with microphlebectomy. In most cases, EVLA allowed the varicosities to decrease in size or disappear altogether.
Microphlebectomy is a permanent fix for the varicose vein. The vein cannot come back. Other veins may develop and even appear in the same location, but those that have been removed are gone for good. If new veins should develop, they can easily be eliminated with sclerotherapy injections or microphlebectomy.
The procedure itself typically takes less than one hour to perform and requires no downtime. Further, microphlebectomy may be covered by medical insurance if you are experiencing symptoms such as aching, burning, itching, or swelling in your legs caused by varicose veins. There may also be some incidence of blood clots or bleeding. If symptoms are not present, the procedure will be considered cosmetic hence insurance coverage would be unavailable.
Patients are amazed at how easy the microphlebectomy procedure is and how quickly they can see positive results. Patients often comment on how sorry they are that they waited so long to get rid of their unsightly varicose veins that are also a health hazard. Call us now at 1-844-425-7272 to schedule a consultation with our vein specialist.
Alsara Vein Clinic specializes in microphlebectomy treatments to remove unsightly varicose veins.
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.
Sam Gupta, M.D., M.P.H. ("Dr. Sam"), Vein Specialist,completed his medical training at the Mayo Clinic and Masters in Public Health from Harvard University. He is a Diplomate of the American Board of Venous & Lymphatic Medicine.
Vein Specialist: Dr. Sam Gupta
Doctor Sam Gupta has worked for many years in various settings including Primary Care, Urgent Care, Emergency and Wound care departments. It was in these settings where he saw countless patients who came with symptoms and complications of venous disorders (such as clots, bleeding veins, frequent infection, and poorly healing sores in legs). Sam Gupta, M.D., Vein Doctor, received certification from the American Board of Phlebology in 2009. Dr. Gupta has devoted his career solely to the diagnosis and management of the entire spectrum of vein disorders, offering the best vein services and vein treatments available. Named America's Top Doctor in 2007-2009, Dr. Gupta, Vein Specialist, sets the standards for vein treatment in Saint Joseph, MO, and greater Missouri.
Dr. Sam enjoys spending time with his wife, Priya, and their two girls, Alisha and Sara, as well as their dog, Caeser. He enjoys music, traveling all over the world, and fitness exercises.
Dr. Gupta is a Diplomate of the American Board of Venous & Lymphatic Medicine
A Message from Dr. Sam
Treating vein problems is my passion. Although the science of medicine is not perfect and our healthcare system is constantly changing, I have had the privilege of helping thousands of patients. Many came with unsuccessful vein treatments in the past and some were told that nothing more could be done. Restoring their health (and lost smiles) has been a very humbling experience.
The wealth of knowledge and experiences that I have gained in practice is priceless. Many patients have told me that my work has changed their lives. The truth is that along the way they have changed mine!
Life is a beautiful journey; I wouldn’t trade the experiences for anything in the world.
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.
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.
Varicose veins treatment using Endovenous Laser Ablation, or EVLA, is a non-surgical and minimally invasive varicose veins treatment that offers an effective alternative to the surgical stripping of veins. It is performed in the office under local anesthetic using our unique numbing system. We also offer needle-free numbing for the best comfort. Endovenous Laser Ablation is the safest, most effective, and long-term solution that science and modern medicine offers for varicose vein treatments.
How Does the EVLA Procedure Work?
Under ultrasound guidance, a thin fiber-optic probe is inserted through a tiny entry point, usually near the knee. Laser energy is delivered to seal the faulty vein so that blood cannot flow through it. This eliminates unsightly bulging and enables the blood to be diverted to healthy veins in the leg, thereby alleviating any symptoms. Immediately after the procedure patients can resume daily activity. Most patients are able to return to work immediately.
Laser Treatment of Varicose Veins
Innovative ThermaLite 1470 nm Laser System
Alsara Vein Clinic exclusively uses the leading edge EVLA technology (1470 nm laser system), which decreases discomfort and bruising, while maintaining the unparalleled efficacy and safety of laser technology. Studies have shown that Endovenous Laser Ablation (EVLA) is more effective in treating varicose veins than Radiofrequency Ablation (VNUS Closure). Traditional laser machines have utilized lower frequencies (810 nm or 980 nm) and target blood (hemoglobin) within the veins. However, there was more, although temporary, bruising and soreness noted with these laser frequencies than with radiofrequency ablation. The new ThermaLite 1470 nmlaser machines target water in the vein wall instead of hemoglobin, which results in much less discomfort, practically no bruising, and a fast return to normal activities. This is particularly important for people living active lifestyles who want to resume their activities right away and would like to wear shorts or skirts. The new 1470nm offers the best of both worlds. Alsara Vein Clinic has treated numerous patients using the new 1470 nmLaser with almost no discomfort or any bruising after the procedure. Our patients cannot be happier with the results.
VenaSeal™ is a revolutionary FDA-approved medical-grade superglue for the treatment of varicose veins. The VenaSeal™ Closure System is a non-thermal treatment option that seals – or closes – the diseased vein using a small amount of specially formulated medical adhesive that is delivered to the diseased vein. The adhesive permanently seals the vein, and blood is rerouted through nearby healthy veins. Unlike other treatment options, only a single injection of numbing medication is needed, and no compression stockings are necessary post-treatment, which reduces discomfort and recovery time. Many patients are able to return to normal activity immediately after the procedure.
VenaSeal
How do I get started with the Varicose Vein Treatment Process?
To determine whether or not the Laser Treatment or VenaSeal™ procedures we offer are right for you, please schedule a free consultation.
During this free consultation, you will meet with one of our board-certified vein specialists to assess your symptoms and discuss treatment options appropriate for you.
Treatment of ropey varicose veins may require one or more combinations of the following: Endovenous Laser Ablation, VenaSeal Closure System, Injection Sclerotherapy (including Ultrasound Guided Sclerotherapy and Catheter Assisted Sclerotherapy), and Microphlebectomy.
Large bulging veins that appear on the skin surface as ropey veins are frequently a major branch of a deeper (inside the leg) saphenous vein, such as the Great Saphenous Vein, which is often, but not always, involved. Ultrasound testing is frequently necessary to determine the level of involvement. If the saphenous vein is involved, it would likely need to be sealed first using Endovenous Laser Ablation (EVLA) or VenaSeal Closure System. This step in itself is sometimes enough to “shrink” the bulging vein. Any remaining unsightly veins may be either closed with sclerotherapy (using medication to seal the vein) or sections of the bulging veins may be removed by microphlebectomy. Unlike vein stripping, microphlebectomy is a simple, out-patient procedure performed under local anesthesia. Using very fine instruments, sections of unwanted veins are carefully removed through tiny openings without the need for sutures and with minimal risk of scarring. Vein treatments may be staged (occur on separate days) or a combination of treatments may be performed on the same day if recommended by your Phlebologist (Vein Specialist).
Now you may be able to get rid of the unsightly ropey varicose veins during your lunch break (and start looking for that pair of shorts you thought you could never wear!).
Large, bulging varicosities that appear on the skin surface as ropey veins are usually branches of deeper saphenous veins inside the leg. In the past, the saphenous vein was typically treated first using thermal ablation such as Endovenous Laser Ablation (EVLA). Any remaining varicosities that were closer to the surface of the skin were then typically sealed from the inside by sclerotherapy.
At times, unwanted veins were too large for sclerotherapy and had to be removed by microphlebectomy. The revolutionary VenaSeal™ offers an opportunity to seal all affected varicosities (veins that are deeper inside the leg and those closer to the surface of the skin) in one session without undue risk of thermal injury or pain during the procedure. The FDA-approved VenaSeal™ involves use of a medical superglue (cyanoacrylate) that permanently seals the unwanted veins from inside. Even better, the prolonged use of stockings after the procedure is not required. Once sealed, the diseased veins are gradually absorbed by the body. Your Vein Specialist will help you decide if this novel treatment would be suitable for you.
Now you can get rid of unwanted ropey veins in one hour while you select a pair of shorts online that match your new legs! Call us at 816-396-0245 for a Consultation.
Treatment of ropey varicose veins may require one or more combinations of the following: Endovenous Laser Ablation, Injection Sclerotherapy (including Ultrasound Guided Sclerotherapy and Catheter Assisted Sclerotherapy), and Microphlebectomy.
Large bulging veins that appear on the skin surface as ropey veins are frequently a major branch of a deeper (inside the leg) saphenous vein, such as the Great Saphenous Vein, which is often, but not always, involved. Ultrasound testing is frequently necessary to determine the level of involvement. If the saphenous vein is involved, it would likely need to be sealed first using Endovenous Laser Ablation (EVLA). This step in itself is sometimes enough to “shrink” the bulging vein. Any remaining unsightly veins may be either closed with sclerotherapy (using medication to seal the vein) or sections of the bulging veins may be removed by microphlebectomy. Unlike vein stripping, microphlebectomy is a simple, out-patient procedure performed under local anesthesia. Using very fine instruments, sections of unwanted veins are carefully removed through tiny openings without the need for sutures and with minimal risk of scarring. Vein treatments may be staged (occur on separate days) or a combination of treatments may be performed on the same day if recommended by your Phlebologist (Vein Specialist).
Now you may be able to get rid of the unsightly ropey varicose veins during your lunch break (and start looking for that pair of shorts you thought you could never wear!).
Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine. All clinical staff has specialized education and training for the management of venous diseases including all types of blood clots. Urgent Care centers, Primary Care Providers, Patients, and their relatives routinely call us for same-day appointments.
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).
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.
Alsara Vein Clinic exclusively uses the leading edge EVLA technology (1470 nm laser system), which decreases discomfort and bruising, while maintaining the unparalleled efficacy and safety of laser technology. Studies have shown that Endovenous Laser Ablation (EVLA) is more effective in treating varicose veins than Radiofrequency Ablation (VNUS Closure). Traditional laser machines have utilized lower frequencies (810 nm or 980 nm) and target blood (hemoglobin) within the veins. However, there was more, although temporary, bruising and soreness noted with these laser frequencies than with radiofrequency ablation. The new ThermaLite 1470 nmlaser machines target water in the vein wall instead of hemoglobin, which results in much less discomfort, practically no bruising, and a fast return to normal activities. This is particularly important for people living active lifestyles who want to resume their activities right away and would like to wear shorts or skirts. The new 1470nm offers the best of both worlds. Alsara Vein Clinic has treated numerous patients using the new 1470 nmLaser with almost no discomfort or any bruising after the procedure. Our patients cannot be happier with the results.
Treatment of ropey varicose veins may require one or more combinations of the following: Endovenous Laser Ablation, VenaSeal Closure System, Injection Sclerotherapy (including Ultrasound Guided Sclerotherapy and Catheter Assisted Sclerotherapy), and Microphlebectomy.
Even better, the prolonged use of stockings after the procedure is not required. Once sealed, the diseased veins are gradually absorbed by the body. Your Vein Specialist will help you decide if this novel treatment would be suitable for you.
