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).
How were you affected by your legs previously? What couldn't you do? How has that changed now?
I wore out quickly and I woke up several times a nite.
What improvements have you seen in your legs?
No restless legs. Aching seems to be gone.
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?
More prep so you are prepared for the soreness after. I know all bodies react differently but for the ones like me, it would have been nice to know ahead of time. Everyone is very nice and fun to be around!!!
Very informative and explained everything very well.
Billing/Patient Account Services:
Great.
Call Center/Patient Service Center:
Great.
What made you choose us?
My medical doctor referred me.
What symptoms were you experiencing?
Legs felt very heavy, swollen, achy & tired.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Very uncomfortable, couldn't walk very well. Now [after treatment], I feel more like myself. My legs feel so much better.
What improvements have you seen in your legs?
They feel lighter and the swelling has gone down. I can actually wear my shoes again with comfort.
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 how everyone was so nice, friendly, and helpful. The offices were very clean. I was overall very impressed with the doctor and his staff. I felt welcomed. Thanks for helping me get back on my feet. I will highly recommend your clinic to any of my friends & family. Thanks for helping me get back in the swing of things. Keep up the good work. I appreciate all you guys have done for me. Thanks again!! 😃
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.
I was having a lot of discomfort with my legs. I had one very large vein that was very unpleasant looking for me. But the worst part was the tightness in my leg and cramping. It was keeping me awake at night. I was losing sleep regularly. Whether I was sitting, standing, I would get leg cramps. It was genuinely miserable and affecting the quality of my life.
The absolutely best part, I think about it, was the explanations. Again, that goes back to the ‘professional but kind’ that you do here. So often in a medical setting, they’ll explain something, but you just go ‘uh huh, uh huh’. But here, the explanations are down to earth, and they are walked through so carefully. And you don’t feel intimidated, so if I had questions, I would certainly ask. But, I understood what this procedure was going to be completed before it was done, and during, so that was excellent.
It’s been overall a pretty super experience. I have benefitted from it. It has certainly improved the quality of my life. And now I’m ready to get the other leg done, ‘cause I want a matching pair!
I would recommend this [leg treatment] for anyone. It’s been just an overall first-class experience.
The staff here, it’s a lovely bunch of ladies. I was charmed. I felt quite spoiled. My desire to get coffee as soon as we were done was met with – somebody brought me a coffee – it was just nice little touches! And when you walk in the door, that hello, that smile is always consistent. I’m sure they must have bad days like the rest of us but they do not let it show with their patients!
It's definitely, really improved my quality of life. Everything I love to do – whether it’s gardening, exercising, traveling – the treatment here has improved that. I’m ready to get my other leg done. I would encourage anybody to do this. It has really made my life so much more enjoyable, and I do get much better sleep, which is good for me and good for the people I care about.
I would certainly recommend anyone to come here to Alsara [Vein Clinic]. Just come and talk. You know, you don’t have to make that commitment, which was very good for me because, as I said, I had some previous ideas that were not correct. Just coming in and talking to the staff here is going to get you the information you need to make informed choices. That’s what I like to do – I like to make informed choices. And I got all the information I needed here, and I made my own choice, and I was very happy with that choice.
It is wonderful on a life journey to get the medical care that you need. As a person that is aging somewhat, I am more aware of what I need physically to support my travels and my journeying and just my everyday life. So having come here, I consider this one of my supports. When I need any help or assistance in the future, I will certainly come here because that’s what ‘life’s a journey’ is about. My personal motto is ‘it’s better to travel hopefully than arrive’ and I’m happy to partner with Alsara to make that trip.
Gardening is one of my passions and that was very uncomfortable before. So I love gardening. I love being able to walk my dog – I’m not sure who's walking who – but I can keep up with her a little bit better now. Just to be able to sit comfortably. That sounds rather simple, but if you want to sit and relax and read and you can’t, because you’re constantly aware of this twitching, and swelling, and uncomfortableness in your leg, that detracts from having a leisurely, relaxing time. So if anything, I would say, I can relax better now.
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.
Modern 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.
Your sign on Frederick, and when I discovered that Kati (one of my former students) was on staff.
What symptoms were you experiencing?
Leg cramps and pain.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
My pain did not stop me from doing things, but now I can do things without pain.
What improvements have you seen in your legs?
I am very near being 100% better. No pain or cramps.
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 am impressed with the level of concern everyone displayed for my health and the treatments I have received. My legs feel so much better than when I first came in. I am confident I made the right decision coming to Alsara [Vein Clinic]. I also appreciate how friendly everyone is.
Very knowledgeable and great communication skills.
Billing/Patient Account Services:
Great.
Call Center/Patient Service Center:
Great.
What made you choose us?
My doctor recommended you.
What symptoms were you experiencing?
Swelling of lower legs and ankles.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Pain, heaviness, couldn't be on my feet & walk for long periods. [Now], all for the better.
What improvements have you seen in your legs?
Less swelling & tiredness.
Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?
Very friendly and everything was explained so I could understand it. Great doctor and support staff. A real positive experience.
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.
New research published in the New England Journal of Medicine shows that the respiratory virus SARS-CoV-2, which causes COVID-19, is also responsible for severe damage to blood vessels increasing the risk of blood clots. One Amsterdam study found that almost one-third of patients hospitalized with severe COVID-19 demonstrated complications from blood clots.
A blood clot is a clump of blood formed when blood changes from a liquid to a thicker gel-like state. Ordinarily, this can be a life-saving mechanism to help stop bleeding; however, when the clot breaks off, it can travel through the bloodstream choking the supply of blood to essential organs such as the lungs (causing a Pulmonary Embolism) or the brain (causing a stroke).
Patients admitted to the hospital are more likely to have blood clots in the blood vessels of the legs due to immobility while hospitalized. Staying active, use of compression stockings, sequential compression devices, and, in select cases, the use of blood thinner can help lower the risk of clots.
There are also reports of blood clots in patients with COVID-19 who are at home and staying active. Swelling in the legs is the most common sign of blood clots. Some patients with COVID-19 develop a condition called “Covid toes” – red, swollen toes that may be due to small clots in the blood vessels of the feet.
If you have leg swelling, pain in the legs, or any other sign of a blood clot, please call us at 816-396-0245 to have a duplex ultrasound screening test for blood clots. This is performed in the comfort of the office setting at Alsara Vein Clinic.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Restless legs. {After treatment} no more restless legs and no more pain.
What improvements have you seen in your legs?
No bulging in veins and no 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?
[Appreciated} the experience of the procedure. Very clean facility.
Everyone was helpful, good-natured & professional.
Ultrasound Technologist:
Exceptional.
Provider/Doctor/Nurse Practitioner:
Exceptional. Like that he took time to explain things.
What made you choose us?
TV AD, & drove by & saw your sign on the road.
What symptoms were you experiencing?
Heaviness, fatigue.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Couldn't walk long distance. Now I can walk farther without that draggy heavy feeling.
What improvements have you seen in your legs?
Less discomfort; even sleep better.
Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?
Very courteous / welcoming & get you in & out quickly.
Ultrasound Technologist:
Kim was fantastic during procedures & Kati.
Provider/Doctor/Nurse Practitioner:
Excellent.
Billing/Patient Account Services:
Extremely efficient/helpful in acquiring insurance coverage via Amanda.
Call Center/Patient Account Services:
Always timely / reminders very helpful.
What made you choose us?
Article in paper & free consultation – the training/background & # of procedures done.
What symptoms were you experiencing?
While running, experienced heavy legs, some cramping – severe hyperpigmentation on inside ankles.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
More difficult when training for long runs/half marathons, heavy legs, some cramping & hyperpigmentation was advancing toward possible ulceration. My work requires being on my feet for 8 hours/day. Had to wear compression dress stockings as well as when going on runs had to wear my sport compression stockings. I no longer feel heaviness in my legs while running, no longer have to wear my sport compression stockings while on runs!! No more cramping, varicose veins began to disappear, no more fatigue after long days on feet. Hyperpigmentation has begun to reverse, dark color has faded & looking much better.
What improvements have you seen in your legs?
Less fatigue, no more heavy leg syndrome, no more cramping, a great improvement on varicose vein appearance & hyperpigmentation – more natural color returning.
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?
The care & focus on my condition, explanation of procedures, follow-up, the expediency of gathering my insurance to cover the procedure. Great staff all around – I really recommend your practice to those who may need it!! I'm so happy to have my running legs back under me!! The cosmetic appearance has improved greatly as well as knowing I will avoid future complications of ulceration possibly if I hadn't had the procedure done. Coming in one late Friday after the first leg done, some upper leg complications & staff had left, but Dr. Gupta took me in to do a scan to verify no clotting & rescheduled to have some trapped blood that instantly relieved my pain/complication!
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.
Very professional & has my best interest at heart.
Billing/Patient Account Services:
Very friendly.
What symptoms were you experiencing?
Pain, tingling, restless legs. "Bubble" vein in back of leg.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Now, no pain or tingling. Bulging veins are gone.
What improvements have you seen in your legs?
Looks better. Feels better!.
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?
This whole office if very accomodating & easy to work with. I highly recommend them!
RLS [restless leg syndrome], legs tired, and cramps.
What improvements have you seen in your legs?
Only have occasional RLS.
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 was impressed by the friendly staff & professionalism.
I was tired of hurting, and one doctor I talked to had the procedure and he was 100% cured.
What symptoms were you experiencing?
Ache, cramping, restless legs.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
I wasn't able to walk very far or sit without hurting. When sitting for a long time, my legs would go crazy. I can't sit for a long time or even go on long road trips without hurting.
What improvements have you seen in your legs?
It has improved my walking where it doesn't hurt. No more pain.
Additional Comments: What did you appreciate? What makes us different than another medical clinic? What could we have done better to exceed your expectations? What changes would you like to see?
[I appreciated] for someone to finally listen to me about how my legs did hurt, and for someone to fix them (legs) so that I can start running again. You've over exceeded my expectations in the care during and after surgeries. I would like for you to keep doing things the way it is done – shows you care for patients that come in.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
My legs would cramp towards the end of the day after being on my feet all day. [After treatment], I can now make it through a 12 hour day without pain.
What improvements have you seen in your legs?
Heaviness seems to be gone and cramping is improving daily.
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?
The staff was amazing throughout the whole clinic.
Alsara Clinic has been a great answer to my problems. And I was at my breaking point.
I was having a lot of discomfort with my legs. I had one very large vein that was very unpleasant looking for me. But the worst part was the tightness in my leg and cramping. It was keeping me awake at night. I was losing sleep regularly. Whether I was sitting, standing, I would get leg cramps. It was genuinely miserable and affecting the quality of my life.
Modern 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.
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.
There are also reports of blood clots in patients with COVID-19 who are at home and staying active. Swelling in the legs is the most common sign of blood clots. Some patients with COVID-19 develop a condition called “
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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.
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