How were you affected by your legs previously? What couldn't you do? How has that changed now?
Severe cramping, tired walking stairs. [Now I] can do 14 min. max training no problem.
What improvements have you seen in your legs?
Not tired.
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?
[You] took time to explain things in detail. [The procedure] was almost painless. Glad I had it done.
I had some awful, painful legs. I had circulation not going through my veins, had blockages in the veins. Cause I had this done once before - didn't work. I went through the old way, don't want it.
Couldn’t ride in a car for very long. I had to get out, my leg was heavy. I had to get out of bed and lift my legs. Then I had to stand there a bit so I could get ‘em motivatin’.
And not anymore. I slept good last night - couldn’t believe it. This laser's great. I can sit in a boat now. I don't have to stand up all the time. I can sit down and relax, fish, and mushroom hunt. Just excited I got my legs back. Cause it was gettin' where they gonna take 'em off.
This place is just awesome. He's [Dr. Gupta] a great doctor. I'd recommend him to anybody.
I had a real good Christmas and one thing that really made my Christmas so great was you, Dr. Gupta. Because of you and your staff taking such good care of my legs. Because of your good work on my legs, I was able to walk all over the place when we went Christmas shopping. You don't know how nice it is to go to Wal-Mart or wherever and be able to walk all over the store and not have your legs hurt.
Before I started coming to you I couldn't walk without my legs hurting so bad. My legs would hurt so bad that I would stay at home or in the truck. My mom said you can go with me and I would push you in a wheelchair. But I didn't like to ride in a wheelchair because I didn't like for people to stare at me. And now thanks to you Dr. Gupta I don't have to worry about that anymore. Because I have one of the best Drs. in the state of Missouri. Probably in the United States. Because you are the best. You all are so caring and understanding. And the girls always call the next day and ask how I am doing. Anyway, I want to thank Dr. Gupta and the Staff.
Beautiful, healthy, pain-free legs may have been a dream in the past, but now they are a reality, thanks to the advances in medicine and technology. Treatments are very safe, effective, and require no downtime.
As icing on the cake, almost all insurers cover treatments of symptomatic varicose veins. Unfortunately, many patients miss this opportunity due to the fear of pain and anxiety.
While we celebrate our three-year anniversary in St. Joseph, I want to take this opportunity to reach all of those patients and their relatives who may have heard about us or even visited us, but were unable to garner enough courage to take the next step.
It is often reasonable to fear pain with a medical procedure, however, the treatments at Alsara Vein Clinic are virtually painless. Many of our patients have graciously shared in their testimonials attesting to that. We go to extreme lengths to make sure that the entire process is comfortable and as pain-free as possible. To help take the edge off a patient's anxiety, a nitrous oxide (laughing gas) option is available for a $30 charge.
At other times, it is not really the fear of pain but rather anxiety that serves as a barrier. Some anxiety is normal and considered an adaptive response. For instance, I suffered from anxiety (or even phobia) when going to an urgent care center for a sore throat or even a well-child visit at the local doctor’s office. I had a deep-seated fear as a child that somehow I would end up in the hospital, like some kids I saw on television, with needles in my arms, struggling to breathe through a mask. In retrospect, this would be considered normal anxiety, as I still made it to the doctors’ offices.
An important step in dealing with anxiety is to substitute it with knowledge. Having a complete understanding of the procedure, how its performed and the numerous ways it would make a difference in your life could help replace fear with hope or even excitement. Sometimes it is the fear of the unknown or recollection of a bad experience in the past that holds patients back.
At Alsara Vein Clinic, we have performed thousands of procedures that have improved countless lives. Please take a moment to read and listen to our patients’ stories in Testimonials. Many patients who have come to us have had prior treatments elsewhere. Some had painful vein stripping and some had newer treatments, such as sclerotherapy and radiofrequency ablation (VNUS Closure), that were unsuccessful or offered only partial relief of symptoms. Remember you have not failed until you have given up!
While understanding the procedure doesn’t help alleviate the anxiety or the fear of needles, there is still hope. We offer in-office anesthetic using nitrous oxide (laughing gas). For our needle-phobic patients, we have the revolutionary J-Tip™ that uses forced air to deliver numbing medicine without the use of needles. You will still be alert enough to enjoy a lollipop and be able to drive yourself back home after the procedure.
Above all, the pampering that you receive at Alsara Vein Clinic remains a secret with us so that you can still attempt to gain all the sympathy from your loved ones when you reach home.
Injection Sclerotherapy and Varithena® Vein Treatments
Injection Sclerotherapy is a method of treating varicose veins and chronic venous insufficiency using medication that is injected into a vein, causing it to close. Varithena® is a new, cutting-edge treatment option approved by the FDA in 2013. It is one of the most popular and effective treatments available to improve symptoms of superficial venous incompetence and the appearance of visible varicosities. Phlebologist and Sclerotherapy Specialist Dr. Sam Gupta can help diagnose and treat varicose veins and chronic venous insufficiency with a variety of treatment modalities, including Sclerotherapy and Varithena®. Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine.
At Alsara Vein Clinic, we treat vein problems all day, every day.
Ultrasound Guided SclerotherapyInjection Sclerotherapy, also known as Echosclerotherapy, is a method of treating varicose veins and chronic venous insufficiency using medication that is injected into a vein, causing it to close. Healthy veins then take over to correct blood flow back to the heart, resulting in symptom improvement. Using ultrasound guidance is essential in achieving long-term results and ensures the most complete treatment of all diseased veins.
How Does This Vein Treatment Process Work?
When the injectable agent comes in contact with the inside lining of the vein, the treated vein collapses and is soon replaced by a thin cord of fibrous tissue. The vein is now permanently closed. This process is called sclerosis, hence the name "sclerotherapy". The treated vein is then slowly absorbed by your body and eventually disappears.
Ultrasound Guided Sclerotherapy (USGS) is a highly versatile treatment and useful to treat any residual varicose veins that may persist after Endovenous Laser Ablation varicose veins treatment. This ensures comprehensive treatment of the entire diseased network of veins for long-term benefit.
This USGS treatment assumes a major role in the treatment of venous insufficiency, as well as smaller veins, such as telangiectasias and spider veins. USGS is considered the "Gold Standard" for treating spider veins, which are smaller versions of varicose veins that are visible under the skin surface. The success of the sclerotherapy relies upon the experience and skill of the provider. Choosing the right sclerosant, target, volume, concentration, and “exposure time” make the difference between success and failure. Your Vein Specialist at Alsara Vein Clinic is highly skilled in administering USGS treatments.
Varithena® is a new, cutting-edge treatment option approved by the FDA in 2013. It is one of the most popular and effective treatments available to improve symptoms of superficial venous incompetence and the appearance of visible varicosities. Administered under ultrasound guidance, it damages the interior lining of the problem vein and causes it to close shut. Over a period of several months, the body will slowly absorb the treated veins by the process of fibrosis.
When is Varithena® recommended?
Varithena® is not used for all forms of varicose veins. It is approved for the treatment of incompetent great saphenous veins, accessory saphenous veins, and visible varicosities of the great saphenous vein (GSV) system above and below the knee. Typically, Varithena® is used for residual varicosities after the truncal veins have been sealed with other treatment modalities such as thermal ablation (EVLA, RFA) or VenaSeal™. Treatments are tailored to individual patients' needs and circumstances. Your Vein Specialist will make the determination for you.
What happens after treatment?
Post-treatment bandages are applied, and compression stockings are used for a minimum of 1 week. It is important to stay active and avoid prolonged inactivity. Also avoid excessively heavy weightlifting, high impact activities, and exposure to heat.
What are the risks involved in the use of Varithena®?
Localized numbness, tenderness, redness, tingling, and bruising are not uncommon. These changes are typically near the injection site and resolve over time.
Varithena
Alsara Vein Clinic specializes in injection sclerotherapy and Varithena® treatments of varicose veins.
I was introduced to the organization through a health fair.
What symptoms were you experiencing?
Heaviness in my legs, spider veins, swelling.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Swelling, heaviness. My legs would be tired. [After treatment] minimal to no swelling or heaviness, more energy.
What improvements have you seen in your legs?
My legs feel really good. I have minimal to no swelling or heaviness.
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 thought the staff on all levels had excellent customer service skills and were very helpful. Dr. Gupta did an excellent job of explaining the vein process & procedures. I would recommend your services to others.
Excellent. I mainly had Kati but both girls are great.
Provider/Doctor/Nurse Practitioner:
Dr. Gupta is the best!
What made you choose us?
Meeting Dr. Gupta at Josephine Expo.
What symptoms were you experiencing?
Very severe Restless Legs.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
On medications for my legs that really weren't working anymore.
What improvements have you seen in your legs?
Restless legs have improved greatly.
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 always greeted & seen very quickly. No long waits in the waiting room or exam room. The staff was all friendly & knew me when I came in the door. I felt like I was their only patient. I have recommended your clinic to others.
Introducing Next Generation Spider Vein Treatments
Enjoy the best possible spider vein treatment outcomes that are long-lasting in the fewest visits possible
Alsara Vein Clinic's spider vein specialist offers the latest, state-of-the-art spider vein treatments. The most effective treatment options currently available are injection sclerotherapy (the gold standard), ultrasound-guided sclerotherapy (used to seal the deeper "feeder veins"), ohmic thermolysis (the revolutionary VeinGogh), and surface laser. We have all of these and some other options available. Typically we use a combination of treatment modalities to help you enjoy the best possible outcomes that are long-lasting in the fewest visits possible. Spider vein treatmentimaging is performed using Ultrasound, Veinlite®, and AccuVein®. Combined with Alsara Vein Clinic's expertise, years of experience, and obsession for outstanding results, you can get the results you always desired. Schedule a Consultation today.
Board Certified Providers
We use ultrasound guidance to rid unsightly spider veins at their source
Alsara Clinic uses the latest technology to provide the most effective, safest, and longest-lasting result
Many patients come to us after failed treatments elsewhere
We treat veins all day, every day; more importantly, we love what we do
Injection sclerotherapy is the quality standard for spider veins treatment. Using a special light, the vein is isolated and a small amount of medication (sclerosant) is injected inside the vein. The medication "closes" the vein and stops the flow of blood.
Although the appearance of treated spider veins improves (diminishes) immediately, the spider veins are slowly absorbed by the body over a course of several weeks or months. Typically, several veins can be treated in one session and more than one session may be required depending on the extent of your spider veins. It is also possible that repeat injections in a single vein may be necessary since some spider veins are more "stubborn" than others.
What is VeinGogh?
VeinGogh is a breakthrough treatment technology for spider veins that allows us to treat even the smallest and the curviest vein where sclerotherapy may not be an option. An extremely tiny needle focuses energy (ohmic thermolysis) directly onto the spider vein and closes it immediately.
This VeinGoghspider vein treatment is not dependent on skin types, like lasers and other light-based therapies, and provides a superior solution for sealing vessels that have shown resistance to other treatment options. The tissue on the skin surface is rarely affected and many patients report minimal, if any, discomfort compared to laser or intense pulsed light therapies used elsewhere to remove spider veins. As with sclerotherapy, over time the body absorbs the "closed" veins.
Generally, patients will require sclerotherapy treatment first, as it is still the first option in treating spider veins. VeinGoghtreatment is then recommended for any spider veins remaining that meet the criteria in size. Rest assured, Alsara Vein Clinic uses the most sophisticated technology available and highly skilled staff to meet your needs for spider vein removal treatments.
VeinGogh Spider Vein Treatment
Treating Surface Veins
Spider Vein Treatment Procedure at Alsara Vein Clinic
Are Alsara Vein Clinic's Spider Vein Treatments Right for Me?
It is important when scheduling your spider vein treatment to consider the timing in which treatments are performed in relation to sun exposure. We recommend avoiding sun exposure (including tanning beds, etc.) 1-2 weeks after a treatment is performed. In addition, we recommend using a sunscreen with an SPF of 30 or greater for 3 months post-treatment.
The recipe for beautiful legs is here. We have a collection of the most effective spider vein treatment options available anywhere. View our before & after spider vein treatment gallery. Combined with our expertise and obsession for outstanding results, you can get the legs you always desired but never thought possible. Schedule a consultation
Alsara Vein Clinic specializes in spider vein treatments using cryo sclerotherapy and VeinGogh.
Spider veins are the smaller versions of varicose veins caused by the same risk factors as underlying varicose veins. Based on the size of the surface veins (commonly referred to as “spider veins”), veins may be bluish in color (venulectasia), green (reticular veins) or red/purple (telangiectasia).
How are Spider Veins Treated?
At Alsara Vein Clinic, we have almost every treatment modality for the treatment of spider veins. Over the years, we have realized that “inside-out” is the best approach to give you an optimal, long-lasting outcome. We first scan the affected areas using ultrasound looking for any “feeder” veins beneath the skin surface. If present, we use Ultrasound Guided Sclerotherapy to close an entire cluster of spider veins at its source beneath the skin that is otherwise not visible from the outside. Any remaining surface veins are then treated using Injection Sclerotherapy (the Gold Standard) by injecting medication (Sclerosant) directly into the affected surface veins. We use Ohmic Thermolysis or Surface Laser for any remaining veins that are not eligible for sclerotherapy due to their size or location (near ankle or foot). These modalities use a spectrum of light that targets spider veins from the outside and closes them by heating the hemoglobin within the affected veins.
Occasionally, veins near the surface of the skin are too large to treat with sclerotherapy and not small enough to treat with Ohmic Thermolysis or Surface Laser. Microphlebectomy is a minimally invasive treatment to remove larger surface veins including varicose veins that appear on the skin surface. This is not to be confused with surgical vein stripping, which is a much more invasive procedure performed in the hospital setting under general anesthesia and traditionally was used to remove larger, deeper varicose veins. Microphlebectomy is performed in the comfort of our office. Using very fine instruments, the unwanted bulging veins are removed through minuscule openings without the need for sutures and typically without causing any scarring. The patient is able to resume normal activities quickly and is immediately rid of the unsightly veins that are removed permanently.
We go to extreme lengths to make sure the treatments are safe and effective, but as painless as possible.
I was born and raised in St. Joseph. I work at Missouri Western State University. I have two children and six grandchildren.
I had had pain in my leg for quite some time. I had been to my primary care doctor and [was] told that I had phlebitis. They would give me medication and it would never completely go away. It finally got to the point that I began to worry whether or not I had a blood clot, because it was very sore to touch and it was a bit warm. So I went to an urgent care clinic and was told ‘no, it’s not a blood clot’ and sent home. And I just felt like there was something else going on.
And so – after my friend had been here and had such a great experience – I thought maybe this is what I need to check out. So I made an appointment and came in for a consultation and, sure enough, two blood clots were found the day that I was here.
The two big things that I noticed with my problems that I had in my leg were: it was very painful to touch. It would also be sore in that area. Sometimes, when I walked, I would have pain. And then at night I had terrible leg cramps, and I would have restless legs. They would be twitching all the time.
The pain in my leg would bother me quite a bit when I would be driving or sitting for a long period of time. And I have to travel a lot for my job. And there were times my leg would just be so sore just sitting in the car.
Well, when I first heard about it from my coworker, and she was explaining how you had helped her and what a positive experience that she had had, I started thinking ‘you know, maybe that’s what I really should check into and see if that might be able to solve my problems. If I came to you, I could find out for sure what was going on with my leg. And so, of course, I was a little apprehensive coming, and I was apprehensive with the treatment, but honestly, it was not a big deal at all, and it was so worth doing it.
I would say that my experience from the first time I walked in the door until now has been very positive. Everyone has been very professional. The staff I consider friends, as well as the people who are taking care of me. Dr. Gupta has been excellent in educating me and making sure that I was comfortable. And I’ve always been encouraged to be back in touch if I have any concerns about any issues with my legs.
The outcome from my treatment has been that I am able to go to sleep at night knowing that I am not going to wake up with any cramping in my legs. I have no problems with the restless legs anymore, and it’s just nice to be able to relax. The biggest change it’s made is that I am able to sleep at night, and get a good night's sleep, and not have to worry about waking up because of cramping.
Not only would I recommend that someone with vein problems come here, but I have recommended someone with vein problems come here. We were having a conversation about the problems in my legs and the problems in her legs, and she hadn’t really considered that it could be a vein issue. And since then, she has gone for treatment, as well, so.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Am still the recovery process.
What improvements have you seen in your legs?
Less aches, 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?
Wait time always exceeded my expectations. All staff very knowledgable & professional.
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.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Had lot of heaviness, hurt at night. Now so much better.
What improvements have you seen in your legs?
A lot. They don't hurt and my circulation seems like it's a lot 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?
I appreciated the staff, very friendly. The technicians that did Ultrasound were very professional & explained what they were doing. Dr. Gupta did a wonderful procedure on my legs. I am so thankful.
Open ulcer on ankle & very red discolored legs, pain & soreness.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Constant pain & redness. Could not sleep or function at work. [After treatment:] It is a miracle – no pain and color is coming back!
What improvements have you seen in your legs?
Ulcer has healed & the pain is gone. Color is getting 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?
The Doctor & staff have a great personal touch and they really care about the patients. It is one of the best clinics I have ever been to. I highly recommend them. Thank you sooo much.
Always pleasant & informative. Answered many questions.
Provider/Doctor/Nurse Practitioner:
Excellent - Very informative & professional.
Billing/Patient Account Services:
Very good.
Call Center/Patient Service Center:
Very good.
What made you choose us?
Internet web page.
What symptoms were you experiencing?
Leg pain, charley horses frequently at night – tired leg.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Discomfort sleeping and occasionally standing for long periods of time. [After treatment] sleeping better & legs do not feel tired.
What improvements have you seen in your legs?
Less tired 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?
Treatment at your facility was a very good experience. All staff were friendly & informative. I feel like I received excellent treatment at your facility. [I] would recommend you to friends & family.
How were you affected by your legs previously? What couldn't you do? How has that changed now?
Leg felt heavy. Swelling cause skin breakdown which lead to continuing infectons.
What improvements have you seen in your legs?
Less swelling and the pain has gone away.
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 the staff and how they make a patient feel comfortable. Your facility is very clean and pleasant. I also liked that the staff was not trying to push me through my appointment to get to the next patient. Don't change a thing. "One can't fix what is not broken.".
On The Day of Your Laser/VenaSeal Treatment Procedure:
When you arrive for yourLaser/VenaSeal treatment, you will be asked to change into a pair of comfortable shorts that we provide you. If you choose, you may bring your own loose-fitting shorts.
Next, our vein specialist or our ultrasound technologist may perform a brief ultrasound scan and mark areas of interest on your leg. You are now are ready for our unique multi-step numbing process.
Multi-step Numbing Process
Your comfort is extremely important to us during the vein treatment process. We strive to reduce any discomfort as much as possible. That's why Alsara Vein Clinic has developed an exclusive multi-step numbing process to ensure your comfort every step of the way.
1. Cream
Starting even before your procedure begins, we apply a cream to the skin on your leg. This cream is produced especially for us, and begins the numbing process while preparing your veins for a smooth procedure.
2. Spray
Immediately before any needle touches your skin, we utilize a special spray which further numbs the surface of your skin, further removing any discomfort.
3. Technique
While injecting more numbing medicine into the skin, we use a special technique which numbs the skin area for the next injection. That way, your skin is numbed from outside and in.
4. Lining (Laser treatment only)
Just before the laser is used, we surround the problem vein with a special medicine which numbs, and provides a protective barrier between your vein and the surrounding tissue. Now, numbing is complete, and the laser energy is safely contained right where it needs to be.
Nitrous Oxide "Laughing Gas" (Optional)
Although the vein treatment process offered at Alsara Vein Clinic generally involves little or no pain, we also offer the use of Nitrous Oxide to help take the edge off a patient’s anxiety, helping him or her to relax through the EVLA procedure.
Nitrous Oxide is the oldest, safest, and most fast-acting sedating agent available. It has been used for centuries and is currently used by over one-third of all dental practices.
Patients experience a sense of well-being, feel more relaxed and somewhat less aware of their surroundings, as well as less responsive to any discomfort.
Nitrous oxide is breathed through a nasal mask and, after a state of relaxation is reached, local anesthesia is administered. Complications with nitrous oxide/oxygen are extremely rare. Its sedative effects are completely gone five minutes after it is stopped. It is eliminated through the normal breathing process. Patients are typically able to drive themselves home or to work. This option is available for an additional charge at your EVLA visit.
Needle-free Numbing System (Optional)
If you are uncomfortable with needles, Alsara Vein Clinic offers a breakthrough needle-free numbing system. Instead of a needle, a pressurized numbing medication is injected through the skin pores using gas pressure.
J-Tip Needle-free- Numbing Available 😃
Laser/VenaSeal Time
Laser Procedure:
During the laser procedure, you'll get to wear a super cool pair of protective glasses. As a bonus, we’ll give you a lollipop of your choice. This helps counteract any odd taste or smell, which can be a byproduct of the laser during the procedure that some patients may experience.
Venaseal Procedure:
Since the Venaseal procedure doesn’t involve the use of heat, there is no need for eye protection or dealing with that funny taste or smell. But if you’re feeling left out of the lollipop fun, just ask! We’ve got you covered.
Laser Treatment of Variose Veins
Before You Go Home (or Shopping!)
As soon as your laser treatment is complete, we will obtain some ultrasound images to ensure the target vein was treated successfully (yes, the effect is that fast) and help you with dressing and stockings. You are now good to go back to work (or shopping!)
Home Instructions
We will go over the easy-to-follow instructions before you leave our office.
You are welcome to resume normal activities immediately, including walking, low-impact activities, standing, or lifting moderate weights. In fact, staying active is crucial in keeping your calf muscles (leg pump) working. Now that we have shut down some of the bad veins in your superficial venous system, the good veins in your deep venous system will take over and rely on the pumping mechanism of your calf muscles more than ever before.
Although you are not quite ready for a marathon or heavyweight championship (or our Hot Leg Competition!), you will likely notice improvement as early as the night of the procedure. So go ahead and enjoy your legs!
In case you forgot to ask us something or have any concerns, there is no need to worry. We will call you the day after your procedure to check and see how you are doing and answer any additional questions.
On The Day of Your Non-laser Procedure:
Ultrasound Guided Sclerotherapy (USGS) or Spider Treatment
We will offer you a pair of comfortable shorts or you can bring your own loose-fitting shorts. Ultrasound and/or Vein Lite is typically used to identify and mark the areas needing treatment. One or more numbing tools may be used to reduce all possible discomfort. These procedures require less time and preparation than Laser/VenaSeal treatment. Our vein specialist will treat you and determine a follow-up plan. All instructions are provided before you leave the office.
You will receive a follow-up phone call the day after the procedure to check on you and answer any additional questions.
The doctor evaluation and ultrasound scan enable us to confirm that vein treatment will help you. This evaluation and scan along with treatments (if indicated) are covered by almost all insurance companies including Medicare and Medicaid. However, much like all your other doctor visits, copays and deductibles will apply.
Keep in mind that although treatments are virtually painless, safe, and effective, they may require a few visits to allow you some healing time.
So, if you have been procrastinating, face a brand new deductible on January 1, and still want to start the new year with new legs, the time to act is now.
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.
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!).
Many patients now recognize that varicose veins may not be visible from the outside. Most of our patients report experiencing tiredness, cramping (charley horse), restlessness, or swelling in the legs. Those whose condition has not reached one of the advanced stages often wonder if they are at increased risk of anything that could be limb or life-threatening.
At least one-third of our patients clearly have signs of advanced venous insufficiency – when varicose veins have progressed to a point where the chronic pooling of blood (stasis) in the legs causes skin changes. They may notice skin discoloration, thickening or hardening of the skin, recurrent skin infections, bleeding that can be profuse, and poorly healing sores in the legs. In addition, varicose veins may be an early warning sign of potentially deadly blood clots.
We routinely see patients with blood clots. Some are referred by their primary care providers and others present themselves with concerns about blood clots. Yet there are many patients who are surprised to find that they have a blood clot when we examine them using duplex ultrasound.
Blood clots are far more common than most people think. Serena Williams and Hillary Clinton are among the dozens of celebrities who have suffered consequences due to blood clots. James “Jimmy” Stewart from the movie It’s a Wonderful Life and NBC journalist David Bloom lost their lives from blood clots. David Bloom’s wife, Melonie Bloom, has devoted her life to raising awareness of thrombosis.
The association between varicose veins and deep vein thrombosis (DVT) was demonstrated in a landmark Taiwanese study published in JAMA (Journal of the American Medical Association). Reviewing the health records of over 425,000 adults, the study found a higher rate of pulmonary embolism (when a blood clot in the leg breaks off and travels to the lung) and peripheral artery disease in patients with varicose veins.
Varicose veins increase the risk of deep vein thrombosis (DVT) by five times
DVT is a clot in the legs, which can lead to amputation or even death
Varicose veins make people twice as likely to develop a pulmonary embolism
Varicose veins double the risk of peripheral artery disease, which reduces blood flow
Varicose veins are veins with weakened walls that fail and cause pooling of blood in the legs. Patients with varicose veins are known to have increased levels of inflammatory and pro-thrombotic markers. These patients have a considerably high risk of forming blood clots in their legs.
Not all clots are serious, but they often tell us about an underlying problem such as impaired blood flow that can lead to greater problems down the road. As Dr. Chang, the lead author of the Taiwanese study stated, “varicose veins deserve careful monitoring and early evaluation”.
I had some awful, painful legs. I had circulation not going through my veins, had blockages in the veins. Cause I had this done once before - didn't work. I went through the old way, don't want it.
I had a real good Christmas and one thing that really made my Christmas so great was you, Dr. Gupta. Because of you and your staff taking such good care of my legs. Because of your good work on my legs, I was able to walk all over the place when we went Christmas shopping. You don't know how nice it is to go to Wal-Mart or wherever and be able to walk all over the store and not have your legs hurt.
While we celebrate our three-year anniversary in St. Joseph, I want to take this opportunity to reach all of those patients and their relatives who may have heard about us or even visited us, but were unable to garner enough courage to take the next step.
At Alsara Vein Clinic, we have performed thousands of procedures that have improved countless lives. Please take a moment to read and listen to our patients’ stories in 
Alsara Vein Clinic's spider vein specialist offers the latest, state-of-the-art 
VeinGogh is a breakthrough treatment technology for spider veins that allows us to treat even the smallest and the curviest vein where 
Spider veins are the smaller versions of 
I was born and raised in St. Joseph. I work at Missouri Western State University. I have two children and six grandchildren.
Although the vein treatment process offered at Alsara Vein Clinic generally involves little or no pain, we also offer the use of Nitrous Oxide to help take the edge off a patient’s anxiety, helping him or her to relax through the EVLA procedure.
If you are uncomfortable with needles, Alsara Vein Clinic offers a breakthrough needle-free numbing system. Instead of a needle, a pressurized numbing medication is injected through the skin pores using gas pressure.
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.
Varicose veins increase the risk of deep vein thrombosis (DVT) by five times