Venous Insufficiency Treatments





Allure Vein Center Offers Free Leg Exams

At Allure, we know the importance and urgency of having painful leg symptoms checked out before they get any worse. That is exactly why we offer free leg exams. Come in and we’ll evaluate your situation and customize a plan just for you. It’s time to stop suffering from leg pain!

 

Call 800-577-2570 to schedule your free exam. You can also use our online scheduler.


Signs & Symptoms

You can get rid of varicose veins, leg discomfort and improve any venous insufficiency without any surgery, scars or downtime. Our no sedation, minimally invasive procedure allows you to return to work the same day as your treatment, taking less than one hour. Common symptoms of varicose veins or venous insufficiency include:

·  Aching pain

·  Swelling

·  Restlessness

·  Heaviness

·  Bruising

·  Discoloration

·  Numbness

·  Fatigue

·  Throbbing

·  Persistent itching or rash

·  Open ulcers that won’t heal

 

Treat your symptoms before they get worse.

Without treatment, symptoms do not get better on their own. They worsen your circulation and can cause significant pain and visible ailments such as:

FAQ’s: Venous Insufficiency

Venous insufficiency happens when the vein valves are not working properly or are blocking the blood flow. In most cases, the failure is because the valves no longer work in a one-way fashion. Instead, they allow the blood to backflow into the veins downstream, causing it to become a varicose vein.

When the calf muscles contract, the blood is supposed to get squeezed into the thigh and then transported or pushed eventually back to the heart. With venous insufficiency, it may squeeze into the varicose vein developing in your leg, where it gets trapped, swells, and eventually, causes pain or other symptoms.

Legs are made up of a network of veins.  Healthy leg veins contain valves that open and close to assist the return of blood back to the heart.  They are also a source of a common problem- varicose and spider veins.  Varicose veins are enlarged veins that can be flesh colored, dark purple or blue.

They often look like cords and can appear twisted or bulging. They can be swollen and raised above the surface of the skin. In some cases, varicose veins are under the surface of the skin and cannot be seen.  Unsightly and uncomfortable, varicose leg veins can promote itching of the skin as well as swelling in the ankles and feet.

·  Aching pain

·  Swelling

·  Restlessness

·  Bruising

·  Discoloration

·  Numbness

·  Fatigue

·  Heaviness

·  Throbbing

·  Persistent itching or rash

·  Open ulcers that won’t heal

Leg pain is common and may occur as general leg tiredness, fatigue, or heaviness. Restless legs can also be a sign. Swelling of the leg is common, particularly after prolonged standing or sitting. When you are not walking, the calf and leg vein the system stops pumping blood, so you have more reliance on your leg valves, which are at the point of failure with the condition of venous insufficiency.

If you are experiencing any of these symptoms, an ultrasound mapping may be ordered to get an inside look.  A Registered Vascular Technologist, who specializes in diagnosing venous disease, will perform the ultrasound mapping.  Your results will be reviewed immediately upon completion of the ultrasound.  If venous disease is discovered, a customized treatment plan will be discussed with you at that time.  It is important to be aware that a combination of treatments and follow-up appointments can take up to a year to complete.

Prolonged and untreated venous insufficieny may result in skin changes. Discoloration, eczema, broken capillaries, and even wounds may occur in venous insufficiency. A condition known as Corona Phlebectasia, which are clusters of spider veins at or just below the medial or lateral ankle, is a characteristic of longstanding mild to moderate venous insufficiency. Dark patches, which is staining from stagnant blood, is called hyperpigmentation.

As it progresses, the skin texture changes, becoming more firm, less fleshy feeling, and has poor healing qualities, known as lipodermatosclerosis. As this progresses, the skin may break down into what is called a venous stasis ulcer.

The clinical classification system helps determine the severity of venous insufficiency. The stages progress from “C0” where there is no venous disease seen or felt to a “C6” in which case, the leg shows an open ulcer.

Some problems cannot be determined with a simple clinical exam only (observing and touching the leg). In most cases, an ultrasound is done to verify deeper, unseen issues inside the leg. Performing an ultrasound is the proper way to diagnosis the venous disease.

C0 No visible or felt varicose veins.
C1 Thread, spider or broken veins
C2 C2A Varicose veins that do not exhibit any symptoms. This is called asymptomatic.
C2S Varicose veins that exhibit symptoms.
C3  Ankles are swollen because of varicose veins hidden varicose veins hidden or visible.
C4 The skin is damaged because of hidden or visible varicose veins.
C5 A healed leg ulcer.
C6 An active leg ulcer that will not heal.

The exact causes of spider and varicose veins are unknown, but there are factors that cause you to be more likely to develop them. Some factors include prolonged sitting, prolonged standing, aging, and obesity.

Other common factors include:

GENETICS is the greatest factor. If both of your parents have varicose veins, your chance of having them is about 90%. There is nothing that can be done about your genetics, but it is important to understand that this is the most common cause.

Hormone levels changes, like those that occur during puberty, pregnancy, and menopause, can contribute to a woman developing varicose veins or spider veins. Pregnancy, by mechanical means of the baby putting pressure on your internal veins, may be a contributing factor.

Poor circulation is the underlying cause of most varicose veins and more extensive spider veins. When your heart pumps, the left side pushes blood to your brain, your hands and your feet. Your heart pushes oxygen-rich blood cells, nutrients, and fluid to all parts of your body. Once the blood arrives at the target tissue, the blood cells and fluid pass through a series of capillaries to deliver oxygen and nutrients as it travels to the venous (vein) side. The blood then has to travel all the way back to the heart. There is no similar heart pump in your feet, so your body has other ways of sending it back. The vein system relies on a series of valves, gravity, and your muscles to get the blood back to the heart.

The veins in the head and neck rely entirely on gravity to get blood back to your heart. There are no valves or muscles involved. It basically drains out. If you hang upside down, gravity is lost, the blood will pool in your head, your face will get red, you will feel swollen and will actually get swelling in your face if you stay that way!

Your arms and upper body have a series of one-way valves that help the blood makes its way through your veins into the deep veins of the muscle. The muscle’s pumping action helps push it back to the heart. Because your arms are almost at the same level as your heart, there is not a significant effect of gravity, and rarely do varicose veins develop in the arms.

The blood in your lower legs has traveled a significant distance from your heart and has a bit of a journey to get back. The blood goes from the left ventricle of the heart all the way to your toes, gets into the capillary system, delivers oxygen and nutrients, and has to get all the way back to the heart.

To accomplish this, our bodies have a series of one-way valves that are supposed to direct the blood to the stronger vessels inside the muscles back to the heart. The pumping action of the leg muscles account for the mechanical force that pushes the blood back while we walk.

When you contract your muscles (which happens every time you take a step) the muscle squeezes the vein, emptying the blood into the next valve that is above the muscle and works the blood all the way back to the heart. This is largely because of the milking effect of the muscles through the one-way valves.

Radio Frequency Laser Treatment

The Endovenous Laser Therapy is an advanced treatment that uses radiofrequency technology to treat varicose veins and venous insufficiency in less than 1 hour. An ultrasound may be performed prior to your procedure.  The medical assistant will then prepare your leg for treatment, which involves cleaning your leg with a sterile surgical scrub then placing sterile drapes around it.  Once your leg is prepped, the provider and vascular technologist will use ultrasound guidance to direct a laser fiber into the diseased vein. 

During this procedure, the provider inserts a catheter into the vein through a tiny nick in the skin.  Anesthetic (numbing) fluid will be injected around the vein to protect the surrounding tissue.  You may feel some needle pokes and pressure during the numbing process.  Once numbing is complete, the laser is turned on and the fiber catheter emits radiofrequency or laser energy into the vein, causing damage to the collagen in the vein walls. 

Afterwards, the body will redirect blood though healthier veins and symptoms typically resolve.   When the procedure is complete, your leg will be cleaned and an ace wrap bandage or a stocking will be placed on your leg.

Micophlebectomy

Microphlebectomy is a revolutionary procedure that allows for permanent removal of visible, large, bulging veins with no downtime. 

DO NOT confuse this procedure with vein stripping; vein stripping is an old fashioned procedure that is infrequently practiced.  A Microphlebectomy starts with an examination to determine and mark which veins need to be treated. We will then prepare your leg for treatment by cleaning it with a sterile surgical scrub then placing sterile drapes around it. 

The Microphlebectomy is performed with local anesthetic that is used to numb the leg.  Then the diseased veins are carefully removed through tiny incisions that sometimes require sutures.

Microfoam therapy injections

Microfoam therapy is performed by injecting medication using ultrasound guidance.  Once the selected veins are marked, medication is injected directly into the diseased veins. Over time, the veins will close up and eventually dissolve.  Once these veins are closed, the blood flows through healthy veins.

Visual Sclerotherapy Treatment

Sclerotherapy is a simple procedure in which medication is injected directly into spider veins. The medication causes the veins to swell, close up and then dissolve.  This procedure is not considered medically necessary; therefore it is not covered by insurance. 

WHAT TO EXPECT:

Following the sclerotherapy treatment, you may experience bruising, discoloration and nodules, which may last for a few weeks.   It is common for the area to feel sensitive or swelling. It will take several weeks for the veins to dissolve and see changes.  Normally, multiple treatment sessions are necessary to achieve desired results.  You may have the area treated again in 6-8 weeks.     

  

Coverage of varicose veins is very common with most insurance plans.  The usual criteria are that there are some symptoms that are typical of varicose veins (discomfort, swelling, fatigue, restlessness, aching and others).  Many insurers first require an attempt to treat them with compression stockings and other maneuvers.

During your free screening exam, the billing department at Allure Vein Center will check your insurance coverage, and review your benefits with you. If you do not have insurance coverage for veins, or no insurance at all, we will let you know the final cost in advance.  We also offer a variety of interest free payment options.

Spider veins are generally considered to be a cosmetic procedure and not covered by most insurance plans.  The only exception we have found is with Blue Cross Messa (which some public school teachers have).

To speak with a vein specialist or to schedule an appointment, please call Allure Vein Center at 800-577-2570 or 586-992-8300 or fill out our online contact form.

 .    .   .   


Treatment Options At Allure Vein Center

RADIOFREQUENCY LASER TREATMENT

The Endovenous Laser Therapy is an advanced treatment that uses radiofrequency technology to treat varicose veins and venous insufficiency in less than 1 hour. An ultrasound may be performed prior to your procedure.  The medical assistant will then prepare your leg for treatment, which involves cleaning your leg with a sterile surgical scrub then placing sterile drapes around it.  Once your leg is prepped, the provider and vascular technologist will use ultrasound guidance to direct a laser fiber into the diseased vein. 

During this procedure, the provider inserts a catheter into the vein through a tiny nick in the skin.  Anesthetic (numbing) fluid will be injected around the vein to protect the surrounding tissue.  You may feel some needle pokes and pressure during the numbing process.  Once numbing is complete, the laser is turned on and the fiber catheter emits radiofrequency or laser energy into the vein, causing damage to the collagen in the vein walls. 

Afterward, the body will redirect blood through healthier veins and symptoms typically resolve.  When the procedure is complete, your leg will be cleaned and an ace wrap bandage or a stocking will be placed on your leg.

\e

MICROFOAM THERAPY INJECTIONS

Microfoam therapy is performed by injecting medication using ultrasound guidance.  Once the selected veins are marked, medication is injected directly into the diseased veins. Over time, the veins will close up and eventually dissolve.  Once these veins are closed, the blood flows through healthy veins.

VISUAL SCLEROTHERAPY TREATMENT

Sclerotherapy is a simple procedure in which medication is injected directly into spider veins. The medication causes the veins to swell, close up and then dissolve.  This procedure is not considered medically necessary; therefore it is not covered by insurance. 

WHAT TO EXPECT:

Following the sclerotherapy treatment, you may experience bruising, discoloration and nodules, which may last for a few weeks.   It is common for the area to feel sensitive or swelling. It will take several weeks for the veins to dissolve and see changes.  Normally, multiple treatment sessions are necessary to achieve desired results.  You may have the area treated again in 6-8 weeks.     

Micophlebectomy

Microphlebectomy is a revolutionary procedure that allows for permanent removal of visible, large, bulging veins with no downtime. 

DO NOT confuse this procedure with vein stripping; vein stripping is an old fashioned procedure that is infrequently practiced.  A Microphlebectomy starts with an examination to determine and mark which veins need to be treated. We will then prepare your leg for treatment by cleaning it with a sterile surgical scrub then placing sterile drapes around it. 

The Microphlebectomy is performed with local anesthetic that is used to numb the leg.  Then the diseased veins are carefully removed through tiny incisions that sometimes require sutures.

Before & After Gallery

It’s incredible how much better my legs feel after having this procedure.  I wish I would have come in sooner.

Jim // Autoworker

I work long hours on my feet as a medical assistant & had aching & throbbing in my legs. During my procedure, I felt a little pinch but that was it! The Allure staff was very kind & professional.

Moriah // Medical Assistant

The staff was great and my legs feel MUCH better.

Ida

I had serious pain in my ankle due to varicose veins. The procedure was so quick, I didn’t even realize it was going on. If you have pain, come to Allure, they are very efficient & caring.

Don

My leg throbbed throughout the day & it was hard to get ready in the morning. My treatment took less than an hour & was very tolerable. My leg is healing nicely & I don’t have any more symptoms.

Mariah // Dentist

I came to Allure for varicose veins in my left leg. During my procedure, there was no pain or discomfort & there was no downtime. I’m very pleased!”

Judith

I couldn’t go for my walks because it felt like I was dragging a tree trunk. After my procedure, I’m back walking 2 miles twice a week. I’m so glad I did it!Ruth

For years I’ve had restless legs & woke up in the middle of the night with leg cramps. Since my first treatment at Allure, I haven’t had any pain & can sleep again.”

Mary // Retired Postal Worker

FAQ’s: Allure Vein Center Specifics

Yes, your exam to see if you are a canidate for treatment is free. Your ultrasound and treatment will be billed to your insurance.

Yes, on some days, our offices stay open until 8:00 pm. Call today to set up your appointment.

The treatments and procedures offered at Allure Vein Center are non-surgical and minimally invasive.

You can come in for a consultation, mapping and treatment plan in the same day. Your laser treatment will be scheduled for the following day or the next time you are available to come in.

There is no pre-treatment preparation. You can shower, apply lotion and take your medications as usual. Make sure that you eat a regular meal before your treatment. You do not need a driver; you may drive yourself to and from each appointment.  If compression stockings were prescribed, please bring them with you to every visit.

Allure vein treatments can be done at any one of our 5 offices in Shelby Township, Clarkson, Southgate, Livonia or Warren.

A Registered Vascular Technologist, who specializes in diagnosing venous disease, will perform the ultrasound mapping.  Your results will be reviewed immediately upon completion of the ultrasound. If venous disease is discovered, a customized treatment plan will be discussed with you at that time.

It may take multiple treatments to correct the venous insufficiency based on the severity of the disease.

There is minimal discomfort while we are numbing the area. You may feel slight pressure during that time. After that, the procedure is virtually painless.

Your initial appointment (consult) last about 30 minutes, your ultrasound mapping to determine the treatment plan takes about one hour and the actual laser procedures take 10-15 minutes.

You may experience some bruising, swelling or a feeling of tightness in your legs. These symptoms typically go away after 2-4 weeks.

Patients can drive themselves home after treatment and return to their normal activities.

Some see results immediately after treatment. They will notice the pain subsiding and their restless legs are no longer cramping. Some take 2-4 weeks depending on the severity and stage of their venous insufficiency and how many treatments they need.

After your treatments have been completed, we monitor the health of the veins with scheduled follow-up appointments to make sure the veins do not open up again, causing a problem.

Less than 5% of patients develop varicose veins after completing their treatment plan.

To help ensure your legs stay healthy, wear the provided compression stockings until all symptoms subside and try to get at least 30 minutes of exercise a day (walking is sufficient). Doing this will help keep the blood pumping constantly in the correct direction to your heart.

Allure Vein Center Aftercare

Radiofrequency Laser

A compression stocking or wrap, with an absorbent pad, will be used to cover the access site.  The absorbent pad may be removed after any drainage has stopped.  To avoid a rash, do not leave the pad in place for more than 12 hours.   The small bandage over the access site may be replaced if needed. If you are prescribed stockings, you may continue to wear them as needed or until any leg pain, tenderness or discomfort has subsided.

MICROPHELBECTOMY

A stocking or a wrap with dressings will be placed on your leg. PLEASE do not remove this dressing for 48 hours.  If sutures are necessary, these will be removed in our office, 7-10 days after your treatment.

ALL VEIN TREATMENTS

It is important that you walk for 20 minutes upon completing your vein procedure.   Since there is no downtime after your treatment, there isn’t a need to change your lifestyle.   There are no restrictions on activities; therefore you may continue any activities including work, exercise, and sports as usual.  You may return to work immediately following your procedure. Walking and/or exercise are recommended for a timely and successful treatment outcome.

What to expect

Your leg will be re-evaluated weekly during your course of treatment.  For best results, you may have one treatment performed weekly per leg. If both legs are treated you may come in twice a week for treatments.

After your procedure, it is normal to experience any of the following symptoms.

·  Leg discomfort, hard lumps, tenderness, swelling, numbness, bruising, pulling and redness. Although these symptoms are common, they may last for a few weeks.

·  To help with alleviating discomfort, you may take over the counter NSAIDS such as Ibuprofen, Naproxen sodium, etc. or Acetaminophen as needed for pain or discomfort. Topical Asper creme, warm or cold compresses may be applied to the affected area.  Also, you may wear compression stockings (if prescribed).   

·  If traveling, we recommend that you wear compression stockings and walk when convenient.