murf_vascular

Women's Health Month

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 02 May 2025 14:00:19 GMT

Prioritizing Vascular Health for Women

May is Women's Health Month, a time to focus on the unique health challenges women face and the importance of proactive care. At Murfreesboro Vascular & Interventional, we are committed to helping women take control of their vascular health through advanced, minimally invasive treatments.

Why Vascular Health Matters for Women

Many women are unaware that vascular conditions can significantly impact their overall well-being. From chronic pelvic pain to varicose veins, vascular issues can lead to discomfort, decreased mobility, and even serious complications if left untreated. Fortunately, modern interventional radiology offers safe and effective treatment options that can greatly improve quality of life.

Common Vascular Conditions Affecting Women

At Murfreesboro Vascular & Interventional, we specialize in treating a variety of vascular conditions that disproportionately affect women, including:

1. Uterine Fibroids

Uterine fibroids are non-cancerous growths that develop in the uterus, often causing heavy periods, pelvic pain, and frequent urination. We offer Uterine Fibroid Embolization (UFE) , a minimally invasive procedure that shrinks fibroids and alleviates symptoms without the need for surgery.

2. Pelvic Congestion Syndrome (PCS)

Chronic pelvic pain can sometimes be caused by varicose veins in the pelvic region, a condition known as Pelvic Congestion Syndrome . Our specialists perform pelvic vein embolization , a minimally invasive procedure that closes off problematic veins, relieving pain and discomfort.

3. Varicose & Spider Veins

Many women experience varicose or spider veins due to pregnancy, aging, or prolonged standing. These conditions can lead to pain, swelling, and cosmetic concerns. We offer treatments such as sclerotherapy, endovenous laser ablation (EVLA), and radiofrequency ablation (RFA) to improve circulation and restore confidence.

4. Deep Vein Thrombosis (DVT)

Blood clots in deep veins, particularly in the legs, can be life-threatening if not addressed. Our specialists provide minimally invasive DVT treatments , including catheter-directed thrombolysis, to restore blood flow and reduce the risk of complications.

5. Peripheral Artery Disease (PAD)

Women with PAD may experience leg pain, cramping, or difficulty walking due to narrowed arteries. We offer advanced treatments such as angioplasty and stenting to improve circulation and mobility.

Why Choose Murfreesboro Vascular & Interventional?

Minimally invasive procedures with quicker recovery times
Expert interventional radiologists specializing in women's vascular health
Personalized, compassionate care tailored to each patient’s needs
Convenient outpatient treatment options that fit busy lifestyles

Take Charge of Your Health Today

Women often put others before themselves, but prioritizing your own health is essential. If you’re experiencing any symptoms related to vascular conditions, don’t wait—schedule a consultation with Murfreesboro Vascular & Interventional today. Together, we can help you feel your best and live life without pain or discomfort.

Contact us today to learn more about our treatments and schedule an appointment!

Knee Pain?

brett.donegan@mvi-tips.com (Brett Donegan) — Wed, 09 Apr 2025 14:00:03 GMT

Consider Genicular Artery Embolization Before Knee Replacement

Knee pain is a common and often debilitating condition that affects millions of Americans, limiting mobility and reducing quality of life. While total knee replacement has long been considered a definitive solution for severe knee pain, there are now minimally invasive options that may provide relief without the need for major surgery. One such innovative procedure is Genicular Artery Embolization (GAE) , a cutting-edge treatment available at Murfreesboro Vascular & Interventional.

What Causes Chronic Knee Pain?

Chronic knee pain is frequently caused by osteoarthritis , a degenerative condition in which the cartilage within the joint wears down over time. This leads to inflammation, pain, and stiffness. Traditionally, treatment options have included medications, physical therapy, steroid injections, and, in severe cases, total knee replacement surgery. However, these treatments may not be ideal for everyone—especially those looking for an effective, non-surgical alternative.

What is Genicular Artery Embolization (GAE)?

GAE is a minimally invasive, image-guided procedure designed to reduce knee pain by targeting the small arteries supplying blood to the inflamed areas of the knee. During the procedure:

A specialized interventional radiologist inserts a small catheter into the genicular arteries (which supply blood to the knee joint).
Tiny particles are injected to reduce excessive blood flow to the inflamed areas.
This reduces inflammation and pain , providing significant relief without affecting normal knee function.

Why Choose GAE Before Knee Replacement?

Many patients are hesitant to undergo total knee replacement due to the long recovery period, potential complications, and extensive rehabilitation. GAE offers several advantages as an early intervention :

Minimally Invasive: No large incisions or general anesthesia required.
Quick Recovery: Most patients resume daily activities within days.
Significant Pain Relief: Many experience long-term improvement in knee pain and mobility.
Avoids or Delays Surgery: Can be an effective first-line treatment before considering knee replacement.
Outpatient Procedure: Performed in a comfortable outpatient setting with no hospital stay required.

Who is a Candidate for GAE?

GAE is an excellent option for individuals who:

Suffer from chronic knee pain due to osteoarthritis .
Have not found lasting relief with medications, physical therapy, or steroid injections.
Want to delay or avoid total knee replacement .
Are looking for a less invasive alternative with minimal downtime.

Get Relief Without Surgery

At Murfreesboro Vascular & Interventiona l, our team specializes in providing innovative, non-surgical treatments for chronic pain conditions. If you are experiencing persistent knee pain and are looking for an alternative to surgery, Genicular Artery Embolization may be the solution you’ve been searching for.

Schedule a consultation today to see if GAE is right for you!

�� Call us at 615-396-4282

Uterine Fibroid Embolization

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 07 Mar 2025 18:33:43 GMT

A Modern Solution for Women’s Health

Uterine fibroids are a common health concern affecting millions of women worldwide. These benign tumors can cause debilitating symptoms such as heavy menstrual bleeding, pelvic pain, and pressure on surrounding organs. Traditionally, many women were presented with hysterectomy—the complete removal of the uterus—as the primary treatment option. However, modern medicine has introduced a revolutionary alternative: Uterine Fibroid Embolization (UFE).

What Is Uterine Fibroid Embolization?

UFE is a minimally invasive procedure performed by interventional radiologists to shrink fibroids and alleviate symptoms without the need for major surgery. The procedure involves injecting tiny particles into the uterine arteries, blocking blood flow to the fibroids, causing them to shrink and eventually be reabsorbed by the body. Patients typically experience symptom relief within weeks, with full recovery in a matter of days, not months.

How UFE Is Changing Women’s Healthcare

The impact of UFE on women's health has been tremendous . Studies show that over 90% of women experience significant symptom relief after the procedure, allowing them to regain control of their lives without the long recovery time associated with surgery. Since its introduction, over 250,000 UFE procedures have been performed , helping women avoid unnecessary hysterectomies and preserving their uterus.

UFE has become a preferred treatment option for many women due to its numerous benefits, including:

Minimally invasive approach – No large incisions, less pain, and lower risk of complications.
Shorter recovery time – Most women return to normal activities within a week.
Preservation of the uterus – Ideal for women who wish to keep their reproductive organs intact.
Effective symptom relief – Significant reduction in heavy bleeding, pain, and fibroid size.

Avoiding Unnecessary Hysterectomies

For decades, hysterectomy was often considered the only option for fibroid treatment, with over 200,000 hysterectomies performed annually in the U.S. for this condition. However, many of these surgeries could have been avoided with UFE. The procedure offers a lifesaving alternative for women who want relief without undergoing major surgery or losing their uterus.

Why Choose Murfreesboro Vascular & Interventional for UFE?

At Murfreesboro Vascular & Interventional , we specialize in cutting-edge, minimally invasive treatments like UFE to improve the lives of our patients. Our skilled interventional radiologists use the latest technology to provide safe, effective, and personalized care. We understand the importance of educating and empowering women with options beyond traditional surgery.

If you or someone you love is suffering from fibroids, don’t wait—schedule a consultation with our team today. Discover how Uterine Fibroid Embolization can offer relief and restore quality of life without the need for a hysterectomy.

☎️  615-396-4282 today to learn more!

Peripheral Artery Disease (PAD)

brett.donegan@mvi-tips.com (Brett Donegan) — Tue, 18 Feb 2025 19:57:46 GMT

Peripheral Artery Disease (PAD): What You Need to Know

February is Heart & Vascular Health Month, making it the perfect time to raise awareness about Peripheral Artery Disease (PAD). PAD is a common but serious circulatory condition that affects millions of Americans, yet it often goes undiagnosed. If left untreated, it can lead to severe complications, including limb loss and an increased risk of heart attack or stroke. Here’s what you need to know about PAD and how you can take steps toward better vascular health.

What is Peripheral Artery Disease (PAD)?

Peripheral Artery Disease occurs when the arteries supplying blood to the legs and feet become narrowed or blocked due to plaque buildup (atherosclerosis). This reduces circulation and can cause pain, mobility issues, and slow-healing wounds. PAD is often a sign of broader cardiovascular problems, as the same plaque buildup can affect the arteries leading to the heart and brain.

How Common is PAD?

PAD affects 1 in 10 Americans , but many people don’t realize they have it because symptoms can be mild or mistaken for aging-related issues. The condition is more common in individuals over 50, smokers, diabetics, and those with high blood pressure or high cholesterol.

Signs & Symptoms of PAD

PAD can develop gradually, and symptoms may vary. Common signs include:

✅ Leg pain or cramping (claudication) while walking, which improves with rest
✅ Numbness or weakness in the legs
✅ Cold feet or toes compared to the other leg
✅ Slow-healing sores or wounds on feet and legs
✅ Discoloration of the skin or shiny skin on the legs
✅ Weak or absent pulse in the legs or feet

Why Early Detection Matters

Because PAD is a progressive disease, early detection is crucial in preventing severe complications. If left untreated, it can lead to critical limb ischemia (CLI), which may result in non-healing ulcers, infections, and, in severe cases, amputation. Additionally, people with PAD are at a significantly higher risk of heart attack and stroke .

How is PAD Diagnosed?

A simple vascular screening can help detect PAD. Common diagnostic tests include:

�� Ankle-Brachial Index (ABI): A non-invasive test that compares blood pressure in the ankles and arms.
�� Ultrasound Imaging: Uses sound waves to evaluate blood flow and detect blockages.
�� Angiography: A detailed imaging test that shows the arteries in greater detail.

Treatment Options for PAD

The good news is that PAD is treatable! Depending on severity, treatment may include:

✅ Lifestyle Changes: Quitting smoking, eating a heart-healthy diet, and increasing physical activity.
✅ Medications: To improve blood flow, lower cholesterol, and manage high blood pressure.
✅ Minimally Invasive Procedures: Such as angioplasty and stenting to open blocked arteries.
✅ Surgical Interventions: In severe cases, bypass surgery may be necessary.

Take Action This Heart & Vascular Health Month

Don’t wait until PAD progresses—take control of your vascular health today! If you’re experiencing leg pain, numbness, or slow-healing wounds, it’s time to get checked. Our team at Murfreesboro Vascular and Interventional offers expert screenings and treatments to keep your circulation healthy.

�� Schedule a PAD screening today! Call us at 615-849-7490 or visit our website to book an appointment.

�� Your heart and legs deserve the best care—let’s keep them healthy together! ��

#PADawareness #HeartHealth #VascularHealth #PeripheralArteryDisease #HealthyLegs #LegPain #VaricoseVeins #DVT #StrokePrevention #FebruaryHealthMonth

Modern Vein Treatments

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 03 Jan 2025 14:30:01 GMT

Why Modern Treatments Like VenaSeal and RFA Have Replaced Vein Stripping

For decades, vein stripping was the standard treatment for painful and unsightly varicose veins. But with advances in minimally invasive technology, procedures like VenaSeal and radiofrequency ablation (RFA) are now leading the way in vein treatment. These newer techniques are far less invasive , have shorter recovery times , and offer excellent outcomes for patients. Here’s why the medical community has largely moved away from vein stripping and embraced VenaSeal and RFA as the preferred treatments for varicose veins.

The Downside of Vein Stripping

Vein stripping is a surgical procedure that removes the saphenous vein from the leg through a series of small incisions. While it was effective, vein stripping had several drawbacks:

Invasiveness: Vein stripping required multiple incisions and involved physically pulling the vein out of the leg, making it a highly invasive procedure.
Pain and Discomfort: Due to the nature of the surgery, recovery was often painful, with patients experiencing bruising, swelling, and discomfort for days or even weeks.
Extended Recovery: Patients typically had to take time off work and avoid strenuous activities during recovery, impacting daily life significantly.
Risk of Complications: Because vein stripping is a surgical procedure, it carries risks of infection, bleeding, nerve damage, and deep vein thrombosis.

The invasiveness, discomfort, and longer recovery times led physicians to seek better options, and the development of non-surgical techniques brought new, patient-friendly solutions to varicose vein treatment.

Why VenaSeal and RFA are the Modern Solutions

VenaSeal and radiofrequency ablation (RFA) have become the go-to procedures for treating varicose veins, offering results without the drawbacks of traditional vein stripping. Let’s look at what sets these techniques apart and why they’re so effective.

VenaSeal: Vein Treatment with Medical Adhesive

The VenaSeal procedure uses a specially formulated medical adhesive to close off damaged veins. Here’s how it works:

Guided by Ultrasound: The doctor inserts a small catheter into the vein using ultrasound guidance to ensure accuracy.
Application of Medical Adhesive: The adhesive is delivered through the catheter, sealing the vein closed. Once the vein is sealed, blood naturally reroutes through healthier veins.
No Need for Compression Stockings: Unlike other treatments, VenaSeal often doesn’t require the use of compression stockings after the procedure, making recovery even easier.

Why VenaSeal is Preferred:

Minimally Invasive: VenaSeal requires only a small puncture, which means less pain and minimal bruising.
Quick Recovery: Most patients return to daily activities the same day, with minimal downtime.
No Need for Anesthesia: Since it’s nearly painless, VenaSeal can often be done without general anesthesia, reducing risks and recovery time.

Radiofrequency Ablation (RFA): Heat-Based Treatment for Varicose Veins

Radiofrequency ablation (RFA) is another modern technique for treating varicose veins. Instead of removing the vein, RFA uses radiofrequency energy to heat and close it off. Here’s how RFA works:

Ultrasound Guidance: A catheter is inserted into the vein and guided to the correct location.
Controlled Heating: Radiofrequency energy is then used to heat the vein walls, causing them to collapse and seal shut.
Gradual Absorption: The body gradually absorbs the closed vein, and blood flow is rerouted to healthier veins.

Why RFA is Preferred:

Less Pain and Bruising: Patients typically experience minimal discomfort and bruising compared to vein stripping.
Short Procedure Time: RFA takes about 30-60 minutes, and patients can go home immediately afterward.
Minimal Downtime: Most people return to their normal activities within a day or two.

Benefits of VenaSeal and RFA Over Vein Stripping

The advantages of VenaSeal and RFA are transforming vein treatment, making it faster, easier, and more comfortable for patients. Here’s why they’re preferred over vein stripping:

Minimally Invasive: Both VenaSeal and RFA are catheter-based treatments that only require small punctures, reducing the risk of infection and scarring.
Quick and Convenient: These procedures are typically done in an outpatient setting and take less than an hour.
Minimal Recovery Time: Patients can walk out of the office and get back to normal activities much sooner than with vein stripping.
Less Discomfort: By avoiding surgery, these procedures cause less pain and significantly reduce post-treatment bruising and swelling.
High Success Rates: Both VenaSeal and RFA have been shown to be highly effective at treating varicose veins, with high success rates and low rates of recurrence.

Choosing the Right Treatment for You

If you’re dealing with varicose veins, VenaSeal and RFA offer effective, minimally invasive solutions with the advantages of quick recovery and minimal discomfort. Discussing these options with a vascular specialist can help determine the best approach based on your unique situation, vein health, and lifestyle.

Expanding Anesthesia Case Availability: Enhancing Patient Care and Convenience

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 20 Dec 2024 14:00:07 GMT

Enhancing Patient Care and Convenience

At Murfreesboro Vascular and Interventional, we are dedicated to continuously improving the patient experience. In line with this commitment, we are excited to announce that we are expanding the availability of anesthesia cases at our clinic, offering anesthesia every Monday for bigger procedures. This change will provide patients with greater flexibility and allow us to serve more people in a setting that is not only efficient but also more personalized and patient-centered than traditional hospital environments.

Why More Anesthesia Days Matter

By increasing the number of days we offer anesthesia-assisted procedures, we can accommodate more patients in a timely manner. Whether it’s Uterine Fibroid treatment, arterial interventions, or other minimally invasive procedures, anesthesia can help reduce pain and anxiety, making your experience more comfortable. With more days dedicated to these procedures, we aim to:

Reduce wait times for patients needing treatment
Offer more scheduling flexibility for busy lifestyles
Ensure prompt treatment for those in discomfort or needing faster intervention

The Benefits of Having Procedures in Our Clinic

Choosing to have your procedure done at our clinic instead of a hospital setting comes with several advantages:

1. Less Time, More Efficiency

Hospital-based procedures often come with long waits, complex scheduling, and added layers of paperwork and processing. At our clinic, the process is streamlined:

Faster appointment availability: With the expanded anesthesia schedule, you can book procedures without the lengthy delays often experienced at hospitals.
Quick turnaround: From check-in to discharge, procedures at our clinic are often completed in a fraction of the time compared to larger healthcare facilities.
Same-day recovery: Many of our patients are able to leave shortly after their procedure, returning home to rest and recover without the need for an overnight stay.

2. A More Personalized Experience

Our clinic prides itself on providing compassionate, patient-focused care. When you choose to have your procedure with us, you’ll experience:

Familiar faces: You’ll be treated by a dedicated team who knows you and your medical history.
Individual attention: With fewer patients to manage compared to a hospital, we can devote more time to your needs, answering your questions and ensuring you feel comfortable throughout your procedure.
Friendly environment: Our clinic setting offers a warm, welcoming atmosphere that puts patients at ease, creating a less intimidating experience than a large, impersonal hospital.

3. Cost-Effective Care

Outpatient procedures at a specialized clinic like ours are often more affordable than those performed in a hospital. Hospitals typically have higher facility fees and additional charges that can increase the overall cost of care. By choosing our clinic, patients often benefit from lower costs without sacrificing quality.

4. Safe and Convenient

Our clinic is equipped with state-of-the-art technology and a highly trained medical team, ensuring that all procedures are performed safely and with the highest standards of care. Additionally, our convenient location makes it easier for patients to access their care without dealing with the hassle of navigating a large hospital complex.

Your Comfort is Our Priority

Expanding our anesthesia case availability is just one of the many ways we strive to make your experience at Murfreesboro Vascular and Interventional as comfortable, efficient, and stress-free as possible. Whether you’re undergoing a routine procedure or something more complex, you can trust that we’ll take great care of you every step of the way.

Ready to Schedule?

If you’ve been putting off a procedure, now is the perfect time to take advantage of our expanded anesthesia schedule. We’re here to make sure you get the care you need, when you need it, in a setting that prioritizes your comfort and convenience. Contact our office today to schedule your procedure and experience the difference our clinic can make!

Managing Compression Fractures with Kyphoplasty

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 13 Dec 2024 14:00:09 GMT

Managing Compression Fractures with Kyphoplasty: A Quick, In-Office Solution

A compression fracture in the spine can be incredibly painful, affecting everything from movement to daily activities. Thankfully, there’s a minimally invasive solution that can help restore your spine’s stability and relieve pain quickly: kyphoplasty . This effective procedure can be done right in the outpatient office setting, offering a more personalized, comfortable experience and a faster path to recovery. Here’s a closer look at what compression fractures are, how kyphoplasty works, and what you can expect from an in-office outpatient procedure.

What is a Compression Fracture?

A compression fracture happens when the bones in the spine (vertebrae) weaken and collapse, usually due to conditions like osteoporosis or injury . This collapse can cause intense back pain, limited mobility, and posture changes, often leading to a forward hunch or rounding of the back. Over time, compression fractures can make even simple tasks challenging, but the right treatment can provide lasting relief.

Kyphoplasty: A Quick, In-Office Solution

Kyphoplasty is a minimally invasive procedure that’s designed to stabilize the spine, relieve pain, and, in many cases, restore height to the affected vertebrae. It’s a popular option for patients who want effective relief without the need for an extended hospital stay. In fact, many kyphoplasty procedures can be done right in an outpatient office setting, meaning you’ll experience the benefits of advanced care in a comfortable, familiar environment.

How Kyphoplasty Works

The kyphoplasty procedure involves creating a small pathway to the affected vertebra and inserting a balloon-like device. This device is carefully inflated to create a small cavity within the collapsed vertebra, gently lifting it and restoring its shape. Once the balloon is removed, the cavity is filled with a special bone cement to stabilize the vertebra and keep it in its restored shape.

Personalized Experience: In an office setting, the procedure is tailored specifically to your needs, with personalized care from start to finish.
Minimally Invasive: The incisions are small, reducing scarring and recovery time.
Quick and Effective: Kyphoplasty can relieve pain and improve mobility within days, giving you the freedom to get back to your daily activities faster.

What to Expect During Your In-Office Kyphoplasty Procedure

A huge advantage of having kyphoplasty in an outpatient setting is that it’s both efficient and comfortable . Here’s a quick rundown of what the experience might look like:

Before the Procedure: Your provider will walk you through every step, answering any questions you have. The team will make sure you’re comfortable and prepared, often using moderate "Twilight" sedation to keep you relaxed throughout the procedure.
The Procedure Itself: Kyphoplasty typically takes around 30 to 45 minutes per vertebra , depending on the number of fractures being treated. During the procedure, you’ll be lying on your stomach , and the doctor will make a tiny incision over the area of the fracture to insert the balloon. This entire process is done with minimal discomfort.
Immediate Results: Once the cement is set, the vertebra is stabilized, and many patients report feeling immediate relief from pain. You’ll likely be able to stand up and move around shortly after the procedure.
Aftercare and Recovery: One of the best parts about kyphoplasty is the quick recovery. Most patients can go home within a couple of hours and are encouraged to start gentle movement as soon as they feel ready. Many people feel significant pain relief within a day or two, and any discomfort from the procedure itself typically subsides within a few days.

Benefits of In-Office Kyphoplasty

Choosing an outpatient setting for kyphoplasty offers several perks:

Faster Recovery: Office-based kyphoplasty allows for quicker in-and-out times, with most patients back to daily routines within days.
Reduced Anxiety: Having the procedure done in a familiar, comfortable setting helps ease nerves, especially for those who find hospitals intimidating.
Personalized, Attentive Care: The outpatient setting fosters one-on-one interactions with the medical team, ensuring you feel supported and informed throughout the process.

Is Kyphoplasty Right for You?

If you’ve been struggling with pain from a spinal compression fracture, kyphoplasty could be the solution that gets you back on your feet. It’s minimally invasive, quick, and provides lasting pain relief without the long recovery times of more extensive surgeries. By choosing to undergo the procedure in an outpatient setting, you get the same high-quality care with a faster, more comfortable experience overall.

Compression fractures don’t have to mean the end of mobility or freedom. With kyphoplasty, you can take control of your pain, regain your quality of life , and experience the relief that lets you get back to what you love.

Sclerotherapy for Leg Veins

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 06 Dec 2024 14:00:07 GMT

Understanding Cosmetic Vein Procedures: Sclerotherapy for Leg Veins

If you've been looking for a way to treat visible veins on your legs, especially those smaller spider veins that seem to multiply over time, sclerotherapy might be the answer you’ve been searching for. This minimally invasive cosmetic procedure has been a go-to solution for effectively treating unwanted veins, improving both the appearance of your legs and, in some cases, helping with discomfort. Here’s everything you need to know about sclerotherapy and what you can expect from this treatment.

What is Sclerotherapy?

Sclerotherapy is a treatment for spider veins and small varicose veins in which a specially formulated solution is injected directly into the vein. This solution irritates the vein walls, causing them to collapse and stick together. Eventually, the treated vein is absorbed by the body and fades from view.

This procedure is performed right in the clinic, usually taking less than 30 minutes, depending on the number of veins being treated.

Who is a Good Candidate for Sclerotherapy?

Sclerotherapy is ideal for those who want to minimize or eliminate spider veins or small varicose veins that can cause cosmetic concerns or mild symptoms such as itching or burning. Some people find that sclerotherapy not only improves the appearance of their legs but also alleviates discomfort associated with certain types of vein issues.

However, sclerotherapy might not be suitable for individuals with larger varicose veins, deep vein thrombosis, or for those who are pregnant. Before starting treatment, a vein specialist can assess your leg veins to determine if sclerotherapy is right for you.

Benefits of Sclerotherapy

Quick and Minimally Invasive: Sclerotherapy is a quick procedure with minimal discomfort and no need for anesthesia or incisions.
Minimal Downtime: You can usually return to daily activities almost immediately after treatment.
Noticeable Results: Treated veins begin to fade within weeks, and the majority are fully resolved within three to six weeks.
Improves Appearance and Comfort: Not only does sclerotherapy help with the appearance of your legs, but it can also reduce discomfort in cases where veins cause itching or burning.

What to Expect During the Procedure

During your sclerotherapy session, your healthcare provider will clean the skin around the area being treated. Using a fine needle, they will inject the sclerosing solution directly into the veins. You may feel slight stinging or cramping at the injection site, but this sensation typically fades quickly.

Once the vein is treated, a compression bandage may be applied to help close off the vein and minimize bruising. Most patients experience only mild side effects, such as slight swelling, itching, or bruising, which subside in a few days.

Recovery and Aftercare Tips

After the procedure, you might be advised to wear compression stockings or bandages for a few days to aid healing. To maximize results:

Avoid prolonged sitting or standing for the first 24 hours.
Stay active with light walking, as this can help circulation and aid healing.
Avoid direct sunlight on the treated area to prevent pigmentation issues.
Avoid hot baths or saunas for a few days, as heat can cause veins to reopen.

Most people resume normal activities immediately, although it’s best to wait a day or two before resuming more strenuous exercise.

How Many Treatments Will I Need?

The number of sessions varies based on the severity and number of veins treated. Many patients see significant results after one treatment, but follow-up sessions may be needed for optimal results.

Are There Any Side Effects?

Sclerotherapy is generally safe, with a low risk of complications . However, potential side effects include temporary bruising, swelling, and redness at the injection site. Rarely, patients may experience small blood clots or allergic reactions to the sclerosing solution. Discuss any concerns with your healthcare provider before treatment.

Final Thoughts: Is Sclerotherapy Right for You?

If visible veins are making you feel self-conscious about your legs, sclerotherapy could be a great option . It’s minimally invasive, provides lasting results, and can dramatically improve the appearance of spider and small varicose veins. With the guidance of a vein specialist, you’ll be able to determine whether sclerotherapy aligns with your goals and find a plan tailored to you.

Understanding Arterial Disease

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 29 Nov 2024 14:30:01 GMT

Understanding Arterial Disease: Causes, Symptoms, and Treatment Options

Arterial disease is a condition that affects the blood vessels, specifically the arteries that carry oxygen-rich blood from your heart to the rest of your body. When these arteries become damaged or blocked, blood flow is restricted, which can lead to serious complications. Often underestimated, arterial disease is a common cause of heart attack, stroke, and even limb loss. Here’s a closer look at what arterial disease is, its causes and symptoms, and the treatment options that can help manage and prevent its progression.

What is Arterial Disease?

Arterial disease, often referred to as peripheral artery disease (PAD) when it affects the limbs, is typically caused by atherosclerosis—a buildup of fatty deposits, or plaque, inside the arteries. Over time, this plaque hardens and narrows the arteries, restricting blood flow and increasing the risk of clot formation. As a result, oxygen and nutrients struggle to reach vital organs and tissues, leading to symptoms that can range from mild discomfort to severe, life-threatening issues.

Causes of Arterial Disease

While some risk factors for arterial disease are unavoidable, others are linked to lifestyle choices and can be managed or reduced.

Atherosclerosis: The most common cause of arterial disease, atherosclerosis occurs when cholesterol and fat accumulate in the arterial walls.
Age: The risk of arterial disease increases with age, particularly for those over 50.
Smoking: Smoking damages the blood vessels, increases plaque buildup, and significantly raises the risk of developing arterial disease.
High Blood Pressure: Elevated blood pressure weakens the arteries over time, contributing to plaque formation.
Diabetes: High blood sugar levels can damage blood vessels and accelerate plaque buildup.
High Cholesterol: High levels of LDL (bad) cholesterol lead to plaque buildup, while low levels of HDL (good) cholesterol reduce the body’s ability to clear out plaque.
Genetics: A family history of arterial disease can increase your risk.

Symptoms of Arterial Disease

Symptoms of arterial disease often go unnoticed until blood flow becomes severely restricted. When symptoms do appear, they may include:

Pain or Cramping in the Legs: Known as claudication , this pain or discomfort in the legs (usually in the calves) occurs with walking or exercise and improves with rest. It’s often one of the first signs of PAD.
Coldness in the Lower Leg or Foot: Restricted blood flow to the limbs can cause them to feel cold to the touch.
Wounds That Don’t Heal: Reduced blood flow can slow down the body’s ability to heal cuts or sores, particularly on the feet.
Skin Changes: Shiny or discolored skin, hair loss on the legs, or brittle toenails can all be signs of poor blood flow.
Weak Pulse in the Legs or Feet: A reduced or absent pulse in the legs is often a sign of significant arterial disease.
Erectile Dysfunction: In men, PAD can restrict blood flow, leading to erectile dysfunction.

When PAD becomes severe, patients may experience critical limb ischemia , which is marked by severe pain at rest, open sores, and the risk of gangrene. This condition requires immediate treatment to avoid complications.

Diagnosing Arterial Disease

Detecting arterial disease early can be challenging, as symptoms often don’t appear until the disease is advanced. However, certain tests can help diagnose it:

Ankle-Brachial Index (ABI): A non-invasive test that compares blood pressure in the ankle and arm to check for blockages.
Ultrasound: This imaging test uses sound waves to measure blood flow in the arteries and detect blockages.
Angiography: A more detailed imaging test where dye is injected into the arteries, allowing X-rays to detect narrowing or blockages.
Blood Tests: Checking for high cholesterol and blood sugar levels can indicate an increased risk of arterial disease.

Treatment Options for Arterial Disease

Treatment for arterial disease focuses on slowing progression, managing symptoms, and improving quality of life. Options can include lifestyle changes, medications, and in more advanced cases, surgical intervention.

1. Lifestyle Changes

Quitting Smoking: Stopping smoking is the most crucial step to slow the progression of arterial disease.
Exercise: Regular, moderate exercise helps improve blood flow and can reduce symptoms of claudication.
Healthy Diet: A heart-healthy diet, low in saturated fats, and high in fruits, vegetables, and whole grains can help control blood pressure, cholesterol, and blood sugar.

2. Medications

Cholesterol-Lowering Drugs: Statins can help reduce cholesterol levels and slow down the progression of atherosclerosis.
Blood Pressure Medications: Controlling blood pressure can help reduce strain on arteries.
Blood Thinners: Medications like aspirin or clopidogrel can reduce the risk of blood clots.
Diabetes Management: Controlling blood sugar levels is essential for slowing arterial disease in diabetic patients.

3. Interventional Procedures

For severe cases, interventional procedures or surgery may be needed:

Angioplasty and Stenting: A catheter is used to open blocked arteries, and a stent is inserted to keep them open, improving blood flow.
Atherectomy: This procedure involves removing plaque from the artery using a catheter with a cutting device.
Bypass Surgery: In extreme cases, bypass surgery reroutes blood flow around a blocked artery using a graft.

Prevention: The Best Approach to Arterial Disease

The good news is that arterial disease can often be prevented or managed with a few healthy lifestyle changes. Regular check-ups, a balanced diet, staying active, and avoiding smoking are powerful steps that can protect your arteries and reduce your risk. If you notice any symptoms—like leg pain while walking or wounds that don’t heal—it’s essential to reach out to a healthcare provider sooner rather than later.

Arterial disease is a serious but manageable condition, and with early intervention, it’s possible to reduce symptoms, improve mobility, and enjoy a higher quality of life. If you’re at risk or experiencing symptoms, reaching out for assessment and care can help keep your arteries healthy and strong, supporting a vibrant, active life.

Understanding Uterine Fibroids: Symptoms, Treatment, and the Benefits of Uterine Fibroid Embolization (UFE)

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 22 Nov 2024 14:00:01 GMT

Got Fibroids?

Uterine fibroids are a common but often misunderstood condition that can significantly impact a woman’s quality of life. These non-cancerous growths, also known as leiomyomas, develop in or on the uterus and can vary in size and number. While some women experience little to no symptoms, others may suffer from severe pain, heavy bleeding, and other disruptive symptoms. Fortunately, advances in medical technology have made it easier than ever to manage fibroids effectively and with minimally invasive treatments like Uterine Fibroid Embolization (UFE).

What Are Uterine Fibroids?

Fibroids are benign (non-cancerous) tumors made of muscle and fibrous tissue that can grow in or around the uterus. While their exact cause is unknown, they are often influenced by hormonal changes, particularly estrogen and progesterone.

Fibroids can develop in different locations:

Intramural fibroids: Found within the muscular wall of the uterus
Submucosal fibroids: Bulge into the uterine cavity
Subserosal fibroids: Extend outside the uterine wall
Pedunculated fibroids: Attached to the uterus by a stalk

Symptoms of Uterine Fibroids

Many women with fibroids experience no symptoms at all, but others may deal with significant discomfort. Common symptoms include:

Heavy or prolonged menstrual bleeding: This can lead to anemia or fatigue.
Pelvic pain or pressure: Fibroids can cause feelings of heaviness or pressure in the lower abdomen.
Frequent urination: Large fibroids can press against the bladder, causing the need to urinate more often.
Pain during intercourse: Depending on the location of the fibroids, some women may experience discomfort during sexual activity.
Back pain: Pressure on surrounding organs or nerves can result in lower back pain.

If left untreated, fibroids can continue to grow, worsening symptoms and leading to complications such as fertility issues.

Traditional Treatment Options

For many years, treatment for fibroids was limited to medication or surgery. Some options include:

Medications: Hormonal treatments can help shrink fibroids or manage symptoms like heavy bleeding.
Myomectomy: Surgical removal of fibroids while leaving the uterus intact, suitable for women who wish to preserve fertility.
Hysterectomy: The complete removal of the uterus, which eliminates fibroids but also ends a woman’s ability to conceive.

While effective, these treatments often come with significant recovery time or permanent changes to a woman’s reproductive health.

A Minimally Invasive Option: Uterine Fibroid Embolization (UFE)

For women seeking a less invasive option, Uterine Fibroid Embolization (UFE) is a game-changing procedure that treats fibroids without surgery. UFE is performed by an interventional radiologist and works by blocking the blood flow to fibroids, causing them to shrink and alleviate symptoms.

Here’s how UFE works:

Preparation: UFE is performed under local anesthesia and light sedation. There’s no need for general anesthesia, so patients remain comfortable and awake, but sleepy during the procedure.
Accessing the Arteries: A small incision is made in the groin or wrist, where a catheter is inserted into the artery. Using X-ray guidance, the catheter is directed to the uterine arteries that supply blood to the fibroids.
Embolization: Tiny particles are injected into the blood vessels, blocking the fibroids’ blood supply. Without blood flow, the fibroids shrink and symptoms improve.
Recovery: Once the procedure is complete, the catheter is removed, and the incision is bandaged. Patients typically go home the same day and can return to normal activities within a week.

Benefits of UFE

Minimally invasive: UFE requires only a tiny incision, reducing recovery time and minimizing risks compared to surgery.
Effective relief: Most women experience significant symptom relief, including lighter periods, less pelvic pain, and improved quality of life.
Fertility preservation: Unlike hysterectomy, UFE does not remove the uterus, so fertility is preserved in many cases.
Quick recovery: Patients can usually resume daily activities in just a few days to a week, making it a convenient option for busy lifestyles.
No hospital stay: UFE is an outpatient procedure, meaning patients can recover at home the same day.

Is UFE Right for You?

UFE is a great option for women who:

Want to avoid surgery and lengthy recovery times
Are experiencing symptoms like heavy bleeding, pelvic pain, or frequent urination due to fibroids
Want to preserve their uterus and fertility
Have not found relief from other treatment options

However, every patient is unique, and it’s important to consult with a specialist to determine the best treatment plan for your specific condition.

Conclusion

If you’re struggling with fibroid symptoms, Uterine Fibroid Embolization may be the solution you’ve been looking for. At Murfreesboro Vascular and Interventional, our expert team is dedicated to providing advanced, minimally invasive treatments like UFE to help you live a healthier, more comfortable life.

Contact us today to schedule a consultation and learn more about how UFE can improve your fibroid symptoms without major surgery!

Different Levels of Anesthesia

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 15 Nov 2024 14:00:06 GMT

Understanding the Different Levels of Anesthesia: What You Need to Know

When it comes to medical procedures, knowing your anesthesia options can bring peace of mind. Anesthesia ranges in intensity, designed to ensure patient comfort and safety, from mild numbing for minor procedures to deep unconsciousness for major surgeries. Each option has unique benefits, and sometimes the addition of supplemental methods, like ProNox , can further enhance comfort. Here’s a breakdown of the various anesthesia levels, including ProNox, to give you a clear understanding of what each entails.

1. Local Anesthesia

Local anesthesia numbs a specific, small area of the body and is typically used for minor, localized procedures. Patients remain fully awake and aware , with minimal downtime and a quick return to normal activities.

How it Works: Injected directly into the targeted area or applied topically, the anesthetic prevents pain in the specific region.
Common Uses: Dental work, mole removal, minor procedures, and biopsies.
Recovery: Sensation returns in a few hours , allowing patients to resume daily activities quickly.

2. ProNox (Nitrous Oxide/Oxygen System)

ProNox is a patient-administered, mild sedative that combines a 50/50 mix of oxygen and nitrous oxide to provide quick relief from anxiety and discomfort. ProNox can be used in combination with other types of anesthesia for additional relaxation, making it popular for those who want to remain aware but feel at ease. Since ProNox is inhaled, patients feel the effects almost instantly and can control when to use it during the procedure.

How it Works: Patients self-administer the gas through a mouthpiece, inhaling when they need additional relief from pain or anxiety. The effects wear off in minutes, so patients can safely drive afterward.
Common Uses: Minor cosmetic procedures, injections, and quick treatments.
Cost: ProNox is not covered by insurance and costs $100 per session .
Recovery: Effects wear off within minutes , so patients can resume their day immediately after treatment.

3. Conscious Sedation or Minimal Sedation

Known as “twilight” sedation, conscious sedation keeps patients calm and drowsy but still able to respond to instructions. This level of sedation is mild and does not induce complete unconsciousness.

How it Works: A sedative is administered, often through an IV, to relax the patient. This allows for a calm and comfortable experience.
Common Uses: Minor surgical procedures, endoscopies, colonoscopies, and dental extractions.
Recovery: Recovery is generally quick, though patients may feel groggy for a few hours and should have someone accompany them home.

4. Moderate Sedation

Moderate sedation is a step up from conscious sedation, allowing for a deeper state of relaxation where patients may remember less of the procedure. This type of sedation also allows for minor procedures without the patient being fully aware.

How it Works: Similar to minimal sedation but with a stronger dose, moderate sedation may be administered via IV or inhalation, allowing patients to “sleep” lightly.
Common Uses: Certain diagnostic tests, cosmetic surgeries, and more extensive dental procedures.
Recovery: Patients need a few hours to recover fully and must arrange for transportation home.

5. Deep Sedation

Deep sedation is often used for more extensive procedures, where patients are nearly or fully unconscious and less aware of their surroundings. Under deep sedation, patients may require assistance with breathing.

How it Works: Stronger sedatives are administered to bring the patient to a state of deep relaxation or near unconsciousness.
Common Uses: Some outpatient surgeries, dental procedures, and lengthy diagnostics.
Recovery: Patients take longer to wake up and feel alert, and they need someone to drive them home.

6. General Anesthesia

General anesthesia induces complete unconsciousness , typically required for major surgeries. Patients under general anesthesia will be unaware of the procedure and will require assisted breathing and close monitoring by an anesthesiologist.

How it Works: Administered via IV or inhalation, general anesthesia blocks sensation and awareness, allowing for extensive procedures without any patient awareness or pain.
Common Uses: Major surgeries like joint replacements, abdominal surgeries, and heart procedures.
Recovery : Patients will need several hours to fully recover and may experience grogginess and disorientation initially.

Choosing the Right Anesthesia Level for You

Each anesthesia level is tailored to meet the patient’s specific needs and the demands of the procedure. For those seeking additional comfort without full sedation, ProNox offers a versatile option, particularly for patients undergoing cosmetic or minor procedures. It’s a helpful addition, though it’s not covered by insurance and costs $100 per session .

Working closely with your healthcare provider, you can decide on the best anesthesia option to ensure a safe, comfortable experience with a level of sedation that suits your needs.

Understanding Interventional Radiology: Revolutionizing Minimally Invasive Treatments

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 08 Nov 2024 14:00:02 GMT

Interventional Radiology (IR) is a rapidly growing medical specialty that uses advanced imaging techniques to diagnose and treat a wide range of conditions in a minimally invasive way. At Murfreesboro Vascular and Interventional, we are proud to offer cutting-edge interventional radiology treatments, providing patients with effective, targeted care that often eliminates the need for traditional surgery. But what exactly is interventional radiology, and how does it benefit patients?

What is Interventional Radiology?

Interventional Radiology involves the use of medical imaging technologies—such as X-rays, CT scans, ultrasound, and Fluoroscopy—to guide small instruments, like catheters and needles, through the body to treat disease. This enables physicians to perform precise procedures with minimal disruption to surrounding tissues, offering a safer, quicker, and less painful alternative to conventional surgery.

IR procedures can be used to treat a wide range of conditions, including:

Vascular diseases like peripheral artery disease (PAD) and varicose veins
Cancer treatments, including targeted therapies like tumor ablation
Non-surgical treatment for uterine fibroids, such as Uterine Fibroid Embolization (UFE)
Treatments for liver and kidney issues, such as bile duct blockages or kidney stones
Minimally invasive biopsies and drainage procedures

How Interventional Radiology Works

IR specialists are highly trained to use imaging techniques to see inside the body and perform procedures through tiny incisions—often no larger than a pinhole. Here's an overview of the process:

Imaging Guidance: Using real-time imaging, the interventional radiologist pinpoints the exact area needing treatment. This high level of precision ensures that only the targeted area is addressed, while healthy tissue remains unaffected.
Minimally Invasive Access: A small incision is made to introduce the catheter or needle into the body. Through this access point, tiny instruments can be guided directly to the problem area, whether it’s a blood vessel, organ, or other tissue.
Treatment Delivery: Once in place, the interventional radiologist performs the procedure, which could involve inserting stents to open up blood vessels, embolizing (blocking) blood flow to shrink fibroids or tumors, or ablating cancerous tissue using extreme heat or cold.

The Benefits of Interventional Radiology

Interventional Radiology offers numerous benefits to patients, making it an attractive alternative to traditional surgery in many cases.

1. Minimally Invasive

One of the most significant advantages of IR is that it is minimally invasive. The procedures are performed through tiny incisions, which means:

Less pain: Smaller incisions cause less trauma to the body, resulting in less postoperative pain.
Lower risk of complications: With fewer cuts and less exposure of internal tissues, the risk of infections and other complications is reduced.
Faster recovery: Most patients can return to normal activities much sooner than they would after traditional surgery. Many IR procedures are outpatient, so you can go home the same day.

2. Reduced Need for General Anesthesia

Many interventional radiology procedures only require local anesthesia and mild sedation, which reduces the risks associated with general anesthesia. This makes IR an excellent option for patients who may not be good candidates for surgery due to age, pre-existing conditions, or other risk factors.

3. High Precision

By using real-time imaging guidance, interventional radiologists can pinpoint exactly where the issue lies and treat it with unparalleled accuracy. This precision means better outcomes, particularly for conditions like cancer, where targeted therapies can minimize damage to surrounding healthy tissue.

4. Effective Results

Interventional radiology treatments have been shown to be highly effective for many conditions. For example:

Uterine Fibroid Embolization (UFE): Offers relief from symptoms like heavy bleeding and pelvic pain without the need for a hysterectomy.
Peripheral Artery Disease (PAD) treatment: Opens up blocked arteries, restoring blood flow and reducing pain.
Cancer treatments: Procedures like radiofrequency ablation or chemoembolization target tumors directly, providing powerful cancer-killing effects with fewer side effects than traditional chemotherapy or surgery.

5. Outpatient and Same-Day Procedures

Many IR procedures are performed on an outpatient basis, meaning patients can often return home the same day. With no need for lengthy hospital stays, you can recover in the comfort of your own home while getting back to your routine faster.

Common Interventional Radiology Procedures

Here are just a few of the many procedures performed by interventional radiologists:

Angioplasty and Stenting: Used to open blocked or narrowed blood vessels, helping to restore proper blood flow and reduce the risk of heart attack or stroke.
Varicose Vein Treatment: Procedures like sclerotherapy or laser vein ablation can treat unsightly and painful varicose veins, improving both health and appearance.
Chemoembolization: A targeted cancer treatment that delivers chemotherapy directly to a tumor, while cutting off its blood supply.
Radiofrequency Ablation: A minimally invasive technique that uses heat to destroy cancer cells or shrink tumors in areas like the liver, kidneys, or lungs.
Biliary Drainage: Helps clear blocked bile ducts in patients with liver disease or cancer.

Is Interventional Radiology Right for You?

Interventional radiology offers a wide range of solutions for patients with various medical conditions. If you are facing a health issue and are seeking a minimally invasive alternative to surgery, IR may be the right option for you. At Murfreesboro Vascular and Interventional, our team is here to help you explore your options and provide personalized, compassionate care using the latest advancements in IR technology.

Conclusion

Interventional radiology is revolutionizing the way medical procedures are performed, offering patients safer, quicker, and more effective treatment options. With its focus on precision, minimal invasiveness, and faster recovery times, IR is a powerful tool in modern medicine.

If you’re interested in learning more about how interventional radiology could benefit you, call us at 615-849-7490 to schedule a consultation. Let us help you discover how these innovative treatments can improve your health and quality of life.

Stretching and Physical Therapy for Back and Neck Pain: A Path to Lasting Relief

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 01 Nov 2024 13:00:04 GMT

Back and neck pain are among the most common health complaints, affecting millions of people worldwide. Whether caused by poor posture, injuries, or the wear and tear of daily life, these types of pain can severely limit your ability to work, exercise, and enjoy daily activities. Fortunately, stretching and physical therapy offer safe, effective ways to alleviate discomfort and promote long-term healing. At Murfreesboro Vascular and Interventional, we encourage our patients to explore these non-invasive methods for managing back and neck pain.

Understanding the Causes of Back and Neck Pain

Back and neck pain can have many different causes, including:

Poor posture: Sitting or standing with improper posture puts extra strain on the muscles and joints, particularly in the neck and lower back.
Muscle strains: Overexertion, lifting heavy objects, or sudden movements can cause muscles to strain or spasm.
Herniated discs: When the soft material inside a spinal disc pushes out, it can put pressure on surrounding nerves, causing pain in the back, neck, or legs.
Degenerative conditions : Arthritis or age-related degeneration of the spine can lead to chronic pain and stiffness.
Injuries: Car accidents, sports injuries, or falls can cause trauma to the spine, muscles, and ligaments, resulting in long-lasting discomfort.

No matter the cause, stretching and physical therapy can play a critical role in reducing pain, improving mobility, and preventing further injury.

The Benefits of Stretching for Back and Neck Pain

Stretching is one of the simplest and most effective ways to relieve tension, improve flexibility, and support overall spine health. Regular stretching helps:

Increase flexibility: Stretching lengthens muscles and tendons, improving your range of motion and making it easier to move without pain.
Relieve muscle tension: Tight muscles in the back, neck, and shoulders are a common cause of pain. Stretching helps release this tension, providing immediate relief.
Improve posture: Many people suffer from back and neck pain due to poor posture, especially from long hours sitting at a desk. Stretching helps correct imbalances and strengthen postural muscles.
Prevent injury: Stretching improves muscle elasticity and joint mobility, reducing the risk of strains, sprains, and other injuries.

Simple Stretches for Back and Neck Pain Relief

Here are a few stretches that can help alleviate discomfort and improve mobility:

Neck Tilt: Slowly tilt your head toward your shoulder and hold for 15–30 seconds on each side to relieve tension in the neck.
Child’s Pose: This yoga pose gently stretches the lower back and hips, relieving tension in the spine.
Cat-Cow Stretch: This stretch involves alternating between arching and rounding the back, which helps increase flexibility and relieve tension in the lower and upper back.
Hamstring Stretch: Tight hamstrings can contribute to lower back pain. Stretching them regularly can improve flexibility and reduce strain on the lower back.
Thoracic Rotation Stretch: While sitting or standing, rotate your upper body to one side, hold, and then switch sides to stretch the muscles in your upper back.

The Role of Physical Therapy in Treating Back and Neck Pain

While stretching can help with flexibility and tension, physical therapy offers a more structured and comprehensive approach to treating back and neck pain. Physical therapists are trained professionals who assess the underlying causes of pain and design personalized treatment plans to address these issues. The goal is not just to alleviate pain temporarily but to correct underlying problems and improve overall function.

Benefits of Physical Therapy:

Targeted Treatment: Physical therapists create customized exercises and stretches tailored to each patient’s condition, focusing on specific areas of pain and dysfunction.
Strengthening Muscles: Strengthening core muscles and those supporting the spine can help stabilize the back and neck, reducing pain and preventing future issues.
Improving Posture and Alignment: Poor posture is a common cause of chronic pain. Physical therapy can correct posture through exercises that train muscles to support proper alignment.
Pain Management Techniques: Physical therapists use a variety of techniques such as manual therapy, ultrasound, heat therapy, and electrical stimulation to reduce pain and inflammation.
Injury Prevention: Physical therapy focuses on identifying movement patterns or habits that contribute to pain, helping patients make adjustments to prevent re-injury.

Common Physical Therapy Techniques for Back and Neck Pain:

Manual therapy: Hands-on techniques like massage, joint mobilization, or soft tissue manipulation to relieve muscle tension and improve movement.
Therapeutic exercises: Targeted exercises to strengthen muscles, improve flexibility, and enhance stability around the spine.
Posture training: Exercises and education to improve body mechanics and posture, which can prevent or reduce pain.
Core strengthening: Building strength in the abdominal and lower back muscles to support the spine and reduce stress on the back.

Combining Stretching and Physical Therapy for Long-Term Results

For many patients, the combination of regular stretching and a structured physical therapy program offers the most effective approach to managing back and neck pain. Stretching can be easily incorporated into a daily routine to maintain flexibility and prevent tension buildup, while physical therapy provides targeted, professional care that addresses the root causes of pain.

By working together, these two approaches can:

Improve mobility: Stretching and physical therapy both help increase your range of motion, making it easier to perform daily activities without pain.
Reduce pain and inflammation: Stretching keeps muscles flexible, while physical therapy provides focused care to reduce inflammation and address imbalances.
Strengthen the body: Physical therapy exercises target weak muscles that contribute to poor posture and pain, helping build strength and stability over time.

When to Seek Help for Back and Neck Pain

While stretching and physical therapy are effective treatments for many cases of back and neck pain, it’s important to seek medical advice if:

Your pain is severe or lasts for more than a few weeks.
You experience pain that radiates down your legs or arms.
You have numbness, tingling, or weakness in your limbs.
You’ve been injured or suspect a serious condition, such as a herniated disc or spinal fracture.

At Murfreesboro Vascular and Interventional, our team is committed to helping patients manage pain and improve their quality of life with safe, effective, and non-invasive treatments. Whether you’re dealing with chronic pain or a recent injury, we can help you find the right approach to regain your strength and mobility.

Conclusion

Back and neck pain don’t have to be part of your daily life. With the right combination of stretching and physical therapy, you can reduce pain, improve flexibility, and prevent future injuries. These non-invasive treatments offer long-term relief and are often the first line of defense in managing discomfort without the need for medication or surgery.

If you’re ready to take control of your back or neck pain, contact us today to schedule a consultation and learn how stretching and physical therapy can work for you!

Free Vein Screening!

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 25 Oct 2024 13:00:03 GMT

We Love Our Patients!

Free Vein Screenings Through the End of the Year!

At Murfreesboro Vascular and Interventional, our patients mean the world to us. As a way of saying thank you for trusting us with your care, we are excited to offer FREE vein screenings to both new and existing patients now through the end of the year!

Why Vein Health Matters

Varicose veins, spider veins, and other vascular issues aren't just cosmetic concerns. They can be symptoms of underlying venous insufficiency, which can lead to discomfort, swelling, or even more serious complications if left untreated. Early detection is key in managing these conditions, and a vein screening is the first step toward understanding your vein health.

During your free screening, our specialists will:

Evaluate your symptoms: We’ll discuss any discomfort, swelling, or heaviness in your legs.
Perform a brief non-invasive ultrasound: This will allow us to assess the veins.
Provide personalized recommendations: If we detect any issues, we’ll guide you on the next steps to improve your vein health and comfort.

Who Should Consider a Vein Screening?

You should consider a vein screening if you experience:

Visible varicose or spider veins
Achy, heavy legs, especially after standing or sitting for long periods
Swelling in your legs or ankles
Burning or itching sensations near your veins
Skin changes or ulcers on your legs

Even if you’re not experiencing symptoms, screening can help catch problems early and prevent future discomfort.

A Thank You From Our Team

This offer is our way of showing how much we appreciate our wonderful patients. Whether you’ve been with us for years or you’re considering visiting us for the first time, we’re here to support your health and well-being.

How to Schedule Your Free Vein Screening

Taking advantage of this offer is easy! To schedule your FREE vein screening , simply call at 615-849-7490 . Our team will work with you to find a convenient time for your visit.

Spread the Word!

Know someone who might benefit from a vein screening? Share this offer with your friends and family! We’re happy to welcome new patients and provide them with the same level of exceptional care that our current patients enjoy.

Don’t wait—this offer ends December 31st, 2024! Call us today to schedule your FREE vein screening and take the first step toward healthier, happier legs.

We look forward to seeing you soon and continuing to provide the personalized care you deserve!

Compression Stocking Therapy for Venous Insufficiency: A Simple Solution for Better Circulation

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 18 Oct 2024 13:00:04 GMT

Venous insufficiency is a common yet often overlooked condition that affects millions of people, causing swelling, discomfort, and even more serious complications if left untreated. For those dealing with venous insufficiency, compression stocking therapy offers a simple, non-invasive solution that can significantly improve circulation and alleviate symptoms. At Murfreesboro Vascular and Interventional, we frequently recommend compression stockings as part of a comprehensive treatment plan for managing venous insufficiency. Here’s how they work and why they’re so effective.

What is Venous Insufficiency?

Chronic venous insufficiency (CVI) occurs when the veins in the legs fail to efficiently return blood to the heart. Normally, veins have one-way valves that prevent blood from flowing backward as it travels upward from the legs. When these valves become damaged or weakened, blood can pool in the legs, leading to symptoms like:

Swelling (edema): Particularly in the lower legs and ankles.
Leg pain or aching: Often worsening after standing or sitting for long periods.
Varicose veins: Enlarged, twisted veins that are visible just under the skin.
Skin changes: Such as discoloration, dryness, or even ulcers in severe cases.

Venous insufficiency is often caused by factors such as aging, obesity, prolonged sitting or standing, pregnancy, and a family history of vein problems. Left untreated, it can lead to more serious complications like skin ulcers or blood clots.

How Compression Stockings Help

Compression stockings are specially designed socks or stockings that apply graduated pressure to the legs, with the highest pressure at the ankle and gradually decreasing up the leg. This gentle but firm compression helps support the veins and improves blood flow, reducing the pooling of blood and relieving symptoms of venous insufficiency.

Key Benefits of Compression Stocking Therapy:

Improves Blood Flow: By applying consistent pressure, compression stockings help the veins push blood back toward the heart, reducing the risk of blood pooling in the legs.
Reduces Swelling: Compression helps prevent fluid buildup in the tissues, which can cause swelling in the feet, ankles, and lower legs.
Alleviates Pain and Discomfort: Many patients find that wearing compression stockings relieves the heaviness, aching, and fatigue often associated with venous insufficiency.
Prevents Complications: Regular use of compression stockings can reduce the risk of developing varicose veins, skin ulcers, or more serious complications like deep vein thrombosis (DVT) .

How Do Compression Stockings Work?

Compression stockings are designed to deliver graduated compression, meaning they apply more pressure at the ankle and gradually less as they go up the leg. This pressure gradient encourages blood flow toward the heart, preventing blood from pooling in the lower extremities. Here’s how they help:

Supports vein function: By compressing the leg tissues and veins, the stockings help the valves in the veins work more efficiently, preventing blood from flowing backward.
Reduces inflammation: Improved circulation helps reduce the inflammation that causes swelling and pain in venous insufficiency.
Prevents fluid buildup: Compression stockings prevent excess fluid from leaking into surrounding tissues, which can reduce edema.

Types of Compression Stockings

There are different types of compression stockings , and the right choice for you depends on the severity of your condition and your lifestyle needs. They come in various lengths (knee-high, thigh-high, or full-length) and compression levels, measured in millimeters of mercury (mmHg). The most common types include:

1. Graduated Compression Stockings

These stockings apply the highest pressure at the ankle and gradually decrease as they move up the leg. They are available in various compression levels:

Mild (8-15 mmHg): Ideal for preventing mild swelling and improving circulation in individuals who stand or sit for extended periods.
Moderate (15-20 mmHg): Often used for varicose veins, mild swelling, and preventing venous issues during pregnancy.
Firm (20-30 mmHg): Recommended for more serious conditions like chronic venous insufficiency or moderate varicose veins.
Extra firm (30-40 mmHg): Typically prescribed for severe venous issues, such as deep vein thrombosis or post-surgical recovery.

2. Elastic Compression Socks

Elastic compression socks are easier to put on and are typically used for milder cases of venous insufficiency or for those who want to prevent problems before they arise. They offer mild to moderate compression and are often used by people who spend long hours on their feet.

3. Custom-Fit Compression Stockings

For patients with more severe venous insufficiency or unique leg shapes, custom-fit compression stockings may be recommended. These stockings are tailored to the individual’s measurements and provide more precise compression where it’s needed most.

When to Wear Compression Stockings

Compression stockings are most effective when worn consistently, especially during periods when you’re likely to be standing or sitting for long stretches. Here are some tips for wearing them effectively:

Wear them in the morning: Put on your stockings first thing in the morning when your legs are less swollen.
Remove them before bed : Compression stockings are typically worn during the day and removed at night when you’re lying down.
Consistent use: Wearing them regularly is key to seeing long-term benefits, especially for those with chronic venous insufficiency.

Are Compression Stockings Right for You?

While compression stockings are a widely recommended treatment for venous insufficiency , it’s important to consult with your healthcare provider to determine the right level of compression for your condition. At Murfreesboro Vascular and Interventional, we offer comprehensive evaluations to help you find the best treatment plan for managing your venous health, including guidance on choosing the right compression therapy.

Conclusion

Compression stocking therapy is a simple yet highly effective way to manage the symptoms of venous insufficiency. By improving circulation, reducing swelling, and alleviating discomfort, compression stockings can significantly enhance your quality of life. Whether you’re dealing with mild leg swelling or more advanced venous disease, compression therapy can be an important part of your treatment plan.

At Murfreesboro Vascular and Interventional, we are dedicated to helping our patients find the most effective and minimally invasive treatments for venous insufficiency. If you’re experiencing symptoms or have questions about compression stocking therapy, call 615-849-7490 to schedule a consultation and take the first step toward healthier, more comfortable legs!

New Procedure at MVI: Genicular Artery Embolization (GAE)

brett.donegan@mvi-tips.com (Brett Donegan) — Fri, 11 Oct 2024 14:22:35 GMT

Genicular Artery Embolization (GAE)

What is Genicular Artery Embolization (GAE)?

Genicular Artery Embolization (GAE) is a minimally invasive procedure used to treat chronic knee pain caused by osteoarthritis. Osteoarthritis (OA) is a common condition that occurs when the cartilage in the knee joint wears down over time, leading to pain, swelling, and decreased mobility. GAE is a cutting-edge treatment option for those who have not found relief from conservative therapies like physical therapy, medications, or steroid injections but wish to avoid more invasive surgeries like knee replacement.

How Does GAE Work?

The genicular arteries are small blood vessels that supply blood to the lining of the knee joint. In patients with OA, inflammation increases blood flow to these arteries, which can contribute to pain and further joint damage. Genicular artery embolization works by reducing this excessive blood flow and, consequently, inflammation, providing long-lasting pain relief.

Here’s what to expect during the procedure:

Preparation: GAE is typically performed under moderate sedation; a mild sedative to help with relaxation.
Access: A small incision is made in the groin, where a catheter is inserted into the femoral artery. Using X-ray guidance, the catheter is navigated to the genicular arteries in the knee.
Embolization: Tiny particles are injected into the genicular arteries to block some of the blood flow. This reduces inflammation in the knee joint.
Completion: Once the embolization is complete, the catheter is removed, and the incision is closed with a small bandage. The procedure typically takes around one to two hours, and patients can go home the same day.

Benefits of Genicular Artery Embolization

Minimally Invasive: GAE is a same-day, outpatient procedure that requires only a small incision.
Pain Relief: Studies have shown significant reductions in pain for patients with knee osteoarthritis who have undergone GAE. Many report improved quality of life and mobility following the procedure.
Quick Recovery: Patients usually experience minimal downtime and can return to their normal activities in just a few days.
No Major Surgery: Unlike knee replacement surgery, GAE does not involve cutting bone or replacing parts of the joint. This makes it a great option for individuals who are not ready for or are not good candidates for surgery.

Who is a Candidate for GAE?

GAE is an excellent option for individuals who:

Suffer from moderate to severe knee osteoarthritis pain
Have not responded to conservative treatments like medications, physical therapy, or injections
Want to avoid or delay knee replacement surgery
Are looking for a minimally invasive option with little downtime

It's important to have a detailed discussion with your healthcare provider to see if GAE is right for you.

What to Expect After the Procedure

Most patients experience relief from knee pain within days to weeks after the procedure, with the effects continuing to improve over the following months. Since it is minimally invasive, there is little risk of complications. However, as with any medical procedure, there are some potential risks, including bruising, bleeding, or infection at the catheter insertion site, or some skin color changes around the knee, though these are rare.

Conclusion

Genicular Artery Embolization offers a promising alternative to surgery for those suffering from knee osteoarthritis. With its minimally invasive nature, short recovery time, and effective pain relief, GAE is a groundbreaking option for patients looking to improve their knee health and quality of life without the need for major surgery.

If you're struggling with knee pain and want to explore whether Genicular Artery Embolization is the right choice for you, schedule a consultation with one of our specialists today!

Big News! We're Moving!!

brett.donegan@mvi-tips.com (Brett Donegan) — Mon, 03 Feb 2020 21:57:28 GMT

Big News! We’re Moving!!!

We’ve got exciting news! Murfreesboro Vascular and Interventional is moving! We’ve acquired a new, larger space to accommodate our continued growth.

Beginning March 2nd, our new office will be in Suite 200 of the Seton building. We’ll still be in the same building, just 2 floors lower. Our new address is:

1840 Medical Center Parkway

Suite 200

Murfreeesboro, TN 37129

We look forward to continuing to provide excellent care in our new office!

Varicose Vein Video!

brett.donegan@mvi-tips.com (Brett Donegan) — Wed, 20 Feb 2019 21:51:47 GMT

Check out our newest video on vein disease!

Does Your Height Increase Your Risk of Varicose Veins?

brett.donegan@mvi-tips.com (Brett Donegan) — Thu, 17 Jan 2019 21:40:21 GMT

Your height may predict your risk of varicose veins .

A genetic study of nearly half a million people concludes that height is “not just a correlated factor, but an underlying mechanism leading to varicose veins.”

Women are at a higher risk of varicose veins, but new research suggests that height is also a factor.

Varicose veins — also known as spider veins — are “swollen, twisted veins” that can usually be seen right beneath the skin on a person’s legs.

According to the most recent estimates, the condition affects approximately 33 million people in the United States.

The condition is generally considered quite harmless, but previous studies have found a strong association with serious cardiovascular problems, such as blood clotting and deep vein thrombosis .

Also, varicose veins may be moderately painful and aesthetically unpleasant to some people. Now, a large-scale genetic study published in Circulation suggests that a person’s height may determine their risk of developing varicose veins.

The new research was jointly supervised by Dr. Nicholas Leeper, an associate professor of surgery and cardiovascular medicine at Stanford University School of Medicine in California and Dr. Erik Ingelsson, a professor of cardiovascular medicine at Stanford University.

Height may indicate genetic cause

Dr. Leeper and his colleagues applied machine learning and statistical methods to examine the genetic data of 493,519 people who were registered in the UK Biobank database.

Furthermore, the researchers conducted a genome-wide association study in 337,536 of these individuals, 9,577 of whom developed varicose veins.

The study confirmed previously known risk factors for varicose vein disease, such as age, sex, weight, and lifestyle habits including smoking and being sedentary.

However, the study also identified some new risk factors. “We confirmed that having had deep vein thrombosis in the past puts you at increased risk in the future,” Dr. Leeper explains.

Of all the new risk factors identified, the scientists deemed height as the most surprising. “Greater height remained independently associated with varicose veins,” the study authors report.

“We were very surprised to find that height came up from our machine-learning analyses,” says co-first study author Alyssa Flores, a Stanford University medical student.

“Our results strongly suggest height is a cause, not just a correlated factor, but an underlying mechanism leading to varicose veins,” says Dr. Ingelsson.

He adds, “By conducting the largest genetic study ever performed for varicose vein disease, we now have a much better understanding of the biology that is altered in people at risk for the disease.”

“Genes that predict a person’s height may be at the root of this link between height and varicose veins and may provide clues for treating the condition.” — Dr. Nicholas Leeper

The recent study also identified 30 genes that are not just tied to varicose veins , but also to deep vein thrombosis .

“Varicose vein disease,” says Flores, “is incredibly prevalent but shockingly little is known about the biology.

“We’re hoping,” she adds, “that with this new information, we can create new therapies, as our study highlights several genes that may represent new translational targets.”

As always, we are here at MVI to treat your varicose vein issues. Call 615-849-7490 to schedule a consultation today!

VenaSeal Now Available

brett.donegan@mvi-tips.com (Brett Donegan) — Tue, 28 Aug 2018 00:00:00 GMT

Murfreesboro Vascular and Interventional is pleased to offer the new FDA approved ‘Venaseal procedure’, as an alternative to the surgical procedures for varicose veins. Venaseal is an injectable adhesive which treats the underlying source of varicose veins, reversal of venous blood flow or reflux in the great and small saphenous vein. If you have visible varicose veins or unsightly spider veins in your thigh or leg, the Venaseal procedure may be a good alternative to other varicose vein treatment options available at MVI.

In addition to being unsightly, varicose and spider veins can cause physical discomfort. Patients can report itching, heaviness, stinging, burning, throbbing, swelling, skin changes including leg ulcers, night cramps and restless legs. These symptoms and complications come from pooled or trapped blood in your leg veins.

Venaseal effectively treats the underlying cause of your varicose veins without surgery, putting an end to your discomfort and unwanted visible effects of venous disease without a lengthy recovery time. The unique features of Venaseal include no requirement for compression hose after treatment, no tumescent local anesthesia and immediate return to normal activities.

Your Venaseal Treatment For Varicose Veins

At your initial consultation, we will evaluate your legs to determine if you are a candidate for the Venaseal procedure or if another procedure would be better for your unique needs. Our staff will then schedule a treatment appointment and provide you with instructions about what you should do or avoid prior to your treatment based on your health, medications and lifestyle.

Venaseal uses a unique approach for treating varicose veins. It involves a new form of endovenous closure of the unhealthy saphenous vein without the need for tumescent local anesthesia or the risks associated with thermal-based closure treatments. In clinical studies , the procedure has been deemed safe and effective. Patient results were consistent across three major studies, and success rates were over 97 percent. Venaseal seals the vein shut without the need for heat energy eliminating the need for oral sedation, and tumescent local anesthesia and reducing the risks making it one of the safest options available to treat varicose veins without surgery.

The procedure starts with the injection of a local anesthetic to numb the injection site. With the aid of an ultrasound guidance, your doctor will insert a small catheter or tube into the affected area of the saphenous vein in your leg. The catheter will not cause pain and is thinner than a small straw. If you notice the catheter at all, it will only cause a slight feeling of pressure or pulling. Once the catheter has been successfully placed, the Venaseal treatment solution is injected into your vein at several different points. The doctor uses manual compression to close the affected vein, forcing the blood to reroute to nearby healthy veins.

What To Expect After Your Venaseal Varicose Vein Treatment

Your post-treatment care will be tailored to meet your needs. This will usually be discussed during your consultation and again before the procedure. You will have a small bandage on the puncture site where the catheter was inserted, similar to what you would have after a routine blood draw. Your doctor will provide you with instructions for changing the bandage and tips for keeping it dry.

You may be told to rest after your procedure depending on your health status. However, many healthy people who have had Venaseal treatments returned to their normal daily activities immediately after treatment. If there is anything specific you should avoid after your procedure, your doctor will tell you prior to administering the treatment.

Following your Venaseal treatment, the swelling and discomfort associated with your varicose veins will disappear quickly and the bulging veins will noticeably improve over time. As the weeks pass, the unsightly bluish color will begin to fade as well. Any bulging or symptomatic varicose veins which do not totally resolve over time can be simply removed with a minor office procedure ‘microphlebectomy.’

Schedule A Varicose Vein Treatment Consultation

The consultation is your initial meeting with the staff at Murfreesboro Vascular and Interventional. This is the visit where we evaluate your health history and set leg health goals. We will review all of our treatment options with you and help you select the right treatment plan based on your individual needs and health. Our overall goal is to help you enjoy ‘healthy veins for life’ while avoiding surgical intervention whenever possible.

If you think of any questions before your consultation, we urge you to write them down and bring them along with you for your initial appointment. After that first consultation, our staff is also available to address your questions or concerns about your venous evaluation and treatment plan. They are also here to assist with finding the right compression stockings or sleeves that may help you before and after your treatment, contact us anytime for assistance.

To learn more about how to treat varicose veins without surgery or to schedule a venous evaluation to see if the Venaseal treatment is right for you, please visit our Contact page .

Uterine Fibroid Embolization Video

brett.donegan@mvi-tips.com (Brett Donegan) — Thu, 21 Sep 2017 00:00:00 GMT

Check out this detailed video about uterine artery embolization . If you suffer from uterine fibroids, call our office today !

What Causes Varicose and Spider Veins? The Most Common Reasons.

brett.donegan@mvi-tips.com (Brett Donegan) — Thu, 17 Aug 2017 00:00:00 GMT

If you are wondering why you have developed varicose veins , venous disease or even spider veins, you are not alone. About 50 to 55 percent of women and 40 to 45 percent of men in the United Stated suffer from some type of vein problem in their lifetime. Varicose veins affect half of people 50 years and older. More than 80 million Americans suffer from vein disease.

Several different factors contribute to the development of vein diseases and can lead to further health problems. Murfreesboro Vascular & Interventional specializes in treating venous disease.

About Vein Disease

What are varicose veins and spider veins?

Varicose veins:

Occur when veins become enlarged, dilated and overfilled with blood.
Are swollen, twisted veins that you can see just under the surface of the skin.
Usually occur in the legs, but also can form in other parts of the body.
Sometimes they may cause mild to moderate pain, blood clots, skin ulcers also known as “sores” or other problems.

Spider veins:

A group of small, dilated veins that appear close to the surface of the skin.
Look like spider web or tree branches, usually red or blue in color.
Can develop anywhere, but are most common on the legs and face.
Are smaller than varicose veins, but that are sometimes located together.
What causes varicose and spider veins?

Varicose veins can be caused by weak or damaged valves in the veins. Your heart pumps oxygen- and nutrient-filled blood out to the body through your arteries. The blood returns to the heart through your veins. Blood from your lower body is pushed up, against the flow of gravity, as your leg muscles squeeze.

Veins have valves that act as one-way flaps to prevent blood from flowing backward as it moves up your legs. If the valves become weak, blood can leak back into the veins and collect there; this problem is called venous insufficiency. When backed-up blood makes the veins bigger, they can become varicose veins.

Some potential causes for varicose veins include:

Chronic heart valve conditions, which are usually congenital
Sedentary lifestyle
Pregnancy
Menopause
Standing for long periods of time
Pressure on the midsection of the body, especially the abdomen
Obesity, which adds weight to the body and increases the pressure on the legs. The backup of blood can cause spider veins due to weak or damaged veins. When the valves do not open to allow blood to leave the veins, blood backs up, and the veins swell; they can also be caused by hormone changes, exposure to the sun and injuries.

Some potential causes for spider veins include:

Aging
Heredity (family history of the condition)
A history of blood clots
Taking oral birth control pills
Hormonal changes during puberty or menopause
Hormonal replacement therapy
Pregnancy
Standing or sitting for long periods of time
Wearing a girdle or clothing that is too tight
Obesity
Constipation
Sun exposure

What are signs and symptoms of varicose veins?

Varicose veins can often be seen on the skin. Some other common symptoms of varicose veins in the legs include:

• Aching pain that may get worse after sitting or standing for a long time
• Throbbing or cramping
• Heaviness
• Swelling
• Rash that is itchy or irritated
• Darkening of the skin (in severe cases)
• Restless legs

Are varicose veins and spider veins dangerous?

Spider veins rarely are a serious health problem, but they can cause uncomfortable feelings in the legs. If there are symptoms from spider veins, most often they will be itching or burning. Less often, spider veins can be a sign of blood backup deeper inside that you can’t see on the skin. If so, you could experience the same symptoms you would have with varicose veins.

Treatment Options at Murfreesboro Vascular & Interventional

At Murfreesboro Vascular & Interventional, Dr. Thomas uses either sclerotherapy, a microinjection procedure that requires no pain medication or surgery, or endovenous laser therapy (sometimes referred to as EVLT), a quick, minimally invasive laser treatment that requires no hospitalization and no complicated surgery.

Neither option requires hospitalization or surgery; each is performed in a physician’s office. Patients can be back on their feet doing their day-to-day activities the same day.

At Murfreesboro Vascular & Interventional, you can expect to get the best treatment available.

Call to see if you qualify for a free, no-obligation consultation!

Men Get Varicose Veins, Too!

brett.donegan@mvi-tips.com (Brett Donegan) — Thu, 13 Apr 2017 00:00:00 GMT

As many as 45 percent of all men will experience varicose veins at some point in their lives. The number one cause of varicose veins in both men and women is family history. If your mom or grandmother had varicose veins, you are more likely to have them. Lifestyle factors play a significant role as well. If your job requires you to stand for long periods, such as medical professionals, factory workers, sales or restaurant occupations, you are more likely to get varicose veins. If you travel and spend long hours flying or driving, or if you sit at a desk for several hours at a time, you are at risk as well. Varicose veins can even be the result of previous leg trauma. Varicose veins can affect men of all ages but the risk increases with age because of the loss of tissue tone and muscle mass, as well as a weakening of the venous walls.

If restless legs keep you awake at night, this could be a sign that you have varicose veins. If you don’t enjoy taking a walk with your wife or playing with the kids or grand kids like you used to because of leg pain, that could be another sign. Generally men have the same symptoms as women: pain, leg heaviness, tiredness, muscle cramps and swelling. But, as men, we are less likely to seek medical treatment. It is important that you seek consultation if you are experiencing any of these symptoms.

Like any chronic medical condition, varicose veins will progress without treatment. Because varicose veins are often painful, it is important to treat them in order to maintain an active lifestyle. Treatments such as medical grade compression stockings and changes in work habits can improve your symptoms but will not address the underlying cause. Severe varicose veins can lead to serious complications such as skin breakdown and even blood clots.

The treatments available for men as exactly the same as for women and just as effective. Men can undergo ultrasound guided endovenous laser treatment, or EVLT. This cutting-edge laser procedure involves inserting a small laser fiber through the skin into the varicose vein. Laser energy is delivered inside the vein, which causes the vein to collapse and seal shut. Once that vein is closed, the blood reroutes to other healthy veins. Some men may need sclerotherapy following EVLT.

The good news is that most patients are able to return to work almost immediately following treatment and eventually can resume those activities you have been avoiding. Don’t suffer with varicose veins any longer. Schedule an appointment with Murfreesboro Vascular and Interventional today!

Men Get Varicose Veins, Too!

brett.donegan@mvi-tips.com (Brett Donegan) — Wed, 12 Apr 2017 20:14:19 GMT

If restless legs keep you awake at night, this could be a sign that you have varicose veins. If you don’t enjoy taking a walk with your wife or playing with the kids or grand kids like you used to because of leg pain, that could be another sign. Generally men have the same symptoms as women: pain, leg heaviness, tiredness, muscle cramps and swelling. But, as men, we are less likely to seek medical treatment . It is important that you seek consultation if you are experiencing any of these symptoms.

The treatments available for men as exactly the same as for women and just as effective. Men can undergo ultrasound guided endovenous laser treatment , or EVLT. This cutting-edge laser procedure involves inserting a small laser fiber through the skin into the varicose vein. Laser energy is delivered inside the vein, which causes the vein to collapse and seal shut. Once that vein is closed, the blood reroutes to other healthy veins. Some men may need sclerotherapy following EVLT.

Interventional Radiology is Modern Medicine

Wed, 18 Jan 2017 21:08:48 GMT

Check out this short video on interventional radiology.

Interventional Radiology is Modern Medicine Video

brett.donegan@mvi-tips.com (Brett Donegan) — Wed, 18 Jan 2017 00:00:00 GMT

Give Yourself the Gift of Beautiful Legs!

brett.donegan@mvi-tips.com (Brett Donegan) — Sun, 08 Jan 2017 21:03:52 GMT

Now that the holidays are over, its time to look toward spring and summer! Many patients we see suffer with chronic leg pain, swelling, and unsightly varicose and spider veins. They often put off treatment because of the hustle and bustle of daily life and the fear that nothing can be done to help them. Here at Murfreesboro Vascular & Interventional, we have multiple treatment options for vein problems . We can address everything from venous ulcers to small areas of spider veins. And, as it turns out, winter is the perfect time for treatment so your legs can look great for summer!

If you live in Middle Tennessee, schedule a consultation with Dr. Thomas today!

Pelvic Congestion Syndrome Treatment

brett.donegan@mvi-tips.com (Brett Donegan) — Sun, 20 Nov 2016 19:31:12 GMT

Pelvic Pain (Pelvic Congestion Syndrome)

Ovarian Vein and Pelvic Varices

What is it?

It is estimated that a third of all women will experience chronic pelvic pain during their lifetime. Chronic pelvic pain is defined as “non-cyclic” pain lasting greater than six months. A multidisciplinary team approach is needed to treat this often complex medical condition. After a physical examination, a Pap test to rule out cervical cancer, and routine laboratory bloodwork, a cross-sectional imaging study is obtained to be certain that there is not a pelvic tumor. If the clinical symptoms are those of chronic pelvic pain, worse when sitting or standing, and sometimes also associated with varicose veins in the thigh, buttock regions, or vaginal area, the possibility of ovarian vein and pelvic varices must be considered.

Treatment

Because these varicose veins are often not visible externally and because imaging studies such as ultrasound may not demonstrate them, a woman’s symptoms may be overlooked or ignored. Chronic pelvic pain due to ovarian vein and pelvic varices (varicose veins) is treated using nonsurgical, minimally invasive, transcatheter techniques. The diagnosis of ovarian varices is confirmed by selectively catheterizing specific veins and injecting contrast dye (i.e., performing a venogram). If varices are found on venography, they are embolized with small coils or other agents. The procedure is carried out under local anesthesia with intravenous sedation. Risks are the same for those of any minimally invasive procedure. The blood supply to the varices is blocked by the use of such coils and embolic agents. A 80% success rate in pain reduction has been reported, (i.e., a reduction in the quantity of pain medications that the woman requires). Pain reduction varies from complete to partial. It is well recognized that varicose veins in the legs cause pain, and therefore it is reasonable that such veins may be a source of chronic pelvic pain if they exist in the pelvis.

The recovery time for women who undergo embolization of ovarian and pelvic varices is similar. The patient is discharged the same day and spends time at home recovering, using oral pain medications for relief of discomfort. Pain is most significant during the first three days after either procedure.

Regarding ovarian and pelvic varices, the procedure is generally performed in two stages. The procedure is divided into two segments due to (1) contrast limitations (keeping within the safe limits of dye used for the venogram) and (2) the level of discomfort (pain) experienced by the patient. The second half of the embolization procedure is completed days two weeks later and is generally an out-patient procedure. This gives the woman time to recover in between the two-stage embolization procedure.

If you suffer from chronic pelvic pain, schedule a consultation with Murfreesboro Vascular and Interventional today!

Varicose Vein Treatment Video!

brett.donegan@mvi-tips.com (Brett Donegan) — Wed, 09 Nov 2016 19:24:16 GMT

Check out this video of our VenaCure procedure. If you live in the Murfreesboro area, call us for a consultation today!

Treatment of Osteoporotic Compression Fractures

brett.donegan@mvi-tips.com (Brett Donegan) — Wed, 12 Oct 2016 18:12:07 GMT

Vertebroplasty And Kyphoplasty

Definition

The vertebrae are a series of bones that make up the spine. When one of them fractures, that can put pressure on surrounding nerves. This can cause intense pain and disability. The bones may be repaired with these procedures:

In vertebroplasty, acrylic cement is injected into a fractured and collapsed vertebra (spinal bone). The cement strengthens the bone and decreases pain from the fracture.
In kyphoplasty, a balloon is used to create a cavity to inject the cement into. This procedure is designed to relieve pain. It can also improve spinal deformities from the fractures.

Reasons for Procedure

Both procedures are used to decrease pain from osteoporotic or pathologic vertebral compression fractures.

Kyphoplasty also restores the height of the bone. This can decrease the spinal deformity caused by the fracture.

Other treatment for vertebral fracture may include nonsurgical treatments, such as bracing or use of pain medications.

Possible Complications

Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:

Leakage of the cement into the spinal canal or into adjacent veins
Infection
Bleeding
Increased back pain
Fracture of adjacent vertebra or ribs
Numbness, tingling
Paralysis

Your doctor may feel that the risks of these procedures are too great if you have:

Vertebral fractures that extend into the spinal canal area
Radiculopathy—irritation of a nerve root in the area of the fracture that often causes areas of numbness, tingling, or weakness in the leg
Bleeding disorders
Unusually soft or porous bones

If you have vertebral fracture due to osteoporosis, vertebroplasty may not be as effective.

Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:

Smoking
Drinking
Chronic disease such as diabetes or obesity

What to Expect

Prior to Procedure

You will receive a complete physical exam and blood tests.
You will have imaging studies of your back to identify the nature of the fracture, such as:
X-ray
Bone scans
MRI scan
CT scan
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
You will need to stop eating at least 6 hours prior to the procedure. Stop drinking fluids about 3-6 hours prior to the procedure.

Anesthesia

Most are done using only IV sedation and local anesthesia. The sedation will help you relax. The local will numb the area above the fractured bone.

Description of Procedure

Vertebroplasty

You will be asked to lie down on your stomach. X-ray cameras will be positioned around you. The cameras will show images of the bone. Your doctor will use this to verify the position of the needles and cement.

The skin over the fractured bone will be numbed and sterilized. A hollow needle will be passed into the vertebra. The acrylic cement will be mixed into a toothpaste-like consistency. An added substance, called barium, will improve the images. When the needle position is ideal, the cement will be injected into the fractured bone. The doctor will watch the cement as it enters the bone to check for leaks.

Kyphoplasty

Your doctor will begin by making a small incision in your back. A tiny drill will be used to create an opening in the bone. A special balloon will be passed through. The balloon will be inflated to open the space and correct the deformity. After the balloon is removed, acrylic cement will be injected into the cavity. This will help to maintain the correction.

Immediately After Procedure

You may have a CT scan to confirm the position of the cement. You will stay on your stomach for about 10-20 minutes. This will allow the cement to harden. You will then be moved to a recovery room. You will be asked to lie on your back for another hour or so.

How Long Will It Take?

40 minutes to 2 hours

How Much Will It Hurt?

You may feel some initial pain due to lying on your stomach. Many notice immediate and significant relief from pain.

Average Hospital Stay

You will usually only need to stay in the hospital for a few hours. You may need to stay longer if you have any complications.

Post-procedure Care

At the Hospital

You will be monitored for a few hours for any complications.

During your stay, the hospital staff will take steps to reduce your chance of infection such as:

Washing their hands
Wearing gloves or masks
Keeping your incisions covered

There are also steps you can take to reduce your chances of infection such as:

Washing your hands often and reminding visitors and healthcare providers to do the same
Reminding your healthcare providers to wear gloves or masks
Not allowing others to touch your incisions

At Home

You may notice some discomfort at the site of the needle insertion or the tiny incision. This is often relieved through the use of an ice pack (use only for 15 minutes per hour).

Acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) may also help. You may also be given medication to prevent muscle spasm.

Call Your Doctor

It is important to monitor your recovery. Alert your doctor to any problems. If any of the following occur, call your doctor:

Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site or the needle insertion site
Severe back or rib pain
Cough, shortness of breath, or chest pain
New numbness, tingling, or weakness

Varicose Vein Q&A

brett.donegan@mvi-tips.com (Brett Donegan) — Mon, 03 Oct 2016 18:00:09 GMT

True or False: Varicose veins are a cosmetic issue and don’t need to be treated.

False. Varicose veins, though often thought of as a cosmetic nuisance, can actually progress to a more serious form of venous disease called chronic venous insufficiency (CVI). CVI is a progressive disease that can result in increasingly serious signs and symptoms if not treated, including leg pain, swelling, restlessness, skin damage and ulcers. And, as a treatable condition, varicose veins can be addressed by various minimally-invasive treatments before they progress.

True or False: Spider veins are the same thing as varicose veins.

False. Spider veins, like varicose veins, are caused by dysfunctional vein valves. However, spider veins appear as a nest of blue or red veins just under the surface of the skin, and typically do not bulge above the skin’s surface like varicose veins. Varicose veins are a sign of venous disease and should be diagnosed and treated by a vein specialist to avoid progression to CVI. It is recommended that people seek professional advice for both spider veins and varicose veins.

True or False: Genetics and age are common factors in the development of varicose veins and CVI.

True. Genetics and age are large contributors to varicose veins and CVI development. In fact, women older than 50 are most likely to develop venous disease. And, if you have a family member who suffers from varicose veins or signs and symptoms of CVI, you are more likely to develop varicose veins in your lifetime.

True or False: Men are not at risk for developing varicose veins and CVI.

False. Men are at risk for experiencing varicose veins as well as more severe signs and symptoms of CVI. In fact, 43% of men are expected to develop venous disease by the time they reach their 60s; however, a majority of those do not seek treatment until the condition worsens.

True or False: Varicose veins and CVI treatments are just too expensive to consider.

False. Because varicose veins and CVI are recognized as clinical conditions, most insurance plans will cover treatment.

True or False: Compression stockings and elevation of the feet are cures for varicose veins.

False. Although compression stockings provide graduated compression from the ankle up to the knee or thigh, which helps to reduce pain and swelling, they only help to manage symptoms and do not provide a cure. In fact, people with varicose veins may need to continue to wear these stockings for the rest of their lives. Likewise, elevating the feet above the thighs when sitting and above the heart when lying down can help to ease pressure on the veins, but elevation, like the use of compression stockings, is not a cure for varicose veins.

True or False: Varicose veins can be a result of prolonged standing.

True. Those spending the entire day on their feet are at higher risk for developing varicose veins. It is recommended that individuals with careers that require prolonged standing, such as restaurant servers or flight attendants, rest each day by elevating their feet above their heart.

Multiple Choice: Which of the following factors can contribute to varicose veins and CVI: crossing legs, weight or exercise?

Answer: Weight. Being overweight often contributes to the formation of varicose veins, with the added pressure on the legs and ankles causing the veins to bulge and blood flow to be disrupted. Regular exercise is recommended to increase blood flow in the legs and maintain a healthy weight to mitigate signs and symptoms that can lead to CVI, particularly varicose veins.

Multiple Choice: Which of the following is not shown to contribute to varicose veins and CVI: prior trauma or injury, insufficient hydration or pregnancy?

Answer: Insufficient hydration. Insufficient hydration should not affect the development of varicose veins. However, trauma or injury to the lower limbs can contribute to signs and symptoms leading to CVI, including varicose veins. And, during pregnancy, there is increased pressure on the veins that may contribute to the creation of varicose veins in the legs. In some cases, varicose veins will disappear after pregnancy.

If you live in Middle Tennessee and suffer from varicose veins or spider veins, schedule a consultation with us today!

About Varicose Vein Treatment

brett.donegan@mvi-tips.com (Brett Donegan) — Mon, 26 Sep 2016 17:53:00 GMT

Do you live in the Murfreesboro area and suffer from varicose veins? Today’s update is all about varicose vein treatment. Come see Dr. Thomas at Murfreesboro Vascular & Interventional for a full evaluation!

What are varicose veins and spider veins?

Varicose veins are enlarged veins that can be blue, red, or flesh-colored. They often look like cords and appear twisted and bulging. They can be swollen and raised above the surface of the skin. Varicose veins are often found on the thighs, backs of the calves, or the inside of the leg. During pregnancy, varicose veins can form around the vagina and buttocks.

Spider veins are like varicose veins but smaller. They also are closer to the surface of the skin than varicose veins. Often, they are red or blue. They can look like tree branches or spiderwebs with their short, jagged lines. They can be found on the legs and face and can cover either a very small or very large area of skin.

What causes varicose veins and spider veins?

Varicose veins can be caused by weak or damaged valves in the veins. The heart pumps blood filled with oxygen and nutrients to the whole body through the arteries. Veins then carry the blood from the body back to the heart. As your leg muscles squeeze, they push blood back to the heart from your lower body against the flow of gravity. Veins have valves that act as one-way flaps to prevent blood from flowing backwards as it moves up your legs. If the valves become weak, blood can leak back into the veins and collect there. (This problem is called venous insufficiency.) When backed-up blood makes the veins bigger, they can become varicose.

Spider veins can be caused by the backup of blood. They can also be caused by hormone changes, exposure to the sun, and injuries.

How common are abnormal leg veins?

About 50 to 55 percent of women and 40 to 45 percent of men in the United States suffer from some type of vein problem. Varicose veins affect half of people 50 years and older.

What factors increase my risk of varicose veins and spider veins?

Many factors increase a person’s chances of developing varicose or spider veins. These include:

Increasing age. As you get older, the valves in your veins may weaken and not work as well.
Medical history. Being born with weak vein valves increases your risk. Having family members with vein problems also increases your risk. About half of all people who have varicose veins have a family member who has them too.
Hormonal changes. These occur during puberty , pregnancy, and menopause . Taking birth control pills and other medicines containing estrogen and progesterone also may contribute to the forming of varicose or spider veins.
Pregnancy. During pregnancy, there is a huge increase in the amount of blood in the body. This can cause veins to enlarge. The growing uterus also puts pressure on the veins. Varicose veins usually improve within 3 months after delivery. More varicose veins and spider veins usually appear with each additional pregnancy.
Obesity. Being overweight or obese can put extra pressure on your veins. This can lead to varicose veins.
Lack of movement. Sitting or standing for a long time may force your veins to work harder to pump blood to your heart. This may be a bigger problem if you sit with your legs bent or crossed.
Sun exposure. This can cause spider veins on the cheeks or nose of a fair-skinned person.

Why do varicose veins and spider veins usually appear in the legs?

Most varicose and spider veins appear in the legs due to the pressure of body weight, force of gravity, and task of carrying blood from the bottom of the body up to the heart.

Compared with other veins in the body, leg veins have the toughest job of carrying blood back to the heart. They endure the most pressure. This pressure can be stronger than the one-way valves in the veins.

What are the signs of varicose veins?

Varicose veins can often be seen on the skin. Some other common symptoms of varicose veins in the legs include:

Aching pain that may get worse after sitting or standing for a long time
Throbbing or cramping
Heaviness
Swelling
Rash that’s itchy or irritated
Darkening of the skin (in severe cases)
Restless legs

Are varicose veins and spider veins dangerous?

Spider veins rarely are a serious health problem, but they can cause uncomfortable feelings in the legs. If there are symptoms from spider veins, most often they will be itching or burning. Less often, spider veins can be a sign of blood backup deeper inside that you can’t see on the skin. If so, you could have the same symptoms you would have with varicose veins.

Varicose veins may not cause any problems, or they may cause aching pain, throbbing, and discomfort. In some cases, varicose veins can lead to more serious health problems. These include:

Sores or skin ulcers due to chronic (long-term) backing up of blood. These sores or ulcers are painful and hard to heal. Sometimes they cannot heal until the backward blood flow in the vein is repaired.
Bleeding. The skin over the veins becomes thin and easily injured. When an injury occurs, there can be significant blood loss.
Superficial thrombophlebitis (throm-bo-fli-BYT-uhs), which is a blood clot that forms in a vein just below the skin. Symptoms include skin redness; a firm, tender, warm vein; and sometimes pain and swelling.
Deep vein thrombosis, which is a blood clot in a deeper vein. It can cause a “pulling” feeling in the calf, pain, warmth, redness, and swelling. However, sometimes it causes no significant symptoms. If the blood clot travels to the lungs, it can be fatal.

Should I see a doctor about varicose veins?

You should see a doctor about varicose veins if:

The vein has become swollen, red, or very tender or warm to the touch
There are sores or a rash on the leg or near the ankle
The skin on the ankle and calf becomes thick and changes color
One of the varicose veins begins to bleed
Your leg symptoms are interfering with daily activities
The appearance of the veins is causing you distress

If you’re having pain, even if it’s just a dull ache, don’t hesitate to get help. Also, even if you don’t need to see a doctor about your varicose veins, you should take steps to keep them from getting worse.

How are varicose veins diagnosed?

Your doctor may diagnose your varicose veins based on a physical exam. Your doctor will look at your legs while you’re standing or sitting with your legs dangling. He or she may ask you about your symptoms, including any pain you’re having. Sometimes, you may have other tests to find out the extent of the problem and to rule out other disorders.

You might have an ultrasound, which is used to see the veins’ structure, check the blood flow in your veins, and look for blood clots. This test uses sound waves to create pictures of structures in your body.

Although less likely, you might have a venogram. This test can be used to get a more detailed look at blood flow through your veins.

If you seek help for your varicose veins, there are several types of doctors you can see, including:

A phlebologist, which is a vein specialist
A vascular medicine doctor, who focuses on the blood system
A vascular surgeon, who can perform surgery and do other procedures
An interventional radiologist, who specializes in using imaging tools to see inside the body and do treatments with little or no cutting
A dermatologist, who specializes in skin conditions

Each of these specialists do some or all of the procedures for treating varicose veins. You might start out by asking your regular doctor which specialist he or she recommends. You also might check with your insurance plan to see if it would pay for a particular provider or procedure.

How are varicose and spider veins treated?

Varicose veins are treated with lifestyle changes and medical treatments. These can:

Relieve symptoms
Prevent complications
Improve appearance

Your doctor may recommend lifestyle changes if your varicose veins don’t cause many symptoms. If symptoms are more severe, your doctor may recommend medical treatments. Some treatment options include:

Compression stockings

Compression stockings put helpful pressure on your veins. There are 3 kinds of compression stockings:

Support pantyhose, which offer the least amount of pressure. These also often are not “gradient” or “graduated.” That means they provide pressure all over instead of where it is needed most.
Over-the-counter gradient compression hose, which give a little more pressure. They are sold in medical supply and drugstores.
Prescription-strength gradient compression hose, which offer the greatest amount of pressure. They are sold in medical supply and drugstores. You need to be fitted for them by someone who has been trained to do this.

Sclerotherapy

Sclerotherapy is the most common treatment for both spider veins and varicose veins. The doctor uses a needle to inject a liquid chemical into the vein. The chemical causes the vein walls to swell, stick together, and seal shut. This stops the flow of blood, and the vein turns into scar tissue. In a few weeks, the vein should fade. This treatment does not require anesthesia and can be done in your doctor’s office. You can return to normal activity right after treatment.

The same vein may need to be treated more than once. Treatments are usually done every 4 to 6 weeks. You may be asked to wear gradient compression stockings after sclerotherapy to help with healing and decrease swelling. This treatment is very effective when done correctly.

Possible side effects include:

Stinging, red and raised patches of skin, or bruises where the injection was made. These usually go away shortly after treatment.
Spots, brown lines, or groups of fine red blood vessels around the treated vein. These also usually go away shortly after treatment.
Lumps of blood that get trapped in vein and cause inflammation. This is not dangerous. You can relieve swelling by applying heat and taking aspirin. Your doctor can drain the trapped blood with a small pinprick at a follow-up visit.

There is a type of sclerotherapy called ultrasound-guided sclerotherapy (or echo-sclerotherapy). This type of sclerotherapy uses ultrasound imaging to guide the needle. It can be useful in treating veins that cannot be seen on the skin’s surface. It may be used after surgery or endovenous techniques if the varicose veins return. This procedure can be done in a doctor’s office. Possible side effects include skin sores, swelling, injection into an artery by mistake, or deep vein thrombosis (a potentially dangerous blood clot).

Surface laser treatments

In some cases, laser treatments can effectively treat spider veins and smaller varicose veins. This technique sends very strong bursts of light through the skin onto the vein. This makes the vein slowly fade and disappear. Not all skin types and colors can be safely treated with lasers.

No needles or incisions are used, but the heat from the laser can be quite painful. Cooling helps reduce the pain. Laser treatments last for 15 to 20 minutes. Generally, 2 to 5 treatments are needed to remove spider veins in the legs. Laser therapy usually isn’t effective for varicose veins larger than 3 mm (about a tenth of an inch). You can return to normal activity right after treatment.

Possible side effects of lasers include:

Redness or swelling of the skin right after the treatment that disappears within a few days
Discolored skin that will disappear within 1 to 2 months
Burns and scars from poorly performed laser surgery, though this is rare

Endovenous techniques (radiofrequency and laser)

These methods for treating the deeper veins of the legs, called the saphenous (SAF-uh-nuhs) veins, have replaced surgery for most patients with severe varicose veins. These techniques can be done in a doctor’s office.

The doctor puts a very small tube, called a catheter, into the vein. A small probe is placed through the tube. A device at the tip of the probe heats up the inside of the vein and closes it off. The device can use radiofrequency or laser energy to seal the vein. The procedure can be done using just local anesthesia. You might have slight bruising after treatment.

Healthy veins around the closed vein take over the normal flow of blood. The symptoms from the varicose vein improve. Usually, veins on the surface of the skin that are connected to the treated varicose vein will also shrink after treatment. If they don’t, these connected veins can be treated with sclerotherapy or other techniques.

Surgery

Surgery is used mostly to treat very large varicose veins. Types of surgery for varicose veins include:

Surgical ligation and stripping. With this treatment, problem veins are tied shut and completely removed from the leg through small cuts in the skin. Removing the veins does not affect the circulation of blood in the leg. Veins deeper in the leg take care of the larger volumes of blood. This surgery requires general anesthesia and must be done in an operating room. It takes between 1 and 4 weeks to recover from the surgery. This surgery is generally safe. Pain in the leg is the most common side effect. Other possible problems include:
A risk of heart and breathing problems from anesthesia
Bleeding and congestion of blood. But, the collected blood usually settles on its own and does not require any further treatment.
Wound infection, inflammation, swelling, and redness
Permanent scars
Damage of nerve tissue around the treated vein. It’s hard to avoid harming small nerve branches when veins are removed. This damage can cause numbness, burning, or a change in feeling around the scar.
A deep vein blood clot. These clots can travel to the lungs and heart. The medicine heparin may be used to reduce the chance of these dangerous blood clots. But, heparin also can increase the normal amount of bleeding and bruising after surgery.
PIN stripping. In this treatment, an instrument called a PIN stripper is inserted into a vein. The tip of the PIN stripper is sewn to the end of the vein, and when it is removed, the vein is pulled out. This procedure can be done in an operating room or an outpatient center. General or local anesthesia can be used.
Ambulatory phlebectomy. With ambulatory phlebectomy (AM-byoo-luh-TOHR-ee fluh-BEHK-toh-mee), tiny cuts are made in the skin, and hooks are used to pull the vein out of the leg. Only the parts of your leg that are being pricked will be numbed with anesthesia. The vein is usually removed in 1 treatment. Very large varicose veins can be removed with this treatment while leaving only very small scars. Patients can return to normal activity the day after treatment. Possible side effects of the treatment include slight bruising and temporary numbness.

How can I prevent varicose veins and spider veins?

Not all varicose and spider veins can be prevented. But, there are some steps you can take to reduce your chances of getting new varicose and spider veins. These same things can help ease discomfort from the ones you already have:

Wear sunscreen to protect your skin from the sun and to limit spider veins on the face.
Exercise regularly to improve your leg strength, circulation, and vein strength. Focus on exercises that work your legs, such as walking or running.
Control your weight to avoid placing too much pressure on your legs.
Don’t cross your legs for long times when sitting. It’s possible to injure your legs that way, and even a minor injury can increase the risk of varicose veins.
Elevate your legs when resting as much as possible.
Don’t stand or sit for long periods of time. If you must stand for a long time, shift your weight from one leg to the other every few minutes. If you must sit for long periods of time, stand up and move around or take a short walk every 30 minutes.
Wear elastic support stockings and avoid tight clothing that constricts your waist, groin, or legs.
Avoid wearing high heels for long periods of time. Lower-heeled shoes can help tone your calf muscles to help blood move through your veins.
Eat a low-salt diet rich in high-fiber foods. Eating fiber reduces the chances of constipation , which can contribute to varicose veins. High-fiber foods include fresh fruits and vegetables and whole grains, like bran. Eating less salt can help with the swelling that comes with varicose veins.

Can varicose and spider veins return even after treatment?

Current treatments for varicose veins and spider veins have very high success rates compared to traditional surgical treatments. Over a period of years, however, more abnormal veins can develop because there is no cure for weak vein valves. Ultrasound can be used to keep track of how badly the valves are leaking (venous insufficiency). Ongoing treatment can help keep this problem under control.

The single most important thing you can do to slow down the development of new varicose veins is to wear gradient compression support stockings as much as possible during the day.

About...Spider Vein Sclerotherapy

brett.donegan@mvi-tips.com (Brett Donegan) — Wed, 07 Sep 2016 17:30:36 GMT

Sclerotherapy is a procedure used to treat varicose veins and spider veins, involving an injection of a solution directly into the vein using a very fine needle. The solution irritates the lining of the vessel, causing it to swell and stick together. Over time, the vessel turns into scar tissue that fades from view. Many different solutions are available for use in sclerotherapy, and Dr. Thomas will select the best one for your particular needs.

The number of veins injected in one session varies, depending on the size and location of the veins, and the patient’s overall medical condition. Mild discomfort may occur, and a cramping sensation may be felt for one to two minutes when larger varicose veins are injected.

The sclerotherapy procedure itself takes about 30 to 45 minutes. Sclerotherapy works well for most patients with varicose veins. We estimate that as many as 50 percent to 80 percent of injected varicose veins may be eliminated with each injection session.

A few (less than 10 percent) of the people who have sclerotherapy on their varicose veins do not respond to the injections at all. In these instances, different solutions or a different method, such as laser therapy, may be tried. Spider veins respond to sclerotherapy in three to six weeks, and larger veins respond in three to four months. If the veins respond to the treatment, they will not reappear. However, new veins may appear over time, and additional sclerotherapy sessions may be needed.

Before your appointment, shower and wash your legs thoroughly. Avoid shaving and moisturizers the day of and the day after the procedure. Your legs should not be tan at the time of your treatment. Avoid sun exposure on your legs and do not use a self-tanner before your procedure. We’ll provide you with a pair of disposable exam shorts to wear for the procedure. Please wear loose fitting pants or shorts to your appointment, as your leg will be bandaged after the procedure. In addition, please wear a cool, comfortable top as the room will be heated during your treatment.

You may experience certain side effects after your sclerotherapy. Larger injected varicose veins may become lumpy and hard for several months before resolving. Raised red areas may appear at the injection sites and should disappear within a few days. Brown lines or spots on the skin may be noted at the site of the injection, possibly caused by a form of iron that escapes from the injected veins. In most cases, they disappear within three to six months, but can be permanent about five percent of the time. Bruising may occur around the injection site and can last several days or weeks.

Other side effects rarely develop after sclerotherapy. However, if you have any of these side effects, please contact your physician immediately:

Inflammation within five inches of the groin
Sudden onset of a swollen leg
Formation of small ulcers at the injection site
Red streaking, especially in the groin area
Allergic reactions to the sclerosing agent (may occur at the time of the injection and are rarely serious).

We want to encourage you to call Dr. Thomas with any concerns or questions you may have before or after your sclerotherapy procedure. You’ll also want to discuss any medications you’re taking with the doctor to ensure there are no interactions. Please let us know if you have any allergies or sensitivities to adhesives or latex, a history of asthma, or if you may be pregnant.

After the treatment you’ll be able to drive yourself home. You may resume your regular activities and are encouraged to walk. You’ll be instructed to wear support hosiery or compression wraps to “compress” the treated vessels for a few days after your treatment. Support stockings purchased from a retail store may not be adequate if a heavier compression stocking is prescribed.

After the procedure, avoid alcohol, aspirin, ibuprofen and other anti-inflammatory medications for at least 48 hours. Tylenol may be taken, and ice may be used for swelling. Avoid hot water (use warm water to shower) tub baths for 24 hours. Your legs may feel tender and sore. You are encouraged to walk. Treated veins may appear discolored and firm to the touch and will fade over time.

If additional treatments are necessary, they may be performed at four to six week intervals.

If you live in the Murfreesboro area, please contact Dr. Thomas for a consultation!

We’re ready.

brett.donegan@mvi-tips.com (Brett Donegan) — Thu, 11 Aug 2016 20:32:13 GMT

We’re just about finished setting up our clinic, getting our signage installed and training our staff, and Murfreesboro Vascular and Interventional (MVI) is ready to start accepting patients.

I recently moved here from Jackson, TN, to practice vascular and interventional medicine here in Murfreesboro and Rutherford County. My family and I spent the summer getting settled, and now I’m seeing patients in private consultation at our new clinic on the Saint Thomas Rutherford campus.

If you need a procedure, we’ll perform it using our sophisticated, office-based equipment or in a state-of-the-art interventional suite at Saint Thomas Rutherford Hospital.

Our approach is through minimally invasive techniques, which make the experience easier for our patients because smaller incisions are involved, leading to decreased risk, less pain and a shorter recovery time.

We’re always available to answer your questions and keep you informed every step of the way. Feel free to contact us at any time with questions at 615.849.7490 or for more information at info@murfreesborovascular.com .