Venous Insufficiency and Varicose Vein Treatment Close to Home
Varicose veins are not just a cosmetic concern. Vein disease is significantly underdiagnosed and in many cases, can come with health issues that affect your quality of life. The majority of people with lifestyle limiting symptoms can have significant improvement by being evaluated and cared for by a doctor trained and skilled in vein treatment.
The vein specialists at the Vein Clinics of the HCA Midwest Health Heart and Vascular Institute will work with you to develop a treatment plan to get you back on your feet and enjoying life. Our experienced vascular surgeons and board certified interventional cardiologists are highly trained and skilled in diagnosing and treating vascular disease (disease that can affect the superficial veins, deep veins and arteries). Because they are trained in vascular disease, not just vein disease, they are able to take a comprehensive approach to evaluation that lets them identify the true cause of your symptoms and develop an effective treatment plan. We use state-of-the art technology, the latest research and minimally invasive techniques for the best possible outcomes. And with multiple locations around the Kansas City area, you never have to travel far to get the relief you need.
To find a vein clinic in Kansas City and schedule an evaluation:
Vein Treatment Locations
If you have bulging veins or varicose vein symptoms that are affecting your quality of life, it may be time to take the next step and see a vein specialist. After a physical exam and evaluation, your cardiologist may refer you for a duplex ultrasound (an ultrasound of the legs used to look for valve failure in the veins) to confirm diagnosis and provide more information to develop a treatment plan. Vein procedures and surgeries are performed at four of our Kansas City hospitals.
- Overland Park Regional Medical Center in Overland Park, KS
- Research Medical Center in Kansas City, MO
- Lee’s Summit Medical Center
- Centerpoint Medical Center in Independence, MO*
Vein Treatment Options
This is a first-line, non-invasive treatment used to apply pressure to the legs and improve blood flow. Some insurance companies may require three to nine months of use before covering minimally invasive treatment.
This is a simple cosmetic treatment for spider veins and small to medium sized varicose veins. This procedure is not used to treat symptomatic vein disease. The treatment is performed in the doctor’s office by injecting a solution to destroy the vein. Multiple small injections (with a tiny needle) are often needed along the path of the abnormal vein. The vein is then absorbed into the body.
The procedure can take about thirty minutes. If multiple sessions are needed, they will be spaced approximately one to two weeks apart. This service is offered by Dr. Richard Coats at Kansas City Vascular & General Surgery in Lee’s Summit, MO.
Recovery and Results
You will require compression therapy for about 24 to 48 hours after treatment. For varicosities, compression therapy may be recommended for up to two to three weeks following treatment. Your vein clinician will talk with you about your individualized care plan.
It is recommended that you walk 30 minute every day for two weeks, starting the day of treatment, to facilitate the healing process.
There are two types of venous ablation, radiofrequency ablation and laser ablation. Radiofrequency venous ablation is a minimally-invasive, catheter-based procedure where problematic veins are closed from the inside using a microwave type energy and ultrasound guidance. Laser venous ablation is performed the same way only using laser energy to seal the vein.
Venous ablation is an outpatient procedure that is low-risk and performed using a local anesthetic. The procedure can take about an hour.
Recovery and Results
About one to three days after the procedure your Kansas City vein doctor will send you for a duplex ultrasound. This is to confirm that the vein is closed and is healing properly. You will have a follow-up visit with your doctor in about another 2 weeks and about a month after that to make sure your leg is feeling well and you don’t have additional symptoms or issues that need to be addressed.
It is recommended to take two 20-minute walks the afternoon after the procedure and one 20-minute walk once or twice a day there after. This is to help facilitate the movement of blood out of the leg through the deep venous system.
Most patients have significant improvement in their symptoms within a week. But many will have significant improvements within a couple days. The procedure can improve symptoms such as pain, swelling, aching, heaviness, fatigue, prominence of varicosities and sometimes improve neurologic symptoms (such as restless leg) if there was a venous trigger.
Vein Surgery (microphlembectomy) is a minimally invasive, outpatient procedure used to surgically remove varicose veins. A local anesthetic is administered and your vein surgeon will make very tiny incisions to remove the troublesome vein. The surgery takes about an hour.
Recovery and Results
You will need a duplex ultrasound about one week after your vein surgery to confirm that you are healing properly. Then about one month after surgery, you will see your doctor in his/her office to see how you are progressing and make sure there are not additional symptoms that need to be resolved.
In most cases, patients are able to return to normal activity immediately after treatment. Strenuous activity should be avoided but walking is encouraged to assist with the movement of blood.
There is virtually no scarring and results can be seen almost immediately after treatment. You may experience some bruising or minimal discomfort for a couple days after surgery.
Symptoms of Venous Insufficiency
If you have any of the following symptoms, you may want to consider being evaluated.
- Leg pain, heaviness or cramping
- Varicose veins (veins that are dark purple or blue, appear twisted and bulging)
- Skin discoloration, redness, open wounds, sores or ulcers
What Causes Varicose Veins?
Varicose veins are caused by the breakdown of the valve system in veins close to the skin. This breakdown doesn’t allow blood to travel back to the heart and causes blood to pool in the lower legs. The increased volume of blood and pressure of that blood can cause pain.
Varicose veins can affect people as young as their teens, but vein disease often progresses as we age. It is also more common in women than men. Other risk factors include:
- A family history of venous disease
- Two or more pregnancies
- Prolonged sitting or standing
- Obesity or an increased body mass index
- Leg injuries
- Birth control pills or hormone replacement
How do you Prevent Varicose Veins?
While there is not much you can do about your family history, there are some things you can do to help prevent or slow the development of venous disease.
- Exercise! It can help pump venous blood out of the legs. People who exercise regularly may experience fewer venous symptoms.
- Avoid heavy isometric exercise (lift heavy things).
- Avoid prolonged standing or sitting.
- Avoid smoking.
- Knee surgeries or leg trauma can sometimes contribute to the development of chronic venous disease.