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- The Leg Swelling & Lymphedema Center | Milford, CT | Milford Vascular Institute
The Leg Swelling & Lymphedema Center The Leg Swelling & Lymphedema Center at Milford Vascular Institute is a state-of-the-art treatment clinic for patients suffering from extremity swelling and lymphedema. The Leg Swelling & Lymphedema Center at Milford Vascular Institute was founded to aid an under served community of people suffering from leg swelling and lymphedema. The Center uses a holistic approach to treating and healing edema. Complete Decongestive Therapy (CDT) is the standard of care for the treatment of lymphedema. CDT is performed by a Certified Lymphedema Therapist (CLT). What Causes Leg Swelling? There are many different potential culprits for swelling in a person's extremities. To achieve an accurate diagnosis, our experts at Milford Vascular Institute use a variety of diagnostic tests. The most common causes for lower extremity (leg) swelling are: Lymphedema NIVL/May Thurner Syndrome Congestive Heart Failure (CHF) Venous Insufficiency Infection Liver Disease DVT Renal Disease Medications MEET JEN JENNIFER PASSONI, DPT, CLT Jen is the Center's Certified Lymphedema Therapist. She is dedicated to helping patients improve their quality of life. Through counseling, Jen and our patients at the Leg Swelling & Lymphedema Center build individualized programs to work for their personal needs and goals. Read More MEET SARAH SARAH OKAMOTO, PTA Sarah is a physical therapy assistant for the Center. She works along side Jen to help improve the quality of life for patients suffering from leg swelling and lymphedema. Read More What to expect There are 6 key components to complete decongestive therapy (CDT); the gold standard of treatment for patients with leg swelling & lymphedema. Manual Lymph Drainage Skin & Nail Care Education Compression Bandaging Self-Care Training Exercise Therapy Compression Garments & Devices Manual Lymph Drainage (MLD) MLD is a light massage that focuses on skin-stretching to help promote the movement of lymphatic fluid out of the swollen extremity. For optimal benefits, patients should be scheduled for this therapy 3 to 5 times a week for 4 to 6 weeks. Compression Bandaging Bandaging is an important part of lymphedema therapy. A variety of bandages and wrapping techniques are used during therapy to help move the fluid out of the tissues. This technique is used during appointments with the our lymphedema specialist and as part of the maintaince care program. Exercise Therapy Exercise therapy is an important aspect of lymphedema rehabilitation. Some studies have even shown that patients who incorporate exercise into their therapy for lymphedema have a reduced incidence for lymphedema flare-ups. This is why we incorporate exercise therapy in our treatment protocol for lymphedema patients. Therapy includes in-office, lymphedema therapist monitored exercises, like walking on a treadmill and pedaling a stationary bike, and an at home exercise regime. For optimal benefits, patients should perform at home exercises daily. Monitored exercise therapy should be scheduled 3 to 5 times a week. Skin & Nail Care Education Proper skin care education is incredibly important for lymphedema patients. During their initial meeting with our lymphedema therapist, patients will be instructed to keep their skin clean and to moisturize daily with a gentle moisturizer (such as Eucerin). Additionally, since lymphedema patients are at high risk for developing infections, patients are instructed to check their skin daily for cuts, scratches, irritation, or sign of infection. Self-Care Education Every patient has a different cause for their lymphedema and different factors which contribute to the worsening of their disease. Self-care training is a very important aspect of our lymphedema program to the team at Milford Vascular Institute. We pride ourselves on having created a practice that is able to care for each patient as a whole person, not just the ailment that brought them to our clinic. Our goal with self-care counseling is to help patients learn how to deal with stress, work toward any necessary weight-loss goals, and build healthy habits they can take with them for the rest of their lives. Compression Garments Compression garments may be prescribed to patients for daily wear and use while not at therapy or using their pneumatic compression device. These garments use gradient compression to prevent and reduce swelling. They are very beneficial for helping fluid move to an area that is draining well. Pneumatic Compression Devices Pneumatic compression pumps are prescribed to patients suffering from leg swelling or lymphedema who have failed perviously prescribed conservative therapies. They are also proposed to supplement standard of care for patients with venous ulcers. A variety of pumps are available; they can be single chamber (non-segmented) or multi-chamber (segmented) and have varying design and complexity. Pneumatic compression devices consist of an inflatable garment for the arm, leg, trunk, chest, or a combination of these pieces, and an electrical pneumatic pump that fills the garment with compressed air. The garment is intermittently inflated and deflated with cycle times and pressures that vary between devices. As the compartments fill with air and the device squeezes the affected area. This increases blood flow through the veins and flushes excess fluid and blood built up in the extremities. Most patients notice a significant decrease in swelling when they couple in-office CDT with at-home pneumatic compression device treatments. Call Now Questions about lymphedema or interested in scheduling an appointment? Call (203)882-VEIN(8346) to schedule a new patient consultation.
- Meet The Team - Milford Vascular Institute | Vascular Specialists
Meet the Team Milford Vascular Institute's strongest asset if our team. Together we are able to provide state-of-the-art care to patients suffering from venous insufficiency and other forms of vascular disease. Nicole, RVT, RSMD Sonographer Nicole completed the Diagnostic Medical Sonography Program for the Institute of Allied Medical Professions in 2013, addition to receiving an associates degree from Gateway Community College. Nicole holds credentials in Registered Diagnostic Medical Sonography and as a Registered Vascular Technologist. Nicole is the lead vascular sonographer at Milford Vascular Institute. Nicole has vast experience working in hospital and outpatient office settings. Prior to working at MVI, she was a sonographer at Milford Hospital and Diagnostic Imaging of Milford. TAYLOR, RVT Sonographer Taylor is a registered vascular sonographer at Milford Vascular Institute. She received her degree in Diagnostic Medical Sonography from the American Institute in West Hartford, CT. Prior to this, she lived in Boston, where she completed a Bachelors in Health Psychology as well as a graduate degree in Nutrition. Taylor is passionate about her role at Milford Vascular as she loves providing good care for patients. She lives locally with her husband and daughter. Chelsea Sonographer Chelsea is a part of the Milford Vascular Ultrasound team. She received her ultrasound degree from American Institute, in West Hartford, CT. She began her ultrasound career scanning Transcranial Doppler Ultrasound and then decided to fulfill her passion in vascular ultrasound at Milford Vascular. Prior to ultrasound she completed an undergraduate degree at Central Connecticut State University where she majored in Communications. Chelsea was born in Milford and remains a resident with her husband and children. Kaitlyn Sonographer Kaitlyn joined the Milford Vascular ultrasound team in 2022. She completed her ultrasound degree from American Institute in West Hartford, CT. She always excelled in Vascular Ultrasound and decided to make a career in the field. Previous to a degree in ultrasound, she received a Bachelors of Science in Public Health, from Southern Connecticut State University. Sheri, RN, BSN Registered Nurse Sheri received her associates in Nursing from Coastal Georgia Community College. A Connecticut native, she resides in West Haven. Sheri has over 20yrs of experience in the nursing field and went on to further her nursing education with a Bachelor's degree from Chamberlain University. Working for Milford hospital, gave her the tools to oversee a variety of patient population, including medical/surgical and cardiac care. Sheri's focus is on outpatient based surgical lab at MVI and takes pride in making every patient feel as comfortable as possible. KAYLA Medical Assistant Kayla is a graduate of Platt Technical High School. After graduating she wanted to pursue a career in the medical field. She attended Porter and Chester in Branford, CT where she graduated with her medical assistant certificate. She joined the team at Milford Vascular Institute in 2016 and works hands-on with the patients. Working at Milford Vascular Institute has inspired Kayla to continue her education. She is now attending school for Diagnostic Medical Sonography. PJ Medical Assistant Pasquale (PJ) graduated from East Haven High School in 2013. Following graduation, he attended Branford Hall Career Institute where he received his Medical Assistant License and Certification. Pasquale has prior Medical Assistant experience working for the Yale Health Plan assisting patients in the Student Health and Athletic Medicine fields. Pasquale jointed the Milford Vascular Institute team in October of 2016. He hopes to pursue a nursing career in the future. SHAUNA Medical Assistant Shauna is a registered medical assistant specializing in surgical assisting. She enjoys making sure patients feel comfortable and cared for during their procedures. Morgan Medical Assistant Morgan attended Joseph A. Foran high school graduating in 2017 and Quinnipiac University in 2021 with a bachelors in science. She is returning to Quinnipiac in the fall to pursue a career in nursing. She is a Milford resident who loves the beach and being on the water. STephanie Medical Assistant Stephanie is a graduate of Jonathan Law High School. She is currently enjoying her role as a medical assistant where she gets to put into action her passionate care for others and her goal is to always put a smile on someone's face. She's excited to explore the endless possibilities in the medical field. She lives locally in Milford, loves to travel and adventure! Monica Medical Assistant Monica is a medical assistant at MVI. Ethan Medical Assistant Ethan graduated from the University of Connecticut in 2021 with a degree in physiology and neurobiology, with a minor in chemistry. He grew up in downtown Milford his entire life, and attended Joseph A. Foran High school before college. His intention is to attend medical school in the near future, but without plans of what specialty to go into yet. Ethan joined Milford Vascular in 2019 as a student intern, and since Summer of 2021 has been working as the medical assistant for our Leg Swelling and Lymphedema Center. There he performs a variety of roles from administrative and scheduling to working with patients. Johnae Medical Assistant Johnae is a medical assistant for MVI. JADA Clinical & Admin Supervisor Jada is a graduate of Platt Technical High School and grew up in Bridgeport. Following graduation, she attended Gateway Community College where she received a degree in General Studies. She has a background knowledge in Emergency Medical Technician training and medical terminology. She is currently attending Gateway Community College nursing program. Her main roles at Milford Vascular include overseeing the Medical Assistants and Administrative staff on a day to day operation. EMMA Administrative Assistant Emma is a graduate of Platt Technical High School in Milford. She is also a graduate of the American Institute of Healthcare and Technology where she earned her certification in Medical Billing and Coding. Kassandra Administrative Assistant Kassandra is an administrative assistant at Milford Vascular Institute. MELODY Greeter Melody is one of our friendly greeters at Milford Vascular Institute. She is the first and last face you will see during your visit at Milford Vascular Institute. Melody strives to make every patient feel like they are a part of our family. SUE Greeter Sue is one of our friendly greeters at Milford Vascular Institute. She is the first and last face you will see during your visit at Milford Vascular Institute. Sue strives to make every patient feel like they are a part of our family. DANA Vein Coordinator Dana was born and raised here in Milford and is a Foran High School graduate. She attended Southern Connecticut State University. Dana worked for many years as a certified nursing assistant and greatly enjoys helping patients. She is looking forward to helping you have a great experience here at MVI! REBECCA Surgical Scheduler Rebecca graduated from Southern Connecticut State University with a BS in Business Management. She brings years of experience from the Radiology and Vascular fields and coordinates the Office Based Lab schedule as well as obtains authorizations for our office procedures. She will be happy to assist scheduling your surgical procedure or help explain your insurance benefits! TINA Accounts Receivable Tina is the Accounts Receivable Manager at Milford Vascular Institute. MARY Insurance Coordinator Billing, collections and insurance have been Mary's areas of expertise for many years. She enjoys providing help to the patients and her team members how ever she can. Mary resides in the local area with her two wonderful children and ever supportive husband, Tim. Marie Insurance Coordinator Marie is an insurance coordinator for MVI. She graduated from Central Connecticut State University with a degree in Computer Science Programming. For the past 25 years, Marie has worked in various Front Desk and Administration Assistant roles in Milford where she raised her children with her husband. She is a people person who always puts the customer first. ASHLEY Operations Manager Ashley is the Operations Manager at Milford Vascular Institute. She graduated from Loyola University Chicago in 2017 with a Bachelor's of Science in Mathematics. Ashley has been working at Milford Vascular Institute in various roles since 2010. She lives locally, in Milford, with her son, Thomas, and her fiancé, Jack.
- Milford Vascular Institute - Varicose Vein Specialists | Milford, CT
CALL (203)882-VEIN MVI is a private vascular practice located in Milford, Connecticut specializing in the treatment of varicose veins, leg swelling, and vascular disease. Vascular Specialists We at Milford Vascular Institute are a group of individuals who come together as a team to provide comprehensive, state-of-the-art care for patients suffering from all aspects of vascular disease. Meet our Providers Varicose Vein Treatments Our procedures for treating venous insufficiency, the condition which causes varicose veins, are quick and easy. They require little to no downtime and are performed in our office located in Milford, CT. Learn More State-of-the-Art Technology Our team is always looking for ways to improve our services. We stay up-to-date on cutting edge procedures and technologies with the intent of always improving our patient experience. Our Services Leg Swelling Treatment Center The Leg Swelling & Lymphedema Center at Milford Vascular Institute offers complete decongestive therapy, a therapy that has proven highly successful for alleviating patients' leg swelling. About the Center MVI RESPONDING TO COVID-19 At Milford Vascular Institute, our top concern is the safety of our patients and staff. Our team is committed to being your trusted and reliable vascular treatment facility during this crucial time. With ongoing concerns surrounding the COVID-19 outbreak, MVI is taking all necessary precautions to ensure a safe environment for our patients and staff. Please follow the link below read more on our response to COVID-19. Read More About MVI Milford Vascular Institute provides multidisciplinary care for all aspects of vascular disease. We are located in the lively seaside town, Milford, CT. Milford is located between New Haven and Bridgeport. Our office is easily accessed from I-95 and the Merritt Parkway. The team of specialists at Milford Vascular have more than 70 years of combined experience in the treatment and prevention of vascular disease. Led by our Cardiac, Thoracic and Vascular surgeon, Dr. David Esposito, and Interventional Radiologist, Dr. Paul Davis, MVI is able to provide a vast array of surgical treatments in office. The initial consultation, diagnostic tests, and definitive treatments are all coordinated and performed through one office. We believe that this streamlined approach offers the patient the most efficient and thorough care with a much higher likelihood of successful outcome. The on-site vascular laboratory provides immediate diagnostic input and allows for close, long-term surveillance. The physicians are trained and skilled in vascular diagnostics and imaging and all the latest vascular therapeutic techniques, ranging from minimally invasive office procedures to complex endovascular and open surgical repairs. Our vascular specialists are easily accessible and provide continuing educational support throughout the entire healing process. We believe that this model of patient care provides a level of service that is unmatched anywhere in southern Connecticut. Read More Do you have venous insufficiency? Take Our Quiz Patient Education Resources Click on the links below to learn more about Milford Vascular Institute. SERVICES WE OFFER Our Providers Educational Videos Patient Glossary What to Expect New Patients What to expect at your first visit. Insurance & Cost Estimating your expenses. Before & After's Pre- and post-operative procedure instructions. FAQ's You have questions... We have answers. WHAT PEOPLE SAY READ REVIEWS & SUBMIT YOUR OWN Rate Us Don’t love it Not great Good Great Love it Rate Us ROBIN Karen and the staff at Milford Vascular were wonderful! Very caring, considerate and did a wonderful job with minimal pain. I am very pleased with all aspects of my care and would definitely recommend them for any vascular concerns. KATHY Karin is professional, knowledgeable and very gentle when administering her procedures. The office staff is very courteous and efficient. Also, patients are seen on time. I highly recommend MVI-you will not be disappointed! MARSHA While I Haven't finished with my treatments yet I can say that I have been treated very well and the staff does everything to make you comfortable and welcome. SUE All of the staff are amazing and truly care about you. I have referred at least 6 if not more people here and they all are very pleased. I only choose the best doctors to go to and this office is one of them! Contact Us You have questions... We have answers. Message us 24/7/365 and one of our team members will get back to you as soon as possible or the next business day. Submit 20 Commerce Park, Milford CT 06460 (203)882-VEIN(8346) (203)876-9720 Monday 7:30 AM - 5:00 PM Tuesday 7:30 AM - 5:00 PM Wednesday 7:30 AM - 5:00 PM Thursday 7:30 AM - 5:00 PM Friday 7:30 AM - 5:00 PM
- Heart Health & Vascular Disease
February is Heart Month! ❤️ According to the Center for Disease Control, 647,000 Americans die from heart disease each year. That's 2% of the population! It is the leading cause of death in the United States. What's even scarier is heart disease is considered a silent killer; most people don't know they have heart disease until it is too late. So, what is heart disease? Heart disease is used to describe a range of conditions which effect the heart. The most common forms of heart disease fall under three main subcategories; diseases which effect the blood vessels, the heart's beating, or congenital heart defects. The term heart disease is often used interchangeably with the term cardiovascular disease. However, cardiovascular disease more accurately refers to narrowed or blocked vessels. This form of heart disease is what most frequently leads to heart attack. Cardiovascular disease is an atherosclerotic disease. Atherosclerosis can occur in any artery in the body. Typically, when a patient has been diagnosed with atherosclerosis in one area of the body, the disease will also be elsewhere, undiagnosed. This is why anti-platelet therapies and life style modifications are so important for people who have been diagnosed with vascular disease. Watch this video below for Dr. Esposito's explanation of how intertwined heart and vascular health can be: If you're interested in being screened for vascular disease, call us today to schedule an appointment: (203)882-VEIN(8346). cdc.gov, mayoclinic.org
- Milford Vascular Institute: Responding to Covid-19
UPDATED 5/4/2020 - At Milford Vascular Institute, our top concern is providing the highest quality care for our patients. Our team is committed to being your trusted and reliable vascular treatment facility during this crucial time. With ongoing concerns surrounding the COVID-19 outbreak, the health and safety of our patients remain our top priority. We have been closely monitoring this evolving situation and putting precautionary measures in place to ensure the safety of our staff and facility, while keeping our services open and available for the patients in need of continuous treatments. We are truly committed to the safety and well-being of each of our patients and will make it our due diligence to ensure the absolute safest possible care is delivered. Our Precautionary Measures: - Effective May 4, 2020: we will return to normal office hours, 7:30 AM to 5:00 PM. - There will be a provider available in the office every weekday. - While we will be open normal office hours, we will be seeing a significantly decreased patient volume in accordance with social distancing guidelines. Patient appointments will be spaced apart to limit the number of patients in the office. - There will be only 4 chairs in our waiting room, spaced 6 feet apart. - Only one family member will be allowed to accompany a patient, unless there are extenuating circumstances. If your office is scheduling an appointment for your patient and you are aware of such circumstances, please discuss this when scheduling the appointment with our staff. - Adults and older children should arrive wearing a mask. - All employees and providers will be wearing masks at all times. - Taking all necessary precautions to protect the health and well-being of our patients and staff. - Ensuring medical equipment is cleaned and disinfected thoroughly before, during, and after each patient visit. - Pre-screening our patients prior to their appointments. - Conducting on-site wellness checkups to verify the health of each patient before treatment. A clinician may take the temperature of patients and their family members prior to their appointment. - Increasing precautions at our clinics located in areas in state of emergency. - Increasing sanitation of high-traffic areas. Steps You Can Take to Protect Yourself: - Wash your hands often with soap and water for at least 20 seconds. - If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. - Avoid touching your eyes, nose, and mouth with unwashed hands. - Avoid close contact with people who are sick. - Practice social distancing. Put distance between yourself and other people if COVID-19 is spreading in your community. Should you come in for your appointment? At this time, Milford Vascular Institute is discouraging patients with compromised immunity or over the age of 65 years old from keeping routine, follow-up visits. Due to the nature of vein and artery disease and the potential for the condition to become more complicated, we encourage our patients to continue with their current treatment plan to avoid developing any serious issues. As a surgical facility for all aspects of vascular and thoracic disease, we are continuing to see patients with an array of symptoms. If you are an existing patient seeing us for any of the below listed diagnoses and are experiencing any of the below outlined symptoms, please contact the office immediately to schedule an appointment. Milford Vascular Institute will continue to provide high level vascular care to our patients. If you or someone you know is suffering from any aspect of vascular disease, know we are making every effort to keep Milford Vascular Institute a safe environment for you to receive care. Call (203)882-VEIN (8346) if you have any further questions. Stay healthy and safe.
- What is a NIVL?
What is NIVL? NIVL stands for non-thrombotic iliac vein lesion. This vascular occurrence was previously coined May-Thurner Syndrome, after the doctors who discovered the phenomena. NIVL is caused when the left iliac vein is compressed by the right iliac artery. This incidence increases a patient's risk significantly of developing blood clots. How was NIVL discovered? In 1851, Rudolf Virchow observed that patients were five times more likely to develop blood clots in the left iliofemoral vein compared to the right. In 1957, May and Thurner provided an explanation of this phenomenon. They found that the left common iliac vein had a vascular thickening at the point where it was crossed by the overlying right common iliac artery. They called this lesion, “a venous spur” and suggested that the chronic pulsation of the overlying iliac artery is responsible for the formation of this spur. They continued that the spur is what leads to a venous obstruction. This anatomic variant later became widely recognized as the May-Thurner syndrome (MTS). Recently, this definition has been expanded to a broader disease profile known as NIVLs. What exactly is a venous spur? A venous spur occurs as a result of the trauma induced by the direct pulsation of an artery against a vein. This chronic force on the vein leads to the build up of elastin and collagen on the inner side of the vein wall. The resulting potential appearances of a cross section of the internal left common iliac vein are demonstrated in Figure 2. How many people have NIVL? The actual number of people who suffer from NIVL is unknown. According to autopsy studies performed in the early twentieth century, it is believed that between 22 and 32% of people develop NIVL throughout their lifetime. What are the symptoms of NIVL? People are often diagnosed with NIVL after seeking treatment for left lower extremity swelling, pain, or tenderness. Their primary care doctor often sends them for an ultrasound study to rule out a deep vein thrombosis (DVT), or blood clot. How is NIVL diagnosed? After a blood clot has been ruled out using ultrasound, the patient will undergo a CT of their abdomen and pelvis. The CT imaging will give the physician their first clear image of the compressed iliac vein. However, a patient will not have a definitive diagnosis of a non-thrombotic iliac vein lesion until a Venogram is performed. How is NIVL treated? During a venogram, a special dye is injected into the veins. This dye allows the veins to be photographed using x-ray imaging. Venograms are a diagnostic radiology tool. At Milford Vascular Institute in our Outpatient Based Laboratory, once a diagnosis is confirmed for NIVL, a stent can be placed inside the left common iliac vein to expand and reopen the vein.