Venous Insufficiency Treatment

Venous Insufficiency Treatment by the Best Vein Specialists Serving Milford, New Haven, Bridgeport, Stamford and All Of Southern Connecticut

Venous Insufficiency Treatment New Haven Connecticut

Venous insufficiency treatment in New Haven County, performed by our expert vascular specialists will help resolve your leg pain, leg swelling and leg heaviness.

The symptoms of venous insufficiency only get worse with time. They can become debilitating and affect your quality of life, if left untreated.

VENOUS INSUFFICIENCY CAUSES LEG PAIN, HEAVINESS, VARICOSE VEINS & DISCOLORATION

Venous Insufficiency New Haven CT - Leg Pain

So, if you have started to notice the development of varicose veins or spider veins on your legs, or if you have unexplained leg pain, swelling, cramping or heaviness, you may have venous insufficiency.

If you do have venous insufficiency, treatment is very important to prevent the progression of this dangerous vein disease and to help put an end to your debilitating symptoms.

The vascular specialists here at Milford Vascular Institute can quickly and easily diagnose and treat your venous insufficiency using the most advanced, minimally-invasive methods available anywhere.

Board Certified Vascular Surgeon Dr. Esposito Explains Venous Insufficiency

“Chronic venous insufficiency, left untreated, can lead to severe leg swelling, development of blood clots, and development of ulcerations where the skin can actually start to die.

And once you get into that process, it’s much harder to reverse.

So it is important to have venous insufficiency treatment early and before damage is done that’s irreversible.”

~ Dr. David Esposito
Board Certified Vascular Surgeon

“So if you have symptoms of leg heaviness, cramping or swelling or you have any concerns about the way your legs look, varicose veins on your legs, it can be a sign of a more serious problem underneath, which is venous insufficiency.

The best thing to do is come in, get it checked out with a simple ultrasound.

We’ll be able to help you either rule something out or, if it’s there, get you on the road to recovery.”

~ Dr. David Esposito
Board Certified Vascular Surgeon

Why Is Venous Insufficiency So Dangerous?

VENOUS INSUFFICIENCY CAN LEAD TO LEG ULCERS CAUSING THE SKIN ON YOUR LEG TO DIE

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If left untreated, venous insufficiency can eventually cause skin ulcerations on your legs. With ulcerations, your skin is essentially dying.

Why does this happen? Venous insufficiency causes the blood to pool in the lower leg and become stagnant.

This prevents healthy blood flow in the lower leg and therefore the skin does not get the proper nutrients it needs to stay alive.

As a result, the skin starts to die and ulcerations start to form.

That is why it is best to be diagnosed and have venous insufficiency treatment as soon as possible, before irreversible damage is done.

VENOUS INSUFFICIENCY CAN LEAD TO A DEADLY PULMONARY EMBOLISM

Venous insufficiency is caused by malfunctioning veins deep in your legs.

They are malfunctioning because the valves inside these veins are damaged and allowing blood to leak downwards and accumulate.

The biggest threat associated with this accumulation of blood in the legs is that it can lead to the formation of blood clots.

If a blood clot forms inside one of these veins, it can break loose, travel to the lungs, and cause a potentially deadly pulmonary embolism.

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Our Patients Share How
Venous Insufficiency Surgery Relieved Their Symptoms

What Causes Venous Insufficiency?

Venous insufficiency is the failure of the veins to circulate the blood properly, especially in the lower legs.

The valves inside your leg veins can become damaged due to age, heredity, hormones, trauma to the leg, and blood clots.

Damaged vein valves allow blood to flow downwards, the wrong way. Over time, this backward flow causes blood to accumulate in the lower leg.

This accumulation puts pressure on the vein walls, making them weak. Eventually, they will start to bulge, creating varicose veins.

This prevents the veins in the lower leg from doing their job properly, which is to keep the blood circulating back up to the heart. This condition is what is called venous insufficiency.

DAMAGED VALVES IN THE LEG VEINS CAUSE VENOUS INSUFFICIENCY

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Venous Insufficiency Symptoms

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The most common symptom of venous insufficiency is leg heaviness.

Symptoms vary from leg swelling to leg cramps and the development of varicose veins and spider veins.

Venous insufficiency is a very progressive disease and its symptoms will only worsen with time, if left untreated.

SYMPTOMS OF VENOUS INSUFFICIENCY

  • Leg cramps;
  • Spider veins;
  • Varicose veins;
  • Swelling in the lower legs;
  • Discoloration of the lower legs;
  • Relief from leg pain when legs are raised;
  • Feeling of heaviness and achiness in the legs;
  • Pain in the legs while walking or shortly after stopping;

If you have been experiencing any of these symptoms, you may take the MVI Venous Insufficiency Quiz. Our staff will receive your information and determine if it is advisable for you to have a vascular evaluation. We may contact you to schedule an appointment.

Providing The Most Advanced
Venous Insufficiency Treatment Available Anywhere

Here at Milford Vascular Institute, our top-rated vascular specialists serving Milford, New Haven, Bridgeport, Stamford and all of Southern Connecticut, use the most advanced minimally-invasive vein treatment techniques available anywhere in the world to treat venous insufficiency.

BOARD CERTIFIED VASCULAR AND INTERVENTIONAL RADIOLOGIST DR. DAVIS PERFORMING VENOUS INSUFFICIENCY SURGERY

Varicose Vein Specialist New Haven CT

The first step for treating venous insufficiency is to identify the deep veins which have damaged valves.

This is accomplished by performing a dedicated vascular ultrasound.

The diseased veins will be closed so blood circulation can continue through the other healthy veins in your legs.

Depending on your specific situation, our vascular specialists will determine which vein closure technique will be used to treat your venous insufficiency.

At Milford Vascular Institute, our vein treatments are low-risk procedures that are performed right in our office under local anesthesia. They include:

After the deeper malfunctioning veins have been closed using the above procedures, the underlying problem has been treated. However, some large varicose veins may remain and will need to be physically removed using the ambulatory phlebectomy procedure.

These state-of-the-art procedures allow for quick recovery time and leave minimal to no scarring in the treatment area.

Radiofrequency Ablation Vein Treatment

BOARD CERTIFIED VASCULAR SURGEON DR. ESPOSITO
PERFORMING RADIOFREQUENCY ABLATION PROCEDURE

Varicose Vein Surgeon New Haven CT Radiofrequency Ablation

Venous insufficiency treatment using radiofrequency (RF) ablation allows our vein specialists to use microwave energy to close the malfunctioning veins. RF ablation is the vein surgery that is most commonly used here at Milford Vascular Institute. It is a low-risk outpatient procedure that takes less than an hour to complete.

Here is what you can expect during RF ablation:

1. In preparation for your procedure, your leg will be cleansed and prepped with Betadine solution.  Lidocaine will be used as a local anesthetic.  You will be fully awake and aware during your procedure.  You have the option to request the PRO-NOX™ self-administered nitrous oxide and oxygen analgesia system to reduce anxiety and discomfort.  Although most patients report little to no pain during this procedure.

2. Using ultrasound, your malfunctioning vein is identified and punctured with a small needle.

3. Through this puncture, the RF catheter is inserted into the vein and advanced under ultrasound guidance to the malfunctioning valve that is causing venous insufficiency.

4. The vein is anesthetized with a lidocaine and saline solution.

5. The catheter is then heated and cauterizes the vein from the valve to the mid-thigh or knee.

RADIOFREQUENCY ABLATION CLOSES THE MALFUNCTIONING VEIN

Varicose Vein Removal in New Haven CT Using Radiofrequency Ablation

6. The catheter is then removed and a compression stocking is placed for 10-14 days to allow the vein to completely close.  You will require no stitching or staples at the puncture, and you can expect little to no scarring in the treatment area.

7. Immediately following the procedure, you will be able to get up and walk normally. You may experience tingling or pulling where the vein was closed down. It is normal to see some bruising in the treatment area. Elevate your leg when you are in a seated position, and make sure to walk around every few hours.

8. Three days after your procedure, you can resume low impact exercise at the gym. Two weeks following the procedure, you may fly or take long trips as long as you make sure you wear your compression hose and hydrate sufficiently.

9. Within 5-10 days after your procedure you will come back to the office for a follow-up ultrasound to confirm successful closure of the vein. In time, the body will absorb the vein and it will appear on ultrasound as if the vein has been removed.​​ You do not need the removed vein, and in fact, your other veins will function more effectively without it.

Vein Treatment Using Varithena® Microfoam

VASCULAR SPECIALISTS PERFORMING
FOAM VEIN TREATMENT

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Varithena® microfoam vein treatment is a minimally-invasive procedure where microfoam is injected directly into the diseased veins using a tiny needle. The foam fills the desired section of the vein, irritates the vein wall, causing the vein to collapse. Blood flow is redirected to healthier nearby veins.

VARITHENA® VEIN REMOVAL PROCESS

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The benefits of using Varithena® to treat malfunctioning veins are as follows:

  • The microfoam can reach veins that a catheter can’t reach.
  • A wire does not need to be inserted along the length of the vein.
  • Only one or two needle sticks are needed per treatment to insert the microfoam.
  • The treatment does not use heat, reducing the risk of thermal injury.
  • The treatment does not require incisions or stitches.
  • The procedure is nearly painless.

Vein surgery using Varithena® is provided on an outpatient basis and allows quick recovery time so there is practically no downtime.

If you are afraid of needles, you have the option to request the PRO-NOX™ self-administered nitrous oxide and oxygen analgesia system to reduce anxiety and discomfort.  Although most patients report little to no pain during this procedure.

IS VARITHENA® VEIN TREATMENT RIGHT FOR YOU?

Factors that limit a person’s ability to be treated with Varithena® include the type of vein, the patient’s medical history, and the patient’s insurance plans. ​

Varithena® treats a wide variety of varicose veins. However, not all varicose veins can be treated with this product. The veins which make the best candidates for Varithena® treatment are:

  • tortuous (twisted) veins;
  • veins above and below the knee;
  • veins with small, medium, and large diameters; and
  • veins previously treated with other methods.

Medicare and Medicare Replacement Plans cover Varithena®. Other insurance plans have varying protocols for coverage of this product. Our insurance coordinators will always check before your procedure to see the procedure will be authorized by your insurance.​

Please Note: You should not receive Varithena® if you have an allergy to polidocanol or if you have a history of blood clots.

WHAT TO EXPECT FOLLOWING VARITHENA® VARICOSE VEINS SURGERY

Following the Varithena® vein removal procedure, you must avoid heavy exercise for one week, and you must wear thigh high compression hose for 2 weeks.

It is normal to feel mild pain or discomfort for 2-3 days following the procedure. You may have slight bruising at the injection site.

For 72 hours following the procedure, you will be advised not to take a hot bath, sit in a hot tub or sit in a sauna.

Within 5-10 days after your Varithena® procedure, you will be scheduled to return to Milford Vascular Institute for a vascular ultrasound in order to check the results.

You should walk for at least 10 minutes a day for a month after the procedure. Avoid long periods of inactivity.

Compression Hose Must Be Worn For 2 Weeks
Varicose Vein Surgery Recovery New Haven CT

VenaSeal™ Vein Closure Procedure

DR. ESPOSITO USING THE
VENASEAL™ VEIN CLOSURE PROCEDURE

VenaSeal Vein Removal New Haven CT by Vascular Surgeon Dr Esposito

The VenaSeal™ is the only venous closure procedure that does not require injections to numb the entire leg, does not use heat to close the vein, and does not use a sclerosing solution. During this procedure, a medical “super glue” is delivered inside the vein to close it.

Here is what you can expect during the VenaSeal™ vein closure procedure:

1. In preparation for your procedure, your leg will be cleansed and prepped with Betadine solution.  Lidocaine will be used as a local anesthetic.  You will be fully awake and aware during your procedure.  You have the option to request the PRO-NOX™ self-administered nitrous oxide and oxygen analgesia system to reduce anxiety and discomfort.  Although most patients report little to no pain during this procedure.

2. Using ultrasound, your malfunctioning vein is identified and punctured with a small needle.

3. Through this puncture, a catheter is inserted into the vein and advanced under ultrasound guidance to the malfunctioning valve that is causing venous insufficiency and varicose veins.

4. The glue is then applied in multiple steps from the valve down to the mid-thigh or knee. Gentle compression is done to allow the glue to adhere to the walls of the vein.

5. This completely seals the vein, closing off blood flow and instead diverting blood to a different series of healthy veins.

6. The incision will be dressed with sterile gauze. You will then walk out of the room, get dressed, and go home.

7. A massive advantage of this technique is that after the procedure, a compression stocking does NOT need to be worn.

8. Following the procedure, you can return to your normal routine right away with no downtime. Patients typically begin to see and feel results immediately, but some veins do take up to a year to disappear completely.

9. Within 5-10 days after your procedure you will come back to the office for a follow-up ultrasound to check the results.

WHO CAN HAVE THE VENASEAL™ VEIN CLOSURE PROCEDURE?

The VenaSeal™ Closure System is covered by Medicaid, Cigna, Connecticare, Medicare, and Medicare Replacement plans. The only contraindication for VenaSeal™ is an adhesive allergy.

Laser Vein Removal

Laser vein removal, also known as EVLT (endovenous laser ablation) allows our vein specialists to use the heat from a laser to close the malfunctioning veins.

Here is what you can expect during laser vein ablation:

1. In preparation for your procedure, your leg will be cleansed and prepped with Betadine solution.  Lidocaine will be used as a local anesthetic.  You will be fully awake and aware during your procedure.  You have the option to request the PRO-NOX™ self-administered nitrous oxide and oxygen analgesia system to reduce anxiety and discomfort.  Although most patients report little to no pain during this procedure.

2. Using ultrasound, your malfunctioning vein is identified and punctured with a small needle.

3. Through this puncture, the laser is inserted into the vein. It is advanced under ultrasound guidance to the malfunctioning valve that is causing venous insufficiency and varicose veins.

4. The vein is anesthetized with a lidocaine and saline solution.

5. The laser is activated and cauterizes the vein from the valve to the mid-thigh or knee.

LASER ABLATION CLOSES THE MALFUNCTIONING VEIN

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6. The catheter is then removed and a compression stocking is placed for 10-14 days to allow the vein to completely close.  You will require no stitching or staples at the puncture, and you can expect little to no scarring in the treatment area.

7. Immediately following the procedure, you will be able to get up and walk normally. You may experience tingling or pulling where the vein was closed down. It is normal to see some bruising in the treatment area. Elevate your leg when you are in a seated position, and make sure to walk around every few hours.

8. Three days after your procedure, you can resume low impact exercise at the gym. Two weeks following the procedure, you may fly or take long trips as long as you make sure you wear your compression hose and hydrate sufficiently.

9. Within 5-10 days after your procedure you will come back to the office for a follow-up ultrasound to confirm successful closure of the vein. In time, the body will absorb the vein and it will appear on ultrasound as if the vein has been removed.​​ You do not need the removed vein, and in fact, your other veins will function more effectively without it.

Ambulatory Phlebectomy To Remove Varicose Veins

BOARD CERTIFIED VASCULAR SURGEON DR. ESPOSITO PERFORMING AMBULATORY PHLEBECTOMY TO REMOVE VARICOSE VEINS

Once the venous ablation procedure has been performed, the underlying problem has been treated. However, some large varicose veins may remain.

If these leftover veins are not addressed, you may continue to experience pain and discomfort. These unsightly veins may become inflamed and clotted. Therefore, it is best that these varicose veins are physically removed from your leg.

This procedure is called ambulatory phlebectomy, and here is what you can expect during the procedure:

1. In preparation for your procedure, our vascular specialist will use a marker to outline where the veins are that need to be removed. You will be fully awake and aware during your procedure.  You have the option to request the PRO-NOX™ self-administered nitrous oxide and oxygen analgesia system to reduce anxiety and discomfort.  Although most patients report little to no pain during this procedure.

2. You will then be asked to lie down. Your legs will be washed and painted with a solution to prevent infection.

3. You will feel a number of small pinches when the local anesthetic is injected around the vein.

4. Tiny incisions will be made where the veins were marked. The vascular specialist will grab the veins with a hook, and gently tease them out. You may feel a pulling sensation while this is happening. After each vein is removed, gentle pressure will be applied to stop any bleeding.

PHYSICAL REMOVAL OF REMAINING VARICOSE VEINS

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5. After all the veins are removed, the leg will be cleaned and sterile gauze will be placed over the incisions. The tiny incisions will heal without stitches.

6. Your leg will be wrapped with gauze and an Ace bandage. Leave the Ace bandage on overnight. Remove on the following day to shower. Then, place compression stocking and wear from morning to night for 14 days. When you remove the bandage you may see bleeding from the sites. This is common and not dangerous. Simply hold direct pressure for 5 minutes then place gauze underneath the stocking directly over the area.

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7. As you heal, you may notice lumps and bumps under your skin. This is part of the healing process. With time,
they will be absorbed by your body and disappear. Mild pain and discomfort are normal after the procedure.

Do Procedures Give You Anxiety?

THE PRO-NOX™ SYSTEM WILL HELP YOU RELAX

Although vein removal procedures are minimally-invasive, and most patients feel very little, if any discomfort, procedures can make some people feel anxiety.

To reduce any anxiety or discomfort you may have during venous insufficiency treatment, at Milford Vascular Institute, we have made the PRO-NOX™ system available to any patients who request to use it.

The PRO-NOX™ system is a self-administered nitrous oxide and oxygen analgesia system. It allows you to control how much anxiety or pain relief you receive by inhaling the gas through a tube you place in your mouth. You will immediately feel relaxed once you start inhaling the gas mixture. The gas mixture clears from your body within minutes, so you will be alert and able to function safely after the procedure.

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Is Venous Insufficiency Treatment Covered By Insurance?

Venous insufficiency is a progressive vascular disorder that can become life-threatening if left untreated. Therefore, venous insufficiency treatment is most likely covered by your medical insurance plan.

However, it is important to note that all medical insurance plans are unique, and we will help determine if your treatment is covered.

Our wonderful team of insurance coordinators and schedulers are here to help you by coordinating with your medical insurance provider to facilitate the process of having vein treatment. At Milford Vascular Institute, it is our top priority to help make the process as convenient and comfortable for you as possible.

OUR OUTSTANDING TEAM OF COORDINATORS IS HERE TO HELP YOU

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Why Choose

Best Vein Treatment Center New Haven CT

When you choose Milford Vascular Institute for venous insufficiency treatment you can rest assured that you are getting the very best possible vascular care available in all of New Haven County. Our vein specialists are highly skilled in providing the most advanced, minimally-invasive vein treatments available anywhere.

At MVI, venous insufficiency treatment is provided under the direction of board certified vascular surgeon Dr. David Esposito and board certified interventional radiologist Dr. Paul Davis, who is board certified in diagnostic radiology, and vascular and interventional radiology.

Dr. Esposito and Dr. Davis are top-rated experts in venous insufficiency treatment. They are always at the forefront of technology in the vascular surgery field to ensure they are providing the best, cutting-edge vein treatments to their community.

Board certified Physician Assistant, Karin Augur specializes in venous insufficiency treatment, helping to restore healthy blood flow through your legs so they can look and feel their best. Karin is also a vascular specialist who sees patients for all vascular disorders.

Best Vascular Specialists New Haven CT

With over 70 years of combined experience in diagnosing, preventing and treating vascular diseases, our outstanding group of highly trained and skilled providers have dedicated their lives to caring for you.

With over 20 years in practice, at Milford Vascular Institute, our staff is committed to excellent patient care, always treating our patients with respect and compassion because WE CARE.

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Our MVI Team ~ Always Treating You Like Family

If you’ve started to notice spider veins and varicose veins developing on your legs, or if you are experiencing any of the symptoms associated with venous insufficiency, it is important to have an evaluation with a vascular specialist as soon as possible.

Through a simple in-office ultrasound, we can determine if you have venous insufficiency. If so, we can treat your venous insufficiency using the most advanced vein treatment methods available anywhere.

Treatments are performed right in our offices using minimally-invasive techniques so you can enjoy practically no downtime and quick recovery.

To schedule a vein consultation with one of our top-rated vascular specialists here at Milford Vascular Institute, give us a call today at (203) 418-7386. It will be our pleasure to care for you.

MILFORD VASCULAR INSTITUTE

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