Venous insufficiency affects men, too.

Working in the engineering department for two local TV stations, Matthew Gaige was on his feet most of the day. Standing on the job got a little tougher during the last few years, as he struggled with a chronic leg condition.

“For about four years, I’ve had blistering sores about three inches around on my right leg above the inside ankle, along with purplish discoloration,” describes Matthew. “I’ve also had some swelling of my left leg.

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Publix deli worker has fashion show after varicose vein removal

Publix deli worker with varicose veins in Fort Myers, Florida shows off her amazing new legs!Sheila returned to the office today for her second vein procedure. Now two weeks out from her left leg laser endovenous ablationand varicose vein removal, she is the talk of the deli! Not only does her leg feel better but she couldn’t help but to brag to her fellow employees on how good her leg looks. She says, “I’m so glad I don’t have those ugly veins showing and now I am able to wear a dress! The staff was great and the doctor was not so bad either! Like awesome!!” Her excitement over the incredible appearance of her leg sparked envy in another employee whose spouse had the misfortune of having her procedure done at a different vein center and did not have the results they were hoping for.   Its not too late for her to have an evaluation by dedicated vein specialists at Vein Specialists.  Why settle for a Jack of All trades, when you can come to the Masters of ONE!  Vein Specialists! #IlovePublix.

Dr. Magnant

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External Bleeding from small calf veins can be sign of underlying problem

Have seen back to back patients this morning with severe venous insufficiency involving the left great saphenous vein.  Both patients had history of multiple episodes of significant external hemorrhage.  Neither had external signs of varicose veins but both had what appeared to be large spider veins (called telangiectasias) in the pretibial region (front of the lower leg).  Bleeding is a more frequent presentation of venous insufficiency than is commonly thought.  If you have veins that have bled externally or look like they are ready to bleed, seek us out.  Let us perform a thorough venous insufficiency evaluation.

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Vein disease causes leg cramps

Just saw Susan H. back 2 weeks after her left Great saphenous vein closure and she commented on how the very next morning she only had cramps in the non treated leg , the treated leg cramps we gone.  Has not had left leg cramps in last 2 weeks.  Excited to hear this great news, not surprised just gratified.  Now off to the procedure room to treat the rt leg.  venous insufficiency does cause night time leg cramps and should be considered prior to extensive neurologic or metabolic workup.  Get a venous assessment before you try Chuck Woolery’s Highlands night time leg cramps PM!

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Check your veins before (or after) hip or knee replacement! Reduce your risks of complications.

This patient had left leg swelling for the past six months since his left total knee replacement. He had two ultrasounds which negative for deep vein thrombosis (DVT) yet his swelling and pain persisted. On further review of his history he stated that he had had swelling in his left leg for some years prior to his left total knee replacement. He presented to our office for further venous insufficiency evaluation. He was found to have significant left great saphenous vein insufficiency which is treatable with endovenous thermal ablation. The take-home lesson is that patients with evidence of leg swelling or other signs of venous insufficiency who are being treated for hip or knee arthritis should strongly consider preoperative venous evaluation.  Those patients who continue to have leg swelling months after their total hip or knee replacements,
despite negative ultrasound for deep vein thrombosis should also be evaluated by a Vein Specialist for Venous insufficiency.

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Another Tool to Treat Venous Insufficiency

Rachel Norton has been teaching first grade since 1994. In her free time, she likes to go to the beach with her husband and daughters. Rachel, who also likes to cook and craft, is a Florida native who relocated from one coast to the other.

“I’m from Miami and I moved to Lehigh Acres in 1991,” she notes, “so I’ve been on the west coast for twenty-five years.”

As a teacher, Rachel stands most of her day at school. Being on her feet so much has naturally had an impact on her legs. The first indication was the appearance of several unattractive spider veins, which she decided to have treated. She wanted to find a doctor she could trust.

Rachel found Joseph G. Magnant, MD, a board-certified vascular surgeon who specializes in treating veins. Dr. Magnant’s practice, Vein Specialists, which has offices in Fort Myers and Bonita Springs, is dedicated to the modern evaluation and minimally invasive treatment of leg vein disorders.

“I learned he specializes in veins, and that’s all he does all day long,” says Rachel. “I had to trust the doctor I chose, and it was comforting to me to know that was Dr. Magnant’s forte.”

Rachel liked Dr. Magnant immediately and felt she could trust him because of his expertise. Dr. Magnant successfully treated her spider veins, so when she developed more symptoms years later, she didn’t hesitate to return to him.

“My right leg became very achy, and I thought something was wrong,” she remembers. “I wondered why I was experiencing the pain. My leg wasn’t swollen or discolored. I didn’t have bulging veins or anything I could see, but I could feel it.”

Dr. Magnant performed an ultrasound examination and told her she had the early stages of venous insufficiency, which is when blood flows down the legs but can’t flow back up toward the heart. Rachel chose to postpone treatment at that time.
As the months went on, however, Rachel’s symptoms got worse. The pain in her right leg spread into her right foot as well.

“My foot started burning,” she describes. “I couldn’t sleep through the night because it felt like my foot was on fire. There was a throbbing pain that was almost constant, but at times the pain was worse. My foot was burning to the point where I was limited to wearing certain shoes.”

When these symptoms began affecting her daily routine, Rachel returned to Dr. Magnant.
“When I started experiencing the burning in my foot, I went back to him,” she states. “I tried to wait until this summer, but I ended up going back in March.
“Dr. Magnant did another ultrasound. The ultrasound showed that the venous insufficiency had progressed. He said we needed to treat it now. We had a conversation regarding a new procedure called VenaSeal™.”

VenaSeal is a vein closure technique that permanently seals leaky veins using a medical adhesive instead of heat. It produces the same end result as the ablation techniques using radiofrequency waves or a LASER, which Dr. Magnant frequently uses in his vein practice.
“Dr. Magnant said the VenaSeal technique accomplishes the same end result as heat ablation except it uses glue,” comments Rachel. “I would be his first patient to have the treatment. I trusted his expertise. Besides, VenaSeal requires only one insertion of the catheter versus the heat [based] procedures, where they enter the leg multiple times, and I don’t like needles.”

“Rachel has had problems with her right leg for a number of years,” describes Dr. Magnant. “I presented her with the different options for treating her two leaking veins. One was the traditional method with endothermal ablation using either radiofrequency or LASER-based techniques, and the other option was the new technology that’s been available less than a year that uses a medical adhesive, VenaSeal.

“Rachel was willing to take a chance on the new technology. She was my first patient to undergo it. She was a trailblazer, and she has done very well postoperatively.”

Veins are the blood vessels that return deoxygenated blood to the heart and lungs. Inside the veins are one-way valves that assist blood flow against gravity. When these valves become stressed and begin to leak, it causes blood to pool in the ankles or lower legs. The condition is venous insufficiency. It is more common than most physicians and patients realize.

“Forty million adults are affected by venous insufficiency, including one out ofthree people over the age of fifty,” alerts Dr. Magnant. “It is a medical condition, just like hypertension, diabetes and high cholesterol are medical conditions. We need to proactively manage it rather than reactively managing it.”

Dr. Magnant points out that venous insufficiency has many signs and symptoms. Signs are physical findings that can be seen with the eyes. Symptoms are the effects that patients feel. Physicians should check for both.

“There are not just the obvious signs, such as bulging varicose veins,” he explains. “True, varicose veins are part of it and are the easiest signs to diagnose. However, in the absence of varicose veins and in the presence of other symptoms such as heaviness, achiness, nighttime leg cramps and nighttime urination, the physician should consider the possibility of underlying venous insufficiency.

“The investigation of venous insufficiency with ultrasound is so straightforward, so accurate and so noninvasive that it makes perfect sense to be more proactive rather than waiting for the disease to progress or for the complications of the disease, such as skin ulcers, to develop.”

VenaSeal is like the ablation techniques for most of the procedure. Dr. Magnant uses ultrasound to guide a needle into the leaking vein. He then inserts a catheter into the vein and advances it to the top of the leg near the groin to treat the great saphenous vein, the vein running down the length of the leg, or behind the knee to treat the small saphenous vein. Here is where the VenaSeal differs. Instead of heat, it uses a safe, sterile medical adhesive to seal the vein.

“VenaSeal is another tool in our toolbox of options for treating venous disease,” points out Dr. Magnant. “It provides the same level of effectiveness as the endothermal ablation techniques, but it also offers certain benefits for some patients.”
In some cases, the patient’s entire great saphenous vein needs to be treated. Using the endothermal ablation techniques, Dr. Magnant can only treat the vein to the mid calf due to its proximity to a nerve.

“I never treat that vein below the mid calf because beyond that point, the great saphenous vein and the nerve are spiraling around one another,” informs Dr. Magnant. “With VenaSeal, I can treat that vein all the way down to the ankle without significant risk of injury to the nerve.”

Another advantage, and one that was especially attractive for Rachel, is avoidance of multiple needle sticks. VenaSeal requires only one to insert the catheter.

“Some people are very needle-phobic,” notes Dr. Magnant. “For those who feel they’ll pass out at the mention of the word needle, this is a good option for them.”

A third benefit is a decreased risk of any burning sensation or heat injury, although these risks are already very low with the ablation techniques.

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