Broken Capillaries Or Small Facial Veins: What Are The Treatments?

Joseph G. Magnant, M.D., F.A.C.S., R.P.VI.

Have you noticed a group of small red vein clusters on your face? Have you ever wondered what they are or how you treat them? The tiny veins are right under the surface of the skin, making them very delicate and easy to enlarge and break. The medical term for broken facial capillaries is telangiectasia. There are a few causes of this condition. The small veins just under the surface of your skin are very delicate. An injury to the face, scrubbing too hard while washing your face, sun damage, smoking and alcoholism are all preventable causes of broken capillaries. Other, less avoidable causes are heredity, ageing due to thinning skin, and sometimes telangiectasia is associated with rosacea. Unfortunately, telangiectasia won’t repair itself so prevention and treatment is key.

The treatments for telangiectasia are laser and thermal therapies or facial aesthetic surgery. Fortunately, there an easy and affordable treatment therapy called VeinGogh Ohmic Thermolysis System. According to the VeinGogh analysis, the thermal energy generates a tiny, regulated, high frequency current delivered to the vessel via a hair-thin probe. A “microburst” of energy selectively heats the vein, coagulating the blood and collapsing the vessel wall, which is quickly absorbed into the body. All this is accomplished without affecting the outer layers of the skin resulting in a quick return to normal daily activities.

Another vein treatment option called sclerotherapy might be presented with larger facial veins. During the sclerotherapy procedure, the veins are injected with a solution that scars the vein and inhibits blood flow. The vessels collapse and the body naturally eliminates the vein.

Does VeinGogh only work on veins?

No! VeinGogh can also be used to eliminate cherry angiomas (raised red freckles or moles), small hemangiomas (raised freckle or mole), skin tagsspider nevi (cluster of small veins)and even the redness of rosacea.

Here are few tips to reduce facial spider veins:

  • Wear sunscreen daily
  • Gently was your face
  • Reduce or eliminate alcohol
  • Avoid trauma to skin
  • Avoid anything that will put constant pressure on your face
Posted in healthy veins, leaky veins, Q&A, spider veins, varicose veins, vein screening, vein specialist, vein treatment | Tagged , , , , , , , | Leave a comment

Vein Disease Can Contribute to Restless Legs Syndrome

Joseph G. Magnant, M.D., F.A.C.S., R.P.VI.

Restless legs syndrome, or RLS, is believed to affect as much as ten percent of the population in the United States. A patient, Laura, is among that group, but it wasn’t until she was older that her RLS symptoms really began to distress her.

It was in the evenings and at night when Laura’s restless legs would cause her distress and disrupt her. This late-in-the-day onset of symptoms is a primary characteristic of RLS. The most commonly reported symptom of the syndrome is a throbbing, creeping or crawling sensation in the legs. This uncomfortable feeling leads to an uncontrollable, and many times overwhelming, urge to move the legs in order to get relief.

“The RLS affected me most when I would sit for long periods, like traveling on an airplane or watching a movie in the evening,” says Laura. “In order to relieve my legs, I’d have to get up and walk around. It became pretty unbearable.”

“Most nights, right before I am about to fall asleep, my legs would ache so bad that I would have to get up and walk around just to alleviate the uncomfortable feeling. It caused me to kick my legs and toss and turn in bed throughout the night.”

After doing some research on the various causes RLS, Laura scheduled an appointment to have her veins evaluated to see if she could get any relief. She underwent a venous insufficiency ultrasound examination to identify if there was underlying venous insufficiency that could be causing her RLS. The ultrasound results showed severe leakiness in the great saphenous vein (GSV).

Venous contribution

Veins are blood vessels that are specially designed to pump blood back toward the heart, against the force of gravity. Inside the veins are a series of one-way valves that open and close with the rhythm of muscle contractions. Healthy valves close tightly, keeping blood moving upward toward the heart. With vein disease or venous insufficiency, the valves do not close properly, causing symptoms.

Venous insufficiency has many signs and symptoms and they go beyond the visible varicose veins. They include achy legs, swollen legs and skin discoloration and ulceration. Vein disease can also be a contributing factor in the development of RLS.

With venous insufficiency, the valves of the deep and/or superficial veins of the lower extremities are either stuck or scarred in the open position or, more often, are floppy and continue to open, or prolapse, beyond the closed position. This results in reflux, or backward blood flow in the veins, which produces increased hydrostatic pressure in the downstream venous system.

Typically, the normal pressure in healthy veins, veins in which the valves are closing properly, is approximately ten millimeters of mercury at the level of the ankle when a patient is standing. If the valves are leaking from the groin all the way down to the ankle, by the end of the day the pressure could be as high as fifty or sixty millimeters of mercury. All of that extra pressure causes fluid to leak out of the veins into the skin, fat and muscle, causing pain and swelling.

It is thought that the return of this fluid, which contains water and protein, from the muscles back into the lymph vessels at night, when the legs are elevated, can trigger a cellular electrolyte imbalance and the symptoms of RLS. Thus, RLS symptoms often go hand-in-hand with venous insufficiency. However, not everyone with RLS has venous insufficiency, and not everyone with venous insufficiency has RLS.

We recommend that, before patients start taking prescription medication for restless legs syndrome, they request a consult by a qualified vein specialist. He or she will likely order an ultrasound evaluation to identify whether there is significant underlying venous insufficiency that might be causing or contributing to their problem.

There is no downside to getting an ultrasound; there is no radiation involved, no needles, no pain and it is a physiologic test that reveals which veins are leaking and how much they are leaking. Venous ultrasound for insufficiency is conservative and noninvasive, and it accurately identifies which patients are most likely to benefit from treatment.

Clearly, other causes of RLS exist, however, we encourage patients to consider venous insufficiency as a contributing factor and to request a venous insufficiency evaluation by an experienced vein specialist prior to undergoing a million-dollar workup for other diagnoses or initiating medical therapy for RLS.

Patients are simply unaware that a disease process is causing their symptoms and, further, that the disease can be treated. More often, patients tend to accept the way their legs feel and attribute the achiness or restless legs to the normal result of aging, heredity or being on their feet all day.

Posted in healthy veins, leaky veins, Q&A, spider veins, Uncategorized, varicose veins, vein screening, vein specialist, vein treatment | Tagged , , , , | Leave a comment

Revealing Vein Disease: Swollen and Achy Legs!

After years of suffering with symptoms of vein disease, Lynn learned the truth and discovered a minimally invasive treatment to cure her symptoms!

Dr. Joseph Magnant, Vascular Surgeon and Vein Expert

The swelling and achiness in her legs started long before Lynn retired from her career in business development 11 years ago. Aside from gardening, Lynn’s hobbies, including reading and staying active with crafts, kept her sitting for long periods and she noticed her legs were always exhausted by the end of the day.

“I felt like I was carting around concrete blocks because my legs and my ankles would swell,” Lynn recalled. She also experienced cramping, fatigue and trouble sleeping at night.

She reported that she did not have any visible varicose veins, so it did not occur to her that it might be a venous thing. She had other health issues so she kept thinking her symptoms were related to some of her other health issues.

After doing some research on the various causes of her symptoms, Lynn scheduled an appointment to have her venous system evaluated.  She underwent venous insufficiency ultrasound examination, and then sat down with her vein specialist to discuss the ultrasound findings and treatment options.

After 15 years, Lynn finally learned that a very real and potentially serious vein disease was the cause of her swollen and achy legs. More importantly, she learned that she didn’t have to live with it.

Veins are blood vessels that are specially designed to pump blood back toward the heart, against the force of gravity. Inside the veins are a series of one-way valves that open and close with the rhythm of muscle contractions. Healthy valves close tightly, keeping blood moving upward toward the heart.

With vein disease or venous insufficiency, the valves do not close properly. This allows blood to flow backward down the legs and pool in the veins. The pooled blood can lead to bothersome symptoms such as swollen, achy legs or leg cramping, and other signs of progressive venous disease such as varicose veins, and skin changes that can lead to bleeding veins and leg ulcers. These complications, Dr. Magnant emphasizes, are signals that vein disease is present.

Symptoms and signs of venous disease are numerous. Varicose and spider veins are the most common indicator of vein disease. They are the easiest to diagnose. But in the absence of spider or varicose veins and in the presence of other symptoms such as heaviness, achiness, nighttime leg cramps and nighttime urination, a physician should consider the possibility of underlying venous disease. If you have varicose veins, you most likely have venous insufficiency, but someone can have venous insufficiency without presenting varicose veins.

The investigation of venous disease with ultrasound is accurate and noninvasive that it makes sense to be proactive rather than waiting for the disease to progress or for the complications of the disease to develop.

Patients are simply unaware that a disease process is causing their symptoms and, further, that the disease can be treated. More often, patients tend to accept the way their legs feel and attribute the achiness, cramps, swelling, etc. to the normal result of aging, heredity or being on their feet all day.

For Lynn, the turning point was learning that the feelings she was experiencing were not normal and came from a treatable disease. She encourages others to examine their own situations and seek help if they recognize themselves in the symptoms.

“Do not overlook the fact that your ankles are swelling or your legs are swollen and you have dull, aching pain or cramping at night or interrupted sleep,” she suggests. “Do not push that off and say, It’s always been like that or I’ve always had that uncomfortable feeling.”

If you are experiencing any signs and symptoms of venous insufficiency, don’t wait to get a vein evaluation. Log onto www.eVeinscreening.com to find a local vein specialist in your area and take your free virtual vein consult today!

Posted in Uncategorized | Leave a comment

Restless Leg Syndrome & Vein Health

Joseph Magnant, MD, FACS, RPVI

Restless Leg Syndrome (RLS) or Willis-Eckbom Disease is a neurological disorder in which the person who suffers from it has a constant urge to move their legs. RLS most strongly affects people during times of inactivity, and can make it extremely difficult for a person to relax, rest, or sleep. While RLS can appear in a person at any age, it is considered both a progressive disease and a spectrum disease. RLS symptoms can either become worse over time or better, depending on the patient, and the severity of symptoms also varies strongly from patient to patient.

What is RLS?

In order for patients to be officially diagnosed with restless legs syndrome, they must meet the criteria described in the four bullets:

• Patients have a strong urge to move their legs, which they may not be able to resist.

• RLS symptoms start or become worse when a patient is resting.

• RLS symptoms get better when patients move their legs. Relief persists as long as the motor activity continues.

• RLS symptoms are worse in the evening, especially when lying down.

Many cases have shown that RLS occurs as a result of and is associated with venous reflux disease or venous insufficiency.

Venous contribution

Veins are blood vessels that are specially designed to pump blood back toward the heart, against the force of gravity. Inside the veins are a series of one-way valves that open and close with the rhythm of muscle contractions. Healthy valves close tightly, keeping blood moving upward toward the heart. With vein disease or venous insufficiency, the valves do not close properly, causing symptoms.

Venous insufficiency has many signs and symptoms and they go beyond the visible varicose veins. They include swollen, achy and heavy legs, skin discoloration and ulceration. Vein disease can be a contributing factor in the development of RLS.

With venous insufficiency, the valves of the deep and/or superficial veins of the lower extremities are either stuck or scarred in the open position or, more often, are floppy and continue to open, or prolapse, beyond the closed position. This results in reflux, or backward blood flow in the veins, which produces increased hydrostatic pressure in the downstream venous system.

Typically, the normal pressure in healthy veins, veins in which the valves are closing properly, is approximately ten millimeters of mercury at the level of the ankle when a patient is standing. If the valves are leaking from the groin all the way down to the ankle, by the end of the day the pressure could be as high as fifty or sixty millimeters of mercury. All of that extra pressure causes fluid to leak out of the veins into the skin, fat and muscle, causing pain and swelling.

It is thought that the return of this fluid, which contains water and protein, from the muscles back into the lymph vessels at night, when the legs are elevated, can trigger a cellular electrolyte imbalance and the symptoms of RLS. Thus, RLS symptoms often go hand-in-hand with venous insufficiency. However, not everyone with RLS has venous insufficiency, and not everyone with venous insufficiency has RLS.

We recommend that, before patients start taking prescription medication for restless legs syndrome, they request a consult by a qualified vein specialist. He or she will likely perform ultrasound evaluation to identify whether there is significant underlying venous insufficiency that might be causing or contributing to their problem.

There is no downside to getting an ultrasound; there is no radiation involved, no needles, no pain and it is a physiologic test that reveals which veins are leaking and how much they are leaking. Venous ultrasound for insufficiency is conservative and noninvasive, and it accurately identifies which patients are most likely to benefit from treatment.

Clearly, other causes of RLS exist, however, we encourage patients to consider venous insufficiency as a contributing factor and to request a venous insufficiency evaluation by an experienced vein specialist prior to undergoing a million-dollar workup for other diagnoses or initiating medical therapy for RLS.

One such treatment for varicose veins is endovenous ablation therapy, a procedure that uses heat in either lasers or radio frequencies to seal off and close affected veins. Many patients report immediate relief in their symptoms, and, because the procedure is minimally invasive and relatively painless, most patients are able to resume their normal activities almost immediately and experience no interruption in their work or home life as a result.

If you are experiencing RLS, seeing a physician who specializes in vein disorders could be the most important step you take towards alleviating your discomfort. Before you consider medical therapy or medication for RLS, consider a venous insufficiency evaluation.

Posted in Uncategorized | Leave a comment

Behind Bulging Varicose Veins!

Joseph G. Magnant, MD, FACS, RPVI

Martha had a really hard time sleeping through the night because her legs felt so achy and heavy. During the day, Martha’s legs and ankles would swell and ache. She also had unsightly varicose veins. Martha was fed up with her legs bothering her so finally she came to see me in our Fort Myers office. She was surprised when I told her that her leg swelling, achiness and varicose veins could be related to the leaking veins in her legs.

Martha had a venous insufficiency ultrasound performed on both of her legs in vascular testing lab. After reviewing her test results, I was able to identify from the ultrasound her underlying disease process. The swelling in Martha’s ankles and feet, the aching in her legs and her unsightly varicose veins were all related to her leaking blood vessels. This disease is called venous insufficiency. Continue reading

Posted in endovenous closure, healthy veins, leaky veins, spider veins, varicose veins, vein screening, vein specialist, vein treatment | Tagged , , , , , , , | Leave a comment

How to Find the Right Specialist

Joseph G. Magnant, MD, FACS, RVPI

Today, it is important for patients to take an active role in researching their medical care. Fortunately, the internet is a great resource that provides patients with information to research health care providers along with the current available treatment options.

Despite all the information regarding advanced medical treatments being readily available to patients through the wide variety of media including print, television and the internet patients can find themselves lost in the maze of provider and treatment options.

The recommendations from a primary care physician are very useful when choosing the right specialist. Primary care physicians have a broad exposure to patient problems and are a great source for specialist referrals. The primary care physician should be included in all patient correspondence and be informed about their patients’ test results and future treatment plans through ongoing communication from the specialist physician.

A good starting point when researching specialty providers is the practice’s website. The depth of content and the completeness of each physician’s training record are important aspects to review. From a practice website, patients should gather and determine what percentage of the practice is dedicated to the physician’s area of specialty training and whether that area is applicable to the patient’s specific health issues.

Continue reading

Posted in healthy veins, leaky veins, spider veins, varicose veins, vein screening, vein specialist, vein treatment | Leave a comment