Do you experience leg pain, restless legs, or unsightly varicose & spider veins?

Vein Disease

Dr. Magnant considers the venous system as a whole rather than as individual parts. The deep system of veins within the muscular compartments of the legs communicates with the superficial system of veins under the skin and fatty tissue (outside the muscles) through a network of communicating veins which act as bridges between the two systems (perforating veins).

The deep system returns more than 95% of the venous blood from the legs to the pelvis, while the superficial system accounts for 5% or less. Since leakiness in the superficial veins is responsible for more than 95% of patients’ problems seen at Vein Specialists, ultrasound evaluation of the lower extremity venous system is an integral part of their comprehensive venous workup. This evaluation will ensure that any underlying vein problems are identified, and, if necessary, corrected before treatment of the external signs of venous disease is initiated. For example, prior to removing bulging veins in the calf, it is important to first identify the underlying leaky vein and seal it, thereby decreasing the chance that other bulging veins will develop in the future.

Approximately 40 million adults in the United States may suffer from treatable, symptomatic, superficial venous insufficiency. Many of these patients as well as their primary care or specialty physicians may not be fully aware of the advances made in the treatment of venous insufficiency since 2000. Vein stripping has been replaced by endovenous closure procedures as the preferred treatment of patients with symptoms related to saphenous vein and other superficial venous insufficiency. Many patients once thought to have untreatable venous problems may now be excellent candidates for minimally invasive therapy.

Physiology

Veins are blood vessels which return blood from various parts of the body to the heart after the blood has circulated through the tissues and organs. To overcome the force of gravity, leg vein blood must be pumped upward through one-way valves that open toward the heart allowing venous blood flow back to the pelvis. The valves normally close between muscle contractions to prevent reflux of blood back down through the veins below the level of the groin. When valves fail to function properly, and open in the opposite direction beyond the normal checkpoint, the condition known as venous insufficiency or venous reflux disease occurs. The higher pressure which results leads to the development of bulging varicose veins, oozing of serum (water and protein) out of the veins into the surrounding tissues resulting in edema (swelling) and other complications.

The more advanced complications of skin discoloration and eventual scarring of the skin and fat to the underlying muscle (lipodermatosclerosis) may lead to the development of recurrent skin infections and venous ulcerations. The longer this condition is present the more damage from the leaking serum (red and white blood cells) will occur. With modern and accurate diagnostic testing, and effective minimally invasive treatments such as endovenous closure, a more proactive and preventative approach to venous insufficiency is clearly warranted to reduce the long term complications of this disease.

Signs

The most common clinical presentations of venous insufficiency include spider veins and varicose veins. Spider veins are smaller, more superficial veins, resulting in a network of red and purple spider web like marks on the legs. Varicose veins are larger, swollen, blue and purple ropey veins easily visible on physical exam. Large varicose veins may throb, hurt or itch and on occasion my clot off or bleed through the skin. Varicose veins occur when the one way check valves in the superficial system of veins fail to close tightly. The veins just under the skin begin to bulge under this increased pressure and eventually the skin stretches and allows the veins to continue growing. A significant number of the estimated 30 million adults in the United States suffer from this unsightly and often painful presentation of venous insufficiency. Patients with large swollen varicose veins may also complain of heavy, swollen, tired, restless or achy legs. Sitting or standing in the same position, such as during work, can cause worsening of the symptoms throughout the day. Left untreated, the condition generally progresses, with continued enlargement of the veins and thinning of the overlying skin. This can lead to erosion of the overlying skin and varicose vein bleeding or ulcerations.

Severe Signs

Venous insufficiency may also manifest itself as leg swelling, skin discoloration, and eventual scarring of the skin and fat to the underlying muscle (stasis dermatitis or lipodermatosclerosis). Lipodermatosclerosis is a significant risk factor in the development of recurrent skin infections and eventual venous ulcerations. Venous ulcers are typically the result of incidental skin trauma which has difficulty healing because of the unhealthy nature of the skin and extra fluid in the tissues which impairs the delivery of oxygen to the wounds. Small tears and simple wounds may fester for months and gradually grow larger. Early evaluation of the venous system is important in establishing the underlying cause of these wounds and in expediting the most effective treatment plan.

Request an appointment

Please take a moment and fill out your request below and one of our staff members will be in contact within 24-48 business hours. If this is an emergency, call 911 immediately. If this is a non-emergent concern, please call the office Monday-Friday between 8am – 5pm at: 239-694-8346

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Patient Testimonials

  • Anonomyous

    I had awesome results from my procedures! Everyone from the doctor to the receptionist was pleasant and very exceptional at their jobs!

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  • PatientPatient

    Excellent customer service very professional when you go into the office you feel like family immediately. Very kind very responsive to your questions or needs. I feel the whole staff makes you feel welcome and always have a smile on their face.

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  • Patient

    Very caring and kind staff. I felt completely comfortable during my office visits and vein procedure. I also thank the kind and caring way Dr. Magnant took care of me. Finally, I am appreciate Dr. Magnant for taking the time to explain and allow me to see the procedure. I am completely satisfied with my excellent care.

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  • Carissa RCarissa R

    I love this place and it's doctors! They are kind, patient, knowledgeable and informative of everything. I'm glad I chose Vein Specialists for my varicose vein issues!

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  • Karen CKaren C

    Dr Magnant and his Staff are the greatest professionals in a Medical office...the take time with you..make sure all your questions are answered...Dr Magnant makes your procedure go so smooth and pain free...

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  • Marnie C.Marnie C.

    I've had 2 procedures done(1 per leg), including an extensive pre-op testing, post-op follow-up & testing, & the BEST TREATMENT I'VE EVER RECEIVED! Dr... Read More

  • Pat D.Pat D.

    I was so impressed with Nurse Practitioner, April Stowers, that I wanted to share
    my experience when I went in as a patient at Vein Specialists.

    She is so... Read More

  • Melanie C.Melanie C.

    Dr Magnant and his team at vein specialists are top notch! The office is super clean and beautifully designed. They go out of their way to make you... Read More

  • Charles WalkerCharles Walker

    Great experience so far. The reception people were great. I can mention Addie who discussed my options, she was knowledgeable and friendly. Also Nadine made buying compression stocking less of a chore. Guys just don't do stockings. Looking forward to correcting my not-so-well functioning veins (and get rid of the knee highs).

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  • Darlene RuppertDarlene Ruppert

    Thank you Dr. Magnant for your amazing work. I had 3 types of vein treatments in both my legs this month. It's a fabulous feeling & seeing the results of having no more pain & swelling. My only regret is that I didn't find you 8 years ago when I started having problems. Best part of it, was your surgical table side manner. Thank you for making me laugh!

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  • Teresa BoehleTeresa Boehle

    I would highly recommend Dr. Magnant and his staff. I went to Dr. Magnant because of years of leg swelling and pain. My calves were so swollen all of the time that I could not wear boots that were not "wide calf". My shoes always had to be "wide" because my feet would swell terribly by the end of the day. Forget about being able to wear the cute rainboots. My ankles had also disappeared for what I assumed would be for life! My job was very demanding and required weekly travel, which I attributed to the difficulty with my legs swelling and pain.

    I wish I had known about venous insufficiency and varicose veins much earlier in my life. I feel that I suffered for no good reason other than lack of knowledge. My leg issues actually started in my 30's and now in my early 50's I realize something could be done.

    After having a consultation with Sharon, ARNP, she said that I "checked all of the boxes" for venous insufficiency and varicose veins. Sharon did a great job explaining what venous insufficiency and varicose veins are and how they affect my body. She also provided me with brochures about my "disease" , which I was grateful to have because I never thought in a million years that I had issues with my veins. Dr. Magnant was wonderful. He walked me through every step of the procedures. He is probably one of the most caring and personable doctors that I have met!

    I had two procedures in each leg. Now I have ankles again and I can see the bone! My calves are no longer swollen and I can even wear rainboots for the first time in my life! And I have lost six pounds without even trying! I can now toss the "wide calf" boots! Thank you Dr. Magnant!

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  • Denisse GalvanDenisse Galvan

    I went to see Dr. Magnant for a varicose vein I didn’t like. Sometimes I had restless legs & swelling. Being in my 30’s I never thought that what I thought was a superficial problem could have lead to more serious problems later in life and other problems I was having already were all related to my veins. Dr. Magnant makes you feel so comfortable and is really good at distracting you while doing the procedure that’s it feels so quick and painless. I have already recommended ppl go see him because why should anyone wait till the problem is severe. If you have thought about it go see him he’s the best:))

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  • C ReynoldsC Reynolds

    I experienced pelvic pain for over a year. Multiple doctors, MRI, CT Scans, Xrays, Physical Therapy, Pain Management Injections.....with NO relief. All tried to treat the pain & no one could tell me what was causing the pain. Then I found Vein Specialists........after my initial appointment not only did they diagnose the pain (May Thurner Syndrome) but they had a plan of action to eliminate it. I had many questions & concerns.......all were addressed and I proceeded with the IVUS treatment. I was awake (by choice) during the procedure. Not only was I fascinated with the technology, but I got to witness first hand how amazing Dr. Magnant & his staff were!! I had a post-op concern & Dr. Magnant himself called me on a weekend to address it. I also had issues with my insurance/prescription companies and his wonderful staff solved those (annoying!) issues. THANK YOU! THANK YOU! My new "normal" is PAIN FREE!!!! I highly recommend Vein Specialists!!!!!!

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  • Lori Timm-NoglerLori Timm-Nogler

    If you have vein issues, Dr. Magnant & staff are the Specialists to see. From the Front desk to the OR and beyond you are treated wonderfully. Best medical experience I have had to date!

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  • William EpranianWilliam Epranian

    I just had my follow-up ultrasound done on my left leg today. I had the right leg done on Monday of last week. Glad to report no clots in either leg. Clotting is the complication they seemed most concerned about.
    If any of my friends are dealing with the pain and discomfort of varicose veins or just tired of the ugly appearance of bulging veins in your legs. I can highly recommend Dr Magnant and his extremely professional staff.
    I have had visible veins in my right leg since a knee injury when I was a teenager. Over the years it had grown to affect both legs. Likely from always being on my feet for work, and especially because I often had employment that involved a lot of crouching/squatting down. Sometimes until my lower legs fell asleep. I fortunately have always been an active person outside of work and regular exercise kept the pain at bay for many years. But I'm no spring chicken anymore.
    A little over two years ago, my assignment changed at work and I now spend more time at my desk . Within a few months the pain at the end of the day really began bothering me (and I have a very high pain tolerance).
    This was the third specialist I had been to locally in the last two years. I don't want to name the others, however I will say that they all seemed to be rather disorganized for a medical facility, or the staff seemed to be overwhelmed and the diagnostic procedures (ultrasound particularly) done before the actual surgery were not even comparable to the level of care I received from every member of the staff here.
    I am also very fortunate and blessed to have excellent insurance that covered the procedure 100% since my deductible was already met for the year.

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Review Us

We always strive to provide the best possible care to our patients.

Why choose Vein Specialists?

Vein Specialists’ state-of-the-art facility is designed to ensure the highest quality of care and best clinical experience possible for patients. Dr. Magnant has embraced three key concepts to build a successful practice: ability, affability, and availability.

Shop & Compare:

  • We are the only IAC Accredited Vein Centers in Southwest Florida.
  • Dr. Joseph Magnant is a Board Certified Vascular Surgeon.
  • We have IAC Accredited Vascular Labs with full-time Registered Vascular Sonographers.
  • We are a Medtronic Center of Excellence for physician training.
  • We offer the latest technology in vein treatments including: ClosureFAST, LASER, VenaSeal, Varithena, Intravascular Ultrasound (IVUS), and Iliac Vein Stenting.

Do you have the signs and symptoms of vein disease?

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