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Varicose Veins

Mario Rueda MD FACS is dedicated to help you with your venous disease.  Every patient has a personalized plan to treat their veins. Dr. Rueda has a vast experience in the surgical field. His patients can rest assured that they are receiving care from physicians with the highest level of training and experience. If you are looking for comprehensive varicose veins treatment, the Dr. Rueda is here to help. We Serve the following areas: Jupiter, Wellington, West Palm Beach, Delray Beach and Boyton Beach.

Varicose Veins Symptoms and Diagnosis

Symptoms vary. They can be minimal or life style limiting.  These include:

 

  • Pain
  • Fatigue
  • Heaviness of legs
  • Swelling
  • Itchiness
  • Burning sensation
  • Changes in skin color
  • Leg ulcers and wounds

When varicose veins are left untreated, they can cause leg ulcers that are difficult to heal. This is due to decreased oxygen levels in the damaged tissue which can impede healing.   Untreated varicose veins can also cause deep venous thrombosis (DVT) because of decreased fluidity of your blood in the legs.

Varicose veins can be diagnosed with an ultrasound study, which is a technology that uses sound waves to create an image of your vein.  This is a painless procedure that will take just a few minutes, and provide us with a map of your venous system.  It is essential to have an ultrasound before having any treatment.

WHAT CAUSES Varicose Veins?

The purpose of your venous system is to return blood to your heart so that it can be oxygenated and circulated.  Leg veins have several adaptations that help our bodies move blood against gravity and back into our heart.   When one of these adaptations is compromised, you can have pooling of blood in the vein.  The vein wall actually stretches causing varicose veins.  Initially symptoms may be minimal but they may progress.  Veins increase in size, become visible, change color and cause several symptoms including pain. The great and small saphenous veins as well as the posterior accessory saphenous veins are responsible for most of these problems. A family history of varicose veins or  Deep Venous Thrombosis  (DVT) can increase your risk of having varicose veins. Jobs that require you to stand or sit for a prolonged period of time promote blood pooling in your veins and may lead to varicose veins.  A sedentary lifestyle and prolonged periods of immobility are also associated with this problem.

 

Varicose Veins Treatment Options

After your comprehensive venous evaluation we will recommend a personalized treatment plan to help relieve your symptoms. Some of the treatments we offer include the following.

If you have mild disease or if you are not symptomatic, we can prescribe compression stockings and recommend lifestyle changes that will help prevent worsening of your problems.  Compressing stockings are elastic garments that are worn around your legs.  They compress the superficial veins and decrease the distention and blood pooling in your legs, helping your body return blood to your heart.

This outpatient procedure involves inserting a small catheter in your vein and with the help of alternating current, scar the vessel to prevent flow.  This procedure is done with local anesthesia and you will be able to go home after the procedure.

Similar to RFA, this outpatient procedure involves scaring down your vein. Rather than using heat, a special glue is used to immediately achieve the result.  There is no need for local anesthesia.

After applying local anesthesia, very small incisions are made in order to remove your affected veins.  This outpatient procedure can be completed in less than 30 minutes.

Varicose Veins Procedure

Medical studies have shown high satisfaction of patients who undergo vein treatments with Asclera. The results speak for themselves.

The main objective of treatment is to reduce the amount of blood that is kept in your veins because of dysfunctional vein valves or other anatomic problems.  One simple way to approach this is to wear an elastic compression stocking around your leg.  This garment will compress your leg approximately 20 to 30 mmHg and promote return of blood to the heart. 

 

If prescribed compression stockings, you should wear them during the day and remove them at night.  Application should be soon after you wake up as swelling may make stocking placement very difficult.

 

In addition to wearing your stockings, you should also find two brief periods of time during the day in which you elevate your legs above your heart level (toes above the nose).  During the day, you should also exercise your calf muscles.  Contraction of these muscle squeeze the veins around them and facilitate movement of your blood towards your heart.

Spider and reticular veins can be successfully treated with sclerotherapy.  This is an outpatient procedure that can be completed in as little as 20 minutes. 

 

While you are laying down comfortably in a procedure bed, a very small needle is used to inject the small vessels.  Polidocanol, a sclerosant, is injected that makes those small veins scar down.  Polidocanol has some anesthetic properties so there is no need for additional numbing medications. Hypertonic saline has been used in the past, however, it causes discoloration of your skin.  

Sometimes, if you have several spider or reticular veins, you may need more than one session.

This is a minimal invasive surgical technique that can be performed with local anesthesia in our clinic.  You will not need general anesthesia or a visit to the operating room to have this procedure done. See How Does RFA Work in section below.

This new technique can easily be performed in our office.  Most of the procedures require the application of local anesthesia. However, this brand new option does not, making the procedure even more convenient (See How Does Venaseal Work in Section Below).

This is a surgical technique used to remove large/medium size varicose veins.  It is an outpatient procedure that can be safely performed in the office setting. 

 

While you are laying comfortably in a procedure bed and after injecting local anesthesia, a very small incision is performed.  Using surgical instruments, the veins are removed under sterile technique.  There is no need for stitches. In most cases, the procedure can be completed in less than 30 minutes. Special instructions will be provided to you prior to going home.

HOW DOES RFA WORK?

While you are in a comfortable procedure bed, we will perform an ultrasound to map your veins and identify the diseased vessel. After local anesthesia has been applied, we access your vein with a small needle and insert a small catheter. This catheter warms your vein which collapses the vein walls together. This prevents further blood from accumulating in that diseased vessel. After this is performed, the catheter is removed: no stitches are required.

The procedure usually takes less than 30 minutes to complete and patients can go home shortly after its completion.  You will have a follow up appointment to ensure your symptoms have improved.

HOW DOES VenaSeal WORK?

While you are in a comfortable procedure bed, we will perform an ultrasound to map your veins and identify the diseased vessel. After local anesthesia has been applied, we access your vein with a small needle and insert a small catheter. This catheter warms your vein which collapses the vein walls together. This prevents further blood from accumulating in that diseased vessel. After this is performed, the catheter is removed: no stitches are required.

This catheter injects glue into your vein and makes it close down, therefore, preventing further blood from accumulating in that diseased vessel. After this is performed, the catheter is removed: no stitches are required.

RECOVERY AND DOWNTIME

All procedures to treat vein problems are in-office procedure. Recovery depends on the type of surgery performed and the extent of the disease. Most people feel recovered within a 1 week of the procedure. There is typically no to minimal pain after the procedure in the majority of the patients. The majority of the procedures do not cause any scarring

These procedures have very limited down time. Patients can immediately go back to work and perform all their daily activities.

Why Choose Precision Veins Center for your Varicose Veins Procedure?

Dr. Rueda, a Fellowship trained surgeon who has 10 years and 3,000 procedures of experience will be your safe and best choice for varicose vein treatment. Successful results in this procedure requires a surgeon that is experienced and knowledgeable in vein anatomy and vein surgery. Dr. Rueda has published articles in expert peer reviewed journals and his work has been presented in several national conferences. Dr. Rueda’s passion for patient education and custom centered approach will guarantee you feel comfortable every step of the way. Dr. Rueda also believes in treating his patients as if he was treating his own family; you can trust you will enter a trusting and long-term relationship and have some of the best varicose veins treatment Palm Beach can offer. If you are located in West Palm Beach, Jupiter, Wellington, Palm Springs, Lake Worth or any other surrounding cities, contact us today to learn more.

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