Radiologist San Diego ImagWEB log-in

Preparing for your CT Scan and MRI in San Diego CA.
San Diego Referring Physicans (CT, MRI, Interventional)

CT (CAT SCAN) San Diego California
Open MRI San Diego Oceanside Tri-City Medical Health Screenings CT 64 Regents Imaging
Varicose Vein Treatment EVLT at Tri-City Medical Center Oceanside Ca.
PAD/PVD Peripheral Vascular Disease treatment
Vertebroplasty San Diego Oceanside Tri-City
Kyphoplasty Oceanside California
SimPlant Dental CT Scans from Regents Imaging
CTA CT Angiography San Diego California
Musculoskeletal Imaging Experts of North County Radiology
UFE Uterine Fibroid Embolization San Diego California (Tri-City Medical Center)
AAA Abdominal Aortic Aneurysm Oceanside San Diego California


Clinical Research in Radiology at San Diego Cardiac & Vascular Institute

Remote Radiology Imaging Readings by Radiologist Services

Bone scan san diego CA Scheduler
Bone scan san diego CA CPT Code Guide

Radiology News San Diego CA.
* October 2007 *

Dr. Ponec Awarded "Top Doc" award by San Diego County Medical Society. >> more

Regents Imaging and Regents MRI were awarded a three-year term of accreditation in MRI by the American College of Radiology. >> Learn More!



:: Varicose Vein Laser Treatment

Varicose Vein Laser Treatment

Eliminate unsightly varicose veins at the source. The twisted bulging that causes discomfort results from faulty valves in the veins. Laser treatment is the most advanced technology available today to treat these unsightly, uncomfortable veins.

Schedule an appointment: 760-630-0014

varicose vein symptoms and treatment, laser treatment
Before & After Pictures Before & After Pictures
Consultation and treatment is offered at our Regents Imaging Location

varicose vein treatment before and after picture

Disease - how varicose veins occur
Disease - how varicose veins occur

As blood flows through your veins to the heart, stop valves are supposed to prevent the blood from flowing backwards as gravity pulls it down. If the valves don't close properly, blood pools in the vein, forcing the walls to enlarge and bulge out.

Disease - how varicose veins occur

Varicose veins occur when the valves in these superficial veins malfunction. The vein walls can lose elasticity (due to age or hormones) causing them to stretch. When this occurs, the valve may be unable to close, allowing blood that should be moving towards the heart to flow backward (called venous reflux). Blood collects in your lower veins causing them to enlarge and become varicose. In this manner, faulty valves high on the leg may cause varicose veins lower down (e.g., mid or lower leg).

Varicose vein symptoms
Symptoms

  • Bulging veins typically apparent behind the knee, calf and ankle
  • Aching pain
  • Burning
  • Itching
  • Swelling or fatigue in the legs
  • Skin changes, including ulcers

If you experience symptoms and delay treatment, your symptoms may progress onward to more serious complications including:

  • Inflammation (phlebitis)
  • Blood clots (e.g., DVT)
  • Ankle sores or skin ulcers
  • Bleeding

If you are experiencing any of the above, consult your physician, as treatment may be required.

varicose vein diagnosis
Diagnosis

The radiologist will assess blood flow through the veins and confirm incompetence of the valves with ultrasound. This technique is painless and non-invasive. The patient simply lies on the examination table while the ultrasound is performed.

varicose vein treatment options
Treatment options

Laser Treatment: Approximately 4 years ago, the FDA approved the use of laser to treat varicose veins. During the procedure, a laser fiber is used to precisely burn the inner lining of the large vein in the inner thigh. This causes the vein to close and blood can no longer flow through it. The result is immediate reduction of the bulging vein. The radiologist threads a fine laser fiber through a tiny entry point in the skin near the knee. Laser energy is delivered to collapse and seal the faulty vein. Walking after the procedure is encouraged. Normal daily activity can be resumed immediately. Rigorous activity should be avoided for 2 weeks. There may be minor soreness and bruising, easily relieved with over-the-counter non-aspirin pain relievers. Most patients will require Sclerotherapy after the procedure to treat the smaller varicose veins. The procedure is performed in the physician's office and takes about an hour. Published clinical studies show that laser treatments have 98% initial success rate with excellent long-term results.

Sclerotherapy- Sclerotherapy is the injection of a small amount of a chemical directly into the abnormal vein. The chemical irritates the inside lining of the vein, causing the vein to close. Sclerotherapy usually takes about 20 minutes per leg and is done in a doctor's office. Typically, it is an effective treatment for smaller varicose veins and requires multiple treatments.

Compression Stockings: Some people may get some relief from symptoms by wearing medically-prescribed, thigh-high, graduated compression stockings (Class II). These stockings apply external pressure on the leg veins to assist the blood to get back to the heart. The pressure from the stockings is highest in the ankle and gradually decreases to the thigh. Compression stockings do not eliminate varicose veins. The stockings are usually prescribed after laser treatment to encourage the best possible results.

Surgical Ligation, Stripping and Ambulatory Phlebectomy- Varicose veins are surgically removed from the leg by either cutting (ligation) or pulling (stripping) the diseased veins out. The surgery requires general anesthesia and is performed in an operating room. There is considerable pain and bruising during the recovery period. Five years after surgical vein stripping, up to 50% of patients will have recurrent varicose veins.

No Treatment: If you choose to not treat your varicose veins, they will probably continue to slowly get worse over the years. Most people with severe varicose veins complain of symptoms that interfere with their comfort level. Severe progression of the disease can lead to ulcers in the lower leg due to chronic, excessive pressure in the varicose veins.


Varicose Vein Treatment Before & After Pictures Before & After Pictures
Consultation and treatment is offered at our Regents Imaging Location

More on EVLT
Laser Treatment for Varicose Veins

Laser treatment is simple, effective, and is the first choice of patients and physicians. The treatment takes less than an hour to eliminate varicose veins.

During the procedure, a laser is fired along and inside the varicose vein. The energy from the laser damages the vein walls, shrinking them closed to prevent blood from flowing through. Research shows a success rate of 93%-98% in individuals undergoing laser treatment for varicose veins (based on clinical data with up to five years of follow-up). This is much higher than the alternative treatments, including: injection sclerotherapy, radiofrequency, and surgical ligation and stripping. Due to its increased efficacy and lower morbidity, market researchers predict that endovenous laser treatment will be the new "gold standard."

Like all other minimally invasive procedures, Laser treatment can potentially result in some minor bruising, which usually goes away during the first several weeks. With this procedure, you will feel a "pulling" sensation as well as delayed tightness about 4 to 7 days after the varicose vein treatment procedure is completed. These side effects are normal and are expected after a successful treatment procedure. During the procedure, you will be provided with special glasses to wear in order to protect your eyes. This is just a precaution against accidental laser energy firing outside an individual's body.

When medically necessary for symptom relief, laser treatment is usually reimbursed by the majority of carriers, including Medicare - which limits cost for the patient. You should contact your insurer in order to obtain more details.

Varicose veins are a very common problem, generally appearing as twisting, bulging rope-like cords on the legs, anywhere from groin to ankle. Spider veins are smaller, flatter, red or purple veins closer to the skin surface. While many people have heard about varicose veins, very few truly understand their underlying cause, and the potential they have for developing into a serious medical issue. Fortunately, there are new and exciting treatments for varicose veins that make solving your problem easier than ever.

Endovenous Ablation (e.g. Laser). These minimally invasive procedures offer the latest advance in the treatment of varicose veins and are quickly supplanting surgery as the ‘gold standard’. The fastest growing of these are endovenous laser procedures which offer
superior results with minimal side effects.

Advantages include:

Designed to be a 45-minute, office procedure
Uses only local anesthetic
High success rate (93-98%)
No scarring
No hospitalization
Lower risk of complications
Fast return to normal activities (normally 1-2 days)
Reimbursable by most health insurance plans

Facts about varicose veins
Facts about varicose veins


Varicose veins affect an estimated 40% of women and 25% of men. There are a number of factors which lead to varicose veins, including:

Heredity – One of the most important factors. If your parents and grandparents had the problem, you are at increased risk.

Gender – Women have a higher incidence of varicose vein disease due in part to female hormones and their effect on the vein walls.

Pregnancy – Blood volume increases during pregnancy and hormonal effects contribute to vein enlargement

Age – The tissues of our vein walls lose elasticity as we age causing the
valve system to fail.


The following additional factors, while not directly causing varicose veins, may speed up the development of this disease and make the veins worse:

Prolonged standing - Occupations that involve standing for a long period of time cause increased volume and pressure of blood in the lower limbs due to the effects of gravity.

Obesity – Increases in weight often increase abdominal pressure which may worsen vein problems

Hormone levels –Treatments like birth control pills and post-menopausal hormone replacement may cause the same hormonal effect as pregnancy

Physical Trauma – Injury to the lower limbs can damage underlying blood vessels and add to the problem


Can varicose veins be prevented?
Can varicose veins be prevented?


The underlying conditions described above usually make ‘curing’ varicose veins impossible, however certain measures may help relieve discomfort from existing varicose veins and prevent others from arising:

Exercise regularly to improve leg strength and circulation (walking is ideal).

Avoid standing for long periods of time.

Avoid sitting for long periods of time by taking short walks every 30 minutes. If possible, try to elevate your legs.

Control weight to avoid placing increased pressure on leg circulation

Avoid clothing which limits the use of the calf muscles (e.g. high heels) or restricts blood flow in the groin or calf

Since the above measures do not treat the underlying cause of the disease, varicose veins will usually enlarge and worsen over time. Legs and feet may begin to swell and sensations of pain, heaviness, burning or tenderness may occur. If and when this happens, consult your physician immediately.

Schedule an appointment: 760-630-0014

varicose veins spider veings Before & After Pictures Before & After Pictures
Consultation and treatment is offered at our Regents Imaging Location
Learn more about veins

 

 

 

 

 

 

 

Regents Imaging
3909 Waring Road
Suite C
Oceanside, CA 92056
Phone 760-630-0014
Regents MRI
4130 La Jolla Village Drive
Suite 101
La Jolla, CA 92037
Phone 858-200-3300
Tri-City Medical Center
4002 Vista Way
Oceanside, CA 92056
Scheduling 760-940-7470
Outpatient 760-940-7005
San Diego Cardiac
and Vascular Institute
3909 Waring Rd.
Suite C
Oceanside, CA 92056
Phone 760-940-7166