14 Sep 2017
September 14, 2017

Lymphedema: Causes and Treatment

Lymphedema is a condition that results from impaired flow of the lymphatic system. Lymphedema is most commonly caused by the removal of or damage to your lymph nodes as a part of cancer treatment. It results from a blockage in your lymphatic system, which is part of your immune system. The blockage prevents lymph fluid from draining well, and the fluid buildup leads to swelling.

Symptoms of Lymphedema include swelling in one or more extremities. The swelling may range from mild to severe and disfiguring. Other symptoms may include: warmth, redness, or itching; tingling or burning pains; fever and chills; decreased flexibility in the joints; aching, pain, and fullness of the involved area; skin rash.

While there is no cure for lymphedema, compression treatments and physical therapy may help reduce the swelling and discomfort. Treatment options may include: exercises; wrapping your arm or leg; massage; and the use of compression garments. At ACP Vein Center we found the most effective treatment for Lymphedema is Pneumatic compression. A comprehensive Vascular work-up is required prior to this type of therapy.

With Pneumatic compression, a sleeve is worn over your affected arm or leg that connects to a pump that intermittently inflates the sleeve, putting pressure on your limb and moving lymph fluid away from your fingers or toes. These may be used in the clinic or in the home and are useful in preventing long-term scarring. read more →

18 Aug 2016
August 18, 2016

Varicose Veins: Post Pregnancy

It is estimated that 10-25% of women develop varicose veins during pregnancy.

Varicose veins tend to become more pronounced after pregnancy, especially if you had varicose veins before pregnancy, have had multiple pregnancies, have a family history of varicose veins, tend to stand for long periods, or are overweight. You may also have developed spider veins during pregnancy. These tiny vessels near the surface of the skin most often appear on the ankles, legs, or face.

Many changes occur during pregnancy including increased pressure of the developing fetus on the pelvic veins. Your body increases blood volume during pregnancy, and decreases the speed that your blood returns from your legs to your pelvis. This increases the pressure on those veins. Additionally, high levels progesterone weaken vein walls, Estrogen causes veins to dilate. This results in stretching of the venous system, especially the valves, which can lead to venous reflux, which, in turn, can cause spider and possibly varicose veins.

Varicose veins may improve after childbirth, but they won’t go away completely. If your varicose veins don’t improve after you give birth and are making you uncomfortable, or even if you’re just unhappy with the way they look, you have various options for treating them.

A good time to discuss your unsightly veins with a specialist is when you’ve recovered from the vascular and hormonal changes of pregnancy.

At the ACP Vein Treatment Center, we offer minimally-invasive procedures as a first step to treating post pregnancy varicose, and spider veins. These procedure options are done on an outpatient basis in our state-of-the-art vein center.

Options for Treatment

Sclerotherapy is used commonly for spider veins and smaller varicose veins. It involves injecting a small volume of liquid into the diseased vein. The sclerosing liquid acts upon the lining of the vein to cause it to seal shut, eliminating the vein completely.

EVRF is based on thermocoagulation. Thermocoagulation is the heating of the vein wall through radio frequency waves which makes the vein coagulate. The treatment takes about 20 minutes, and is applicable throughout the whole year. There is virtually no pain, bruising, or scaring seen, and normal activities can be resumed within one day.

Endovenous Laser Treatment The endovenous laser treatment with the VariLase 810nm laser is used to correct venous reflux. Using ultrasound guidance, a catheter is inserted through a small incision into the saphenous vein. A laser fiber is then inserted into the catheter and used to deliver energy, while the fiber is being withdrawn from the leg, to close the diseased vein.

Compression therapy for venous edema Venous insufficiency, which can lead to the development of varicose veins, can also cause swelling, or edema.  Treatments can include exercise, wrapping, massage, compression stockings and a compression pump. read more →

In today’s competitive medical environment, it seems that there are many physicians offering vein care as a part of their overall practice.  The list includes virtually all specialties, and most advertise themselves as “Vein Specialists,” even though they may not have received any specialized training in vein procedures.

Choosing where to have your leg veins treated is an important decision; perhaps just as important as the decision to seek treatment. ACP Vein Center has been treating vein disease for more than 20 years, with over 1000 patients treated. Here are a few basic ideas that might help you decide WHERE to have your condition treated.

The Treating physician: Did you know that taking a moment to check the credentials of your physician is a valuable first step?  While many doctors may claim to be experts, only a qualified vein specialist has the deep and broad knowledge of your venous system that will yield the most accurate diagnosis of the causes of your varicose veins. A qualified vein specialist has the experience, expertise and the necessary equipment to treat your varicose veins with exactly the right procedures tailored to your specific problem. Many part time phlebologists (a medical specialist trained in the diagnosis and treatment of disorders of venous origin) offer only 1-2 modalities of therapy. Most importantly, are you comfortable talking to the vein doctor? Does he seem knowledgeable and able to answer any questions that you may have? You don’t want to be in a position of having this important work done to your body without feeling comfortable that you can ask as many questions as you like–and be completely satisfied with the answers you receive.

The Vein Center: Are the facilities attractive and clean? Does the Center present a professional demeanor?  Vein specialists generally do all their diagnostic work and perform their procedures right in their vein clinic location; so the appearance of the office can tell you a lot about the practice. Ask if there are RVT ultrasound technicians on site. These RVT techs are the most credentialed to perform ultrasound-guided diagnostics as part of the evaluation process.

Options for Treatment Include:

Sclerotherapy; Microphlebectomy; Endovenous laser treatment; Endovenous Radiofrequency treatment; Compression therapy for venous edema, Lymphedema.

Contact us if you have any questions regarding your varicose veins. read more →

03 Aug 2015
August 3, 2015

Are Varicose Veins a Real Health Concern?

Venous Reflux is often the underlying cause of varicose veins and frequently forces men and women to dramatically change their lifestyles, especially when they are active and can no longer tolerate being on their feet. The valves in the veins are damaged and the veins near the skin surface are stretched and distorted from the increased pressure caused by blood flowing in the wrong direction. Although the condition is rarely life threatening, it is often painful and unattractive. If your condition qualifies, we utilize an office based treatment that can have you back on your feet in no time!

Though most of the cosmetic conditions such as spider veins, affect mostly women, other venous conditions occur in men equally. As many as 15% of men ages 40-79 suffer from venous disease, and more than 40% of men in their seventies are affected by varicose veins. They can lead to discoloration, skin ulcers, and bleeding.  Men with venous insufficiency usually can be seen with bulging veins in their lower legs.

Remember…These are not COSMETIC concerns like you think or have been told.

Seek treatment sooner than later. Because vein disease is progressive, this can lead to symptoms like swelling, cramping, leg heaviness, itching and fatigue. Left untreated, vein disease can lead to skin discoloration and even ulceration.

Signs of Vein Problems: The symptoms are similar for varicose and spider veins, but are typically more severe for varicose veins. Spider veins may cause minor burning or itching at the site. Varicose vein symptoms include leg aches or cramps, a feeling of leg heaviness, burning, throbbing or tingling. Skin ulcers, especially in the ankle area, are not uncommon when varicose veins are particularly severe.

Dr. Ghassemi uses state-of-the-art therapy to treat problem veins in as little as an hour.

Options for Treatment include: Sclerotherapy is used commonly for spider veins. The sclerosing liquid acts upon the lining of the vein to cause it to seal shut, eliminating the vein completely. Microphlebectomy is a minimally invasive procedure in which a large surface of varicose vein is removed through a series of miniature incisions that require no stitches. Endovenous laser treatment: Vascular Laser Therapy is a minimally-invasive procedure that can be performed in the office in less than one hour. In this procedure, a thin laser fiber is inserted into the diseased vein. The physician delivers laser energy through the fiber, causing the vein to close. Endovenous Radiofrequency treatment: EVRF is based on thermocoagulation. Thermocoagulation is the heating of the vein wall through radio frequency waves which makes the vein coagulate. The physician will insert a thin catheter, delivering a high frequency impulse through the device making the vein coagulate, shrink and disappear. There is virtually no pain, bruising, or scaring seen and normal activities can be resumed within one day.

ACP Vein Center is located at 246 Hamburg Turnpike, suite 201, Wayne NJ. Our staff is dedicated entirely to the diagnosis and treatment of vein disorders. We treat venous diseases with painless, minimally invasive vascular therapies. read more →

22 Jun 2015
June 22, 2015

Lymphedema: Causes and Treatment

Lymphedema is a condition that results from impaired flow of the lymphatic system. Lymphedema is most commonly caused by the removal of or damage to your lymph nodes as a part of cancer treatment. It results from a blockage in your lymphatic system, which is part of your immune system. The blockage prevents lymph fluid from draining well, and the fluid buildup leads to swelling.

Symptoms of Lymphedema include swelling in one or more extremities. The swelling may range from mild to severe and disfiguring. Other symptoms may include: warmth, redness, or itching; tingling or burning pains; fever and chills; decreased flexibility in the joints; aching, pain, and fullness of the involved area; skin rash.

While there is no cure for lymphedema, compression treatments and physical therapy may help reduce the swelling and discomfort. Treatment options may include: exercises; wrapping your arm or leg; massage; and the use of compression garments. At ACP Vein Center we found the most effective treatment for Lymphedema is Pneumatic compression. A comprehensive Vascular work-up is required prior to this type of therapy.

With Pneumatic compression, a sleeve is worn over your affected arm or leg that connects to a pump that intermittently inflates the sleeve, putting pressure on your limb and moving lymph fluid away from your fingers or toes. These may be used in the clinic or in the home and are useful in preventing long-term scarring. read more →