endovenous laser ablation

Reasons to Consider Varicose Vein Treatment

If you are one of the many people that have varicose veins, you have likely wondered about the best way to eliminate them. On the other hand, you may have settled on the idea that they are something that you will just learn to live with. If this is the case, however, you may want to reconsider since there are a variety of treatment options available, at least one of which is likely to meet your needs and expectations. Add to this the fact that varicose veins can put you at risk for other health problems, and you really should consider varicose vein treatment at Rosen Vein Care. Varicose veins develop more often in the legs than anywhere else in the body. There are some reasons this is the case. Inside your veins, there are valves that make sure the blood can only flow one way. For veins, the correct way is upwards, toward the heart. With the veins in the legs, the upward flow has to overcome the downward pull of gravity. If not for these check valves, gravity could make the blood flow pool towards your ankles and feet. If the valves do not function as they should, wrong-way flow or reflux occurs. As blood pools in veins, pressure builds up over time. The added pressure acting on the vein walls causes them to become enlarged, bulging varicose veins. In addition to impacting one’s appearance, varicose veins can produce symptoms and create other health risks. People who spend much of their day standing are even more likely to experience discomfort. The same is true for individuals who must stay seated in a stationary position for extended periods of time. Symptoms of varicose veins can include things like aches and pains, heaviness, tired legs, cramps and even restless legs at night. The presence of varicose veins may also increase the risk of developing blood clots. Varicose vein treatment , including Sclerotherapy, can be safely performed at Dr. Rosen’s Chicago area office and requires very little, if any, restriction from your normal activities including work and exercise. To discuss your […]

Endovenous Laser Ablation: Cutting-edge technology, without the cutting.

When I was a kid, I’d watch shows like Star Wars/Trek and look forward to a future bright with the promise of nifty answers to daily challenges: flying cars, on-demand food from a box in your kitchen and tricorder gizmos that you wave over boo-boos for an instant heal. Well, the car doesn’t fly…especially noticeable in the traffic snarls around Chicago…the only people getting on-demand food are my kids…and I had to spend over a decade to learn how to fix boo-boos the old fashioned way. But the techno-promise of the future actually DID arrive for one particular problem: varicose veins. Varicose veins are those aggravating, bulging and often symptomatic veins that happen mainly on our legs. A very common reason why they occur is due to an underlying problem within interconnected veins deeper beneath the surface that allows flow to pool downward with gravity. Over time, this wrong-way flow increases the pressure within surface vein branches and stretches them out…makes them bulge and twist…and contributes to symptoms such as legs that feel heavy, tired, crampy, swollen and even “restless”, especially at the end of the day. Back in days of yore…and by that I mean around a decade ago or so…vein-stripping surgery was the most common solution to dealing with wrong-way flow (reflux, to get all nerdy and technical). In order to spare the more squeamish readers, I won’t describe the procedure in detail…but suffice it to say vein removal surgery involved cutting & yanking, some amount of downtime & discomfort and, unfortunately an annoying percentage of side-effects & recurrence. Around the turn of the millennium, some clever docs decided to harness minimally-invasive technologies used for things like cardiac catheterization…along with new & improved lasers/radiofrequency devices…and adapt them for use in malfunctioning lower extremity superficial veins. After racking up a bunch of cases and amassing data from around the world, the medical community slowly but surely realized that minimally-invasive endovenous ablation techniques were the way to go. Bye-bye surgery, hello future! Instead of removing veins, endovenous ablation procedures allow us to leave the malfunctioning veins in place and just […]

Rosen Vein Lectures: Vein Treatments, Part 2

  • endovenous laser ablation

Long before my career as a vein doc performing varicose and spider vein treatments in the North suburbs of Chicago began, I worked a series of jobs and volunteered for many organizations around Chicagoland before and during my undergrad years: Lifeguard, delivering meals-on-wheels for the elderly, crisis hotline counselor, keyboardist in a band, operating room assistant. A pretty diverse set of experiences. Each informed and impacted upon my decision of which route to take in terms of a career choice. Starting to post on this blog has forced me to reflect on a great many things. And, just like looking at a reflection in any mirror, we not only see the image as it is in front of us, but also as we would like it to appear. This dissonance is what compels us to grab a brush…start a diet…seize the day.  Looking through the retrospectoscope, I can’t say that I have always made the correct decisions…but I have always tried to operate on the premise that making the best decisions starts with having the best information at hand. In the medical world there is the concept of informed consent. This means that in order for patients to agree to procedures, they need to be informed of the risks and benefits involved. This is true for brain surgery as well as vein procedures. On the doctor side of the equation, I have to choose which treatment methods to add to my armamentarium by analyzing the evidence available from research as well as my experiences and those of my colleagues. Having sifted through the data, there is a clear winner to treat superficial venous insufficiency: endovenous ablation. But it’s not enough for me to be certain of the benefits. I need to present the information to you as clearly as I can…including the alternatives…in order for you to make an informed decision that you feel comfortable with [see my previous Vein Rant #1 blog post]. My previous treatment post described conservative treatment options. As you recall, all of them are practical, but none are definitive as they can’t fix the underlying problem of venous […]