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  Resources

* American College of Surgeons
* American Stroke Association
* WebMD
* Vascular Disease Foundation
* VascularWeb
* PVSS: Patient Information
* Peripheral Arterial Disease Coalition
* Vascular Disease Foundation
* MedLine Plus: Peripheral Vascular Diseases
* YourSurgery.com
* Are Your Veins OK?
* PAD Facts



 

Serving: Ardmore, Mainline, and Center City Philadelphia, Bryn Mawr, Haverford, Villanova, Gladwyne, Narberth, Wynnewood, Bala Cynwyd, Paoli, Devon, Delaware Cherry Hill, Haddonfield, Penn Valley, Radnor, Wayne, Lower Merion



Comprehensive Vein Center of Philadelphia

 

Endovenous Laser Ablation for varicose veins and stab phlebectomy for varicosity formation. Dr Kirksey of Penn Presbyterian describes Laser Vein ablation for the treatment of Varicose veins, leg swelling and pain.; Atherosclerosis; Health; Lee Kirksey; Lee Kirksey MD; Seema Patel MD; diet; exercise; fitness; Varicose vein treatment is discussed including the time course for resolution following treatment. Dr Kirksey of Penn Presbyterian discusses treatment of unsightly varicose veins, spider veins; Atherosclerosis; Lee Kirksey MD; diet; fitness; mens; nutrition; Dr Kirksey demonstrates laser vein ablation for treatment of saphenous vein. Saphenous vein reflux may be one cause of spider veins, varicose veins, pain and leg swelling; Dr Kirksey; Penn Presbyterian; University of Pennsylvania; ardmore; Bryn Mawr; Devon; injection; Philadelphia; radnor; sclerotherapy; spider veins; Varicose Veins; vein doctor; vein treatment; Dr Lee Kirksey, Director of Penn Presbyterian Wound Care Center describes Laser Ablation of the Saphenous Vein for treatment of varicose veins, ulceration and wounds; Lee Kirksey MD; Penn Presbyterian; Penn Presbyterian Wound Care Center; Philadelphia; Varicose Veins; ardmore; injection sclerotherapy; larger veins; pennsylvania; sclerotherapy; varicosity; vascular surgeon; Dr Kirksey describes sclerotherapy. The technique of treating varicose veins by injecting alcohol. He describes various therapies for the treatment of unsightly varicose veins; Health; Lee Kirksey; Lee Kirksey MD; diet; exercise; fitness; nutrition; optimalhealthtoday; personal training; Dr Kirksey at Penn Presybterian in Philadelphia describes treatment of varicose veins and spider veins an unsightly condition that affects 25% of Americans. Different treatments are available depending upon what type of changes are present.; ardmore; Bala Bynwyd; Bryn Mawr; laser; Penn Presbyterian; University of Pennsylvania; Villanova; American Laser; injection; Philadelphia; spider; varicose; vascular surgeon; vein removal; Dr Kirksey Philadelphia Vascular Sugeon at Penn Presbyterian discusses the treatment of varicose veins, spider veins with injection sclerotherapy and laser; Dr Kirksey describes various treatment for unsightly varicose veins. He's located at Penn Presbyterian of The University of Pennsylvania. Videos demonstrates various methods of treatment for different vein disorders. Treatment will vary http://link.brightcove.com/services/link/bcpid1111385399http://www.brightcove.com/channel.jsp?channel=769758512

 
 

Dr. Lee Kirksey, a Board Certified vascular surgeon, serves as Clinical Assistant Professor at The University of Pennsylvania School of Medicine and practices at Penn Presbyterian Medical Center in Philadelphia Pennsylvania. Dr Kirksey specializes in minimally invasive treatments like varicose veins and spider veins. Varicose veins and spider veins affect 30% of adults. Dr. Kirksey states that these varicose veins and spider veins occur in men and women although most people think that they're more common in women. It's not just a cosmetic consideration when one is considering vein sclerotherapy or laser vein ablation. "Varicose veins and spider veins may be quite symptomatic with pain, swelling and redness. This can limit people's ability to conduct normal activities working, conducting family life and recreational activities."

Dr. Kirksey as director of Penn Woundcare Center of The University of Pennsylvania Healthcare in Philadelphia describes the various causes of varicose veins and spider veins. Usually, some abnormality with the superficial veins exists. Most commonly a poorly functioning valve. This malfunctioning venous valve allow blood to pool in the leg when one is standing still. That's the reason that most people complain of worsening symptoms when standing stationary. Interestingly, when people with this condition exert themselves with exercises like walking, the symptoms disappear. This is because the muscles of the legs assists the return of blood to the heart under conditions of exertion.

Additional symptoms of venous insufficiency include swelling and heaviness that usually worsens over the course of the day. The symptoms of varicose veins are usually worse as the day progresses and elevation of the legs may palliate some of the discomfort.

Treatment of varicose veins, spider veins and leg discomfort varies depending on the symptoms that are present in the patient. Some people have no symptoms and there motivation is the appearance. Varicose veins and spider veins can be quite unsightly.

 
  For varicose veins, the most important point is to determine is there are any underlying "feeding" vessels which maybe producing the unsightly spider vein areas. This can be determined by a very easy noninvasive ultrasound assessment.

Provided that no underlying cause is found on ultrasound, then treatment options include sclerotherapy, laser ablation and phlebectomy. Sclerotherapy involves the injection of an alcohol or salt solution which creates inflammation with the walls of the vein. The walls of the vein collapse and the small lumen of the blood vessel closes. The vessels in then reabsorbed by the body over time.



Common Question: Doesn't my body need this vessel? What happens when it is removed?

Answer: Most varicose and spider veins are caused by an abnormal superficial vein. The deep veins of the leg perform the majority of drainage and in someone whose veins are performing poorly, the circulation is actually improved when the poorly performing valves are eliminated.

Laser ablation is used for spider veins and varicose veins. My preference is to treat the largest area with injection and to follow that treatment with laser for any leftover areas.

Laser ablation can also be used for the saphenous vein and replaces the historic gold standard of veins stripping.


Common question: There are so many advertisements for varicose vein treatment. How do I know which one to choose.

Answer: Shop around. I would consider varicose veins, injection sclerotherapy and spider vein treatment to be "retail medicine". Sometimes the cheapest provider is not necessarily the best quality. I would suggest that you look for a facility where they do a high volume. It varies from state to state, but in most places injections are done by a supervised nurse or a physician.