Don't forget the "medi" in medi-spa

There are more than 4,200 so-called "medi-spas" in the U.S. Some of them offer facials and massages, while others offer vein procedures or cosmetic enhancements like Botox or dermabrasion. But is it safe?

In our latest issue of Vein Health News, we take a look at these businesses where aesthetics meets medicine. We also offer some good advice on how to make sure that you're not wasting your money, or worse, putting your health at risk.

If you have questions about vein procedures and safety, please ask us! Call the Vein Healthcare Center at 207-221-7799 (Monday through Friday during regular business hours), or send us an email at info@veinhealthcare.com.

Spider Veins Don’t Have to be Scary!

Telangiectasia is the technical term, but most people know them as “spider veins.” The red, blue or purple veins that occur just under the surface of the skin may appear as short fine lines, clusters, or in a spider web shape.

According to Dr. Cindy Asbjornsen, spider veins can be an indication of early stage vein disease— the “tip of the iceberg,” if you will. Vein health is a continuum, so while spider veins may appear minimal, there could be a larger vein “leaking” underneath.

Here are some tips for coping with spider veins:

• Elevate your legs above your heart as often as possible— for as long as 30 minutes or as briefly as three minutes. The ideal time is after you have been standing for a long period or after a hot shower.
• Sit properly. Focus on good posture and avoid crossing your legs, or sitting in ways that can compress veins for prolonged periods.
• Walk. Walking causes the rhythmic contraction of calf muscles and helps promote blood flow to the heart. Just 30 minutes every day— all at once, or in shorter increments.
• Contact a board certified phlebologist for an evaluation. In the past, treatment for spider veins has been considered merely cosmetic, but spider veins are symptoms of early stage vein disease and left untreated can lead to increased symptoms.

Sclerotherapy is frequently used to treat spider veins and smaller veins. In this procedure, tiny needles inject a medicine called a sclerosing agent into the vein's interior wall. This substance causes the vein to become sticky and seal shut, causing the troublesome vein to disappear. Blood then finds a healthy path back to the heart.

With modern sclerosants, there is little risk of complication, and patients often experience an immediate relief of symptoms. Most patients can return to their regular activities after the procedure is over.

Treating spider veins can improve appearance but more importantly, treatment can help stop the progression of venous disease at its source.

To find out more about spider veins, sclerotherapy, and vein treatments, contact us at the Vein Healthcare Center. We look forward to hearing from you!

Dealing with veins in the summer

Although the first day of summer is technically June 21, many New Englanders consider Memorial Day to be the unofficial start of the summer. 

’Tis the season for people to dust off their BBQ grills and motorcycles— and shorts, swimsuits, and sandals. This time of year brings joy to most, but for those dealing with vein issues, it can produce discomfort and anxiety.

If you suffer from symptoms of vein disease, shorts season can be a tough time. Here are a few @VHC blog posts that can help:

• Don’t let varicose veins ruin your summer. Click here to read.
• Vein treatments in the summer, Part 1. Click here to read.
• Vein treatments in the summer, Part 2: Click here to read.

To find out more about how to treat vein issues, contact us at the Vein Healthcare Center. We will evaluate your vein health — including spider veins, varicose veins, and leg ulcers — and recommend the best treatment for your individual condition and health goals. Schedule your appointment today.

Dr. Cindy Asbjornsen on Catching Health

Earlier this spring, our own Dr. Cindy Asbjornsen spoke with health reporter Diane Atwood on her podcast on the Catching Health blog.

Their topics of conversation were far ranging, everything from how a clot in the deep vein system could possibly cause a stroke, to why blood appears blue in the veins.

Dr. Asbjornsen also explains why vein treatment is NOT a one-size-fits-all proposition. And she talks about how anyone can get deep vein thrombosis -- even someone playing a video game (for many hours in a row). Who knew talking about veins could be so interesting?

This isn't the first time Dr. Asbjornsen has appeared on Catching Health. She wrote a guest post on Catching Health about when you should ask your doctor about your vein problems.

We hope you'll give the Catching Health podcast a listen!

Click here to learn more about Dr. Asbjornsen and her practice the Vein Healthcare Center.

Sclerotherapy Q&A with Alison Scheib, PA-C – Part 3

In our two previous posts we spoke with Alison Scheib, PA-C and sclerotherapy specialist at the Vein Healthcare Center, about post-treatment issues with sclerotherapy. In our final installment, we ask her some of the most popular questions that arise about this procedure. 

What are the most common side effects after treatment?

The most common side effects are bruising and tenderness of the treated veins. The bruising is usually fully resolved within two weeks and the tenderness responds well to heat and elevation. I do want to add that patients who follow the post-procedure guidelines for care will help promote the most effective healing. After each sclerotherapy session, compression stockings should be worn for 10 days, in most cases.

How much does sclerotherapy cost and does insurance cover it?

Costs vary, but it’s usually about $300-$500 per session based on how the vein is visualized (light-assisted vs. ultrasound). Insurers describe sclerotherapy as an “adjunct” procedure and will cover it in part or in full if a bigger procedure has been done in the past, such as radiofrequency or laser ablation, or if there is an open ulcer. Patients should work with their treatment provider to understand their health insurance coverage.

What is the one question that patients ask you the most?

“Will it hurt?” Everyone’s experience is different, but most people describe it as very tolerable. It is always possible to stop the procedure or take a break if someone does find it very uncomfortable, but most patients say there is only minor discomfort. The medicine is pH balanced and vein access is with a 27-32g (very small) needle so it’s really just a very small perceivable pinch.

If you have any questions about sclerotherapy, or what to expect before, during or afterwards, feel free to contact us at the Vein Healthcare Center: email connect@veinhealthcare.com, or call (207) 221-7799.

Sclerotherapy Q&A with Alison Scheib, PA-C – Part 2

In our last post, we discussed the basics of sclerotherapy with Alison Scheib, PA-C and sclerotherapy specialist at the Vein Healthcare Center. Now we talk with Ali about what to expect after a sclerotherapy procedure.

What should someone expect right after sclerotherapy?

Immediately following the procedure, there may be mild itching of your legs. It typically resolves within an hour. For the next few days, there may be some tenderness and bruising. About two weeks following the procedure, you may feel hard bumps in the area of the treated vein, which usually disappear over the course of several months.

How will the leg look or feel a week after sclerotherapy? A month?

Usually, the changes noticed in the first two months are improvement in symptoms. Patients have reported to me that their legs feel lighter, or without pain. The large, lumpy veins slowly disappear, usually 2-6 months after the procedure, and the smaller veins may disappear over the following six months. All veins clear up large to small, high to low. 

Are the results of treatment with sclerotherapy permanent?

Yes, once the vein has collapsed, it typically gets reabsorbed into the body and is permanently gone. Because that vein no longer exists, it cannot cause problems in the future. That said, all the veins in the body have the same genetic makeup and have generally been exposed to the same environmental stresses and, in theory, have the same risk of failing. In other words, if a patient has one bad vein, it is very likely that at some point they will have other bad veins. It’s important to note that healthy lifestyle changes can make a big difference in managing chronic venous issues and preventing future problems.

Can you go to work after treatment? What about exercise?

Yes, you can go to work after treatment. However, you should avoid heavy lifting and strenuous physical activity while standing for the first five days following sclerotherapy. Walking is great exercise after treatment. In fact, walking 30 minutes a day is a post-op requirement!

To read the conclusion of our conversation with Ali, click here. We ask some specific questions about common side effects and whether sclerotherapy is covered by insurance. Plus, the one question that patients ask most…

Sclerotherapy Q&A with Alison Scheib, PA-C – Part 1

Patients often have common questions about sclerotherapy, a minimally invasive procedure used to treat spider veins and varicose veins. To shed some light on the topic, here is a Q&A with Alison Scheib, PA-C, who specializes in sclerotherapy at the Vein Healthcare Center.

What is sclerotherapy?

Sclerotherapy is a medical procedure involving a series of injections into a dysfunctioning vein. The provider uses tiny needles to inject a medicine called a sclerosing agent into the vein's interior wall. This causes the vein to become sticky and seal shut, causing the troublesome vein to disappear. Blood then finds a healthy path back to the heart. “Ultrasound guided” or “light assisted” defines how the vein is visualized during these injections.

Can you explain the difference?

Ultrasound-guided sclerotherapy uses ultrasound echoes to locate veins that are not readily visible and cannot be seen with a light. This procedure is often used to treat perforator veins, or veins that connect the superficial system (above the muscles in your leg) to the deep system (veins under and between the muscles of the leg). During light-assisted sclerotherapy, a small, hand-held light illuminates the veins directly below the skin, which allows the sclerotherapist to clearly identify the source of the dysfunction.

Who is sclerotherapy best for?

Sclerotherapy works best for those with superficial veins that are not directly connected to deep veins by junctions and have a diameter less than 5 mm. It can also be highly effective in patients who have leg symptoms such as heaviness, aching, pain, itching, swelling, throbbing, or skin discoloration or breakdown.

How long does the treatment take? How many treatments do most patients need?

Number and length of each treatment varies from patient to patient. Each session can take between 15 minutes and one hour, depending on the complexity of vein patterns and reflux. Most patients need multiple treatments, 3-6 sessions, on average.

To read part two of our interview with Ali, click here!

Aesthetic reasons, medical care

In vein care, we understand that people seek vein treatment for many reasons—discomfort, pain, and often, aesthetic reasons. But it’s important to remember that treatments for spider veins or varicose veins, as minimally invasive as they may be, are still medical procedures.

That’s why it’s important to be informed and go to a provider who is Board certified. The American Board of Venous & Lymphatic Medicine (ABVLM), formerly the American Board of Phlebology, was established in 2007 to improve the standards of medical practitioners and the quality of patient care related to the treatment of venous disorders and all aspects of venous disease.

The ABVLM also offers a Board Certification Exam, which ensures that physicians who specialize in phlebology (vein care) have met rigorous standards of education, experience, and evaluation. 

We came across this useful article called “Groupon Dos and Don’ts,” which shares tips on what to do before purchasing a “daily deal”-style coupon for medi-spa services. The best tip: do your research.

Looking for a place to start? Visit www.veinhealthcare.com, which offers a wealth of practical, easy-to-understand information.

Q&A with the newest member of the VHC team

Meet Alison Scheib, PA-C! As a certified Physician Assistant, Ali supports Dr. Cindy Asbjornsen, founder of the Vein Healthcare Center. As a trained sclerotherapist, she performs ultrasound-guided and light-assisted sclerotherapy, a procedure for treating venous insufficiency, particularly smaller “spider veins.”

In addition to spending time with her husband (a fellow PA-C at a veterans hospital) and their two children, Ali loves outdoor activities like swimming and waterskiing. Read on to learn more about Ali.

Q:  What is a Physician Assistant?

A:  A physician assistant, or PA, is a nationally certified and state-licensed medical professional. PAs practice medicine on healthcare teams with physicians and other providers and can prescribe medication. I earned my PA degree from the University of South Alabama and practiced Family Medicine for 15 years in Camden, Maine. 

Q:  How do you help patients at VHC?

A:  I perform ultrasound-guided and light assisted-sclerotherapy on patients, sometimes in follow-up to EVLA treatment. Dr. Asbjornsen and I work together as a team to treat each patient to achieve the best outcome. 

Q: What is your goal for each patient?

A: To make them feel better, both mentally and physically. After treatment, I want them to feel comfortable wearing shorts if that’s important to them. I want them to experience activities that they couldn’t do before because their legs were too sore or tired. I want them to be—and feel—healthier!

Q: Why are you a good fit for VHC?

A: I have the primary care background to see the patient as a whole person, not just the one ailment they’re seeking help for. And like the rest of the staff, I like to spend time with patients to make sure they are comfortable and understand their medical disease and treatment options. 

Q: What do you like the most about vein care?
A: I love being able to focus on one aspect of a patient's healthcare while still treating the "whole" person. I’m also excited that phlebology is still a fairly new specialty, and I’m looking forward to working with Dr. Asbjornsen on doing research that can continue to advance the field.

A few more ways to ease venous symptoms at home

In our last post we discussed a number of ways to alleviate the pain and discomfort of venous disease right away. Here are four more ways to make your legs feel better and prevent the progression of symptoms. 1.  Walk. Walking causes the rhythmic contraction of calf muscles and helps promote blood flow to the heart. Walk at least 30 minutes every day – all at once, or in shorter increments. 2.  Take a break. Take frequent walking breaks to avoid sitting or standing for periods of more than two hours. 3.  Wear compression stockings. Wearing compression stockings purchased from your pharmacy will help promote the flow of blood when you are flying, on your feet for long periods, or carrying heavy loads. 4.  Know your history. Women with a family history of vein disorders, or those who have relatives with varicose veins, should wear compression stockings during menarche and menopause, and during pregnancy – most importantly, during the first trimester. If you are experiencing signs of venous disease, such as spider veins, or swelling or pain in the leg, considering seeking professional help. A vein specialist certified in the field of phlebology (the branch of medicine that deals with vein health and diseases) can evaluate your vein problems and offer a range of treatments, whether a minimally invasive procedure, or a more conservative approach.

Spider Veins? Quick Tips for Coping

Spider vein is the common term for blue or purple-colored veins that occur under the skin but are close enough to be seen on the surface. They are similar to varicose veins but smaller, and like varicose veins, they can cause physical discomfort and be a source of embarrassment and self-consciousness, especially during the summer season.

If you have spider veins, some simple tips can help you feel better and help stop their progression.

4 Quick Tips for Coping with Spider Veins

1. Elevate your legs above your heart as often as possible— for as long as 30 minutes or as briefly as three minutes. The ideal time is after you have been standing for a long period or after a hot shower.

2. Sit properly. Focus on good posture and avoid crossing your legs, or sitting in ways that can compress veins for prolonged periods.

        

3. Walk. Walking causes the rhythmic contraction of calf muscles and helps promote blood flow to the heart. Just 30 minutes every day—all at once, or in shorter increments.

    

4. Contact a board certified phlebologist for an evaluation. In the past, treatment for spider veins has been considered merely cosmetic, but they can be the tip of the iceberg.

Coping with spider veins? 
You've got options. Find out more about venous disease and its treatment, or contact the Vein Healthcare Center to schedule an appointment to get started with your vein care.  

Spider Veins: Appearance or Something More?

Tiny, Web-Shaped Veins Could Be a Symptom of Venous Disease

Telangiectasia is the technical term, but most people know them as “spider veins.” The tiny red-, blue- or purple-colored veins occur just below the skin but are close enough to be seen on the surface. They may appear as short fine lines, clusters, or in a spider web shape.

Treating spider veins can improve appearance, and that can be a tremendous advantage for those struggling with them. But spider veins can also be an indication of early stage venous disease; treating them not only can improve appearance, but can also help stop the progression of venous disease at its source.

Are Your Spider Veins a Symptom of Venous Disease?

Vein health is a continuum, so while spider veins may appear minimal, there could be a larger vein ‘leaking’ underneath.

A basic understanding of how veins work can help one understand what causes disorders like spider veins. Veins carry blood from the legs and arms back to the heart. The blood in the legs travels up against gravity, so when the valves in the veins become damaged, blood “leaks” back into the legs and creates a “pooling” effect.

Treatment – For Your Overall Health

Effective treatment of spider veins begins with a thorough evaluation from a qualified phlebologist who will look for the source of the problem: the leaky valve or valves. An ultrasound is the best way to accurately determine the problem. Then, the physician can recommend the appropriate procedure or therapy.

Sclerotherapy is frequently used to treat spider veins. In this procedure, small needles provide access to the vein so that a sclerosing agent can be injected into the vein's interior wall. This substance causes the vein to become sticky and seal shut, allowing it to disappear. Blood then finds a healthy path back to the heart.

While these effective forms of treatment can be the solution to better looking legs, it's important to remember that they can be part of maintaining good health as well. You can learn more about spider veins and their treatment at The American College of Phlebology, where you can read about Vein Conditions and Treatment including information about sclerotherapy and other forms of treatment. You can also get the answers to common questions about vein disorders at the Vein Healthcare Center and request an appointment with a board certified phlebologist.