No need to fear spider veins!

 

Telangiectasia is the technical term, but most people know them as “spider veins.” The small 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. Spider veins can cause physical discomfort, and because of their appearance, can also be a source of embarrassment or self-consciousness for some. 

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. 

In the past, treating spider veins was often considered cosmetic, but today we know that leaving venous issues untreated can eventually lead to larger health problems.

The classification used by most physicians to describe venous disease is called the CEAP scale. The C stands for “clinical severity.” On the CEAP scale, spider veins are classified as C1.

So how do you treat spider veins? 

Sclerotherapy is frequently used to treat spider veins and smaller veins. In this procedure, providers use microscopic needles to inject a medicine (called a sclerosing agent) into the vein's interior wall. This substance causes the vein to become sticky and seal shut, which makes 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 other vein treatments, contact us at the Vein Healthcare Center. We’re happy to schedule an evaluation with you! 

Put Spring in your step!

For most of our patients, their main goal is to make their legs feel better -- but after vein treatment, we’ve heard many folks say that their legs look better too.

As summer approaches (a.k.a. shorts and skirts season) it can be emotionally difficult for those with visible veins on their legs to enjoy their time out and about. At the Vein Healthcare Center, our philosophy is that patients who want to treat their problematic veins aren't being vain; they want to improve their health and quality of life. 

While the appearance of spider veins and varicose veins is a common concern, the physical symptoms often take the biggest toll. If you suffer from vein disease, you may already know the familiar aching, throbbing, heaviness, and swelling that can affect your legs by the end of the day. What you might not realize is that the summer heat can actually exacerbate these physical symptoms. As temperatures rise, our veins naturally dilate to help cool the body down. For compromised veins, this extra dilation leads to increased pooling of blood, making that heavy, achy feeling even more pronounced during the warmer months.

This is why addressing your venous health before the peak of summer can be beneficial. Timing your treatment in the spring offers a few advantages:

• Comfort During Recovery: Following most vein procedures, patients are advised to wear prescription compression stockings for a short period to aid in healing and healthy blood flow. That can be a bit more comfortable in the spring -- especially spring in Maine!
• Time for Results to Show: While today's minimally invasive treatments require virtually no downtime, it takes some time for minor bruising to fade. 
• A More Active Summer: By treating the root cause of your discomfort now, you can jump back into hiking, walking the beach, and traveling with renewed energy.

You don’t have to spend another summer hiding behind long pants, making excuses to stay out of the water, or skipping out on the activities you love. Modern vein treatments are safe and effective. All procedures are performed right in our office and allow you to return to your normal routine almost immediately.

Take the first step toward healthier, happier legs. Contact us at the Vein Healthcare Center today to schedule an evaluation, and let us help you step into summer with confidence!

The latest issue of Vein Health News!

We've released the latest issue of Vein Health News! 

In the cover story “Skin: Dermatological Changes & Vein Health” we explore how vein specialists use the clues in skin -- everything from color and thickness, to visible spider veins and ulcers -- to help diagnose a patient's vein disorders. 

We also take a look at "medi-spas" and how consumers can choose their aesthetic procedures and practitioners wisely -- and why they should.

In the same issue, we share updates in the world of compression and even give illustrated tips for getting compression stockings on and off with ease. 

Click here to read all this and more. If you would like more information about skin, vein health and the right treatment for you, give us a ring or drop us a line at the Vein Healthcare Center.

You can call 207-221-7799 (Monday through Friday during regular business hours), or send us an email at info@veinhealthcare.com.

Dos and don'ts for holiday healthy legs

Venous disease -- including spider veins, varicose veins, and leg ulcers -- does not stop for the holidays. But don't worry! We at the Vein Healthcare Center in Maine, have some tips to help you alleviate the symptoms of vein disease and prevent them from getting worse.

As you're out and about this holiday season, DO wear loose-fitting clothing. Santa’s red suit, for example, is roomy and comfortable and wouldn’t impede circulation in his lower body.

DO walk for at least thirty minutes a day-- like in a mall or large department store! The calf muscle contractions caused by walking can go a long way toward venous disease prevention and help keep the muscles of the lower legs healthy. And when you're out and on your feet, DO take a break every hour or so.

Now for a few DON'Ts. DON'T wear high-heeled shoes (or boots), as they shorten the muscles in your calf and prevent deep veins from working at their full capacity.

If you're taking any holiday trips long distances -- by plane, train, or automobile -- DON'T forget to wear compression stockings to keep the blood in your lower limbs moving in the right direction.

This last DON'T shouldn't surprise you: DON'T smoke. Smoking (even a corncob pipe) and exposure to second-hand smoke constricts veins and affects overall circulation.

Tips like these can help alleviate (or prevent) the symptoms of vein disease, but if you are experiencing symptoms, consider being screened by a Board-certified phlebologist like Dr. Cindy Asbjornsen. Contact us to schedule an evaluation appointment, or to find out more about vein health and treatment.

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!

Listen to your legs

Sometimes venous disease is very obvious. Bulging, twisty veins that wrap around your legs is one manifestation. Purple spidery veins on the backs of your thighs may be another. But there are other, more subtle clues that your veins may not be working as well as they should.

Do your legs sometimes feel achy or throbbing? Do you have leg cramps in the middle of the night? Are your legs exhausted by the end of the day?

These may be signs of vein disease, and it's best not to ignore them for a couple of reasons. For one thing, your body is trying to tell you something is wrong. Waiting for the issues to go away on their own may actually make them worse as time goes on. If you find out what the problem is, you can take steps to fix it!

Sue, age 63, from North Yarmouth, Maine is one of our patients at the Vein Healthcare Center. Here's what Sue had to say about her own experience:

“I work at a daycare and when I came home at the end of the day, my legs were like cement. I could not move them. It was affecting me tremendously but because it didn’t hurt, I had no idea my veins were the problem. I had EVLA done in both legs, and they felt much lighter right away.”

You can read more patient experiences like Sue's by clicking here. If you are having issues with your legs that you can't quite explain, take a look at this list of questions, and see if you can relate. Finally, contact us at the Vein Healthcare Center to make an appointment for an evaluation of your venous system. There may be a way to fix the problem.

Dr. Cindy Asbjornsen shares her wisdom on Successful Balanced Living

Get to know Dr. Cindy Asbjornsen a little bit better -- and hear some trustworthy, easy-to-understand advice. 

Dr. Asbjornsen was recently on the radio show Successful Balanced Living with Lynda Adams. She talks with Lynda about a variety of things, including:

• Why she decided to study phlebology (the study of vein disorders and treatment)
• Why sore legs and varicose veins are NOT a normal sign of aging.
• Who is at the greatest risk for getting vein disease
• Preventing blood clots on airplanes
• How she creates a successful, balanced life for herself

To learn about this and more, click here to listen.

And if you think you might have vein disease, schedule an appointment for a full evaluation of your vein health.

Physical activity, leg pain…and veins?

Many athletes, professionals and amateurs alike, experience some kind of leg pain at one time or another, whether from the mechanics of pounding movement on a hard surface, or keeping their legs in the same position for extended periods. Rarely do they attribute the discomfort to a dysfunction in their venous (veins) system.

But not all aching legs are simply due to physical activity, or even the effects of aging. It may actually be vein insufficiency that’s causing those symptoms and not that five-mile run.

The first thing to understand that leg pain in general is not normal. If your legs hurt after exercise, you should find out why.

Some of the symptoms of vein disease are obvious: visible blue- or purple-colored “spider veins,” bulging varicose veins, or even open wounds (leg ulcers) on the leg or ankle. Other symptoms are much more subtle. In addition to achiness and swelling, sensations like an itching or tingling in the legs may be an indication of vein insufficiency. Leg cramps after long periods of inactivity, or while lying in bed at night, is another possible symptom.

Some people may experience no symptoms at all—and some merely accept them as an unavoidable byproduct of physical fitness. You can be in great shape and still have a vein disease that’s developing.

In our next post, we’ll look at how exercise impacts veins (and vice versa). If you wonder whether vein issues are affecting your physical performance, feel free to call the Vein Healthcare Center with any questions.

A round-up of “how to’s”

Over the years, we’ve posted a lot of quick tips for vein care at home, so as a year-end gift we’re putting them all in one place!

• How to tell if you have venous disease
• How to keep your veins healthy in the winter
• How to do the “foot pump”
• How to properly elevate your legs
• How to treat venous symptoms naturally
• Quick tips for coping with spider veins 

Don’t forget that while these “how to’s” can help with the symptoms of vein disease, an evaluation by a qualified phlebologist can give you a complete picture of your venous health and options for treatment. If you ever have any questions, don’t hesitate to contact us at the Vein Healthcare Center.

Happy holidays from all of us at VHC!

How to tell if you have venous disease

Have you ever thought that the spider veins behind your knees have gotten bigger as you’ve gotten older? Or have you wondered why your legs feel so tired at the end of the day?

The American College of Phlebology (ACP) now offers a free, online vein self-assessment resource, which includes a questionnaire with eight simple questions to help determine if someone is at risk for vein issues.

Throughout the assessment, you’ll learn facts about vein issues to help you gain a better understanding of your own possible vein condition. Of course, an excellent way to find out if you do or do not have a vein disorder is to be evaluated by a Board-certified vein specialist.

To take the assessment screening, visit www.phlebology.org/VeinAssessment

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.

The risks of…sitting?

Are you sitting down? Chances are, you are! It seems like our whole world was designed to keep us in a seated position, usually in front of a screen, whether during work or leisure time.

Earlier this year, a recent article found that this overwhelmingly sedentary behavior increases our risk of getting preventable conditions, even if we exercise. The studies showed that physical inactivity (the fourth-leading risk factor for death for people all around the world, according to the World Health Organization) can lead to premature death from cardiovascular issues and cancer, as well as cause chronic conditions such as Type 2 diabetes.

Too much sitting can also increase the risk of getting varicose veins—and if you already have vein issues, you may notice that symptoms get worse after sitting for prolonged periods of time.

Why? The heart pumps oxygen-rich blood throughout the body through the arteries. Veins then carry blood from all the extremities back up to the heart. The blood in the legs travels up against gravity, so when the valves in the veins become damaged, blood flows back into the legs which leads to a “pooling” of blood in the veins that can manifest as varicose veins or spider veins. 

When you sit (or stand) in the same position for a long time, the blood doesn’t circulate properly and, over time, this can lead to varicose veins.

There are a several ways to help reduce the risk of getting varicose veins from sitting for too long:

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

• Elevate. Occasionally, rest your legs above your heart – for as long as 30 minutes or as briefly as three minutes. (For more tips on elevation, click here.)

• Take a break. Take frequent walking breaks to avoid sitting or standing for periods of more than two hours.

• Pump it. If you can’t move around that often – or are flying on an airplane – try flexing and pointing your foot to get the blood moving in your legs. (Click here to learn more about “the foot pump.”)

Of course, the best way to reduce your risk of getting varicose veins from sitting all day is to move around more – and be aware of just how much time you spend sitting down.

Veins and Heart Health

This month marks the 50th anniversary of American Heart Month. Did you know that veins play an important role in heart health?

Here's how. For twenty-four hours a day, the human circulatory system is continuously moving oxygen-rich blood to every cell in the body. While the arterial side of the system is well understood, we are still learning about many issues within the venous, or vein, system. 

The venous system contains approximately 70 percent of the body’s total blood volume when a person is at rest. Healthy veins carry blood from all extremities back to your heart, but when veins are compromised, it can affect your overall health and wellbeing.

Here’s a quick review of how the human heart works: 
The major parts of the circulatory system (also known as the cardiovascular system) are the heart, arteries and veins. Simply put, the heart pumps blood to the arteries, which take the oxygenated blood to all parts of the body. The veins take deoxygenated blood back up to the heart, where it is pumped directly to the lungs. In the lungs, carbon dioxide is replaced by oxygen, the renewed blood flows back to the heart, and the whole process begins again.

In the leg veins, blood is usually traveling against gravity, thus the valves in the leg veins perform an important function. Venous insufficiency, or vein disease, occurs if the valves in the veins become damaged and allow the backward flow of blood in the legs. This pooling of blood can lead to a feeling of heaviness and can cause skin changes such as “spider veins,” or a brown, woody appearance to the lower leg. Left untreated, it can lead to leg pain, swelling and serious health problems.

Venous disease is one of the most common health conditions in the United States. Many people have visible varicose veins, while others have no visible signs of the disease. It can affect men and women of all ages and activity levels, and while it has a strong genetic component, venous disease can be aggravated by environmental risks and other factors.

Varicose Veins? Don’t Let Them Ruin Your Summer

Seasonal Tips for Healthy Legs

Summer is the perfect time to make sure you are doing everything you can to relieve symptoms of varicose veins and other vein problems. Varicose veins can worsen during the summer months, so if vein issues are keeping you from enjoying summer activities, making leg vein health a priority can help you take full advantage of the season.

Relief & Prevention Tips for Healthy Veins

• Stay as cool as possible. Heat dilates veins and causes pain and other symptoms to worsen.
• Swim and walk. Both exercises pump the calf muscles and improve circulation. 
• Wear graduated compression stockings. Wearing compression stockings all day will keep the legs feeling as good at the end of the day as in the morning.
• Stay hydrated. Drink plenty of water and other fluids.
• Elevate the legs whenever possible.
• Schedule an evaluation with a qualified phlebologist.
• Wear graduated compression stockings. Wearing compression stockings all day will keep the legs feeling as good at the end of the day as in the morning.

Don’t Wait Until Summer’s Over to Seek Treatment for Vein Issues

The treatments for venous problems are the same during the summer as the rest of the year.

Find out more about vein treatment options and keeping legs healthy by reading Dr. Cindy Asbjornsen’s Self-conscious About Unsightly Veins? Tips for Relief in the Bangor Daily News and leave concerns about leg vein issues behind this summer!

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.