Running on all cylinders

This Saturday the Vein Healthcare Center is co-sponsoring the South Portland MAINEiacs first-ever 5K run, just around the corner from the VHC offices!

We’ve had running, exercise, and athletes on our mind lately, as our latest issue of Vein Health News is hot off the press. In our cover story package, we look at how exercise affects veins (and vice versa); whether athletic compression is worth considering; and how even athletes could be affected by DVT.

Click here to read more about athletes and veins. And get out and enjoy a walk or run in the increasingly crisp autumn air!

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.

Environmental risks for vein disease

There are a number of risk factors for vein problems. Aging is one of the leading risk factors for the development of vein issues. Heredity is another. (If one parent has vein disease you have about a 33% chance of also developing vein problems. If both of your parents have vein issues, then your chances go up to 90 percent.)

While aging and family history are risk factors that can’t be controlled (try as we might), venous disease can be aggravated by environmental risks. It is much more common in “industrial countries” like the U.S., where riding in cars and sitting in front of a computer or television seem like a way of life.

             

We explored the risks involved in sitting in a previous post, but standing for long periods (with or without high heels) is also a risk factor. Research has shown that the more hours one stands, the more likely it is that a vein issue will develop. Likewise, lying in one position for too long can cause serious vein problems. Patients in the hospital or on bed rest, for example, may experience a slowdown in blood flow that can lead to blood pooling in the extremities.

As Dr. Asbjornsen explained in her chapter “Risk Factors and Other Causes for Vein Problems” in the book Healthy Veins…Healthy Legs, it is possible to reduce some risk factors for vein disease.

There are many treatment options today that are minimally invasive and highly successful, but education and prevention are the most important keys to vein health. Even if you are not experiencing symptoms, a venous screening can evaluate the condition of your venous system, help you avoid blood clots, and help you begin lifestyle changes that can prevent symptoms from occurring. 

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.

Vein Health News, a resource for patients and doctors

Dr. Cindy Asbjornsen of the Vein Healthcare Center in Portland, Maine is passionate about educating people about vein health. That’s why three years ago she started Vein Health News for primary care physicians in Maine and New England. Although the magazine was originally intended for physicians, we've found that patients really like it too.

Vein Health News covers such topics as: minimally invasive treatments for varicose veins, modern compression, leg ulcers, deep vein thrombosis, and more. Plus, the regular column “One Patient’s Perspective” explores vein care from a patient’s point of view. If you’re interested in a free subscription to Vein Health News, just click here.

Are you a Physician? 

Primary care doctors are on the front lines of reducing the growing number of people suffering with symptoms of venous disease. Vein Health News serves as a resource for well-researched meaningful information that you can pass on to your patients. If you would like the publication delivered to your office, click here to subscribe.

Education is an important first step toward better vein health and an improved quality of life.

Changes in the skin

Did you know that changes in the skin might be a clue to venous disease?

If you notice redness around the ankles, see other color changes on your legs, or find that your skin has become harder or thicker in the lower leg, it’s likely you are experiencing a common symptom of venous disease. These skin changes can be mild, or they can cause pain and involve larger areas of the skin.

Other skin changes, such as dermatitis (inflammation of the skin), cellulitis (bacterial skin infection), dry or scaly skin, or brown “stains” on the skin, can be signs of advanced venous disease.

If you do observe these types of changes—especially if you are experiencing other vein symptoms, such as aching or throbbing legs, or if vein problems run in your family—consider talking to your primary care doctor, or visiting a physician who specializes in vein health.

Summer and veins

After a long and especially frigid New England winter, it will officially be summer in just a few weeks. What does that mean for those who suffer from vein disease symptoms, such as throbbing, aching legs, legs that tire easily…or having to wear shorts?

We’ve compiled a few @VHC blog posts to help you navigate vein issues (and treatment) during the summer months:

• 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.

And for those who are traveling this summer, prevent blood clots on long trips by plane, train or automobile. Click here to read.

If you have any questions about vein health, whatever the season, you’re welcome to contact the Vein Healthcare Center. And happy almost summer!