Vein Care Blog

Pelvic Vein Embolization/Pelvic Congestion Syndrome

By Dr. Cohen  Leaky vein valves in the pelvic veins can cause a variety of problems for both men and women.  In women the problem often causes pelvic pain (Pelvic Congestion Syndrome), genital varicose veins, or varicose veins in the legs.  In men it can cause testicular varicosities and infertility.  The most common veins that […]

VenaSeal Procedure

By Dr. Cohen VenaSeal is a new technology used to close saphenous veins.  Unlike traditional methods, such as endovenous laser or radiofrequency ablation treatments, the VenaSeal does not use any heat to seal the vein. Instead it fills the inside of the vein with a medical adhesive known as cyanoacrylate.  This adhesive expands painlessly inside the vein and seals the vein shut.  […]

Intravascular Ultrasound (IVUS) and Iliac Vein Stenting

By Dr. Cohen Advances in vein imaging technology (Intravascular Ultrasound – “IVUS”) have recently allowed vein specialists to diagnose a group of serious, but treatable medical conditions which until now were greatly under-recognized.  The blood in our leg veins, returning to the heart, has to pass through large veins in the pelvis called iliac veins.  While actual blood clots in the iliac […]

The 4 signs to tell if you have venous insufficiency.

By Dr. Cohen Print Friendly First, what is venous insufficiency anyway? Sometimes the one-way valves in the superficial veins of the leg become leaky and stop functioning. When the valves are leaky, gravity can pull the blood down, and allow it to pool in the lower leg. This can result in a range of symptoms. […]

What is foam sclerotherapy and why choose it?

By Dr. Cohen Injection SCLEROTHERAPY is a mainstay of treatment for venous insufficiency. The procedure uses a fine needle to inject a medication, called a “sclerosant”, directly into the problem veins. The sclerosant destroys the inside lining of the veins called the “intima”. Without the intima, the vein collapses and will eventually disappear. One challenge with sclerotherapy is […]

What about skin damage from venous insufficiency?

By Dr. Cohen When venous insufficiency persists, untreated, for many years, the skin in the calf or ankle can become damaged. This results from chronic inflammation and the damage done by blood leaking out of the veins into the skin itself. There are 4 types of damage The least severe problem is what we call […]

How is ultrasound testing used to diagnose and treat vein problems?

By Dr. Cohen The ultrasound is the most important diagnostic tool vein doctors have. As you may know, ultrasound machines work by generating harmless, painless, inaudible sound waves and emitting them into the body through an instrument placed on the skin (with gel in between). The sound waves reflected back are then detected. The location, […]

Spider veins and sclerotherapy: What to expect.

By Dr. Cohen Spider veins, technically called “telangiectasias”, are small spidery, branching red or blue veins and can be located just under the skin surface anywhere on the leg. Spider veins themselves almost never cause any medical problem but they’re not pretty and many people seek cosmetic treatment to improve their appearance (Not typically covered […]

Don’t I need these veins?

By Dr. Cohen “Doc, don’t I need these veins?” I’m asked this all the time when advising patients to close or remove their problem veins. And it’s a good question. The simple answer is “No.” First, these veins never did much even when they were working normally. They only serve the skin which doesn’t get […]

What are the treatments for venous insufficiency?

By Dr. Cohen Venous insufficiency, or varicose veins, typically affects only the superficial veins of the skin. These veins are ubiquitous and normally carry very little blood. While these veins are not very important even when functioning normally, they can be quite problematic when they shift into reverse. The main concept of treatment is to stop […]