James Albert

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James Albert
Dr.
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Colorado Springs
Varicose Veins
Albert Vein Institute
10807 New Allegiance Drive, Suite 450
Colorado Springs
CO
80921

I have varicose veins and have been told I need an ultrasound exam of my legs. Why do I need that?

Most varicose veins are caused because of dysfunction of those veins that regulate pressure to skin veins in the leg. The leaky pressure regulator vein is the etiology of the problem and the varicosity you see is the result of the problem. Ultrasound must be done in the standing position to evaluate the integrity of these pressure regulating veins. Result of this ultrasound will help to determine which veins need to be closed appropriately so the varicose veins will not recur. Most venous ultrasounds performed in the hospital setting evaluate deep veins and do not evaluate the pressure regulator veins that cause varicose veins.

What is the best way to treat spider veins and is it permanent?

Spider veins on the legs are best treated with the injection method called sclerotherapy. Most importantly they may be an indicator of underlying medical issues especially if the patient is experience itching, burning, or heaviness in their legs. If medical issues (leaking valves in larger veins) are either ruled-out or treated appropriately prior to sclerotherapy, recurrences of spider veins are far less likely to occur. 

What minimally invasive procedures are available to treat varicose veins?

Varicose veins occur as a result of valve failure in veins that regulate pressure in the legs. These abnormal functioning veins expose skin veins to higher pressure and they subsequently dilate and become bulgy varicosities on the leg. Compression stocking may provide temporary symptomatic relief but cannot actually fix the problem. Laser and Radiofrequency energy sources can be used under local anesthesia to permanently eliminate the cause of the problem. Small numbers of 1mm micro-incisions should be used simultaneously to remove the bulgy varicosities. Saphenous vein stripping is an antiquated procedure that should essentially never be used.  A board certified Phlebologist at a specialized Vein Center will know which treatments are most appropriate for good long term results.    

James Albert
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James Albert
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