Venous Disease Management in Sioux Falls, South Dakota (SD)

When the valves of your veins become weakened and damaged, blood is unable to travel from the lower extremities back up to the heart. As a result, blood reverses it course and settles in the leg veins, which can lead to a variety of venous diseases like:

  • Blood clots (platelets stick together and form a mass)
  • Deep vein thrombosis (a blood clot found in a deep vein)
  • Chronic venous insufficiency (condition whereby blood pools in the veins, causing a variety of physical symptoms)
  • Superficial venous thrombosis or phlebitis (a blood clot that forms in a vein near the surface of the skin)
  • Spider veins (thin veins that are blue, red or purple in color)
  • Varicose veins (twisted, enlarged veins)
  • Ulcers (wounds or open sores that are slow to heal)

Diagnosing Venous Disease

In order to conclude which type of venous disease you have, you vein specialist will begin by conducting a physical examination and examining your medical history. He or she will also perform imaging studies like duplex ultrasound and a venogram to understand your valve structure, evaluate valve function, determine if blood clots are present in the veins and assess the amount of blood that is flowing back into the legs. All of this information will be used to help your vein doctor choose the proper course of treatment. 

Managing Venous Disease

Initial management typically consists of conservative measures like:
  • Wearing compression stockings
  • Avoiding sitting or standing for prolonged periods of time
  • Elevating your legs when resting
  • Exercising regularly
  • Medication
However, if your venous disease is severe enough and complications have developed (e.g. ulcers, severe pain and swelling), then one or more of the following treatments may be implemented.

Sclerotherapy – a chemical solution is injected into your vein with a fine needle. The chemical aggravates the lining of the vein, causing it to inflame and harden into scar tissue.  The hardened tissue shuts down the vein and later the scar tissue is absorbed by the body. Through absorption, the vein shrinks, making it no longer visible at the surface. Blood that had come through the faulty vein is now re-routed to the heart through healthy, functioning veins that reside deep within the venous system. 

Phlebectomy – Veins are removed through tiny punctures made in the skin. 

Endovenous laser ablation (ELA) - a laser fiber is inserted through the skin and into your faulty vein. The laser heats the lining of the vein, causing it to collapse, shrink and later disappear. 

Vein stripping and ligation – this outpatient procedure involves tying the veins shut and removing them through incisions in your skin.

Valve repair – the valves are surgically repaired using a long, hollow catheter through which small instruments can be passed through and used to make the surgical repair, or via an open incision in the skin or by. Repairs can include, but are not limited to, using sutures or a piece of healthy tissue (graft) to seal off areas where blood is leaking through the vein, or inserting a stent to keep the valve propped open.

Vein transplant – the diseased vein is replaced with a healthy vein that is taken from another area of the body.

Laser and light treatment – a beam of light is directed at the veins, causing them to heat up. The heat disrupts the lining of the veins, triggering it to become inflamed and harden. The scar tissue shuts down the vein and is later absorbed by the body. Absorption causes the vein to shrink and disappear over time.

About Physicians Vein Clinics

Thank You For Choosing Physicians Vein Clinics

Physicians Vein Clinics is proud to offer the region’s finest vein removal services, using state-of-the-art technology and the skill of a board certified vein physician and laser expert.

About that free screening…

If you have ever wondered whether or not your vein problems can be easily fixed, find out with a free screening at Physicians Vein Clinics. The screening won’t take long and you’re under no obligation to receive further services. We should also be able to tell you whether your insurance will cover the procedure.

Easy as 1, 2, 3

Your free screening consists of three steps:
  1. We will review your medical history and perform a visual exam of the problem area. If necessary, an ultrasound examination will be obtained to identify the underlying cause of your problem. The ultrasound diagnosis isn’t needed very often, but if it is, this is a separate diagnostic test that requires billing to your insurance.
  2. We will diagnose your vein issues and discuss expected outcomes with you.
  3. Dr. Hansen will perform a visual exam and talk over the next course of action with you. If it is determined that your case is medical in nature, we will schedule a consult that consists of mapping and drawing your veins to prove venous deficiency and submit it to your insurance company. If the problems are cosmetic, they will discuss costs and treatment options with you.
Once you decide to move forward with treatment, we will work around your schedule to perform the procedures. Each outpatient procedure is different, but you should expect to return to normal activities in no time with minimal discomfort. Your specific treatment expectations and after-care will be discussed in detail prior to your appointment. Our professional and friendly staff is here to answer all your questions and make your time with us comfortable.

Featured Specialist for Venous Disease Management in Sioux Falls, SD

Physicians Vein Clinics

Lornell E. Hansen II, M.D.

Call Now: (605) 937-6503
3401 S. Kelley Ave.
Sioux Falls, SD 57106

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