The Vein Clinic of North Carolina has been providing comprehensive vein treatment for over 30 years. Extensive experience with vein injection therapies and endoluminal venous closure techniques have made us a leader in the Piedmont Triad region and beyond.
Scott W. Baker, MD
Dr. Baker graduated from Allegheny College and obtained his medical degree from the University Of Rochester School Of Medicine. His post-graduate training includes an internship and residency from Beth Israel Hospital/ Harvard Medical School in Surgery and Anesthesiology. He was appointed Chief Resident in Anesthesiology. More recently, he has served as the Director of Anesthesiology and Pain Management, Director of the Problem Wound Care Center, Chairman of the Surgery Department and President of the Medical Staff at Valdese General Hospital. He also was the President of the Burke County Medical Society. His academic appointments include Clinical Instructor of Anesthesiology Harvard Medical School, and Assistant Clinical Professor of Anesthesiology Duke Medical School. Dr. Baker is an active member of the American Medical Association, the American Society of Anesthesiologists, the North Carolina Society of Anesthesiologists and the North Carolina and Burke County Medical Societies.
Dr. Baker is Board Certified in Anesthesiology and is member of the American Academy of Pain Medicine. He is also a member of The American College of Phebology. Dr Baker is now focusing his practice on the treatment of venous problems and aesthetic medicine.
Tina Denny, LPN
Tina received her nursing degree from Forsyth technical College in 1984, prior to joining Vein Clinic of North Carolina she has worked in cardiology and urgent care. She enjoys teaching patients about their diagnosis and treatment plan. "The more patients know about what is wrong and what to expect, the more they understand and can help in their treatment." She particularly enjoys getting to know each patient on a personal level and believes laughter is a good healer.
Sclerotherapy is a procedure used to eliminate varicose and spider veins. It involves the injection of a solution directly into the vein. The solution irritates the vessel wall lining causing the vein wall to swell and stick together eventually causing the vein to turn into microscopic scar tissue that fades over time. It is considered the gold standard of vein treatment for leg veins less than 4 mm in diameter. Sclerotherapy is a well-proven treatment for vein disease and has been in use since the 1930’s.
Varicose veins occur when the one way valves in the veins in the leg fail allowing blood under pressure to flow the wrong way. The veins are not designed to cope with this increased pressure so they enlarge and become prominent and more visible. Venous disease is largely inherited. It affects men and women equally but starts earlier in women often beginning in pregnancy. It is not caused by standing for long periods but the symptoms may be increased. They are caused by high weight, blood pressure or smoking, but these conditions can exacerbate the vein problem.
Injections to close off the veins (sclerotherapy) have a long proven record of success with spider veins as well as veins less than 3-4 mm in diameter. For veins larger that 4 mm, however, sclerotherapy has provided only mixed results. We now know that if the sclerotherapy solution is mixed with air it creates a foam. Injecting this foam into the vein allows the solution to stick to the vein walls better and gives a much better result. It is performed as an out-patient procedure so avoiding the inconvenience, discomfort and expense of an admission to hospital. You can drive home and return to normal activities immediately afterwards.
The VNUS Closure® procedure is the medically proven, minimally-invasive treatment for people suffering from superficial venous reflux, which causes the pain, swelling and unsightliness of varicose veins. A thin catheter is inserted into the vein through a small opening. The catheter delivers radiofrequency (RF) energy to the vein wall, causing it to heat, collapse, and seal shut.
The procedure is performed in our office under local anesthesia and patients will be ready to resume their regular activities immediately after the procedure. In fact, it is a requirement that patients walk approximately 30-60 min on the same day after the procedure. The is some minimal bruising and swelling after the procedure, but the most patients report very little pain. Noticeable improvement in symptoms is seen after 1-2 weeks.
Wearing Compression Hose
The most conservative way to manage varicose vein disease is wearing prescription-strength compression stockings (usually knee length, but sometimes thigh length hose are needed). Compression stockings help alleviate the swelling and pain caused by varicose veins. These stockings will also help heal any skin inflammation or ulcerations which have developed. However, there has never been any evidence to show that compression stockings prevent the formation of varicose veins. Since the diseased veins that are causing the symptoms are not being eliminated, the compression stockings have to be worn indefinitely. Some insurance companies are now requiring patients to wear prescription strength compression stockings for 3-6 months before they will consider reimbursement for treatment.Compression hose definitely has a beneficial role after treatments like sclerotherapy and endovenous closure.