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Many options exist for correcting painful varicose veins, but some are not as effective if the problem veins are particularly large. A microphlebectomy, however, is an excellent procedure for eliminating these dark, unsightly bulges. A doctor performs a microphlebectomy on an outpatient basis, and it usually takes under an hour. The process involves mapping the problem veins through imaging, numbing the surrounding tissue, and making small vertical incisions from which sections of the problem vein may be removed. Because these incisions are so small, stitches are not used, and bleeding is very limited. Any scarring from these cuts is so tiny that it is difficult to see once healing is completed.
Once the microphlebectomy has been performed, the surgical area is covered with a sterile dressing, and compression stockings are applied. These are used for up to two weeks to apply continued support to the area, which results in less bruising. Because the procedure is less-invasive than traditional varicose vein surgery, most patients can return their daily activities the day after a microphlebectomy has been performed.
A microphlebectomy may be covered by medical insurance if the procedure is deemed medically necessary. Most of these procedures are performed by a certified specialist or phlebotomist, and you can schedule a consultation with this provider before the surgery. Call today to see if this procedure could solve your varicose vein problems.
About Foot, Ankle & Leg Vein Center
Dr. Jodi Schoenhaus, DPM
Leg Vein Center
It is estimated that more than 80 million Americans suffer from painful, bulging varicose veins or unsightly spider veins. Spider veins are the tiny veins that appear right under the outer layer of skin and are seen as small, red, blue or purple vessels, usually in a cluster pattern. Varicose veins are bulging blue veins on the leg, which appear large, twisted, and ropelike, and can cause pain, swelling or itching.
Veins takes deoxygenated blood from a body part and bring it back to the heart. Veins in the legs oppose gravity and thus to ensure flow in an upward direction, the veins have one way valves. When the valves do not work properly, the blood collects in the veins. When the blood collects in these areas spider and varicose veins will develop.
Most women begin to notice the appearance of spider veins after childbirth, as a result of direct pressure on the veins in the pelvic region and the lower extremities. Furthermore, hormones and the extra volume of blood in the body will lead to varicose veins.
Heredity, smoking, weight loss, direct trauma, excess physical activity and weight lifting may also cause venous disorders to develop. Varicose and spider veins can be physically and emotionally painful, and sufferers often feel embarrassed, frustrated, and, in some cases, depressed. However, a physical exam and ultrasound study will determine if the condition is medical or cosmetic, and also will illuminate appropriate options for treatment.
Sclerotherapy, Laser Vein Therapy
If unsightly veins are solely a cosmetic problem, they can be treated with sclerotherapy or by laser. Sclerotherapy utilizes a tiny and painless needle to administer a medication to the vein.
Bulging Varicose Vein Treatment
Bulging Varicose Veins can now be treated with Ultrasound Guided Sclerotherapy
This technique allows the ultrasound to guide injections to find hidden and deeper veins that are not seen on the surface. The doctor sees the vein on an ultrasound screen.
This enables treatment of veins that can't be seen because they are below the surface of the skin and would otherwise require surgical removal.
The deeper vessels can be the cause of surface vessels that you see, however unless the source of the problem is treated, the surface vessel will recur. By using the ultrasound to guide our treatment, more successful vein therapy will be obtained.
EVLT® Endovenous Laser Treatment
EVLT® or Endovenous Laser Treatment is the latest technology that has made vein stripping virtually obsolete.
Vein insufficiency that can cause aching, throbbing, swelling and bulging veins can now be treated in the office. Without the need for anesthesia, this office procedure is minimally invasive. A small laser is inserted into the leg and the vessel is treated by heat to close off the vein with leaky valves.
Normal activity is resumed after the treatment and a compression dressing is worn on the leg for one week.
This treatment is used for moderate to severe bulging veins. The vein is outlined with a marker and local anesthesia is used to numb the area. Next a needle is used to enter the skin and a small hook is used to remove the varicose vein. Ambulatory phlebectomy is an outpatient vein treatment and only requires a local anesthetic. This will not require stitches and this treatment leaves no scars.
Meet Dr. Jodi Schoenhaus D.P.M.
Dr. Schoenhaus moved to Florida in 2004 and has established herself in the Palm Beach community.
She received her undergraduate degree in Kinesiology from the University of Michigan and received her Doctorate in Podiatric Medicine and Surgery from Temple University.
She spent three years of surgical training on the lower extremity in Philadelphia, PA at The Graduate Hospital. As continuing education is a necessity to provide the most cutting edge advances in medicine and surgery, Dr. Schoenhaus has received additional training in all aspects of medicine. Please view her CV for further information.
Dr. Schoenhaus opened The Foot, Ankle & Leg Vein Center as a unique, boutique medical practice located in Boca Raton. The philosophy is simple; walk with comfort and look great doing it! The new state of the art facility is in close proximity to the hospital and features electronic medical recording, digital imaging for x-ray, in office ultrasound, and the newest laser technology.
The philosophy of the practice is to provide patient care with ethics and sincerity. Dr. Schoenhaus highlights the fact that she spends ample time with patients. She explains “educating an individual about their condition and finding a plan that fits their lifestyle is imperative in the course of successful treatment.”
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