- What are varicose veins and what causes them?
Varicose veins are bulging worm-like protruding veins that are commonly seen on the thighs and calves. They are caused by faulty valves in veins beneath the skin surface, which causes blood to back up and enlarge these superficial veins.
- What are symptoms of varicose veins?
Symptoms of varicose veins include aching, throbbing, cramping or burning pain over the affected veins. Additional symptoms may include leg swelling, heaviness, restlessness or fatigue. Occasionally open wounds on the legs, known as ulcers, may occur as a result of varicose veins.
- How are varicose veins treated?
There are many treatments for varicose veins. To effectively treat varicose veins, one must determine which vein beneath the skin surface is causing the problem, because the underlying cause must be treated in order to have successful and long-lasting results.
The best way to determine the cause of the varicose veins is by the performance of a ultrasound by a skilled sonographer. It is equally important that the ultrasound be properly interpreted. Dr. Rayman, who is an interventional radiologist with expertise in the performance and interpretation of ultrasound, takes pride in making sure that the correct diagnosis is made.
Once the underlying abnormal vein is identified, it might be treated in any of a number of different ways, including Endovenous Laser Ablation, Radiofrequency Ablation, VenaSeal, Mechanical-Pharmaceutical Ablation and Varithena Chemical Ablation. In addition, the varicose veins themselves may be treated by microphlebectomy or ultrasound guided foam sclerotherapy.
Treatment choice is dependent upon the particular patient’s appearance, symptoms, motivations and desires.
- Does treatment for varicose veins work?
Absolutely. There is a 98-100% technical success rate with most treatments, with permanent cure in most cases. Recurrence of varicose veins ranges from 2%- 20%, depending on the treatment utilized and length of time from the original treatment. Recurrent varicose veins are easily treated.
- Is treatment painful?
State of the art treatment for varicose veins usually involves the use of tumescent anesthesia, which numbs the area around the vein to be treated. There is minimal discomfort, allowing for the procedure to be performed on an outpatient basis in our clinic. Again and again we are told by our patients that treatment was much easier than they expected.
- What are spider veins, what causes them, and who gets them?
Spider veins are tiny veins that typically don’t protrude from the skin surface. They may be red or blue in color and are typically seen on the legs, face and chest. While spider veins may cause mild burning pain, they are usually aymptomatic.
Causes of spider veins include heredity, pregnancy, hormonal changes, jobs that involve prolonged standing or sitting, and trauma.
A very high percentage of patients (>50% of women and 30% of men over the age of 50) have spider veins. While they may not cause symptoms, they can be a source of unnecessary self-consciousness and embarrassment. The good news – treatment is available, with high success rates!
- How are spider veins treated and does it work?
Experts agree that the best single treatment for most spider veins is sclerotherapy. Cutaneous laser treatment may be used in conjunction with sclerotherapy, especially for resistant or recurrent spider veins. Tiny spider veins on the face and legs are also well suited to thermocoagulation with the Vein Gogh (or Vein Wave) procedure.
Spider vein treatments do work, although several treatments may be required to achieve desired results. Number of treatments varies from patient to patient, with treatment plans tailored to individual needs.
- Is it covered by insurance?
Most insurance plans will cover treatment for varicose veins, provided that the patient is symptomatic and that an ultrasound demonstrates a true underlying abnormality. Depending on your particular plan, you may have a co-pay or may have to come out of pocket for some amount, but this is always determined before any treatment is planned or initiated.
by Fred Herdt
Category: vein treatments
Ok so I know I left a review before, but I’m at the gym working out right now and I see my legs in the mirror, particularly the right leg, and all I can say is DAMN, MY LEG LOOKS SO GREAT! And all that vascular pain from standing and working behind a salon chair is GONE!!! Thank you again Dr. Raymond and everyone at Beach Cities Vein and Vascular Center! I’m so happy with everything you did and it was worth every penny. To me, you did the impossible, and I’m so not kidding. I had been to two other vein “specialists” over the last 15 years they didn’t even come close to what Dr. Raymond could do. So again thank you!
Category: vein treatments
My experience with Beach Cities Vein & Láser center was Outstanding. I got the results I wanted with my varicoise veins treatment. Dr. Rayman and Marisa were both professional, excellent , and caring . The office staff was always helpful and courteous. I would highly recommend Beach Cities Vein & Láser Center .
Look No Further than Doctor Rayman!
Category: vein treatments
At age 29, I had a growing varicose vein on my ankle that made me feel so insecure and like everyone was looking at my “monster vein” (lol). I was about to turn 30 in a few months so I started looking up places to help me get rid of my unsightly vein. When I found this site online I immediately made an appointment. I was excited, but also very nervous as I have never had any sort of medical procedure before. However, once i got to the office everyone is SO kind and quick to answer any questions, I felt like I really made the right choice with Dr. Rayman. Marlene was with me through a lot of my appointments, doing my ultrasounds and pictures-she does a great job and is so sweet! Dr. Rayman is one of the nicest doctors I have met. He immediately made me feel comfortable not only due to his extensive knowledge but also due to the fact that he really cared about me, my issue and how to fix it. We went with the Endovenous Laser Treatment to treat the core problem of my “monster vein”. The procedure itself was relatively quick and definitely painless as my leg was completely numb! For me, as someone who gets grossed out easily, it was a mental game of not thinking too much about the procedure as it was happening lol! My mom was allowed to be in the room with me, I got to pick my favorite music, and honestly we all chatted the whole time. I went back for my second procedure, which was the injections into my soon-to-be-gone monster vein. This was also pretty painless for me besides some mild burning sensations initially after the injections. I wore the compression socks as directed and personally had no trouble with them. I had a little bit of a numb sensation where we did the EVLT, but that faded with time and I feel totally normal again. I just went back for 6 month check up appointment, and my monster vein is gone!!! I’m so incredibly happy with the results. Dr. Rayman and his team are so good at what they do, so kind, and SO WORTH IT. Trust me, you won’t be disappointed!
by Katherine O'Connor
Category: vein treatments
I had a wonderful experience at Beach Cities Vein & Laser Center. Everyone has a smile on their face and makes you feel welcome. I am so happy with the results. I highly recommend Dr. Rayman and his excellent team! Thank you for taking such great care of me!
Dr. Rayman, thank you for doing what you do!!!!
by Grace S.
Category: vein treatments
YOUR SEARCH IS OVER! This review will be helpful to those who have delayed doing something about their varicose veins because of fear. If you are scared of needles, traumatized from past surgical procedures, and burdened by years of daily reminders of having painful, bothersome, and tired legs due to varicose veins, you do not need to worry anymore, nor do you need to suffer any longer from the physical and emotional pains that come with varicose veins thanks to Dr. Rayman and his exceptional medical practice. A bit of background: I had surgery 8 years ago by a surgeon to address varicose veins in my right leg -- a "real" surgery in a hospital operating room, with full general anesthesia. Not only were the surgery and its after effects painful and long lasting (including nerve damage), even more varicose veins started popping up about a couple years later. Due to that bad experience, I decided I would NEVER do anything about my varicose veins again, and that I was destined to live with the pain, discomfort, and ugliness. Fast forward 8 years, and the discomfort/pain, heaviness/throbbing, etc. were really getting to be a daily issue. Even people were coming up to me asking if my legs were hurting, because they looked like they felt! So I decided to do my due diligence and started to do a lot of research online (medical conditions, procedures, and various doctors). Thanks to Yelp, I found Dr. Rayman!! Being a bit gun shy, I called his office twice with tons of questions, and then proceeded to see him for TWO consultations (with my notepad full of questions). Each time, and with every interaction I had with him and his staff , I felt more and more at ease. Dr. Rayman showed me with the ultrasound exactly what my veins were doing and not doing. (And low and behold, the vein that was supposedly tied off 8 years ago was still there, bad as ever.) He and each one of his staff received me and my zillion questions with such respect, patience, compassion, and professionalism. Three weeks after my consultations, I had my radiofrequency ablation (RFA) done! Dr. Rayman and his staff are great, but I think they are able to show their personal best when actually performing the procedure -- during the procedure, there was wonderful bedside manner, nice music playing, excellent communication between doctor and patient and assistants, and obvious skill and confidence. Being embarrassingly afraid of needles, I must say it was really fine! I wanted to hug him when it was over, he was that great and showed that much care! I also appreciate his practical tips on how to distract myself when he was administering the numbing medication!! And considering it's just 3 days after my procedure and I've already made my appointment for Dr. Rayman to do my left leg (same condition), you've got to know that I'm completely satisfied, comfortable, and grateful. I told him, "Dr. Rayman, thank you for doing what you do!!!!"
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