Pain Management of Vein Issues In Cincinnati

Vein issues involve a number of different painful conditions.  These tend to revolve around the deterioration of the vascular system.  Most of the common medical conditions include varicose veins, spider veins, and a medical condition known as deep vein thrombosis.  Each of these medical conditions can cause extreme swelling and pain in the effected areas, and deep vein thrombosis can be fatal if it advances to other parts of the body.  Older procedures used to involve very painful open surgeries that would leave people with terrible scars and, while they were effective, took a very long time to heal.

The majority of vein issues no longer need pain management, and can instead be cured through minimally invasive medical procedures.

Endovenous Laser Ablation

This is a medical procedure designed to eliminate varicose veins.  Since these large, bulging veins can cause pain in the body part they develop in, there were often removed.  Vein stripping, as it was once known by, quickly became a popular method of removing the entire problem vein, but it came with a lengthy recovery period and heavy scaring following the procedure.  Endovenous laser ablation involves a tiny incision, minimal scaring, and a return to normal activity within a few days of the procedure.  Clinical trials have shown that this procedure is around 97 percent effective at eliminating problematic varicose veins.

With this procedure, the problem vein is identified using fluoroscope.  Once the vein has been identified, as small incision is made in the skin while under localized anesthesia.  This incision will then have a small catheter inserted into it, and then into the problem vein.  This catheter is led down to the end of the vein, where a heat source, typically from a laser, is fed through it.  Once the heat source is started, the catheter is slowly removed.  As the heat source passes through the vein, it seals the vein shut, preventing blood from flowing through it again.  After the catheter has been completely removed, the small incision is then stitched up and the procedure is complete. 

Following the procedure, normal activities, aside from prolonged sitting and heavy lifting can be resumed.  You may also be asked to wear a compression stocking to help reduce the amount of bruising and swelling that comes with the procedure.

Sclerotherapy

Where varicose veins are larger, bulgy veins, spider veins are much smaller veins that will normally develop a smaller ache rather than the type of pain caused by varicose veins.  For the most part, spider veins tend to be a cosmetic issue.  Still, many people look to have them eliminated, since they can become unsightly and can develop problematic symptoms.  Sclerotherapy is a very minor procedure that has been proven to eliminate spider veins without the need for surgery.

To begin, the problem vein is located.  This is the vein that feeds the spider veins.  After that vein has been identified and marked, an injection is made into this blood vessel.  This sclering solutions then flows through the spider veins, causing damage to the inside walls.  This builds up scar tissue, which then prevents the flow of blood through these areas.  Other blood vessels is the area will naturally take over the flow of blood in the area, and the spider veins that were blocked off will now start to be absorbed through the body's natural healing process.  All it takes is an injection in the correct spot.

Multiple groups of spider veins can be treated at once.  While veins will appear lighter after one session, most veins will take two or three sessions before optimal results have been reached.  Each injection session takes a short amount of time, lasting around 30 minutes in most cases.  There are rarely complications from this procedures, and it has a very high success rate of around 92 percent.  It can take up to 10 weeks for sclerotherapy to fully take effect.

Deep Vein Thrombosis

This is a very serious medical condition that needs to be taken care of quickly.  Deep vein thrombosis is a blood clot that forms in the deeper veins of the arms and legs.  While the blood clot itself can cause severe pain, discomfort, swelling, and tenderness, that real issue lies in DVTs potential to become dislodges and cause serious complications.  When a large blood clot dislodges in the extremity it's located in, it can travel to another area of the body.  This can cause pulmonary embolization when it travels to the lungs, a fatal conditions that restricts the flow of air.  Contrary to popular belief, DVT cannot cause a heart attack or stroke, since these would require arterial thrombosis.  Pulmonary embolization can be fatal.

To treat deep vein thrombosis, interventions radiology has developed a procedure known as Isolated Thrombolysis.  Older treatments used to either require fast surgery or long term medication that had very negative side effects.  With Isolated Thrombolysis, the patient feels relief and lowers the risk of pulmonary embolism almost immediately.  With the procedure, a catheter is insert into the vein with two medical balloons on it.  Once the catheter reaches the clot and goes through, the medical balloons are inflated on either side of the clot.  After these medical ballons have been inflated, the blood clot is isolated from the rest of the body.  An anti-coagulate drug is then put through the catheter in the area with the isolated blood clot.  This will start to weaken and dissolve the blood clot.  The weakened blood clot is then broke up by a wire that is attached to the catheter.  When this starts spinning, the clot is broken up into very small pieces, which are then removed via the catheter.  Removing the smaller pieces of the blood clot also removes any drugs that were used to help dissolve the clot, so once the balloon are deflated and the catheter is removed, it is almost like the blood clot was never there. 

The entire procedure take between one and two hours to perform, and the patient will go home the same day.  Symptoms of DVT are almost immediately relieved, and both the safety and quality of life of the patient has been restored.  Isolated Thrombolysis is performed by an interventional radiologist due to the body scanning equipment needed to find the blood clot and guide the instruments to it.

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