We at The Appalachian Surgery and Vein Clinic and The Caudle Center Medical Spa are pleased that you have chosen us to help with your vein problems. During your consultation, we will present a great deal of information regarding our procedures, work-up, and various treatment options for you.

Your legs are made up of a network of veins consisting of superficial veins, perforating veins, and deep veins. Perforating veins connect the deep venous system to the superficial venous system. Healthy leg veins contain valves that open and close to assist the return of blood back to the heart. Venous reflux disease develops when the valves that keep blood flowing out of the legs and back to the heart become damaged or diseased. This can cause blood to pool in your legs and lead to symptoms such as aching, pain, swelling, swollen limbs, leg heaviness and fatigue, skin changes and skin ulcers, and varicose veins.

Varicose veins are a very common problem, generally appearing as twisting, bulging rope-like cords on the legs, anywhere from the groin to the ankle.

Spider veins are tiny, flatter, red or purple veins close to the skin surface.

Reticular veins are enlarged veins that are between the size of varicose veins and spider veins and usually are connected to the spider veins directly.

While many people have heard about varicose veins, very few truly understand their underlying cause, and the potential they have for developing into a serious medical issue.

The spider or varicose veins that you see are frequently only the “tip of the iceberg” and are in large part arising from a highly pressurized underlying vein system. The increased pressure comes not from a clotting problem, but rather from a blood flow abnormality in your veins. This is called re-flux and causes blood to travel in the wrong direction in your veins, leading to excess blood pooling in your leg veins. Incompetent perforating veins are diseased refluxing veins that connect the deep venous system to the superficial venous system. All of the procedures we offer are designed to close the refluxing veins and re-route blood flow to healthier veins.

In addition to the visual appearance of purplish, knotted veins, many patients may experience one or more of the following leg symptoms:

  • Pain (aching or cramping) Heaviness/ Tiredness
  • Burning or tingling sensations
  • Swelling/ Throbbing Tender areas around the veins

If you experience symptoms and delay treatment, your symptoms may progress onward to more serious complications including:

  • Inflammation (phlebitis)
  • Blood clots (e.g., DVT)
  • Ankle sores
  • Skin ulcers

How can we help you?

We’re happy to answer your questions. 

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