Landis Vein Care Clinic - Conditions


Venous Insufficiency

There are two venous systems in your legs, the deep and superficial, each having one-way valves so blood only flows in one direction back to the heart.  Sometimes due to increased pressure in the veins, these valves no longer close properly resulting in pooling of blood in the lower leg, a condition called venous insufficiency.  Patients with venous insufficiency often report symptoms of pain, swelling, aching and itching in their legs.  These patients often times are those with prominent varicose veins or notice that they have clusters of large, dark purple spider veins at the ankle. 


Varicose Veins

Varicose veins can be cosmetically unappealing but also cause pain, heaviness, and swelling. They may appear as large dilated veins that are twisted and blue in color below the surface of the skin. 

To best determine the true cause of a persons varicose veins and ways to treat them, it is best to have a venous ultrasound to diagnosis if there is an underlying problem.  In many cases we use a combination of treatments to achieve the greatest cosmetic result.  There are two general treatment options: conservative measures, such as compression stockings, and corrective methods such as Endovenous Laser Treatment (EVLT), Microphlebectomy, or Sclerotherapy.  


Spider Veins

Spider veins are small red, blue, or purple veins on the surface of the skin that usually are not painful, but are unattractive especially if numerous. Women can experience these unsightly veins on the legs caused by hormones and family history, but both men and women can experience them on the face. This is primarily from sun and/or wind damage taken place over the years.


Venous Stasis Ulcer

A venous stasis ulcer is an open sore or wound that is caused by poor circulation of veins in the lower leg.  These usually occur on the inside of the lower leg in the ankle area.  An increase in pressure in the veins and surround tissue cause skin changes, discoloration and skin breakdown.  Due to the swelling that is also associated with venous congestion the area can be very difficult to heal.  Our office can provide surgical intervention to treat the cause of ulcers and work closely with wound clinics to heal them.  


Deep Venous Thrombosis 

Deep venous thrombosis (DVT) is the formation of a blood clot deep within the body preventing blood flow.  This most commonly occurs in the large veins of the legs and pelvis but can also be found in the veins of the arms.  If the clot breaks off and moves through the bloodstream, it can migrate to the heart or lungs (pulmonary embolism or PE), possibly causing death.  After large DVT's a major problem can be severe swelling called post-thrombotic syndrome. 

A DVT can occur without symptoms but normally the associated extremity will be very painful, swollen, red and warm to the touch.


Superficial Thrombophlebitis 

Superficial thrombophlebitis (STP) is an inflammation of a vein due to a blood clot located just below the skin's surface.  The vein often feels like a hard knot under the skin, not soft like a normal varicose vein, or may feel hard along its entire length.  Tenderness, redness and inflammation, warmth and hardening of the vein are all common signs of STP.