4 reasons most people visit Decatur Vein Clinic in the fall

Decatur Vein Clinic4 reasons most people visit Decatur Vein Clinic in the fall

1. It often makes economical sense

The out-of-pocket expense for our varicose vein treatment may be drastically less than it was earlier in the year for people who have met some or all of their insurance deductible for 2012. Also, many people can expect their insurance deductibles and out-of-pocket maximums to renew in January, eliminating a great opportunity.

2. Cooler temps make hose wear more comfortable

Wearing compression hose in the summer can be unpleasant. But with the cooler temperatures on the way, you can more comfortably wear the hose under a pair of pants.

3. Back to the real world

For most, vacation season is coming to a close and it’s time to finish some important things you wanted to do for yourself this year. Make healthier legs a priority.

4. Time is running out

For all of the reasons above, our schedule is filling up fast and we have a limited number of appointments available for the remainder of the year. Don’t miss out!

To take advantage of this great opportunity, contact the clinic nearest you at 866-Fix-Vein (349-8346) or click here and we’ll contact you.

Decatur Vein Clinic specializes in non-surgical procedures for the treatment of vein disease, such as varicose veins, spider veins and venous insufficiency.

Our treatments are covered by most insurance including Medicare. For more information, including symptoms and causes of vein disease, visit DecaturVein.com.

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Bloomington woman solves sleep problem by treating varicose veins

For Rebecca, the successful treatment at Decatur Vein Clinic meant she was able to enjoy the perks of a good night's sleep.

For Rebecca Minnier, the successful treatment at Decatur Vein Clinic meant she was able to enjoy the perks of a good night's sleep.

One of the most common symptoms for those suffering from varicose veins is a restless feeling in the legs, especially during periods of attempted rest or sleep.

That was certainly the case for Rebecca Minnier, a patient at the Bloomington Decatur Vein Clinic.

Rebecca said she was experiencing restlessness as will as cramping and throbbing in her legs, especially at night when she was trying to fall asleep. She says the symptoms made it tough to get to sleep and stay asleep.

“I didn’t realize how much I was missing out on by losing sleep and being tired all the time. So many things go hand in hand with a good night’s sleep. Now, I feel so much better and my legs don’t hurt,” said Rebecca.

Decatur Vein Clinic Nurse Practitioner Melissa Louthain says varicose veins cause a backup of pressure and swelling into the muscles of the legs. This causes irritation of the nerves and muscles, which leads to that feeling of restlessness in the legs.

“Restless legs symptoms begin shortly after lying down or when sitting for an extended period of time. Often times, the symptoms don’t occur during the day because we don’t notice the nerve and muscle irritation when we are active,” said Louthain. “Once the varicose veins are treated,  leg symptoms are greatly improved. We have had great success in treating restless legs with our non-surgical varicose vein treatments.”

For Rebecca, the successful treatment at Decatur Vein Clinic meant she was able to enjoy the perks of a good night’s sleep.

“I am walking on the treadmill, waking up before my alarm and getting a good seven hours sleep. Before (my treatment) I was waking up every two hours. I’ve also lost five pounds!” she said.

Rebecca added that she was so pleased with the results of her treatment, she suggested to her aunt that she give it a try.

To learn more about Decatur Vein Clinic treatments and the symptoms of varicose veins and venous insufficiency, visit DecaturVein.com or call 866-Fix-Vein today to schedule a free consultation.

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Diabetes patient finds solution to leg pain at Decatur Vein Clinic

Peggy Long is a 77-year-old diabetes patient who suffered with varicose veins for over 20 years before coming to Decatur Vein Clinic and finding a solution. Her family doctor, worried that she may develop ulcers on her legs due to her condition, referred her to Decatur Vein Clinic in Noblesville.

Melissa Louthain, nurse practitioner at the Decatur Vein Clinic in Indianapolis, says diabetics often have pain, numbness and tingling in their legs.

“When these symptoms develop,  it’s easy for patients to believe their leg discomfort is only from nerve damage from the diabetes. After all, health care providers are also the first to blame leg symptoms on the diabetes because of the natural progression of the disease,” said Louthain.

Although leg numbness and tingling is a common complaint with diabetes, Louthain says she would still encourage the patients to come in for an evaluation of their legs.

“Numbness and tingling may be present alone or with other symptoms such as leg heaviness, aching, pain, swelling and restlessness. Any of these symptoms could be a sign that a person also has varicose vein disease. Varicose veins are diagnosed by ultrasound of the legs and are not always seen by the naked eye,” said Louthain.

Aside from a successful treatment of her legs and a better overall quality of life, Peggy says she had a great overall experience at Decatur Vein Clinic.

“The Noblesville clinic staff treated me really great. They were always on time for my appointments and if I showed up early, they would take me back early. I just couldn’t believe how fast I was in and out of my appointment.

“I am so glad I had it done and I am sorry I didn’t do it sooner!” said Peggy.

If you are suffering from the symptoms of varicose veins including swelling, pain or discomfort call 866-Fix-Vein or visit FixVein.com to schedule your free consultation.

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Personal trainer calls Decatur Vein Clinic treatment “life changing”

Decatur Vein Clinic patient, Melissa Wardrip

Decatur Vein Clinic patient, Melissa Wardrip

As a personal trainer in Louisville, Kentucky, Melissa Wardrip needs to feel confident in the look and feel of her legs. When the physical and social discomfort her varicose veins were causing her became too much, she decided to come to Decatur Vein Clinic.

In a letter Melissa recently sent to us, she describes the affect our treatments had on her legs as “life changing.”

Read Melissa’s letter below…

My experience at Decatur Vein Clinic has been incredible. I have had a problem with varicose veins for most of my life, but the problem became dramatically worse after I became a personal trainer. Not only had my veins become increasingly uncomfortable, but their bulging appearance made me very self conscience in my new line of work and day-to-day activities. Today, my legs are completely pain free. Best of all, all of those ugly veins have disappeared and my toned, muscular legs have been revealed.

This procedure has given me a new-found confidence professionally and personally.

The staff at the Louisville, Kentucky Decatur Vein Clinic is wonderful. They went above and beyond to make me feel comfortable during my procedure. They also took great care to explain each step in a way that was easy for me to understand. The procedure itself was virtually pain-free, and my recovery didn’t interfere with my busy lifestyle.

This has been a life-changing experience and I wish I had decided to do this treatment sooner.

Call 866-Fix-Vein or visit FixVein.com to schedule a free consultation at the Decatur Vein Clinic nearest you. Decatur Vein Clinic accepts most insurance including Medicare.

About Dr. Decatur

 Dr. David Decatur Founder of Decatur Vein Clinic

Dr. David Decatur founded Decatur Vein Clinic more than a decade ago to deliver high-quality, patient-friendly vein treatments to people in need. Since day one, we’ve been helping patients look, feel and live better.

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Compression stocking wear and varicose vein treatment

Compression stockings

Compression stockings

Written by Decatur Vein Clinic staff

For patients, one of the most challenging aspects of varicose vein and venous insufficiency treatment is compression stocking (aka hose) wear. Decatur Vein Clinic staff members are experts in all phases of varicose vein treatment including hose wear. We don’t just pull hose out of a box and hand them to our patients. We fit our patients and educate them on how and why to use them. We have also been specially trained to help patients with all of the obstacles associated with hose wear.

Below you’ll find an explanation of the role compression hose plays in varicose vein treatment and some issues our patients encounter while using compression hose.

Compression stockings before treatment

Most insurance companies require a trial period called “conservative therapy” prior to approving the coverage of varicose vein treatment. In conservative therapy, patients wear the hose in order to see if it resolves their symptoms. Insurance requirements vary and Decatur Vein Clinic has a special department trained to know these requirements in order to expedite the approval process. 

The length of conservative therapy hose wear may vary from zero-to-six weeks, three months, or six months or, sometimes, more. Each insurance requirement is different and Decatur Vein Clinic checks with each company to ensure your trial is completed based on the insurance company’s requirements.

Even prior to treatment, compression hose can help already enlarged and malfunctioning veins perform their vital function of returning blood to the heart. The compression provided by the hose may also help patients relieve some of their symptoms such as pain, swelling, cramping, etc. Although compression hose may improve symptoms to some degree, for most patients it just isn’t feasible to wear them every day for the rest of their life. Also, it’s important to note that varicose vein disease with venous insufficiency is a progressive disorder. Compression hose use may slow down the process, but will not halt the disease.

Compression stockings during treatment

Once hose requirements and all other insurance approval criteria are met, patients may begin treatment.

Decatur Vein Clinic uses endovenous laser treatment (EVLT) on most patients, which uses the heat from a laser to close off problem veins. After the closure, compression hose must be worn continuously for 48 hours. Once laser treatment is complete, weekly or biweekly ultrasound-guided sclerotherapy (USGS) treatments begin. During the USGS portion of treatment, compression hose will be required to be worn during the day, but can be removed at night.

Compression hose are a mechanical way of keeping the necessary veins closed. Without the use of compression hose use, treatment can be severely prolonged or even unsuccessful.

More on compression stockings…

  • Strong compression, such as 30-40mgHg weight, must be used during the course of all varicose vein treatment. The good news is, the compression hose used today is considerably lighter weight and easier to wear, but still uses the necessary compression needed for treatment. They also look more like a regular pair of knee highs.
  • Some patients often have difficulty putting on hose correctly. That’s why we show and help them put on their hose at every appointment. Once they have the hose on, they often experience issues with the hose staying in place. We offer our patients hose adhesive that helps alleviate this problem. Hose-related itching and or dryness may also become bothersome. We recommend lotions and/or powder to combat the discomfort.
  • Some patients have jobs in hot conditions or have to wear the hose in summer months, which contributes to the aforementioned complications. Removing the stockings for brief periods is acceptable, but patients will need to wear them during the day to get the best benefit. Only wearing the stockings at night usually won’t alleviate symptoms and defeats the purpose of wearing them once treatment has started.
  • If a patient is required to wear compression hose daily once starting treatment, they should not be removing their compression hose to get out in the sun. They will need to wear sunscreen or cover up their legs once they have been released from their hose wear, which is usually at the six week follow-up appointment. The SPF helps protect the patient’s legs if they have experienced staining with treatment. For some patients, the sun can cause some staining on unprotected legs.
  • Patients should realize the importance of wearing compression hose during the bulk of our treatment. Compliance with this aspect of treatment is crucial. Whether the patient is having endovenous laser treatments, ultrasound-guided sclerotherapy, or both, compression hose wear allows the treatments to progress smoothly.
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Heart disease in women: What you need to know

Written by Patty Lewis, Decatur Vein Clinic Nurse Practitioner

Did you know February 3rd is National Wear Red Day? It’s part of the American Heart Association’s effort to raise awareness of heart disease in women.

In the eternal search for optimal health care outcomes, it has become common knowledge that previous research and clinical trials were male-oriented.  With the inclusion of women, researchers found that there are significant differences in the pathophysiology of heart disease in women versus men. This article will look at some of these differences and also at recent statistics concerning women and heart disease.

Are you at risk?

Cardiovascular diseases (including heart disease and strokes) were listed more often than any other reason as the major cause of death every year since 1900 in the United States, with the exception of the year 1918. On average, there is one death every 39 seconds in the United States from cardiovascular disease (CVD), with one death per minute for females, based on 2008 mortality statistics (American Heart Association, 2011). The American Heart Association’s Statistical Update has found that Americans continue to struggle with controllable risk factors such as smoking, obesity, diabetes mellitus, hypertension, and lack of physical activity. With ever-increasing costs of quality healthcare, it is imperative that the public become more proactive in controlling their own health risks.

Why is heart disease different in women?

Coronary heart disease (CHD) is the number one cause of death for both men and women.  Recent studies have found that CHD mortality has declined, but women have not benefited at the rate men have, due to several factors.  Research has found that women not only present with different symptoms, but the pathophysiology (cause) varies (Shaw, Bugiardini, & Merz, 2009).  Presentation of chest pain and abnormal stress testing usually signal an abnormal narrowing of a coronary artery.  This narrowing, or constriction, is due to a dysfunction of the inner lining of the artery which controls blood flow and prevents clot formation.  This is caused by a tear in the artery wall, cholesterol deposits, and hypertension.  The Women’s Ischemia Syndrome Evaluation (WISE) study found that 60% of women with chest pain and abnormal stress testing did not have a clot at the time of coronary testing, but were found to have worse outcomes in the 4 to 5 year follow-up period due to less aggressive treatment.  Any disruption in the vessel wall can result in a thrombus (clot).  An acute thrombus can cause a partial or a complete obstruction to blood flow, which can be further complicated by vasospasm. Vasospasm is the constriction or narrowing of an artery that can be extremely painful. Coronary arteries are smaller in women and are therefore more susceptible to any decrease in blood flow.  Coronary vasospasm affects women more often than men in Western cultures (Kusnoor, Ferguson, & Falik, 2011).

Heart attack warning signs also different in women

Women tend to present with different symptoms.  They are usually older initially, and have a greater number of risk factors.  Women with new onset chest pain are more likely to report throat and neck pain, described as burning, sharp, or intense.  This may be why women are less likely to receive a cardiac evaluation and less aggressive follow up treatment. At initial presentation, studies have found that women typically have higher rates of diabetes, hypertension, and left ventricular hypertrophy (enlargement of the left side of the heart), which leads to more severe damage to the smallest vessels of the heart when compared to men with similar amounts of coronary stenosis (Kusnoor, Ferguson, & Falik, 2011).  On average women have higher cholesterol levels than men, after the age of 50, and specifically, higher levels of triglycerides.  Elevated triglycerides present an increased risk factor for women when compared to men (Shaw, Bugiardini, & Merz, 2009).  Diabetes, hyperlipidemia, hypertension, and smoking increase the risk for CHD in men and women, but the increased risks are greater in women. Women are also more at risk when there is a family history of premature coronary artery disease (CAD).  It was previously believed that menopause put women at an increased risk for CHD due to the decrease in estrogen levels.  Recent studies have found this to not be a significant risk factor (Kusnoor, Ferguson, & Falik, 2011).

What women need to do to to get the proper treatment

Women need to educate themselves on the risk factors and clinical presentation of CHD and be prepared to push for a more aggressive cardiac evaluation.  The National Institute of Health (NIH) website has a multitude of information which can be accessed for free at:http://www.nih.gov/

Men and women need to take control of their health and decrease the risk factors which are controllable.  With the continual need to control health care costs and the decreased levels of coverage for services by all insurance carriers, taking steps to improve health and prevent chronic illness is more important than ever for everyone.

About Dr. Decatur

Dr. David R. Decatur has always believed in providing the best care possible. That’s why Decatur Vein Clinic only specializes in non-surgical procedures for the treatment of vein disease, such as varicose veins, spider veins, and venous insufficiency.

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Retired teacher finally gets relief from varicose vein pain

Decatur Vein Clinic's non-surgical treatment for varicose veins allowed Ray to enjoy his hobbies pain free.

Decatur Vein Clinic's non-surgical treatment for varicose veins allowed Ray to enjoy his hobbies pain free.

Ray Beadle is a retired school teacher from Evansville, Indiana. Ray was experiencing some common symptoms of varicose veins such as aching, burning, cramping and jumpiness in his legs. He suffered with the symptoms for 11 years before he came to Decatur Vein Clinic. Our non-surgical treatment for varicose veins allowed Ray to enjoy his hobbies pain free.

“My experience with Decatur Vein Clinic has been fantastic! My legs are free from pain after years of chronic pain that I experienced after playing golf, any type of exercise and even after sitting for extended periods.

“I would recommend Decatur Vein Clinic for anyone. I say, go for it. The treatment resolved my problems. Additionally, my insurance took care of 90 percent of the cost.

“I am so happy with the results, my wife will also testify to that,” said Ray.

Don’t wait as long as Ray did to get relief from your pain! If you are suffering from symptoms such as pain or discomfort in your legs, it could be due to varicose veins. Call 866-Fix-Vein or visit FixVein.com to schedule a free consultation today!

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PAD Series III: Q & A about diagnosing and treating PAD and venous insufficiency

Erin Shaw FNP-BC Phlebologist at our Fort Wayne Clinic

Is there a test to help diagnose and treat PAD?

Yes, PAD is diagnosed by a procedure called Ankle/Brachial Index .This is an ultrasound test which compares the systolic pressure of the upper and lower limbs. Treatment will include lifestyle changes, medications and sometimes surgery and is usually successful in improving and managing symptoms. Notify your family doctor regarding any questions about PAD symptoms.

So what happens if you are found to have PAD, you receive
treatment but you still notice problems with your legs?

First and foremost, remain persistent in your follow-up with the physician treating you.  Often these symptoms can be a result of a progression of the PAD or other conditions which should be evaluated. Your physician can guide you through this process. One of the conditions which can cause similar symptoms is venous insufficiency. Venous insufficiency is the failure of the veins to effectively return the blood to the heart and lungs. This happens because the veins have developed incompetent valves or, in some cases, the valves are absent. As a result, the blood and fluid begins to pool in the feet and legs causing cramping, fatigue, heaviness, restlessness, itching, burning, aching and pain.

What are the symptoms of venous insufficiency?

Often with venous insufficiency, your legs may look normal but you could see spider veins, bulging veins, changes in the color and texture of your skin and swelling. This  normally begins in middle age but can occur as early as teenage years. Causes are considered familial and it is aggravated by multiple life factors. The list of factors includes hormone changes associated with puberty, pregnancy and aging, long periods of sitting, long periods of standing, trauma or deep vein blood clots.

Did you know Decatur Vein Clinic offers free consultations?

How do you diagnose venous insufficiency?

The most common test used to determine if you have venous
insufficiency is also a duplex ultrasound or mapping.   The ultrasound in this case

Ultrasound machine
This is the ultrasound machine we use during the mapping procedure. During the mapping, we find the exact location of the patient’s diseased vein(s).

evaluates the valve function of the veins and measures the size of the veins in
the superficial venous system. The superficial system is typically where this
condition begins and remains limited to. Typically the deep venous system will
also be evaluated to determine valve competence or if deep vein blood clots are  present. Treatment will again include lifestyle changes, conservative treatment and medical treatment which will successfully improve and manage symptoms.

What is conservative treatment for venous insufficiency?

Conservative treatment of venous insufficiency includes regular exercise, elevation of the feet and legs, weight management, avoiding  tight-fitting clothing, changing your position often, gradient compression stocking (preferably professionally fitted) and the use of anti-inflammatory medication. This is a chronic condition and cannot be cured, so lifestyle changes and continued use of conservative treatment is imperative.

How do you treat venous insufficiency?

Medical treatment of venous insufficiency consists of a variety of minimally invasive procedures that are very effective. The most common procedures used today are an Endovenous Laser  Treatment, Ultrasound Guided Sclerotherapy and Ambulatory Phlebectomy. Choice of the type of procedure for you would depend on many factors. The vein specialist treating you would discuss what is most appropriate for you.

The most important take home message is: don’t wait, you don’t have to be miserable. Talk to your physician, get evaluated, use conservative treatment and lifestyle changes as instructed and get treatment.

You will feel better and the progression of PAD and venous insufficiency will be
delayed.

PAD artery Image http://www.vdf.org/community/pad.php

PAD Information   http://www.vdf.org/diseaseinfo/pad/

Ankle-Brachial Index test http://www.webmd.com/heart-disease/ankle-brachial-index-

Venous image http://www.ask.com/wiki/Antivaricosest

References:

Griffin’s 5 Minute Clinical Consult, Lippincott, Williams
and Wilkins, 2005, Mark R. Dambro.

Pathophysiology: The Biologic Basis for Disease in Adults
and Children, Mosby, 1994, Kathryn L. McCance and Sue E Huether.

Clinical Guidelines in Family Practice, Barmarrae, 1998,
Constance R Uphold and Mary Virginia Graham.

Sclerotherapy: Treatment of Varicose and Telangiectatic Leg
Veins, Mosby, 2001, Mitchel P Goldman and John J Bergan.

Erin Shaw’s article on PAD “Questions & Answers on diagnosing and treating PAD” is part three of our four-part series on PAD.

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PAD Series Part II: What is Peripheral Artery Disease (PAD)?

Why I enjoy Phlebology " Phlebology is a field that offers real results to patients who suffer silently from varicose veins. In the practice of medicine, I've always desired to do more for these patients."

PAD (peripheral arterial disease) is a clogging or blockage of the arteries referred to as atherosclerotic occlusive disease and is a relatively common disorder in older persons. (1)

Arteries take oxygen-rich blood and nutrients from the heart to all parts of the body. Atherosclerosis is a narrowing and a stiffening of the arteries caused by a build-up of fatty material in the walls of these arteries. PAD is the atherosclerosis disease process affecting the arteries of the legs.

The American Heart Association estimates that as many as 8 to 12 million Americans have PAD and that nearly 75 percent of them are without symptoms. (2)   An
estimated 1 million Americans develop symptoms from PAD every year.

PAD risk factors

The risk factors for PAD include, cigarette smoking, high cholesterol, diabetes, older age, genetics and high blood pressure. (1)  There are no significant gender differences in the overall presence of PAD in the general population. Alarmingly, patients with PAD have a threefold to fivefold risk of cardiovascular illness and death compared with patients without PAD.  In fact, over five years between 25 to 35 percent of persons with PAD will have a heart attack or stroke.(3-5)

Leg pain: What does it mean? 

Claudication is the most common symptom of PAD. This is pain in the calves, thighs or buttocks when a person exercises or, as the disease gets worse, even with walking and is relieved after the person rests. PAD then can range from mild claudication to severe leg pain from lack of blood flow requiring an arterial surgical bypass  or even worse an amputation. In addition, many patients prior to requiring an amputation live with chronic leg or foot wounds needing chronic medical care.

Screening for PAD

There are many tests that can screen for PAD, including simple questionnaires, measuring blood pressure in the arms and ankle region, and non-invasive and invasive radiology testing. Not all leg pain is caused by PAD but can include joint diseases, nerve damage or spine disease or another common cause such as venous disease of the legs.  The first step is to see your physician to assess your risk factors and to do appropriate initial screening tests to rule in or out the likelihood of PAD.

Dr. Louis Barajas’ article on PAD “What is Peripheral Artery Disease” is part two of our four-part series on PAD.

1. Meijer WT, Grobbee

DE, Hunink MG, Hofman A, Hoes AW. Determinants of

peripheral arterial disease in the elderly: the Rotterdam study. Arch

Intern Med. 2000;160:2934–8.

2. American Heart

Association. PAD quick facts. Accessed online November 7, 2005, at: http://www.american-heart.org/presenter.jhtml?identifier=3020248.

3. McDermott MM.

Peripheral arterial disease: epidemiology and drug therapy. Am J

Geriatr Cardiol. 2002;11:258–66.

4. Weitz JI, Byrne

J, Clagett GP, Farkouh ME, Porter JM, Sackett DL,

et al. Diagnosis and treatment of chronic arterial insufficiency of the

lower extremities: a critical review [published correction appears in Circulation

2000;102:1074]. Circulation. 1996;94:3026–49.

5. Criqui MH, Langer

RD, Fronek A, Feigelson HS, Klauber MR, McCann

TJ, et al. Mortality over a period of 10 years in patients with

peripheral arterial disease. N Engl J Med. 1992;326:381–6

PAD Image http://medicineworld.org/news/news-archives/health-news/848644824-Nov-15-2007.html

PAD questionnaire http://www.kumed.com/default.aspx?id=4336

Dr. Louis Barajas’ article on PAD What is peripheral Artery Disease is part two of our four-part series on PAD.

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Noblesville physician recommends Decatur Vein Clinic

Dr. Amy Banter, Noblesville family physician

Dr. Amy Banter, Noblesville family physician

Noblesville family physician Dr. Amy Banter explains why she refers patients suffering from varicose veins and other venous diseases to Decatur Vein Clinic. She also encourages other physicians to consider sending patients suffering from the symptoms of varicose veins to DVC. 

Dr. Banter says she trusts Decatur Vein Clinic so much that she referred her own mother to us!

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