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Venous ulcers are the painful result of vein disease, when the one way vein check valves malfunction, allowing ‘reflux’ of blood flow into the superficial veins. Venous reflux causes swelling and inflammation in the surrounding tissues and blocks oxygen and nutrients to the skin resulting in tissue damage and skin ulceration.
Vein Specialists of the South successfully treats the underlying venous reflux decreasing the inflammation and improving the nutrition to the skin. With individualized vein and ulcer care, most patients healed their venous ulcers. The data supports quicker and more long-lasting results with the VSS combined approach over wound care alone.
Heal your venous ulcer and take back your life and venous health at VSS.
*Individual Results May Vary
Venous ulcers develop in the legs because of saphenous vein reflux with or without incompetent perforator veins. Many venous ulcers are preventable with early treatment of your vein disease. However, if you already have a venous ulcer, with compression and good venous wound care, most ulcers will heal. However, the ulcer recurrence rate is 60% within a year if the venous reflux is not corrected.
Venous ulcers commonly form in patients with:
The best step is prevention. This includes following the Better Veins for Life® conservative treatment program. For symptomatic saphenous vein and incompetent perforator reflux, correction of the reflux can prevent ulcer formation.
Once you have an ulcer the approach will change. The first step becomes compression and wound care to heal the ulcer. Addressing the underlying vein disease is the next key to successfully treat and prevent venous ulcer recurrence.
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Your vein consultation visit with Dr. Kenneth Harper, Dr. William Veale, and the VSS Team begins with us listening to your concerns. Then we perform a detailed exam and duplex ultrasound mapping study to identify superficial vein problems and additional testing as needed to identify any deep vein problems. Possible deep vein diagnostic studies may include CT, MRI, venogram, intravascular ultrasound.
Upon completing your evaluation you receive a plan designed to heal your venous ulcer. The initial phase of care includes good wound care and control of leg swelling. With the ulcer improved and/or healed the next step is to correct any saphenous venous reflux. Options for saphenous reflux offered at VSS include: thermal (RF Ablation) or non-thermal (VenaSeal™, Varithena®) endovenous therapy.
Bulging varicose veins may be treated with ambulatory phlebectomy or ultrasound-guided sclerotherapy (Varithena®) in the areas where the skin is bad. Ambulatory phlebectomy is the removal of bulging varicose veins via micro-incision (2mm) under local anesthetic. Ultrasound-guided sclerotherapy injects sclerosing medication into the veins to collapse them rerouting the blood flow into healthy veins.
The final step is the treatment of incompetent perforator veins that are associated with venous ulcers. Perforator vein treatments offered at VSS include RF ablation, open ligation and ultrasound-guided sclerotherapy of the incompetent perforator veins.
Treating venous ulcers is a process. It usually involves a combination of wound care and vein treatments. Each case is unique and results may vary in healing time depending on the underlying problems. In some VSS cases, we have seen ulcers heal within weeks of venous interventions while others take longer.
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While the treatment regimen may take time, the individual therapies don’t typically require a lot of downtime. The wound care phase may be the most time-consuming part of your treatment plan.
Vein Specialists of the South is one of Georgia’s leaders in vein care. For more than 20 years, Dr. Harper and the clinical vein team have treated more than 22,000 patients. With the addition of Dr. William Veale to the VSS team, we now offer advanced specialized ‘deep vein care’ to improve and restore vein health. At VSS vein care is our passion and it shows in everything we do.
Since 1997 Vein Specialists of the South has helped thousands of patients like you with varicose veins, spider veins, and leg swelling. Dr. Kenneth Harper a leader in vein health is a Diplomat of the American Board of Surgery and the American Vein and Lymphatic Medicine. Dr. William Veale who joined VSS in 2018, is a third-generation physician who is Board Certified by the American Board of Surgery and the American Board of Vascular Surgery. Terri Harper, MSN, FNP-C, is a leader in the field of cosmetic spider vein education. Our dedicated nurse injectors have been trained by the best.
At VSS we have a passion for veins big and small. Serving more than 20,000 patients, Vein Specialists of the South is committed to bringing you Better Veins for Life®. Call today to schedule an appointment with the VSS team, ‘where veins are not just one thing we do, they are the only thing we do.’
*Individual Results May Vary
“It’s not just one thing we do, it’s the only thing we do.”
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