Ablation (Physician/Surgeon CVI Treatment)Ablation uses a thin, flexible tube called a catheter inserted into a varicose vein. Tiny electrodes at the tip of the catheter heat the walls of your varicose vein and destroy the vein tissue. As with chemical sclerotherapy, your varicose vein is then no longer able to carry blood, and it is eventually absorbed by your body. Please note, this is not one of the procedures performed by our therapists
Angioplasty and Stenting (Physician/Surgeon CVI Treatment)In more severe cases of CVI, your surgeon may recommend angioplasty or stenting. An angioplasty is the use of a balloon to push open a narrowed or blocked portion of the vein. A stent is a metal-scaffold tube that helps to keep the narrowed areas open. In some instances, depending on where the vein blockage is, this may be used to open up the blockage. The procedure is performed through small needle punctures in the veins, either behind the knee or in the groin. Typically angioplasty and stenting are safe procedures.
Bypass Surgery (Physician/Surgeon CVI Treatment)For more extensive problems, your surgeon may recommend bypass surgery to treat CVI that occurs in the upper thigh or pelvis. For example, your surgeon can connect an artificial vein, called a graft, or a transplanted vein to a vein not affected by CVI to help blood flow from your affected leg around the blocked vein. Most vein surgery can be performed through small incisions. Usually bypass surgery is safe, although there is a small risk of DVT and infection at incision points. Your physician will only recommend this procedure in the most serious instances.
Cellulitis InfectionCellulitis is a fairly common but potentially serious bacterial skin infection. The infection appears as a swollen, red area of skin that feels hot and tender, and it may spread rapidly. It most commonly affects the skin on lower legs but can occur anywhere on the body. Cellulitis can also affect tissues under your skin and may spread to your lymph nodes and bloodstream. Untreated, the spreading infection may rapidly turn life-threatening. You should seek immediate medical attention if cellulitis symptoms occur.
Complete Decongestive Therapy (CDT)Complete Decongestive Therapy (CDT) is a lymphedema treatment program that includes manual lymph drainage (MLD), compression techniques, exercise, and self-care training. It is comprised of an initial reductive (intensive) phase (phase I) followed by an ongoing, individualized maintenance phase (phase II). Components include MLD, multilayer short-stretch compression bandaging, remedial exercise, skin care, education in self-management, and elastic compression garments.
Compression GarmentsElastic compression garments are worn on the affected limb (usually following complete decongestive therapy) to maintain edema reduction and to compress the arm or leg and encourage the flow of lymph fluid out of the affected limb. If you need a compression garment, our therapist will recommend a custom-fit or "over-the-ounter" standard size garment. Most importantly, the patient needs to obtain the correct fit for their compression garments by getting professional help. Our Edema Rehab therapists are experts in measuring for compression garments.
EdemaEdema is swelling caused by excess fluid trapped in your body's tissues. Although edema can affect any part of your body, it's most commonly noticed in the hands, arms, feet, ankles and legs.
FibrosisFibrosis is the formation of excess fibrous connective tissue in an organ or tissue in a reparative (i.e. healing after an injury) or reactive (e.g. caused by inflammation) process.
Hyperbaric Oxygen TherapyHyperbaric Oxygen Therapy involves exposing the body to 100 percent oxygen at a pressure that is greater than what you normally experience. Wounds need oxygen to heal properly, and exposing a wound to 100 percent oxygen can, in many cases, speed the healing process.
LymphangitisLymphangitis is an inflammation or an infection of the lymphatic channels. The most common cause of lymphangitis in humans is Streptococcus pyogenes (Group A strep). Signs and symptoms include a deep reddening of the skin, warmth, lymphadenitis, and a raised border around the affected area. The person may also have chills and a high fever along with moderate pain and swelling. A person with lymphangitis should seek medical advice as soon as possible.
Lymphatic SystemThe lymph or lymphatic system is a network of organs, lymph nodes, lymph ducts, and lymph vessels that make and move lymph from tissues to the bloodstream. The lymph system is a major part of the body's immune system.
Lymph (Fluid)The almost colorless fluid that travels through the lymphatic system, carrying cells that help fight infection and disease. Lymph consists of White blood cells (especially lymphocytes, the cells that attack bacteria in the blood) and fluid from the intestines called chyle, which contains proteins and fats
Lymph NodesLymph nodes are the filters along the lymphatic system. Their job is to filter out and trap bacteria, viruses, cancer cells, and other unwanted substances, and to make sure they are safely eliminated from the body. They are located in clusters in various parts of the body, such as the neck, armpit, groin, and inside the center of the chest and abdomen. When bacteria are recognized in the lymph fluid, the lymph nodes make more infection-fighting white blood cells, which causes the nodes to swell. The swollen nodes are sometimes felt in the neck, under the arms, and groin.
Manual lymph drainageManual Lymph Drainage or Manual Lymphatic Drainage (MLD) is a gentle manual treatment technique based on four basic strokes, which were initially developed in the 1930’s by Dr. Emil Vodder, a PhD from Denmark. These basic strokes known as the “stationary circle”, “pump”, rotary” and “scoop” techniques are designed to manipulate lymph nodes and lymphatic vessels with the goal of increasing their activity and promoting the flow of lymphatic fluid. MLD is now recognized as a primary tool in lymphedema management. Therapists can today receive certification through special classes conducted by various organizations specializing in MLD, or through a complete lymphedema treatment certification course. Certified therapists will have the CLT or MLDT designation after their names.
Sclerotherapy (Physician/Surgeon CVI Treatment)In sclerotherapy, your physician injects a chemical into your affected veins. The chemical scars your veins from the inside out so your abnormal veins can then no longer fill with blood. Blood that would normally return to the heart through these veins returns to the heart through other veins. Your body will eventually absorb the veins that received the injection. Please note, this is not one of the procedures performed by our therapists.
Valve repair (Physician/Surgeon CVI Treatment)In valve repair, your surgeon shortens the valves inside your vein to improve valve function. After making a small incision into your skin, your surgeon cuts into the affected vein. Your surgeon then folds or tucks the valve flaps. He or she may place a fabric sleeve around the outside of your affected vein to help press the walls of the vein together to maintain valve function.
Varicose VeinsVaricose veins are swollen, twisted veins that you can see just under the skin. They usually occur in the legs, but also can form in other parts of the body.
Vein stripping (Physician/Surgeon CVI Treatment)To perform vein stripping, your physician first makes a small incision in the groin area and usually another incision in your calf below the knee. Then your physician disconnects and ties off all veins associated with the saphenous vein, the main superficial vein in your leg. Your physician then removes this vein from your leg. A procedure called ambulatory phlebectomy, or small incision avulsion, can be done either alone or together with vein stripping. Small incision avulsion allows your physician to remove individual varicose vein clusters from the leg through tiny incisions.