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What is Chronic Venous Insufficiency? A Comprehensive Guide from Your Leg Vein Experts

Mon, 21 Jul 2025 14:24:49 GMT

By Dr. Peter Ford, Board-Certified Vascular Surgeon

Given recent news events, many people are suddenly searching for information about Chronic Venous Insufficiency (CVI). As a board-certified vascular surgeon who has treated thousands of patients with vein conditions, I want to take this opportunity to educate everyone about this common yet often misunderstood condition.

Understanding Chronic Venous Insufficiency

Chronic Venous Insufficiency is a medical condition that is estimated to affect at least 20%-40% of the adult population. Yet, many people suffer from symptoms for years without realizing they have a treatable condition. Simply put, CVI occurs when the valves in your leg veins stop functioning properly.

Think of your leg veins as a one-way highway system designed to carry blood back up to your heart against gravity. Tiny valves in these veins act like gates, opening to let blood flow upward and closing to prevent it from flowing backward. When these valves become damaged or weakened, blood can "reflux" or flow backward, causing it to pool in the lower legs.

Recognizing the Signs and Symptoms

Many patients come to my practice saying they thought their leg discomfort was just part of "getting older." However, CVI symptoms are not a normal part of aging and shouldn't be ignored. Here are the most common signs to watch for:

Physical Symptoms:

Swelling in the legs, ankles, or feet (especially after standing)
Aching, throbbing, or cramping in the legs
Heaviness or fatigue in the legs
Restless legs, particularly at night
Burning or tingling sensations

Visible Changes:

Spider veins or varicose veins
Skin discoloration (often brownish) around the ankles
Changes in skin texture or thickness
Skin that feels warm to the touch
In advanced cases, open sores or ulcers

When Symptoms Worsen: Most patients notice that their symptoms worsen after prolonged standing or sitting, during hot weather, or at the end of the day. Many find relief when they elevate their legs or wear compression stockings.

What Causes Chronic Venous Insufficiency?

While anyone can develop CVI, certain factors increase your risk:

Age and Gender: This condition becomes more common as people age, with women slightly more affected than men, often because of hormonal changes during pregnancy and menopause.

Family History: Genetics play a significant role. If your parents or siblings have vein problems, you're more likely to develop them too.

Lifestyle Factors:

Jobs requiring prolonged standing or sitting
Lack of regular exercise
Smoking
Obesity, which increases pressure on leg veins

Medical History:

Previous blood clots (deep vein thrombosis)
Multiple pregnancies
Previous leg injuries or surgeries

The Importance of Early Diagnosis

As a vascular surgeon, I want to emphasize the importance of early diagnosis and treatment. Left untreated, CVI typically worsens over time and can lead to more serious complications, including painful leg ulcers that are difficult to heal.

The good news is that modern diagnostic techniques make it easy to confirm CVI. At Vascular Solutions, we use advanced duplex ultrasound technology to visualize blood flow in your veins and accurately identify which valves aren't working properly. This painless, non-invasive test provides us with detailed information to develop a personalized treatment plan tailored to your needs.

Modern Treatment Options

Gone are the days when the only treatment for vein problems was painful surgical "stripping." Today, treatments are minimally invasive, highly effective, and let you return to normal activities quickly.

Conservative Management:

Prescription compression stockings
Lifestyle modifications
Exercise programs are created to boost circulation.

Minimally Invasive Procedures:

Radiofrequency Ablation: Heat-based treatment to close damaged veins
Sclerotherapy: Injection therapy for smaller veins
VenaSeal: Medical adhesive to close veins without heat
Varithena: FDA-approved injectable foam that treats varicose veins and their underlying cause
Ambulatory Phlebectomy: Minimally invasive removal of surface veins

At Vascular Solutions, we customize treatment plans based on each patient's unique condition, lifestyle, and preferences. Procedures are performed in our comfortable office using local anesthesia, and patients usually return to work the following day.

Why Choose Vascular Solutions - The Leg Vein Experts?

As The Leg Vein Experts, our team specializes exclusively in solving leg vein problems. This focused expertise ensures that we stay current with the latest treatments and techniques, enabling our patients to receive the most advanced care available for all types of leg vein conditions. We understand that every patient is unique, and we take the time to thoroughly explain your condition and the treatment options available to you.

Our singular focus on leg vein health means we've perfected our approach to diagnosing and treating conditions like Chronic Venous Insufficiency. We don't just treat symptoms – we solve leg vein problems at their source.

We also understand that dealing with leg pain, swelling, and appearance issues can significantly affect your quality of life. Our goal is not just to treat your veins but to help you return to the activities you enjoy without discomfort or feeling self-conscious about how your legs look.

Taking the Next Step

If you're experiencing any symptoms of Chronic Venous Insufficiency, don't wait for them to worsen. Early intervention often means simpler treatments and better outcomes. Many patients tell me they wish they had sought treatment sooner instead of suffering in silence.

During your consultation, we'll perform a comprehensive evaluation, discuss your symptoms and concerns, and explain all available treatment options. We believe in empowering our patients with knowledge, enabling them to make informed decisions about their care.

For more detailed information about our services and treatment options, I encourage you to visit our website at vasc-solutions.com . You'll find patient testimonials, detailed procedure information, and resources to help you better understand your vein health.

Schedule Your Consultation Today

Don't let leg pain, swelling, or unsightly veins control your life any longer. As a board-certified vascular surgeon with years of experience treating CVI, I'm here to help you understand your options and find the right treatment for you.

Contact Vascular Solutions today at (704) 544-7535 to schedule your consultation. Our friendly staff will be happy to answer your questions and help you take the first step toward healthier, more comfortable legs.

Remember, Chronic Venous Insufficiency is a medical condition, not a cosmetic concern. Most treatments are covered by insurance, and we'll work with you to understand your coverage and options.

Your legs carry you through life – isn't it time to give them the care they deserve?

Dr. Peter Ford is a board-certified vascular surgeon at Vascular Solutions Vein & Vascular Center in Charlotte, North Carolina. The Leg Vein Experts at Vascular Solutions exclusively specialize in the diagnosis and treatment of leg vein conditions using the latest minimally invasive techniques.

The Top 1% - Extraordinary Vein Specialists - Living at the Top

Mon, 23 Dec 2024 16:48:46 GMT

OK, so you've been putting it off. But now it's time to explore things. If you're like many Americans you might have some veins on your legs that have been there for a while. What to do, what to do?

For many people with varicose veins, it can be difficult to know whether to get your veins checked out. This is especially the case if your symptoms are mild or intermittent.

Many people with vein problems report their legs only bother them in certain situations. Commonly, people with vein problems feel symptoms only after they have been standing for a while. Symptoms also tend to be worse towards the end of the day.

Interestingly, some people report the opposite, getting symptoms only when they sit for long periods. This commonly occurs when they are on a long car ride or plane trip.

Varicose veins are a common condition. It's estimated that millions of people in the United States are affected. Quite often varicose veins are a nuisance problem. Sometimes varicose veins can be associated with annoying symptoms, such as aching legs and leg fatigue. Other potential symptoms include leg swelling, cramps, and restlessness.

Quite often people with varicose veins will have an underlying vein problem known as venous reflux. Venous reflux occurs when the valves in the leg veins have stopped working properly.

Across the USA many doctors claim to be vein experts. But what is a vein expert? And what sets super-star vein specialists apart from the rest?

Who is the best vein doctor in North Carolina?

From my perspective the following factors need to be considered:

1. Training / Qualifications:

Vascular surgeons are trained to treat vein problems. They have dedicated their careers to becoming specialists in the treatment of blood vessels.

After years of training vascular surgeons become qualified to treat varicose veins and vein problems.

Some people incorrectly believe that vascular surgeons have a bias towards fixing vein problems with surgery. This is not the case.

In reality, vascular surgeons are pioneers and leaders of minimally invasive treatments. The majority of vein treatments are quick, in-and-out, non-surgical procedures. These procedures are routinely and safely performed in a medical office.

2. Experience:

It seems obvious, but beyond basic training, you should look for a vein specialist that has extensive experience.

At Vascular Solutions, Dr. Peter Ford has over 13 years of experience. Dr. Ford has personally treated thousands of patients with varicose veins and vein problems.

3. Skills:

When researching vein specialists it’s important to confirm the practice you select has a wide range of treatment options at their disposal.

In the field of vein-care, there are often several options for treating vein problems.

Verify the breadth of procedures that your vein doctor offers, and don’t be afraid to ask about the pros & cons of each option.

3. Proven outcomes:

Seek a practice that has a high success rate and a low complication rate.

4. Reputation:

You should seek a vein specialist that has a good reputation. In general, it’s best not to rely on a single source. Some options for online reputation reviews including Google and Healthgrades.

Also, seeking a recommendation about vein specialists from your primary medical doctor is a good idea.

5. Integrity / Professionalism:

Vein care is a field where there are sometimes "shades of grey" in terms of the medical necessity of various procedures.

Ultimately, patients rely on the recommendations provided by the doctor and trust those recommendations. Within this context the integrity and professionalism of the vein specialist are critical.

Vascular Solutions has a solid reputation for excellence and professionalism.

6. Communication Skills:

This is probably the easiest thing to assess because you are the judge.

Did your vein specialist meet with you, talk to you, and explain things? Did you get a good vibe?

If your consultation was rushed, or your questions didn't get answered, you may have the wrong vein practice.

Make sure you're comfortable and fully informed about your options.

Conclusion:

Vascular Solutions is a specialty vein clinic located in Charlotte, NC. Our practice is staffed by the best vein specialists in the region.

Led by Peter Ford MD, Vascular Solutions continues to be the industry leader in the field of vein care.

The providers at Vascular Solutions in the top 1% of their field. They have also been nominated for various awards, including being designated Charlotte's Vein-Center-of-Excellence by Medtronic, and voted Top-Doc in 2018 & 2019.

Vascular Solutions promotes awareness of vein problems and improves access to vein care by teaching doctors about vein procedures. As they say "trust a doctor that trains other doctors".

Vascular Solutions prides itself on being the best vein clinic in Charlotte.

If you have varicose veins, spider veins, unexplained leg fatigue, leg cramps, or leg restlessness we can help. Contact us today to set up your new patient appointment.

Ankle Discoloration – What is Stasis Dermatitis? - Veins Charlotte Blog

Mon, 23 Dec 2024 16:47:04 GMT

Why are my ankles turning brown? What the heck is going on?

If you have noticed the skin on your lower leg getting browner than it used to be, you’re not alone. Ankle discoloration is a very common problem. The good news is that the underlying problem is easy to fix.

The most common cause of ankle discoloration is a vein condition called venous reflux. Venous reflux is where the valves in your leg veins have stopped working properly. Another name for this condition is venous insufficiency.

When the valves in your leg veins aren’t working properly back-pressure can build. This backpressure can result in microscopic leakage of blood from tiny blood vessels known as capillaries. Some degree of leakage of red blood cells is common, but the process happens to a much greater extent when back pressure is elevated.

After red blood cells have leaked through a capillary the body recognizes that these cells are in the wrong location. The body naturally begins to capture and recycle these stray red blood cells. This recycling process involves breaking the cells down into small sub-fragments.

The majority of recycled red blood cell fragments can be easily mopped up and reutilized by the body. There is one sub-component of the red blood cells that the body has difficulty recycling. This component is called hemosiderin.

Hemosiderin is a pigment contained within red blood cells. More specifically, hemosiderin is contained within hemoglobin, the portion of the red blood cell responsible for transporting oxygen.

Hemosiderin has a natural brown-bronze color. When hemosiderin accumulates within, or beneath the skin the brown-bronze color of hemosiderin becomes visible. This process is sometimes referred to as "hemosiderin staining".

Ankle discoloration can be patchy or widespread.

Patchy ankle discoloration sometimes looks like freckles or “sun-spots.” Widespread ankle discoloration will often look like a brown colored skin stain. Sometimes this skin discoloration will become dark brown. On occasion, the skin discoloration can have a dark-red or dark-purple hue.

In areas where the skin is discolored the skin will often become inflamed, irritated, and itchy. The name of this condition is stasis dermatitis. The word “stasis” refers to the pooling of blood that occurs when the veins are not working properly. The word “dermatitis” refers to inflammation of the skin.

Over time some people with longstanding ankle discoloration will develop leathery thickening of the skin and tissues underneath the skin. The medical term for this process is lipodermatosclerosis (LDS).

Occasionally people with ankle discoloration and stasis dermatitis will develop wounds or sores in the skin. The medical word for skin breakdown is “ulcer.” Sores or wounds that develop around the ankle in the setting of vein problems are known as venous ulcers.

Venous ulcers commonly occur on the inner ankle but can occur anywhere in the lower leg, from the heel to the mid-calf.

If you have ankle discoloration or stasis dermatitis you’ll likely have some great treatment options. The treatment of ankle discoloration is based upon what’s causing the problem.

To determine whether you have underlying venous reflux an ultrasound test will need to be performed. This ultrasound test will assess how the valves in your veins are functioning.

If you have venous reflux several procedures can be performed to eliminate the underlying vein problem. Once the vein problem is fixed the condition of the skin around the ankle will improve.

Will my current ankle discoloration improve after treatment?

It depends. Sometimes yes, and sometimes no.

The goals of vein treatment are to prevent further progression of skin discoloration, reduce or eliminate ankle pain/tenderness, and reduce the likelihood of skin breakdown/ulceration and infection.

If your discoloration is mild, not extensive, and if you have recently developed skin discoloration, these areas are more likely to resolve after treatment.

If you already have extensive, long-standing, dark ankle discoloration it’s quite probable that these areas may remain discolored, even after vein treatment. Some people will get a partial reduction of pre-existing skin discoloration.

What are my treatment options?

If you have underlying vein problems such as venous reflux the treatments are targeted towards this condition. Common treatments for venous reflux include ClosureFast (radiofrequency ablation), VenaSeal, and Varithena. These procedures eliminate blood flow in the bad veins, which reduces backpressure, which reduces excessive leakage of red-cells from the capillaries.

Sometimes if the skin around the ankle is severely inflamed there may be a role for a topical steroid cream, such as triamcinolone. Topical steroids should only be used on a short-term basis because long-term use can thin the skin, and cause other complications.

Occasionally if the skin is severely inflamed and or broken down (ulcerated) there may be the role for temporary application of a multi-layer compression bandage such as an Unna boot.

Peter Ford MD is a varicose veins specialist who practices at Vascular Solutions, the premier Charlotte vein center. Dr. Ford is an expert in diseases of the veins. We offer vein solutions individually tailored to your needs and specialize in vein treatments.

Contact our Charlotte vein clinic to schedule your new patient consultation.

Benefits of Vein Treatment

Mon, 23 Dec 2024 16:40:25 GMT

Varicose Veins Removal - Goodbye old-school techniques

In the past, vein procedures were primarily based on “saphenous vein stripping”, a surgical procedure that involved tying off and removing the problematic leg vein. Although these procedures were very successful, they involved a trip to an operating room. This made the procedures time-consuming, inconvenient, and expensive. Over the past 20 years, saphenous vein stripping procedures have been replaced by modern techniques that eliminate vein problems, without requiring a trip to the hospital.

Modern Day Vein Treatments

Dramatic advancements in technology have completely transformed what it means to get your veins fixed. No longer do you need to go to a hospital or be laid-up for several days after the procedure. Most people can immediately return to work and full activity.

Today's technology allows you to recover quickly, and the procedures are nearly painless. Also, today's procedures have a high success rate at keeping varicose veins away for good. Procedures like VenaSeal, Closurefast, and Varithena allow doctors to treat the underlying problem that causes varicose veins with speed, and success rates never seen in prior times.

The significant improvement in treatment options offers you the perfect opportunity to do something about your varicose veins today. Without significant discomfort or downtime, today's vein procedures allow you to get back on your feet in no time!

Less Pain

Many people suffer aching, heavy-feeling legs due to their varicose veins. Some people with varicose veins will get intermittent flare-ups of phlebitis, a condition where the veins have become red, tender, and inflamed. If you get varicose veins treatment this pain can be reduced, if not outright eliminated. An ultrasound of your legs will be required to map out the vein anatomy. This allows your doctor to get rid of the veins directly at the source and not just the visible veins, thus addressing possible underlying issues.

More Movement

Quite often, people with aching legs and leg swelling will reduce their activity and exercise levels. Sometimes this can create a vicious circle, where activity can result in weight gain, which can exacerbate leg pain and swelling. Getting your leg veins fixed is an easy way to break this cycle. After leg vein procedures the majority of people report their legs have more energy and feel less tired, which makes it easy to get back into exercising and working out. How great would it be to get your previous, active life back?

Improved Appearance

If you have ugly visible veins on your legs, one advantage of getting your veins fixed is your legs will likely look significantly better after vein procedures. If you have veins that bulge through the skin surface these can be eliminated. If you have smaller red, purple or blue veins these can also be treated. After you get your veins fixed you’ll be able to wear whatever you want without getting sideways glances from curious onlookers.

Better Sleep

Vein problems can cause nighttime leg symptoms that interfere with getting restful sleep. Nighttime leg restlessness and leg cramps are commonly experienced by people who have varicose veins and underlying vein problems. Quite often people with this condition have dealt with “restless legs” for years, without realizing that there may be an underlying vein problem. The sooner you get your veins treated, the sooner you could be sleeping soundly through the night.

Covered by Insurance

These days varicose vein treatment is covered by most insurance companies. If you suffer from leg fatigue, leg cramps, or leg swelling then give us a call. Your health insurance will likely cover the cost of getting your legs evaluated and cover the cost of any procedures.

If you've got questions about how to remove varicose veins, we've got answers. Find out about what to expect at your new patient visit.

Click here www.vasc-solutions.com to review our consultation options and book your initial consultation today.

Hmmm... Do I have a vein problem?

Mon, 23 Dec 2024 16:35:15 GMT

A large segment of the adult population experiences aching, cramping, or tired legs. Many people with leg symptoms are unaware they might have a common vein condition, called venous reflux. If you have bulging veins that pop out it’s normally fairly self-evident you may have an underlying vein problem. But if you don’t have visible veins it’s difficult to know what’s going on. Quite often vein problems aren’t even on the radar.

The leg veins are a series of connected pipes that carry blood back to the heart. Within the veins small flaps of tissue act as one-way valves, that allow blood to flow in the right direction (“North”) but prevent blood from flowing in the wrong direction (“South”).

When the vein valves aren’t working properly it creates back-pressure, which can result in a variety of leg symptoms. Common symptoms include bulging varicose veins, spider veins, aching/tired legs, leg cramps, and ankle swelling. Some people with venous reflux will develop phlebitis, a condition that occurs when veins have become inflamed, tender, red, and tender. Over time some people develop brown skin discoloration, and sometimes wounds can develop just above the ankle.

VARICOSE VEINS VS SPIDER VEINS

Varicose veins are abnormally dilated veins located close to the skin surface that measure more than 3mm in diameter. Spider veins are smaller skin surface veins that measure less than 1mm in diameter.

Both spider veins and varicose veins can be asymptomatic or result in symptoms such as burning discomfort, tingling, and tenderness. Both can create cosmetic concerns.

The treatment of spider veins is typically predicated on sclerotherapy (injection of medicine into the vein) or cosmetic laser (which zaps and eliminates the spider veins).

The treatment of varicose veins depends on the size and location of the veins. Sometimes varicose veins can be treated with foam injection, but larger veins are sometimes best treated with vein removal (phlebectomy).

If you’re living with leg symptoms that are anything more than mild or intermittent, you may be living with those symptoms needlessly.

VEINS VS ARTERIES

Veins are the pipes (blood vessels) that return blood to the heart and lungs. Arteries are the pipes (blood vessels) that carry oxygen-rich blood from the heart to all areas of the body. Vein problems and artery problems manifest in different ways. Vein problems tend to cause swelling, but also cause symptoms of heaviness, early leg fatigue, and throbbing discomfort. These symptoms are commonly exacerbated by prolonged standing or prolonged sitting. In contradistinction, artery problems in the legs tend not to cause leg swelling but tend to cause leg pain that is exacerbated by walking, and sometimes discoloration or sores on the toes.

BEST VEIN SPECIALIST NEAR ME

My name is Dr. Ford. I work at Vascular Solutions, a vein practice located at the Arboretum in south Charlotte. I’m a board-certified vascular surgeon and consider myself an expert in the field of vein care. I’ve performed thousands of vein procedures, published multiple articles in surgical journals and textbooks, and served as an assistant professor at UNC-Chapel Hill's surgery department for 7 years. I continue to train physicians across the region on advanced vein procedures. Every day I strive to be the best vein doctor in Charlotte.

The most common condition I treat is venous reflux, a condition caused by “leaky” valves in the leg veins. When someone has leaky vein valves increased backpressure causes symptoms such as aching, throbbing legs, leg cramps, leg restlessness, and early leg fatigue. Most of the time people cannot recall exactly when their symptoms started, as the condition tends to slowly evolve over months to years.

One of the challenges I face daily is how to provide “just the right amount” of information to each patient. I’ve found that most people are fairly happy to get a basic overview of the condition, but some people need all the details. I find myself spending a lot of time explaining vein problems and educating patients. I believe that if I can explain the condition in a way that makes sense, it becomes easier to outline the pros and cons of different treatment options.

MULTIPLE GREAT OPTIONS

One of the most common procedures I perform is radiofrequency ablation, also known as Closurefast. This procedure involves sealing the bad vein using a thin catheter that’s temporarily inserted into the target vein. This walk-in, walk-out procedure is performed in our office using local anesthetic. There’s no need to go to the operating room or hospital. The procedure is quick and easy and usually takes about 15-20 minutes.

An alternative to cauterizing the vein is to seal the bad vein using a polymer adhesive called VenaSeal, or using an injectable foam solution like Varithena to seal the bad veins.

BARRIERS TO CARE

Probably the biggest barrier to care is educating the public about this common condition. I’ve dealt with countless patients who have told me never even considered they may have a vein problem, and wish they’d known years ago.

On the other end of the spectrum, some people with confirmed vein problems are reluctant to get the veins treated... Probably the most common reason is concerns about the cost of treatment, but more often the reason is fear of complication or fear of pain. Fortunately, we now have multiple low-risk, painless methods for fixing the veins that weren’t previously available.

If you’re experiencing leg symptoms, such as aching, throbbing, early leg fatigue, leg cramping, leg swelling, or if you have symptomatic bulging varicose veins, you’re a candidate for getting your leg veins evaluated. Not everyone with leg symptoms has vein problems, and there’s a variety of other medical conditions that can cause leg pain. That’s another reason to seek out an experienced specialist who’s equipped to accurately diagnose the underlying problem.

At our practice, we invite patients with leg symptoms to attend a new patient consultation. During this visit, an ultrasound of the leg veins is performed, which allows identification of vein problems, and provides a “road-map” of the vein anatomy. We review the ultrasound findings and outline the pros and cons of any procedural options. By combining the diagnostic ultrasound and the new patient consultation in one visit, you leave with a diagnosis and a treatment plan.

There are millions of people in the USA who have vein problems. With vein problems being so common there's lots of opportunity for me to help people.

THE AUSTRALIAN CONNECTION

Having grown up in Melbourne, Australia, I like to place small reminders of my Australian roots around our office. One photo, that I’m especially proud of, features two mother kangaroos, each with joeys in their pouches, chilling out on a grassy field. I took this photo in a field adjacent to my back yard in Australia!

Another awesome photo (taken by my wife, Katie) that we display in our office features a koala hanging out in the nook of a tree.

Although I don’t have aboriginal blood, I have great respect for the plight of the Australian aborigines. I do what I can to draw attention to their struggles. My wife Katie incorporated the aboriginal symbol for “journey” into our company's logo to reflect my career path. The 4 dots reflect the stepping stones of my winding journey, starting at Monash University School of Medicine, followed by my residency at the State University of New York-Buffalo, then my fellowship at UNC-Chapel Hill, and now our practice here in Charlotte.

Top 10 things to consider when choosing a vein specialist - Charlotte, NC

Mon, 23 Dec 2024 16:28:24 GMT

Over the past couple of decades, things have come a long way in the diagnosis and treatment of vein problems.

A high percentage of the population keeps a smartphone within reach. People are highly informed, and a wealth of information is available at your fingertips.

This article will explore what is a vein specialist, and how to find the best vein center in your area.

Who are the best vein specialists near me?

There are multiple types of doctors who treat veins. A vein specialist is a doctor who has dedicated his or her career to the treatment of varicose veins and other vein problems. Knowing which type of doctor to choose can be confusing. This article will describe the top 10 key things you should consider when choosing a vein specialist, and help you find the best vein doctors in the Carolinas.

1. Training/Qualifications:

In the United States, different types of doctors manage varicose veins and perform vein procedures. It’s generally accepted that vascular surgeons are uniquely trained to diagnose and treat vein and vascular conditions. A vascular surgeon is a physician who has dedicated his/her career to become a vein and vascular specialist. Vascular surgeons receive specific and detailed training on the treatment of varicose veins and vein problems. A vascular surgeon fully understands vein problems and has been trained on the full spectrum of treatment options.

2. Experience:

It seems obvious, but above and beyond baseline training, you want to look for a vein specialist that has extensive experience. At Vascular Solutions, Dr. Peter Ford has personally treated thousands of patients with varicose veins and vein problems.

3. Skills:

When considering which vein specialist to select, it’s important to confirm that the physician you decide upon has the requisite skill-set, and has a range of options at their disposal. In the field of vein-care, there are often several reasonable options for treating vein problems. We recommend you verify the breadth of procedures that your treating vein specialist is trained on. Don’t be afraid to ask to review the pro's & cons (and alternatives) of each treatment option.

4. Focus on veins:

All other things being equal, it stands to reason that a vein clinic that's completely dedicated to veins is likely to deliver better outcomes than a multi-specialty practice, where attention and resources may be split between various conditions and disorders.

5. Judgment:

Admittedly, appraising the judgment of a physician is difficult. Having good judgment is essential for all physicians, but is critically essential for vein specialists. Given the wide age of patients affected by varicose veins and vein problems, the multitude of procedural options, and nuanced differences between various procedures, sound judgment, and clinical acumen is critical.

6. Reputation

You should seek a vein specialist who has a good reputation. In general, it’s best not to rely on a single source. Some options for online reputation reviews including Google and Healthgrades. In addition, seeking a recommendation about reputable vein specialists from your primary medical doctor is a good idea.

7. Commitment to excellence:

It makes sense to seek out a vein specialist that is committed to excellence. You should seek a practice that’s committed to getting you the best results and is also committed to advancing vein care in the community.

8. Location & accessibility:

Make sure the vein specialist you select practices at a location that is both geographically and physically accessible. Some people require several vein treatment procedures, and if each trip to and from the practice is time-consuming then this can become an issue. Look for a practice where there is adequate parking. An excellent online resource to help identify the location of the most appropriate vein practice is Google Maps.

9. Easy appointment scheduling & communication:

Some people like to communicate using the phone, whereas many people prefer email, text, or online portals. It should be easy to contact the vein specialist's practice using your preferred communication tool.

10. Minimal wait times:

Medical practices are notorious for having long wait times. Let's face it, no one likes to wait. You should seek out a practice where you will get seen expeditiously.

At Vascular Solutions, we pride ourselves on being the premier vein specialists in Charlotte. Dr. Ford is the best vein specialist in Charlotte.

We hope that you have found this information beneficial. We encourage you to consider these factors as you search for your preferred vein specialist.

Are varicose veins dangerous?

Mon, 23 Dec 2024 16:26:38 GMT

Varicose veins are common. It’s estimated that 20-40 million people in the United States are affected by venous reflux, the primary cause of varicose veins. Many people with varicose veins are aware that the veins on their legs are sticking out or bulging, but are uncertain whether this is a problem that needs to be addressed.

A common question is “are painful varicose veins dangerous?” For the majority of people with varicose veins the answer is “no”, varicose veins are not dangerous. Although varicose veins can cause symptoms of pain, aching, tenderness, and itching these symptoms tend not to be life or limb-threatening. This being said, a small percentage of people with varicose veins will develop complications, some of which can be serious.

BURSTING VEINS

One potential complication of varicose veins is external bleeding, which can occur when bulging veins are bumped against a blunt object (eg. edge of a dishwasher), or punctured with a sharp object (eg. leg shaving). Sometimes bleeding from a varicose vein can occur spontaneously, without any apparent trauma to the area. Spontaneous bleeding commonly occurs when people are in the shower. The hot water causes veins to bulge and dilate, and increased pressure in the vein makes it susceptible to bursting or rupture.

If you sustain bleeding from a varicose vein you should apply pressure over the bleeding site with a finger for at least 5-10 minutes until the bleeding abates. If you sustain bleeding it’s important to seek expedited medical attention, as re-bleeding can occur. The treating doctor may apply a suture or glue to control the bleeding, and in some situations, a pressure bandage may be appropriate. Most patients with bleeding from a varicose vein will benefit from evaluation and treatment of underlying vein conditions to reduce the likelihood of re-bleeding.

BLOOD CLOTS

Another possible complication of varicose veins is blood clots. Most of the time blood clots that develop in the setting of varicose veins are superficial and are not life or limb-threatening. When blood clots occur in a varicose vein the area tends to be firm, red, warm, and tender. These findings are related to tissue inflammation, which is the body's reaction to the superficial blood clot. The medical name for blood clots that occur in the superficial veins is superficial thrombophlebitis, often more simply abbreviated as phlebitis.

A small percentage of people who develop superficial vein blood clots are at risk for clot extension into the deeper veins in the legs (deep vein thrombosis - DVT). Situations where this is more likely to occur are when the superficial clot is close to a connection with the deep veins, and in people who have a tendency towards easy clot formation. The only way to know for sure whether a clot is superficial or deep is to get an ultrasound scan.

ARE VARICOSE VEINS ITCHY?

Varicose veins and spider veins are associated with a condition called stasis dermatitis, which causes dry, itchy skin. If the itching is mild this can be a nuisance problem, but many people will get worsening itchiness, to the point where they are at risk for damaging the skin from repeated or vigorous itching. Typically the skin changes of stasis dermatitis affect the skin just above the ankles.

WHAT CAUSES VARICOSE VEINS?

Varicose veins are commonly caused by an underlying vein condition where the valves in the veins are not functioning correctly. This underlying condition is called venous reflux or venous insufficiency. Venous reflux can cause a variety of symptoms including leg pain, leg heaviness, leg fatigue, leg cramps, leg swelling, leg restlessness, leg discoloration, and in advanced cases skin wounds.

VARICOSE VEINS TREATMENT OPTIONS

Varicose veins can be treated by a variety of procedures. Some of these procedures work indirectly, by reducing the pressure in the varicose veins, and some of the procedures work by directly sealing or remove the varicose veins. Not everyone with varicose veins needs treatment, but if you’re having symptoms or have sustained complications of varicose veins it’s worth getting evaluated to find out your options.

If you're on the fence, about whether to investigate things we offer brief (<15min vein screening consultations) at no charge. We also offer free virtual vein screening consultations, if this is more your style!

Dr. Ford is the best vein specialist in Charlotte. Contact us to schedule your new patient appointment or check out our new-patient consultation FAQ's.

You're So Vein, You Probably Think This Song Is About You

Mon, 23 Dec 2024 16:22:38 GMT

Do you have unexplained leg pain? Do you have scattered veins on your legs? This article will explore the ways that varicose veins and vein problems can affect your legs.

LEG CIRCULATION ANATOMY:

The pipes that carry oxygen-rich blood to the tissues are called arteries. The pipes that carry oxygen-depleted blood back to the heart are called veins.

As arteries travel down the legs they branch, then repeatedly sub-branch, until eventually, the oxygen-rich blood flows through tiny, microscopic pipes called capillaries. At the level of the capillaries, oxygen is delivered to the tissues.

Capillaries are present in all living tissues including the skin, fatty tissues underneath the skin, and muscles of the legs. Once oxygen has been delivered the blood starts its journey back to the heart.

The outflow passageways of capillaries merge/join, then join again. With each “joining” the vein pipes get progressively larger and larger. The larger dominant veins get bestowed with names!

SUPERFICIAL VEINS VS. DEEP VEINS:

Veins that are located in the central portion of the leg are called deep veins. Veins that are located close to the skin surface are called superficial veins.

Major superficial veins in the leg:

Great Saphenous Vein (GSV) – Starts near the inner ankle. Runs up the inner calf & thigh. Terminates in the groin (by joining with deep vein)

Anterior Accessory Great Saphenous Vein (AAGSV) – Runs up the front portion of the thigh. Terminates by joining with the upper portion of Great Saphenous Vein

Posterior Accessory Great Saphenous Vein (PAGSV) – Runs up the inner part of the thigh. Terminates (by joining with the upper portion of Great Saphenous Vein)

Small Saphenous Vein (SSV) – Starts near the outer ankle, runs up the back of the calf. Terminates behind the knee (by joining with deep vein)

Major deep veins in the leg:

Common Femoral Vein – located in the groin area

Femoral Vein (in the thigh) – runs from lower thigh to groin

Popliteal Vein – runs from upper calf to behind the knee

Anterior Tibial Vein(s) – located in the calf

Posterior Tibial vein(s) – located in the calf

Peroneal Vein(s) – located in the calf

Gastrocnemius Veins – located in the calf

Soleal Veins – located in the calf

WHY ARE VEINS BLUE?

It’s common in anatomy textbooks for arteries to be depicted as “red”, and veins to be depicted as “blue”. Interestingly, the natural color of both arteries and veins is a fleshy, pale, beige color. The reason why veins appear dark blue-purple is because vein walls are extremely thin, which makes vein walls partially translucent. Dark-red, oxygen-depleted blood within a vein appears blue-purple when visualized through the thin, translucent, beige-colored vein wall and overlying skin.

WHY DO VEINS BULGE?

Venous reflux is the condition where the valves in the upstream leg veins (normally the Great Saphenous Vein or Small Saphenous Vein) have ceased functioning normally. Venous reflux (venous insufficiency) is the underlying condition most commonly associated with varicose veins.

Venous reflux is commonly the consequence of weakening or stretching of the vein wall. When this occurs the flap-like valve leaflets inside the vein cannot come together properly. When the vein valves are not working properly, back-pressure builds up in the vein.

Bulging varicose veins in the leg are, conceptually, like fruit on the ends of branches of an upside-down vein tree. The valves are located in the “trunk” of this vein tree. When these valves stop working, pressure builds up in the trunk. This increased pressure is transmitted to the branches and twigs. The “fruit” on the end of the tree branches (varicose veins) are more likely to bulge and swell when there’s increased pressure within the tree branches.

When veins are under increased pressure they can bulge out through the skin surface, a situation known as varicose veins. Varicose veins can cause symptoms, especially when they are large and bulging. People who have painful bulging varicose veins are nearly always a candidate for vein procedures.

WHY DO PEOPLE GET VARICOSE VEINS?

Quite often the presence of large dilated veins is associated with a family history of varicose vein issues in one or both parents.

In women, pregnancies can put significant strain on the veins due to direct vein compression in the pelvis, exacerbated by hormonal changes that occur during pregnancy.

Other risk factors include increasing age, being overweight or obese, and a sedentary lifestyle.

WHICH VEINS GET AFFECTED WITH VENOUS REFLUX?

The vein that’s most commonly affected with venous reflux is the longest in the body, the Great Saphenous Vein (GSV). This “superficial vein” starts on the inner ankle, runs up the inner leg, and terminates in the groin when the vein joins with the deep venous system. This vein typically lies about 1-4cm below the skin surface, although in some the Great Saphenous Vein (GSV) may lie closer to the skin, or run a deeper course.

The vein second-most commonly affected by venous reflux is the Small Saphenous Vein (SSV). This vein is also considered a “superficial vein”. Venous reflux in the small saphenous vein (SSV) tends to cause symptoms in the lower portion of the leg and ankle.

Venous reflux also commonly affects the Anterior Accessory Great Saphenous Vein (AAGSV).

Venous reflux can also affect the deep veins in the legs, but this is much less common than reflux affecting the superficial veins.

WHAT ARE THE SYMPTOMS?

Some people with spider veins (small skin surface veins <1mm in diameter), reticular veins (small skin surface veins 1-3mm diameter), and small varicose veins (dilated veins >3mm in diameter) may have no symptoms, or only have mild intermittent symptoms.

Many people with underlying vein problems will eventually develop leg symptoms. The quality and severity of symptoms are surprisingly diverse. Common symptoms include leg heaviness, early leg fatigue, leg aching, leg cramps, leg restlessness, leg swelling, and ankle discoloration. Less commonly people with venous reflux will develop recurrent skin infections (cellulitis) or skin breakdown (venous ulcer).

Most people with vein related symptoms report that they cannot recall exactly when the symptoms started, reflecting the insidious slow progression of this condition over time.

Vein-related symptoms tend to be exacerbated by prolonged standing, and are commonly worse in hot weather, and towards the end of the day. Paradoxically, many people with vein problems will report that their leg symptoms are also exacerbated by prolonged sitting (eg. sitting at a desk or in a vehicle).

Venous reflux and varicose veins are associated with phlebitis and thrombophlebitis. Phlebitis is a condition where the vein has become inflamed and irritated, generally felt to be incited by stretch-injury to the vein wall. Thrombophlebitis is a related condition where the vein is not only inflamed/irritated, but the clot has also formed inside the vein. Phlebitis treatment is variable and critically depends on whether there is any clot within (or close to) the deep venous system.

Occasionally people with varicose veins will sustain bleeding from the varicose vein. Bleeding from a varicose vein is more likely to happen when the vein is bulging through the skin surface and is also more likely to occur when the skin overlying the vein has become extremely thinned out. Interestingly smaller varicose veins at the skin surface seem to bleed more often than from rope-like varicosities.

WHAT VEIN TREATMENT OPTIONS ARE AVAILABLE?

Vein treatments are designed to reduce or eliminate symptoms (if symptoms are present), improve or maintain the integrity of the skin (reduce the likelihood of progressive skin discoloration, skin infections, and wounds), and improve the cosmetic appearance of the legs.

Vein procedures are predicated on identifying and treating the underlying vein problem that may be causing the veins to bulge and swell and then using one of several treatments to eliminate or seal the bulging veins themselves. If a person simply has small spider veins (and minimal or no symptoms), direct treatment of the spider veins without investigation of underlying problems is a generally accepted strategy.

Many vein treatment procedures work indirectly. By sealing closed "bad" veins in the upstream vein tree, pressure in the varicose veins is reduced, which results in less aching pain, throbbing, cramping, and leg heaviness.

Multiple office-based procedures work by sealing closed “bad” saphenous veins. These procedures include “cauterizing” the target vein with laser or radiofrequency energy (Closurefast), “gluing” the target vein with an adhesive polymer (VenaSeal closure system), vs. injecting a foam product into the target vein (Varithena). Once the underlying problem has been treated attention can then be directed towards the remaining varicose veins and spider veins. Residual bulging varicose veins can be treated by direct removal (phlebectomy) or by injecting foam solution into the vein (sclerotherapy). Tiny skin surface spider veins can often be treated by “zapping” them with a hand-held laser device. Visit our cosmetic consultations FAQ page for more information.

At Vascular Solutions, we pride ourselves on being the best vein specialists in Charlotte and the Carolinas. Contact us today if you would like to be evaluated.

Bleeding Varicose Veins – Attention Leg Shavers and Shower Lovers - Avoid a Bloody Mess

Mon, 23 Dec 2024 16:20:34 GMT

Bleeding varicose veins are a potentially serious problem. Most people know what varicose veins are, but few are aware that veins can rupture and bleed.

Varicose veins are enlarged veins located close to the skin surface. Varicose veins often referred to as “varicosities”, can often be seen bulging through the skin. In some people, varicose veins can lurk underneath the skin. The medical definition of a varicose vein is an abnormally dilated vein measuring greater than 3mm in diameter.

Spider veins are basically “mini” versions of varicose veins. Spider veins are much smaller (less than 1mm in diameter) and don’t bulge to the same extent as varicose veins.

Some people have visible veins in their legs that are too large to be considered spider veins but aren’t large enough to be considered true varicose veins. These “tweener” veins are called reticular veins.

VARICOSE VEIN SOLUTIONS

Living with varicose veins can be more than just a cosmetic concern – they can cause discomfort, affect your daily activities, and impact your confidence. As The Leg Vein Experts, we understand that each case is unique and requires personalized care.

EXPERT CARE YOU CAN TRUST

At Vascular Solutions, we combine advanced treatments with genuine care to solve your varicose vein problems. Led by board-certified vascular surgeon Dr. Ford, our team offers state-of-the-art solutions including:

Radiofrequency Ablation treatment
VenaSeal® medical adhesive system
Varithena® foam therapy

Each minimally invasive procedure is precisely selected and customized to deliver the best possible results for your specific condition. Our approach focuses not just on improving the appearance of your legs, but on restoring healthy circulation and providing long-lasting relief.

External Bleeding:

When most people think about bleeding the first thought that comes to mind is bright red blood oozing or spurting from the body. External bleeding tends to get everyone’s attention! External bleeding can occur from both varicose veins and spider veins, but quite often the culprit is a reticular vein.

Attention leg shavers – be careful!

One of the most common scenarios that causes bleeding from a varicose vein is leg shaving. As the sharp razor is run along the skin surface any little lumps or bumps in the skin can be nicked by the sharp edge of the blade.

The skin overlying varicose veins is often stretched, thin, and weak. This makes these areas particularly vulnerable to bleeding when shaving. Interestingly, it’s the medium-sized veins (1-3mm in diameter) that tend to get nicked the most.

Leg shaving injury to skin surface veins is one of the reasons why the bathroom is the most common place where varicose vein bleeding occurs.

VARICOSE VEINS

QUESTIONS & ANSWERS

TAKE THE FIRST STEP

Schedule your consultation today to discover which treatment options are right for you. At Vascular Solutions, we combine advanced technology with expertise to help you achieve healthier, more comfortable legs.

Why does bleeding occur?

There are several reasons why varicose veins can bleed. One of the common causes of bleeding from varicose veins is localized trauma or skin injury. Direct trauma to a vein can result in bleeding. It’s surprisingly easy to injure skin surface veins. Some scenarios that result in vein injury and external bleeding are:

Bumping leg against the dishwasher

Accidental scratching of a vein (eg. with toenail of other foot)

Furniture (or other objects) fall against the leg

Dog/animal scratch

Trip & fall injuries, resulting in skin graze

Another situation that can result in bleeding from varicose veins is weakening & deterioration of skin quality overlying the vein. The skin overlying a vein can become extremely thin and weakened. When this occurs the risk of spontaneous vein rupture and external bleeding increases.

Excessive pressure inside the veins is another risk factor for bleeding. Increased vein pressure is commonly related to underlying vein problems that occur in the upstream veins. The most common underlying condition is venous reflux, which is also known as venous insufficiency. In this condition, the valves in the saphenous vein have ceased working properly, which can lead to increased back-pressure within the leg veins.

Other factors that can increase pressure in leg veins include obesity and being sedentary.

ADDITIONAL LEG PAIN & LEG VEIN SYMPTOMS

Intradermal bleeding:

Another form of bleeding that can occur (especially with spider veins) is intradermal bleeding. In this situation rupture of a spider vein occurs underneath (or within) the skin surface, creating a blue-purple bruise that is visible through the skin. “Bleeding” in this situation is normally mild and self-limited but can be a sign that it’s time to get your veins checked out.

Are hot showers dangerous?

When your body is in a hot environment the blood vessels at the skin surface typically dilate. This natural response to increased temperature represents your body’s effort to promote heat loss.

“Spontaneous” bleeding from varicose veins often occurs when people are taking a hot shower. The combination of prolonged standing and high temperature causes the leg veins to dilate, which increases the risk of spontaneous bleeding.

If you've had issues with bleeding from varicose veins while showering you may want to decrease your shower temperature until you get your veins evaluated by a vein specialist.

What to do if bleeding occurs:

If you experience bleeding from a varicose vein you should immediately apply pressure to control the bleeding and seek help. Most of the time bleeding from a varicose vein will stop after direct pressure has been applied for a few minutes. Sometimes a longer duration of direct pressure will be required. You can use your thumb or fingers to apply direct pressure over the bleeding vein. The other thing you should do is try to elevate the leg above the level of the heart. This will reduce the effect of gravity within the veins.

If you are taking a hot shower when the bleeding occurs you should stop showering and allow your body temperature to return to normal neutral temperature.

Sometimes a compression bandage will help, but compression bandages are not always readily accessible and can be tricky to apply. If a compression bandage is applied it should be wrapped around the foot ankle and lower leg, not just the site of bleeding.

If bleeding is significant or unable to be controlled call 911 and report your medical emergency.

How do doctors treat bleeding varicose veins, reticular veins, or spider veins?

One of the first steps in the evaluation includes taking your vital signs (including blood pressure and pulse) and gauging the degree of blood loss. Sometimes people can lose significant amounts of blood from a bleeding vein and may need to be “resuscitated” with intravenous fluids or blood products. Fortunately, this is relatively rare. Most often attention can be directed at the bleeding varicose vein.

In addition to direct digital pressure, leg elevation, and compression bandages, medical professionals have various additional options to control bleeding from a ruptured varicose vein. These options include suturing (stitching) the vein, applying a medical adhesive polymer/glue, or applying patches that promote clotting.

After the acute bleeding event is controlled, you’ll likely be directed to a vein specialist for further evaluation. Vein specialists are doctors who have dedicated their careers to caring for patients with vein problems. Vascular surgeons are uniquely trained to specialize in vascular conditions and can treat the full spectrum of vascular disorders.

Most of the time someone who has experienced bleeding from a varicose vein will require an ultrasound test to identify whether there is an underlying vein condition. If you have an underlying vein condition you may be a candidate for some office-based procedures to reduce the likelihood of recurrent bleeding.

What types of procedures reduce the risk of varicose vein bleeding?

The most common underlying condition that increases the risk of varicose vein bleeding is venous reflux, also known as venous insufficiency. In this condition, the valves in the upstream leg veins have become dysfunctional. When this occurs back-pressure can increase in the leg veins, which can cause varicose veins, spider veins, and reticular veins to pop out on the skin surface.

Various procedures are available to treat venous reflux. By getting to the root of the problem it’s possible to reduce the likelihood of recurrent bleeding. Common procedures used to treat venous reflux include Closurefast (AKA: radiofrequency ablation), VenaSeal (medical adhesive vein closure), and Varithena (microfoam treatment). Each of these procedures works in different ways, but they all seal off bad veins in the legs, which redirects blood to the good veins in the legs.

In addition to treating underlying reflux, most people with bleeding varicose veins will also benefit from procedures used to directly seal or eliminate the varicosities. If the varicose veins are small a common technique is to treat these veins with sclerotherapy. Sclerotherapy involves injecting the varicose vein with a liquid medication that causes the vein to shrivel and fade. If the varicose veins are large and bulging a procedure called phlebectomy may be more appropriate.

Vascular Solutions prides itself on being the best vein clinic in Charlotte.

If you have varicose veins, spider veins, or are concerned about the risk of varicose vein bleeding we can help. Contact us today to set up your new patient appointment.

Why Am I Always Propping My Legs Up?

Mon, 23 Dec 2024 16:14:31 GMT

Many people with aching, throbbing, heavy legs have no idea that they may be suffering from a common problem with their leg veins. When the veins in your legs aren’t working properly your legs can feel weak and tired, and it may feel like you don’t have the energy you used to. Many people with leg vein problems find that they are often looking for a place to sit and may even find themselves propping their legs up to reduce leg discomfort.

The most common condition affecting leg veins is venous reflux. In this condition, the valves inside the leg veins have stopped working properly, which results in increased backpressure. Although this condition is generally mild and not life-threatening there are degrees of severity, and some people can progress to develop more advanced problems including irritated or discolored skin, or wounds around the ankles.

Millions of people in the United States are affected by venous reflux, and the majority of people don’t even know they have the condition! Venous reflux can affect everyone from young adults to the elderly and can affect both men and women. People with a family history of vein problems are particularly vulnerable. Other risk factors include being overweight, jobs, or careers that involve prolonged sitting (with the legs hanging down) and prolonged standing. Women who have been pregnant are also at higher risk.

The overwhelming majority of people with leg vein problems have great treatment options. If your leg veins aren’t working properly there are now multiple procedures that can fix this problem.

Common Symptoms of Vein Problems:

Aching/Throbbing Legs

Heavy Legs

Leg Swelling

Leg Cramps

Leg Restlessness

Visible Spider Veins & Varicose Veins

Preferred Diagnostic Test:

Ultrasound evaluation of leg veins

Common Vein Procedures:

ClosureFast (radiofrequency/heat treatment)

VenaSeal (glue)

Varithena (medical foam)

Sclerotherapy (injections of liquid/foam medicine)

If you have tired, heavy legs, or if your legs are cramping or restless it’s a good idea to get your veins checked out. The main test used to determine whether you have vein problems is an ultrasound of your legs. This test takes about 20-25 minutes per leg and allows the structure and function of your leg veins to be evaluated. Testing and treatment for vein problems are covered by most insurance companies. If you’ve met your deductible now may be the perfect opportunity to take the first step towards better legs.

Leading Vein Center in Charlotte

Vascular Solutions is Charlotte’s premier center for vein treatment. Dr. Peter Ford is a board-certified vascular surgeon and leading provider of vein care in the region. If you've got questions, we've got answers. Visit www.vasc-solutions.com or call 704-544-7535 to review consultation options and book your new patient appointment today.

And I thought I was just getting old...

Mon, 23 Dec 2024 16:08:56 GMT

And I thought I was just getting old…

It’s 3 o'clock in the afternoon and it feels like my body has just run out of steam. I need to sit down, rest and re-group. Just a little break, before I grind out the rest of my day. The weird thing is that today was just a normal kind of day. Nothing crazy. I hadn’t really done anything strenuous, and it's not like I've been overdoing it at the gym! But for some reason, my legs feel tired. I know I need to sit down and rest.

While sitting there the little voice inside my head starts peppering me about all the things I could be doing, and all the things I should be doing. I remember something I forgot to do earlier today… I’ll have to add that to my to-do list. Why am I sitting here? I’m not a procrastinator, let’s get on with things! But it feels so good to sit… let me check my emails, I’ll get going in 5 minutes.

For the last few months, I’d noticed that I had been taking little “rest breaks” throughout the day. At first, these breaks were just once or twice a week, but more recently I had started taking a little break on most days of the week. I know I’m not as young as I used to be, but I don’t see other people needing to sit as much as I do.

What’s going on with me? What should I do? What are my options?

For many people, the gradual onset of tired, aching legs can be the first sign of an extremely common vein problem. The most common symptoms of vein problems are early leg fatigue and leg heaviness. These symptoms tend to be worse at the end of the day, and commonly occur after prolonged standing. Interestingly, some people with vein problems will get symptoms that occur with prolonged sitting. Many people report that their symptoms are worse in the hot weather. Other common symptoms include leg cramps, leg restlessness, and ankle/lower leg swelling.

Every year millions of people in the United States are diagnosed with a vein condition called venous reflux. This condition occurs when the valves inside the leg veins have ceased to function correctly, which causes increased backpressure and can result in a variety of symptoms.

Vein problems can develop for a variety of reasons. Age-related deterioration in the strength of the vein wall is the most common mechanism, but many young people in their 20’s-40’s can also develop vein problems. Younger patients often have risk factors such as a family history of varicose veins, excess body weight, or jobs that involve prolonged standing. Many women develop vein problems during pregnancy.

If left untreated vein problems can eventually lead to skin discoloration, skin infection, and skin breakdown. These problems typically occur just above the ankle area in the “gaiter” area of the legs.

If you have unexplained weakness and leg fatigue it may not be simply “getting old”… you may have a common vein condition that can be easily treated. Testing for this condition involves assessing the veins using a painless ultrasound test, that takes about 20 minutes per leg.

The good news is that if you have a vein problem there are now excellent treatment options available. Dr. Peter Ford at Vascular Solutions (Vein & Vascular Center) is the region's foremost expert in the treatment of vein problems.

Top 10 reasons to get your legs checked out - You might have a vein problem

Mon, 23 Dec 2024 16:07:27 GMT

1. Unexplained leg pain

Vein problems commonly cause low-grade aching discomfort in the legs. Many people with vein problems report their legs feel heavy, weak, and tired. Leg symptoms can occur any time of the day but commonly occur towards the end of the day, or after being on your feet for long periods of time. People with vein problems frequently develop leg cramps and leg restlessness, which can interfere with getting a peaceful night’s sleep.

2. Unsightly spider veins

Spider veins are small skin surface veins that measure <1mm in diameter. These tiny hair-like veins vary in color from pink to purple to blue. Normally spider veins not medically serious and are primarily of cosmetic concern. However, some people with spider veins will experience tingling, itching, or burning discomfort around the spider veins. A range of treatment options are available that can eliminate spider veins.

3. Bulging varicose veins

Veins that protrude and bulge through the surface of the skin are known as varicose veins. Many people with varicose veins will have an underlying condition called venous reflux, where the valves in the upstream veins have become dysfunctional, typically due to weakening of the vein wall. For most people, varicose veins are a nuisance problem, but they can cause symptoms including pain and tenderness and can predispose to superficial blood clots.

4. Skin discoloration

Vein problems can result in darkening and discoloration of the skin around the ankle area and lower leg. Typically skin discoloration is maximum maximal between the ankle and the upper calf.

5. Leg swelling

Many people with vein problems will develop intermittent or progressive swelling of their lower legs and ankles. In this situation, leg swelling is caused by increased pressure within the veins, which results in fluid leaking from the blood vessels into the surrounding tissues. The medical name for leg swelling is edema. Prominent “sock marks” above the ankle at the end of the day is often the first sign of leg swelling.

6. Itching / irritated skin

Some people with vein problems develop irritated, itchy skin on their lower legs. Although itchy skin sounds like a nuisance problem, the itching commonly results in secondary scratch injury, which can increase the risk of wounds and infection.

7. Skin wounds (ankle area)

Vein problems can compromise the quality and integrity of the skin in the lower leg, especially around the ankle area. Over a million people each year in the United States will develop a leg wound due to vein problems. The medical name for wounds that form around the ankle is a “venous ulcer.” Venous ulcers can be painful and can get infected. However, these wounds commonly heal rapidly and dramatically after correction of the underlying vein problems.

8. Bleeding

Skin surface veins around the ankle and foot at risk for bleeding. Bleeding from varicose veins can occur spontaneously or after trauma from skin scratching or nicks that occur with leg shaving.

9. Skin infection

Longstanding vein problems are associated with leg swelling (edema), which can increase the likelihood of getting a skin infection. The medical name for skin infection is cellulitis. Although cellulitis can occur anywhere in the body, lower leg cellulitis is common in patients with untreated vein problems and longstanding leg swelling.

10. Blood clots

Blood clots in the legs can develop for a variety of reasons. Commonly identified risk factors include sedentary lifestyle, prolonged immobility, obesity, trauma/injury, and various conditions that increase the likelihood of blood clot formation. Interestingly blood clots can be a cause and complication of vein problems.

Vein problems can be easily detected with a painless ultrasound test. Dramatic advances in technology allow vein problems to be corrected using a variety of safe and highly effective office-based procedures.

Physician Assistant Spotlight: Kristin Hartman PA

Mon, 23 Dec 2024 16:01:50 GMT

Your health is important. It’s important to be comfortable that you’re in good hands. Increasingly hospitals, medical clinics and healthcare facilities are turning to physician assistants to streamline and coordinate health care delivery.

In today’s medical spotlight we explore the role of physician assistants and explore how a thriving local vein practice is using physician assistants to deliver detail-oriented, quality care the community is searching for. Kristin Hartman, PA-C is a Physician Assistant at Vascular Solutions Vein & Vascular Center, located at the Arboretum Professional Park in South Charlotte.

What is a physician assistant?

A physician assistant is a mid-level health care practitioner who works alongside a physician delivering care to patients.

Why did you become a physician assistant?

I’ve always wanted to work in the medical field, helping patients in some capacity. The physician assistant training program was less than a physician. Once you have your educational foundation, there is on-the-job training which enables you to work in different specialties. This profession offers a perfect work-life balance, as well.

What type of education or training did you need to do to become a physician assistant?

I completed a 4-year undergraduate degree and then I went to Duke University’s PA program. It is a 2-year, full time program. The first year is didactic; and the second year consists of clinical rotations in different specialties.

What does your current job entail?

I assist Dr. Ford with day-to-day patient care including obtaining the medical history, examining patients, and I also perform procedures such as sclerotherapy and laser vein treatment. I also prescribe medications and help prepare patients for surgical procedures.

What are the most rewarding aspects of your job?

I enjoy helping patients feel better. It’s rewarding to diagnose and provide individual treatment options for each patient. We have a great team at Vascular Solutions. It helps when the boss is flexible and values you!

What are the most challenging aspects of your job?

At times the schedule can be very busy and there’s not always a lot of time between patients.

How would you describe the dynamic between physicians and physician assistants?

We work as a team and support each other.

Would you encourage high school or college students to consider being a physician assistant as a career?

Absolutely! Physician assistants are an integral part of the team.

Does being a physician assistant offer a good work-life balance?

As a mom of three active boys, it’s very important for me to be there for my kids. My kids participate in several of sporting events and the flexibility of my work hours has allowed me to attend sporting events and be an engaged member of the community.

Behind the Curtain: A Vein Doctor's Journey of Self-Improvement

Thu, 05 Dec 2024 21:08:07 GMT

Have you ever wondered how vein doctors improve their knowledge, increase their skills, and ensure they deliver cutting-edge technology to their patients?

As a vein doctor dedicated to providing exceptional care at Vascular Solutions in Charlotte, North Carolina, I recently had the privilege of attending an enlightening "roundtable" conference with my peers in Fort Worth, Texas. This event, coordinated by Health Performance Specialists (HPS), not only showcased the latest advancements in varicose vein treatment and venous disease management but also reinforced the power of community in our specialized field.

The HPS Community: Where Expertise Meets Camaraderie

As of August 2024, the HPS organization boasts over 75 members across multiple states in the US. We convene virtually each month and meet in person biannually. Since joining HPS four months ago, I've been incredibly excited to be part of this collaborative community of vein specialists.

What struck me most about this gathering was the genuine spirit of camaraderie. Everyone left their egos at the door, creating an atmosphere of open sharing and mutual support. It felt like I was in the right place, at the right time, surrounded by "my people" - fellow vein specialists who share the same passion for improving patient care.

Cutting-Edge Varicose Vein Treatments: Learning from the Best

The conference was a treasure trove of knowledge, with experts generously sharing their insights:

Dr. Phillippi's masterclass on advanced foam sclerotherapy techniques
Dr. Cunningham's invaluable tips on Varithena treatment protocols
In-depth discussions on the Venclose device for great saphenous vein reflux
Exploration of the Maven device for perforator vein treatment

These innovative approaches will allow us at Vascular Solutions to offer our Charlotte patients the most effective and least invasive varicose vein treatments available.

Beyond Varicose Veins: Unexpected Connections

Dr. Hayes provided a fascinating presentation on the relationship between restless leg syndrome and varicose veins or venous reflux. This kind of insight is crucial for providing comprehensive vein care and improving our patients' overall quality of life.

The Human Side of Vein Care: Memorable Personalities

One of the joys of these gatherings is meeting the remarkable individuals behind the expertise. Dr. Oswalt, a self-deprecating Texan with a heart of gold, not only delivered great presentations but also played chauffeur and tour guide for our group dinner. Who says Texans only wear cowboy hats?

The visionary leader of our crew, Dr. Chris Pittman from Tampa, Florida, deserves a special mention. His dedication to improving vein care is truly inspirational, and I'd give him "5-Stars" for leadership, initiative, and communication skills.

Fort Worth: The Perfect Backdrop for Collaboration

The choice of Fort Worth as our meeting place couldn't have been more fitting. As a first-time visitor, I was charmed by the city's understated cool "western" vibe. The kindness and down-to-earth nature of everyone I met perfectly mirrored the spirit of our conference. A big thank you to Scot for ensuring I got the full Fort Worth experience, including visits to the Stockyards and Billy Bob's!

Bringing Advanced Vein Care to Charlotte, NC

As I return to our practice at Vascular Solutions in Charlotte, I'm brimming with new insights and techniques to share. Our commitment to staying at the forefront of vein care ensures that we can offer the best possible treatments for varicose veins, spider veins, and other venous conditions to our patients in Charlotte and the surrounding areas.

The Power of Community in Vein Care

What I loved most about this experience was the opportunity to meet and interact with other vein specialists running practices similar to ours at Vascular Solutions. The human connections formed during these gatherings are invaluable, reminding us that behind every medical advancement is a community of dedicated professionals working together to improve patient care.

A Growing Family of Vein Specialists

Joining the HPS group has been the most exciting professional development for me in the last five years. As HPS continues to grow exponentially, I'm thrilled to be part of this journey and excited about the future of vein care.

Conclusion: Elevating Vein Care Through Continuous Learning and Collaboration

Attending conferences like this HPS roundtable is just one way we at Vascular Solutions strive to improve our knowledge and skills in vein care. By staying connected with leading vein doctors and specialists across the country, we ensure that our patients in Charlotte receive the most advanced and effective treatments for their vein health concerns.

A heartfelt thank you to Scot Dube, Cassandra Wilcoxson, and Brooke Arnold for organizing this incredible event. Your efforts have a ripple effect, improving vein care for patients across the country.

If you're experiencing symptoms of varicose veins, spider veins, or other vein-related issues, know that at Vascular Solutions, you're not just getting a treatment - you're benefiting from a nationwide network of expertise and passion for vein health.

Experience the difference that cutting-edge, compassionate vein care can make. Schedule your consultation with Vascular Solutions today and take the first step towards healthier, happier legs.

Visit www.vasc-solutions.com or call 704-544-7535 to book your appointment in Charlotte, NC.

Got a Leg Wound? Could Be a Vein Problem

Tue, 05 Nov 2024 21:12:46 GMT

Do you or a close family member have a wound around the ankle that has been there for a while and doesn't appear to be healing? You may be surprised to know that leg vein problems are one of the most common causes of leg wounds around the ankle and lower leg. The good news is that this problem is nearly always treatable. The wounds start healing just days after an effective treatment is initiated.

One or more of the following symptoms and signs listed below may occur as a result of poor blood flow (circulation) in your legs.

Symptoms (ie. the way the legs feel):
Aching
Throbbing
Early leg fatigue
Leg cramps
Leg Restlessness
Itchy skin

Changes in the way your legs look:
Spider veins – tiny thread-like veins
Varicose veins - larger visible veins
Swollen legs
Discolored skin
Irritated skin
Thickened skin
Skin wounds

Spider veins and varicose veins are common signs of poor blood flow (circulation) in the legs. Other common signs or symptoms of leg vein problems are leg swelling, scarred skin, skin discoloration, and open sores.

Leg vein problems are categorized according to severity based upon a 1-6 scoring system:

Class I = Spider Veins:

Small thread-like veins are mainly of cosmetic concern.

Class II = Varicose Veins:

Dilated skin surface veins that often bulge or protrude through the skin surface (see photo #2 above).

Class III = Edema / leg swelling:

People with venous insufficiency often report that their legs feel a little tired and perhaps a little swollen. Typically this happens over a course of a few months.

Class IV = Skin Discoloration / Irritation:

Reddish or brownish discoloration of the skin between the ankle and the upper calf is a common consequence of vein problems. When this problem is associated with inflamed / irritated skin the term "stasis dermatitis" is often used.

"stasis" means pooling, static, not moving.

"derm" means skin.

"itis" means inflammation.

Stasis dermatitis can cause the skin to go from soft and pliable to thick, angry, inflamed, and hard, almost like alligator skin.

Class V and Class VI = Healed Scars vs. Active Wounds

When you have vein problem, leg wounds commonly occur more easily and take longer to heal. A surprisingly common injury that can result in skin damage to the lower part of the leg is bumping your leg against the dishwasher.

When vein problems are present the skin in the lower leg is often itchy. Fingernail scratching of itchy legs can result in layers of skin being scraped away, resulting in an open sore. The medical name for skin breakdown (wound) occurring in the setting of underlying vein problems is a venous ulcer.

The most common underlying condition that causes leg swelling, skin discoloration, scarred skin, or open sores that don't seem to be healing well is venous reflux (also known as "venous insufficiency"). When the valves inside the veins are not working properly back-pressure can build up, causing low-grade aching discomfort, leg swelling, skin discoloration, and wounds around the ankle.

To evaluate whether venous insufficiency or venous reflux could be the cause of a leg wound a vascular sonographer will perform a thorough scan of your entire leg for an accurate diagnosis.

Most people with leg conditions mentioned above are candidates for office-based procedures that seal closed the bad veins in the leg. This forces blood to redirect and divert to the good veins in the leg. The overwhelming majority of leg wounds will heal rapidly once the vein problem has been identified and corrected.

Vascular Solutions is Charlotte’s premier center for vein and vascular care. If you or a loved one has skin discoloration, skin irritation, or a wound in the lower leg or around the ankle, we highly recommend you calling us for an evaluation. The sooner you get treated, the sooner you can return to a pain-free normal lifestyle. Healthy legs, healthy life!

Parents - don't neglect your veins

Tue, 15 Oct 2024 21:19:47 GMT

If you have kids you know the challenges that come with parenting. Making the right choices and decisions regarding what’s in our kids’ best interests is a full-time job! These challenges have become magnified over the past year; dealing with the pandemic, mask mandates, “lockdowns”, school shutdowns and vaccine choices have all made the job of parenting that much harder. With all of these issues going on it’s no wonder that many parents have fallen into the trap of neglecting their health, much less pay attention to their legs! Now that summer’s coming to an end and kids are heading back to school, it’s a perfect time to consider getting your legs checked out.

For some people, small skin-surface veins are a cosmetic issue, but millions of parents have leg symptoms they have been “dealing with” or putting on the back-burner.

As a parent, our highest priority is our kids. As long as they get to their events on time and are safe, everything’s OK. It’s not uncommon for parents with ugly leg veins to start hiding their legs. Men typically start wearing long pants, even though it's 90 degrees outside, and women often resort to wearing long dresses. Both mom’s and dad’s commonly report that they are embarrassed about the way that veins make their legs look. “Out of sight, out of mind”... until leg symptoms start creeping up on you.

Vein problems can cause symptoms of early leg fatigue and tiredness in the legs. It’s also very common for vein problems to cause leg cramps. Many parents with vein problems report that their legs have less energy than they previously had. Quite often parents with vein problems feel they need to rest or sit to avoid aching or throbbing discomfort that builds up if they stand for long periods of time.

Parents can give a million excuses to ignore all the signs of leg vein issues and concerns. We’re here to tell you now’s the perfect time to put yourself first and get those legs checked out!

Easy on the wallet:

From a financial perspective, the second half of the year is often a great time to optimize lingering health issues. Many of us have already partially (or fully) met our insurance deductible, which makes getting your veins checked more affordable.

Time to get that vein check-up:

Summer is wrapping up and we’re sending our kids back to school. This may be the perfect time to get on the schedule to get your legs checked by a specialist.

We encourage you to schedule your initial appointment now. Although procedures to fix vein problems are quick, painless, and performed on a walk-in-walk-out basis, most insurance companies make you “jump through some hoops” before covering vein procedures. Some insurance companies require that you try wearing compression hose for 6 weeks (or 3 months) and many insurance companies require “pre-authorization” (basically submitting some forms for review) before allowing vein procedures to be scheduled.

Finally, as parents we often let the day-to-day battle of parenting distract us from what we need to do to take care of ourselves. Don’t let another year go by second-guessing yourself about your options. If you act now you’ll have a road map for “new legs” by the holiday season.

Pandemic Wind-Down – Get Your Legs Back Into Gear

Tue, 11 May 2021 16:12:34 GMT

Pandemic Wind-Down – Get Your Legs Back Into Gear

Many of us have spent the past year dealing with lockdowns, school closures, “social distancing”, and altered work patterns. With all of these changes it has been easy to put health maintenance and medical issues on the back-burner. Thankfully it appears that pandemic numbers are trending in the right direction. Now is the perfect time to assess your health and wellness priorities, and get your legs back into shape.

Lockdowns: A Double-Edged Sword

In response to the Covid-19 pandemic Federal and State government agencies in the US (and many countries across the world) imposed various degrees of physical lockdown. Although well-intended these lockdowns are a double-edged sword, with a range of consequences that have negatively affected large portions of our population.

Financial Consequences:

A major consequence of lockdown has been financial devastation for millions of businesses and individuals. If your business (or place of employment) has closed, or had its hours restricted then you’re acutely aware of the financial hardship that comes with sweeping lockdowns.

Psychological Consequences:

Multiple studies are now shining a spotlight on the adverse psychological consequences of both lock-downs and school closures. These consequences are widespread, significant and span the full spectrum of the population; students, adults, and the elderly have all been adversely affected. School-aged children are particularly vulnerable to social isolation, and many students have experienced impaired cognitive and psychosocial development. Increased rates of depression, substance abuse, and suicide have also been reported.

Physical / Health Consequences:

Lockdowns have had an adverse effect on various preventative health endeavors. For example, fewer people have been attending cancer screenings (mammograms, colonoscopies, etc)

Another health issue worsened by lockdowns is vascular disease and vein problems. During lockdowns people have been watching Netflix like crazy, and doing a lot of sitting around. Vascular problems occur more frequently in people who are overweight, obese and inactive. Reduced physical activity during lockdowns is contributing to this problem.

For many people working from home during the pandemic has meant more “computer time”. Between Zoom meetings and remote work duties, it’s not uncommon to spend several hours per day in front of a computer. Although some people have fancy desks that go up and down, for most of us more computer work equals more time sitting.

How does being inactive worsen vein problems?

Every time you take a step you’re using your leg muscles. When your calf muscles “contract” they squeeze the veins, which helps shunt blood back to the heart. This squeezing function actually has a medical name; the “calf-muscle pump”. When you spend long portions of your day sitting around the calf muscles have less need to contract, and vein blood can pool in the lower part of your leg.

Four Things You Can Take to Minimize Vein Problems Today

1. Time to get moving: Simple activities (like walking or cycling) help circulate the blood in your legs. A reasonable target is 30 minutes of brisk walking 3-5 times per week.

2. Keep your weight under control:Dust off those scales. A commonly used value to determine if you are overweight is the Body Mass Index (BMI). BMI = your weight in kg divided by your height in meters (squared). If you are overweight or obese your BMI will be higher than normal. An ideal BMI is generally in the 20-25 range.

3. Elevate your legs: A simple thing you can do is elevate the legs. Remember if you can get the calves slightly “higher than your heart” gravity will be on your side!

4. Try Compression Hose: https://www.mediusa.com - Medical-grade compression hose can help alleviate swelling and symptoms in the lower legs. Medi USA is the market leading vendor for compression hose.

Bottom Line:

It’s time to get moving and get active. We can’t control everything, but we can control decisions we make about our activity level and health decisions.

Now is a great time to take advantage of outdoor activities our beautiful state offers. North Carolina is home to some amazing natural beauty and State Parks.

Chimney Rock State Park: Located 95 miles west of Charlotte (25 miles east of Asheville)... A great day trip & place to get some steps in - 499 steps to the top!

If your legs are bothering you it might be related to prolonged inactivity during the pandemic. It’s also possible it could be the result of underlying vein problems.

If you’re experiencing unexplained leg pain, swelling, leg cramping or leg restlessness you should get your legs evaluated by a vein specialist. Dr. Peter Ford at Vascular Solutions (Arboretum, South Charlotte) is a board-certified vascular surgeon who specializes in the treatment of varicose veins and vein problems.

Met your deductible? Get your Veins Fixed Now

Tue, 20 Oct 2020 16:16:14 GMT

Fall is upon us. Reduced humidity, turning leaves, and the knowledge that end-of-year festivities such as Thanksgiving, Halloween, & Christmas are just around the corner. Many of us love fall!

The beginning of fall also marks a time where you might want to consider options to get the most bang-for-our-buck from your health insurance. If you’ve met your deductible it may be a great time to get those pesky leg veins treated.

Varicose veins are a common problem, that affects 20-25% of the adult population. Many people with vein problems will experience heavy, aching legs, or other symptoms such as leg cramps or leg restlessness. There are multiple quick, painless vein procedures, covered by insurance, that can eliminate symptoms, and make your legs look better.

Understand Your Plan:

Many health insurance plans have co-pays, deductibles, or co-insurance. These patient-responsible payments are methods insurance companies use to save money. The best plans have no copays, low (or no) deductible, and low (or no) coinsurance.

A co-pay is a “small” amount of money due at the time of a medical visit, regardless of charges for medical services during that visit. You can consider this like a door-entry fee.

A deductible is an amount your insurance company will make you pay before coverage kicks in. The good news is that once you have met your deductible your subsequent expenses will be a lot less, and sometimes free.

Another insurance “gotcha” is co-insurance. Co-insurance is a percentage of total charges (eg. 20%) that you’ll be on the hook for until an upper ceiling (out-of-pocket max) has been reached.

Nearly all insurance companies have websites or online portals that provide detailed information about your health insurance benefits. You should be able to log-in and see information about your plan, including whether your plan has co-pays, deductibles, or co-insurance.

What is an “EOB”?

An EOB is an acronym that stands for "Explanation Of Benefits". This is a document/statement that clarifies charges, allowed amounts, copayments, deductibles, and coinsurance for medical services. This document is typically provided to you by the insurance company after an insurance claim is received/processed.

Above: Example EOB (Explanation of Benefits)

Advantages of Vein Treatment in Fall (& Winter)

Fall and winter are a great time of year to get your veins fixed. Some vein procedures require a compression hose for a few days after the procedure, and this tends to be more comfortable in the cool seasons.

Another advantage of getting your veins fixed in the fall/winter is you can keep your legs covered during the recovery period. It is fairly common to temporarily have minor bruising and inflammation for the first few weeks after vein procedures. Many people like to keep their legs covered by wearing long pants for the first few weeks after vein procedures. Wearing long pants is more comfortable in fall/winter.

Dramatic advancements in medical technology have completely transformed what it means to get your veins fixed. No longer do you need to go to a hospital or be laid-up for several days after the procedure. Most people immediately return to work and full activity. Without significant discomfort or downtime, you will be back on your feet in no time!

Deductible met? – Time is ticking

If you have a health insurance plan with a deductible and have already incurred medical expenses this year, the good news is that at least part of your deductible may have already been met. Once you’ve “met your deductible” additional medical expenses will cost you significantly less.

A smart thing to do is check the date that your insurance deductible resets. For most plans, the deductible “resets” annually on January 1. It’s important to verify your policy information, as some health plans reset on other dates.

Maximize your benefits and take advantage of your coverage this year. Your legs and your wallet will thank you.