Dr. John Chuback, a Leading Vein Specialist from Paramus, NJ, Explains Chronic Venous Insufficiency

Many of the patients who come to see leading vein doctor Dr. John Chuback at the Chuback Medical Group are concerned about varicose veins or spider veins that have begun to appear on their legs. Many seek help from a spider vein center to eliminate their bulging vein problems for cosmetic reasons. Others have begun to notice distressing symptoms that often accompany them, such as pain and heaviness in the legs, swelling of the ankles, skin pigment changes or the development of ulcers in the lower extremities.  As a vein specialist it is important to understand the underlying pathology of venous insufficiency in order to properly diagnose and treat these conditions.

Chronic Venous Insufficiency (CVI) is the underlying cause in many patients who suffer from varicose and spider veins.  The function of veins is to return deoxygenated blood from various parts of the body back to the heart. Unlike arteries, which have walls composed of muscle tissue that keeps blood pumping in one direction, veins rely on a series of tiny, one-way valves to accomplish the same task. These valves utilize the movements of the legs to keep blood flowing toward the heart. They open to allow the deoxygenated blood to flow upwards (against the pull of gravity) towards the heart.  As blood passes through the valves, they close again, to prevent the blood from refluxing (flowing in a backwards direction) into the lower extremities. 

In patients with CVI, this mechanism does not work properly because the valves become damaged and “leaky.”  This most often happens as the result of a buildup of pressure in the veins themselves, aggravated in many cases by standing or sitting for long periods of time. Blood begins to pool in the lower extremities and the affected veins become swollen and distended.  The legs begin to swell and become painful and heavy.  With time patients will see a darkening (hyperpigmentation) of the skin around the ankles.  If left untreated, patients are at risk for developing venous stasis ulcers. 

When a patient comes to our varicose vein center complaining of varicose veins on the surface of their legs, we look deeper. We perform examinations to investigate the state of the patient's overall venous health, using ultrasound to visualize blood flow through the veins to detect the presence of venous insufficiency.  Whatever problems we may find, we specialize in treating them using the most up-to-date, non-invasive technologies available, such as sclerotherapy, ambulatory phlebectomies and  endovenous laser treatment (EVLT treatment) by a laser expert.

Don't take chances with your vein health. If you are in the Paramus, New Jersey area, call Dr. John Chuback at 201.430.2737 and make an appointment for a consultation. This is the first step in designing a customized vein disease treatment program that fits your individual needs and that will help to improve your overall health, beauty, and well-being.

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