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Understanding Your Options for Treating Uterine Fibroids

Heavy periods, pelvic pain, and bloating that won’t go away. If you’ve been silently dealing with these symptoms, you’re not alone. For millions of women, uterine fibroids are the hidden cause behind ongoing discomfort and disruption to daily life. The good news? You don’t have to settle for suffering or surgery. 

Today, a range of safe, effective treatment options are available, many of which are minimally invasive and don’t require a hospital stay. Join the team at The Vascular Care Group as they break down your options so you can make an informed choice about what’s best for your body and your future.

What Are Uterine Fibroids?

Uterine fibroids are growths made up of muscle and fibrous tissue that develop in or on the uterus. While not cancerous, they can vary in size and location and may lead to significant discomfort.

Common symptoms include:

  • Heavy or prolonged menstrual bleeding
  • Pelvic pressure or pain
  • Frequent urination
  • Constipation
  • Pain during intercourse
  • Lower back pain
  • A noticeable abdominal mass or bloating

Some women experience no symptoms at all, but for many, fibroids interfere with daily life.

What Causes Fibroids?

The exact cause isn’t known, but several factors can contribute to fibroid growth, including:

  • Hormones: Estrogen and progesterone can stimulate growth
  • Genetics: A family history increases risk
  • Age and ethnicity: Fibroids are more common in women in their 30s and 40s and in African American women
  • Lifestyle factors: Obesity, high blood pressure, and diet may contribute
    Understanding your risk factors is the first step toward choosing the best treatment path.

Treatment Options for Uterine Fibroids

The right treatment depends on several factors, including the size, location, and number of fibroids, your symptoms, and your reproductive plans. Here’s a look at the most common options:

1. Watchful Waiting

If fibroids are small and not causing symptoms, your provider may recommend monitoring them over time. This non-interventional approach is common for women nearing menopause, when fibroids often shrink naturally.

2. Medications

While medications don’t eliminate fibroids, they can help manage symptoms:

  • Hormonal birth control to reduce heavy bleeding
  • GnRH agonists to shrink fibroids temporarily
  • Anti-inflammatory drugs to ease pain

These are typically used short-term or in preparation for another treatment.

3. Minimally Invasive Procedures

Minimally invasive options can preserve the uterus and reduce recovery time:

  • Uterine Fibroid Embolization (UFE): A non-surgical, image-guided procedure that blocks blood flow to the fibroids, causing them to shrink
  • MRI-guided focused ultrasound: Uses sound waves to destroy fibroid tissue without incisions
  • Myolysis or cryomyolysis: Destroys fibroids using electric current or freezing

These treatments are typically performed in outpatient settings and are ideal for women seeking alternatives to surgery.

4. Surgical Options

Surgery may be recommended for larger or multiple fibroids, or if other treatments fail:

  • Myomectomy: Removes fibroids while preserving the uterus
  • Hysterectomy: Complete removal of the uterus; a permanent solution that eliminates the possibility of recurrence but also ends fertility

Discussing your fertility goals and long-term health plans with your provider will help determine if surgery is the right fit.

Where to Seek Treatment in New England

If you’re considering fibroid treatment, it’s important to work with a provider who understands your needs and offers a full range of care options. Look for clinics or outpatient vascular centers that specialize in minimally invasive techniques, like uterine artery embolization, and can collaborate with your gynecologist or primary care provider.

Why Patients Across New England Choose The Vascular Care Group

At The Vascular Care Group, we understand how much fibroids can impact your life and how important it is to have safe, effective options that fit your lifestyle. Our team offers Uterine Fibroid Embolization (UFE) at outpatient centers across New England, with advanced imaging, experienced interventional specialists, and compassionate care every step of the way.

If you’re exploring your treatment options and want to avoid surgery or hospital recovery, we’re here to help.

Call today to schedule a consultation at a location near you.

 

Lifestyle Changes That Can Improve Varicose Veins and Prevent New Ones

You don’t have to be a marathon runner to want legs that feel lighter, stronger, and pain-free. For many people, varicose veins aren’t just a cosmetic concern; they’re a daily discomfort that can interfere with work, travel, sleep, and exercise. While procedures are available to treat advanced cases, making small, consistent changes in your daily routine can go a long way in managing symptoms and preventing new varicose veins from forming. 

From the shoes you wear to how often you move throughout the day, your everyday choices play a bigger role in vascular health than you might think.

What Causes Varicose Veins?

Varicose veins develop when the valves in your veins weaken or fail, allowing blood to pool in the legs. This leads to enlarged, twisted veins that are visible beneath the skin’s surface. While heredity plays a role, lifestyle factors like prolonged sitting, inactivity, and excess weight significantly contribute to the development and progression of varicose veins.

People living across New England often face long commutes and sedentary workdays that can aggravate vein issues. The good news is that certain lifestyle changes can ease discomfort and help prevent new varicose veins from forming.

Daily Movement: Your First Line of Defense

One of the best things you can do for your veins is stay active. Regular movement improves circulation and strengthens the muscles that support your veins.

Try these simple strategies:

  • Walk for 30 minutes a day. Even a brisk walk around your neighborhood or workplace helps pump blood through your legs.
  • Avoid sitting or standing too long. Set a timer to stretch or walk around every 30–60 minutes.
  • Flex your feet and ankles, especially useful during long flights, drives, or desk time.

Elevate Your Legs

Gravity plays a major role in varicose vein development. When you sit or stand for long periods, blood naturally pools in the lower extremities.

To counteract this:

  • Prop your legs up above heart level for 15–20 minutes at the end of the day.
  • Use a pillow wedge while sleeping to support better overnight circulation.
  • Elevate your legs during work breaks or after workouts to help reduce swelling.

Wear Compression Garments

Compression therapy helps prevent blood from pooling in your legs and supports proper blood flow back to the heart. Today’s compression stockings are more comfortable and stylish than ever.

Compression stockings may help if you:

  • Spend long hours on your feet
  • Experience swelling or fatigue in your lower legs
  • Have a family history of vein problems

Be sure to consult a vascular specialist in your local New England area to find the right compression level for your condition.

Stay Hydrated and Eat for Vein Health

What you put into your body matters. Hydration and a nutrient-rich diet help reduce inflammation and support vein strength.

Aim to include:

  • High-fiber foods, such as oats, beans, and leafy greens, can improve circulation and reduce pressure on veins
  • Antioxidant-rich fruits, like berries and oranges, can protect blood vessels
  • Plenty of water to support healthy blood viscosity and reduce leg cramping
  • Reduce salt intake to prevent fluid retention that contributes to swelling

Watch Your Weight

Excess weight increases pressure on your veins, particularly in your legs. This can lead to vein valve weakening and worsening symptoms.

Even a modest weight loss can significantly reduce discomfort and improve mobility. Focus on sustainable lifestyle changes, such as walking more, limiting processed foods, and choosing whole, nutrient-dense meals.

Choose the Right Footwear

Fashionable shoes aren’t always your veins’ best friend. High heels and unsupportive footwear can impair calf muscle function and blood flow.

Instead, choose:

  • Low-heeled or flat shoes with arch support
  • Sneakers or walking shoes for long periods of activity
  • Avoid prolonged wear of narrow, tight-fitting shoes

When to See a Specialist

While lifestyle changes can go a long way, they may not completely eliminate varicose veins, especially if they’re already advanced. If you’re experiencing leg pain, swelling, or visible veins that worsen over time, a vascular specialist can provide options, including minimally invasive treatments like sclerotherapy or endovenous ablation.

Expert Vein Care Across New England

At The Vascular Care Group, we offer advanced, compassionate care to help patients manage varicose veins and other vein disorders. With locations throughout New England, our board-certified specialists provide innovative treatments and in-office procedures tailored to your needs.

Don’t wait until symptoms worsen. Schedule a consultation today and take the first step toward healthier, more comfortable legs.

 

Men’s Vascular Health: Key Risks, Warning Signs, and Prevention Tips

You’re never too young or healthy to start thinking about your heart and vascular health. June is Men’s Health Month, making it the perfect time to shine a spotlight on an issue that too often goes unnoticed: vascular disease in men. From high blood pressure and peripheral artery disease to dangerous blood clots and stroke, men face unique vascular risks that can silently develop until a major event occurs. The good news? Many of these conditions are preventable or manageable when caught early. 

In this blog, we’ll discuss the most common vascular health concerns for men, the early warning signs you shouldn’t ignore, and practical steps to take charge of your vascular well-being before a crisis hits.

Why Men Are at Higher Risk for Vascular Disease

Men are statistically more likely to experience serious vascular conditions earlier in life than women. Factors like genetics, lifestyle habits, and underdiagnosed symptoms contribute to this increased risk. Many men ignore early signs or assume their symptoms are simply part of aging, until a more severe event occurs.

Certain vascular diseases disproportionately affect men, including:

  • Peripheral Artery Disease (PAD)
  • Aortic Aneurysms
  • Deep Vein Thrombosis (DVT)
  • Carotid Artery Disease
  • Varicose veins and chronic venous insufficiency

Understanding the warning signs can make all the difference.

Common Vascular Conditions That Impact Men

1. Peripheral Artery Disease (PAD)

PAD is a narrowing of the arteries that reduces blood flow to the limbs, most commonly the legs. Left untreated, PAD can lead to serious complications, including amputation.

Watch for these signs:

  • Leg pain or cramping while walking that goes away with rest
  • Coldness or numbness in your lower legs or feet
  • Poor wound healing on the feet or toes

2. Abdominal Aortic Aneurysm (AAA)

This condition occurs when a portion of the aorta becomes enlarged and weakened, potentially leading to rupture, a life-threatening emergency.

Risk factors include:

  • A history of smoking
  • High blood pressure
  • A family history of aneurysms

Men over 65 who have smoked are strongly advised to get screened.

3. Carotid Artery Disease

Carotid arteries supply blood to your brain. If they become narrowed or blocked, it can lead to a stroke. In fact, stroke is one of the leading causes of death and disability in men.

Early symptoms may include:

  • Sudden weakness or numbness on one side of the body
  • Vision problems
  • Slurred speech or confusion

Don’t wait until symptoms strike—this disease can be silent until it becomes critical.

4. Deep Vein Thrombosis (DVT)

DVT occurs when a blood clot forms in a deep vein, usually in the leg. If the clot travels to the lungs, it can cause a pulmonary embolism.

Warning signs:

  • Swelling in one leg
  • Warmth, redness, or pain in the leg
  • Shortness of breath (if the clot moves to the lungs)

5. Varicose Veins and Chronic Venous Insufficiency 

Though more commonly associated with women, these conditions are underdiagnosed in men and often dismissed as cosmetic. However, varicose veins can be a sign of chronic venous insufficiency (CVI), a progressive condition where blood pools in the veins due to weakened valves. Men are less likely to seek treatment, which can lead to complications if ignored.

Watch for these signs:

  • Swollen, twisted veins in the legs
  • Aching, heaviness, or throbbing after long periods of standing
  • Skin discoloration or thickening near the ankles
  • Leg ulcers or slow-healing wounds

Preventive Tips for Vascular Health

The earlier you prioritize vascular health, the better your long-term outlook. Here are actionable tips men can start applying today:

  • Get routine vascular screenings – especially if you’re over 50 or have a family history.
  • Quit smoking – tobacco is one of the most damaging habits for your vascular system.
  • Stay active – aim for 30 minutes of walking, cycling, or swimming most days.
  • Maintain a heart-healthy diet – prioritize fruits, vegetables, whole grains, and lean protein.
  • Monitor your numbers – stay on top of blood pressure, cholesterol, and glucose levels.
  • Know your family history – and share it with your doctor.

Know the Warning Signs and Don’t Ignore Them

When it comes to vascular health, subtle symptoms can signal something serious. Don’t write off leg pain, unexplained swelling, or fatigue as just “getting older.” The earlier you address vascular issues, the more options you have for effective treatment.

If you experience any of the symptoms mentioned above, especially in combination with a history of smoking, high cholesterol, or diabetes, talk to a specialist right away.

Expert Vascular Care Across New England

At The Vascular Care Group, we believe proactive care saves lives. With locations across New England and a team of board-certified vascular specialists, we offer advanced diagnostics, minimally invasive treatments, and personalized care for men at every stage of life. Whether you’re seeking preventive screenings or managing an existing condition, our compassionate team is here to help you protect your health and your future.


Call to schedule a consultation at one of our convenient New England locations.

Spotting the Early Signs of Venous Insufficiency

It’s easy to ignore the occasional swelling or discomfort in your legs, especially after a long day on your feet. But what if those little annoyances are early signs of something more serious? Venous insufficiency, a condition where the veins struggle to return blood to the heart, can start quietly, often showing up as mild symptoms that we dismiss as fatigue or aging. However, if left unchecked, venous insufficiency can lead to more severe problems, like ulcers, blood clots, or even deep vein thrombosis. The key is recognizing the signs early on, so you can take action before the condition worsens. 

Whether you’ve noticed achy, swollen legs or varicose veins that seem to have appeared out of nowhere, it’s important to understand what your body is trying to tell you.

Common Symptoms of Venous Insufficiency

At first, venous insufficiency might feel like a mild nuisance, but over time, it can progress and cause more significant issues. Here are some of the early signs to watch out for:

  • Swelling in the Legs and Ankles: One of the first signs of venous insufficiency is swelling, especially at the end of the day. If you notice your ankles or legs feeling swollen, particularly after standing or sitting for long periods, it could be an early warning sign.
  • Achy or Heavy Legs: If your legs feel tired, achy, or heavy, it’s often a result of blood not circulating properly. This sensation is usually worse after long periods of activity, like standing or walking.
  • Varicose Veins: These are large, twisted veins that appear near the skin’s surface. Varicose veins are often a result of damaged valves in the veins, which prevent blood from flowing upward toward the heart. They may be the most obvious sign of venous insufficiency.
  • Skin Changes: As blood flow decreases, your skin may begin to show signs of damage. You might notice a reddish or brownish discoloration, especially near the ankles. This is caused by blood pooling and can eventually lead to skin ulcers.
  • Itchy or Irritated Skin: Poor circulation can also affect the skin’s health. If your legs feel itchy or irritated, it could be a result of venous insufficiency. The lack of proper blood flow reduces the amount of oxygen and nutrients reaching your skin, leading to dryness and discomfort.
  • Leg Cramps: Unexplained leg cramps, especially at night, are another sign of poor circulation. If you’ve started experiencing cramps more frequently, it may be worth getting checked for venous insufficiency.

What Causes Venous Insufficiency?

There are several risk factors that can contribute to the development of venous insufficiency, and it’s important to be aware of these when assessing your own health:

  • Age: As we age, our veins can lose elasticity, making it more difficult for them to carry blood back to the heart.
  • Family History: Genetics play a role in vein health, so if your parents or grandparents suffered from varicose veins or venous insufficiency, you may be at higher risk.
  • Obesity: Carrying excess weight puts additional pressure on your veins, increasing the likelihood of venous problems.
  • Prolonged Standing or Sitting: Occupations or activities that require long hours of standing or sitting can reduce blood circulation, putting stress on your veins.
  • Pregnancy: The added weight and hormonal changes during pregnancy can lead to swelling and other vein issues.
  • Hormonal Changes: Hormonal fluctuations due to menopause or birth control can also increase the risk of venous insufficiency.

Complications of Untreated Venous Insufficiency

If left untreated, venous insufficiency can lead to serious complications that affect your quality of life:

  • Venous Ulcers: Open sores can develop on the skin, especially around the ankles, due to poor circulation.
  • Blood Clots: In severe cases, blood can pool in the veins, increasing the risk of clots, which can break free and travel to the lungs, causing a pulmonary embolism.
  • Chronic Pain: Over time, the discomfort can become constant, making everyday activities difficult.
  • Skin Damage: As blood backs up in the veins, it can cause permanent skin damage, leading to permanent discoloration and scarring.

What to Do if You Notice These Symptoms

If you start experiencing any of the symptoms listed above, it’s important to consult a healthcare provider. Early detection and treatment can make a significant difference in managing venous insufficiency. Treatments can range from lifestyle changes, such as exercise and weight management, to medical procedures like vein stripping or laser therapy. The goal is to improve circulation, alleviate symptoms, and prevent the condition from worsening.

How Can The Vascular Care Group Help?

At The Vascular Care Group, we understand how venous insufficiency can impact your daily life, and we’re here to provide the treatment and care you need. With convenient locations across New England, our team of experienced vascular specialists uses the latest techniques to assess and treat your condition. Whether you’re dealing with swelling, varicose veins, or more severe symptoms, we offer a range of solutions tailored to your needs.

If you notice any signs of venous insufficiency, don’t wait for the condition to progress. Contact us today to schedule a consultation and take the first step toward better vascular health. With our compassionate, comprehensive care, we’ll help you get back on track and move with ease.

 

The Vascular Care Group Partners with the Massachusetts Department of Public Health to Provide Access to High-Quality Vascular Care at Lemuel Shattuck Hospital

Collaboration addresses critical gaps in care for underserved communities at state-run facility

Boston, MA — May 1, 2025 — The Vascular Care Group (TVCG), the largest independent group of board-certified vascular specialists in the United States, is proud to announce a new partnership with Lemuel Shattuck Hospital, located in the Jamaica Plain neighborhood of Boston. This collaboration aims to meet a critical need for vascular care services at the state-owned, Department of Public Health–run facility.

Lemuel Shattuck Hospital is recognized for delivering acute, subacute, and ambulatory care to patients referred by both public agencies and private providers. The hospital serves a diverse patient population that includes many of the Commonwealth’s most economically and socially vulnerable residents. Through this partnership, The Vascular Care Group and Shattuck Hospital are working to close gaps in care and ensure that every patient—regardless of their circumstances—has access to world-class vascular treatment.

“Our mission has always been to deliver exceptional vascular care in a way that’s affordable, accessible, and rooted in compassion,” said Dr. Daniel Gorin, a board-certified vascular surgeon with The Vascular Care Group. “We are honored to bring our team’s expertise to Shattuck Hospital and stand alongside their dedicated staff in serving this community.”

The partnership aligns with both organizations’ core values: providing high-quality, dignified, and cost-effective care while improving health outcomes. The Vascular Care Group’s presence will enhance diagnosis, intervention, and management of vascular disease at the hospital, helping prevent life- and limb-threatening complications for patients who might otherwise face barriers to this essential care.

“Our patients often face complex challenges—from chronic illness to housing insecurity,” said Dr. William Rockett, Chief of Surgery at Lemuel Shattuck Hospital. “This partnership with The Vascular Care Group will allow us to offer specialized care that’s often hard to come by in safety-net settings. It will be a game changer for us.”

With more than a dozen locations across Massachusetts, Connecticut, and southern Maine, The Vascular Care Group has prioritized investing in the health and well-being of the communities it serves. This new collaboration with Lemuel Shattuck Hospital reflects TVCG’s longstanding commitment to community-based care and clinical excellence.

“Access to vascular care shouldn’t depend on where you live or your insurance status,” added Dr. Gorin. “Our goal is to make sure every patient—especially those most at risk—can get the care they need, close to home, with dignity and respect.”


About The Vascular Care Group

The Vascular Care Group is the nation’s largest independent team of board-certified vascular specialists, providing comprehensive care in both outpatient and hospital settings. Known for clinical excellence, innovation, and compassionate, patient-centered service, TVCG offers patients access to the most advanced technology and treatment options through clinical trials. Beyond delivering high-quality care, TVCG is dedicated to educating the next generation of vascular professionals, empowering communities through speaker programs and free screening events, and actively participating in local events and fundraising initiatives. This deep commitment to both clinical excellence and community engagement helps improve lives and strengthen the communities we are proud to serve.

About Lemuel Shattuck Hospital

Lemuel Shattuck Hospital (commonly referred to as Shattuck Hospital) is a 255-bed public health and teaching hospital located in the Jamaica Plain neighborhood of Boston, Massachusetts. The hospital is owned and operated by the Massachusetts Department of Public Health (DPH) and, as an affiliate of the Tufts University School of Medicine, serves as the only teaching hospital operated by DPH. Shattuck Hospital offers inpatient care—including care for incarcerated individuals through its correctional unit—as well as outpatient and social services.


Media Contact:
Madison Casillo
Marketing/Operations Associate
Mangrove Management Partners / The Vascular Care Group
Email: MCasillo@mangrovemp.com
Phone: (617) 829-3004
Website: https://thevascularcaregroup.com/

 

What to Expect Before, During, and After Genicular Artery Embolization

If knee pain has been limiting your daily activities, you’ve likely considered various treatment options. One innovative solution that’s gaining recognition is Genicular Artery Embolization (GAE)—a minimally invasive procedure designed to provide lasting relief from chronic knee pain caused by osteoarthritis. But before deciding, it’s important to understand what the process looks like from start to finish. Whether you’re preparing for your procedure or just learning about it, here’s what you can expect before, during, and after GAE to make your experience as smooth as possible.

Before the Procedure: What to Expect

The days leading up to your Genicular Artery Embolization (GAE) procedure are all about preparation. Your medical team will provide clear instructions to ensure you’re ready for the treatment. Here’s what you can expect:

  • Pre-Procedure Consultation: You’ll meet with a vascular specialist to discuss your medical history, knee pain, and whether GAE is right for you. This is the time to ask any questions you may have.
  • Fasting: To minimize risks, you may be asked to fast for a few hours before the procedure. This helps ensure your safety during the sedation.
  • Pre-Procedure Imaging: Depending on your condition, the doctor may perform imaging tests to visualize the arteries and determine the best approach for embolization.

During the Procedure: What Happens

Genicular Artery Embolization is an outpatient procedure that typically lasts under an hour. While you’re awake, the process will be done under mild sedation, so you’ll feel comfortable and relaxed throughout. Here’s a breakdown of the procedure:

  • Local Anesthesia: A small area near your groin will be numbed so that a catheter can be inserted into your artery.
  • Guided Imaging: Using X-ray guidance, your doctor will direct the catheter to the targeted arteries that supply blood to the painful areas of your knee.
  • Embolization: Tiny particles are released to block the blood flow to the inflamed knee tissue, which helps reduce swelling and pain.
  • Observation: After the procedure, you’ll be monitored for a short period in a recovery area before heading home.

After the Procedure: Recovery and Results

One of the key benefits of GAE is the fast recovery time. Most patients are able to resume normal activities within just a few days. Here’s what you can expect in the recovery phase:

  • Short Recovery Period: Most patients return to their normal routine within 1-2 days, with just some mild discomfort or bruising at the catheter site.
  • Pain Relief: Many patients notice significant pain reduction within a week or two of the procedure. Results can last from several months to years, depending on your condition.
  • Follow-Up Care: A follow-up visit will allow your vascular specialist to ensure everything is healing properly and discuss any ongoing treatment needs.

Why Choose The Vascular Care Group for Your Treatment?

At The Vascular Care Group, we are dedicated to offering you advanced treatments like Genicular Artery Embolization in a comfortable, outpatient setting. With convenient locations across New England, our compassionate, expert team provides personalized care tailored to your needs.

If knee pain is affecting your quality of life, GAE could be the solution you’ve been waiting for. Book a consultation at The Vascular Care Group and take control of your pain relief journey today. With expert care and state-of-the-art procedures, we’re here to help you feel your best. 

Contact us today to schedule your appointment!

 

TCAR: A Safer Approach to Preventing Stroke in High-Risk Patients

Hearing that you or a loved one is at high risk for stroke can be overwhelming, especially when treatment options carry their own set of risks. For many patients diagnosed with carotid artery disease, the idea of undergoing major surgery isn’t just daunting—it may not even be safe. Fortunately, advancements in vascular care have opened the door to safer, less invasive procedures. One of the most promising among them is TCAR (Transcarotid Artery Revascularization), a technique that’s changing how we prevent strokes in high-risk individuals.

Understanding this advanced procedure could change the trajectory of your vascular health. Read on to discover more about this innovative treatment and its benefits.

Understanding Carotid Artery Disease

The carotid arteries, located on either side of the neck, supply oxygen-rich blood to the brain. When plaque builds up in these arteries (a condition known as carotid artery stenosis), it can reduce blood flow or lead to the formation of clots that may cause a stroke.

Key risks for carotid artery disease include:

  • High blood pressure
  • Smoking
  • High cholesterol
  • Diabetes
  • Family history of vascular disease

If you’ve been diagnosed with carotid artery disease, especially with significant blockage, your healthcare provider may recommend a procedure to restore healthy blood flow and reduce your risk of stroke.

What Is TCAR?

Transcarotid Artery Revascularization (TCAR) is a cutting-edge procedure designed for patients who may not be good candidates for traditional surgery, such as carotid endarterectomy (CEA).

How TCAR works:

  • A small incision is made at the neckline to access the carotid artery.
  • Blood flow is temporarily reversed during the procedure to keep potential plaque away from the brain.
  • A stent is inserted to stabilize the artery and prevent future blockages.

This minimally invasive technique significantly lowers the risk of stroke during the procedure and results in shorter recovery times.

Why TCAR Is Safer for High-Risk Patients

Compared to traditional surgery, TCAR offers several advantages, particularly for patients with other medical conditions or anatomical concerns:

  • Minimally invasive – Smaller incision and less disruption to surrounding tissues
  • Lower stroke risk – Reverse flow technique protects the brain from embolic debris
  • Faster recovery – Most patients return home the next day
  • Fewer complications – Reduced risk of cranial nerve injury and infection
  • Better option for older adults – Especially beneficial for patients over 75 or with prior neck surgeries

Who Is a Candidate for TCAR?

TCAR is ideal for patients who:

  • Are considered high-risk for traditional carotid surgery
  • Have significant carotid artery narrowing 
  • Have had prior neck radiation, surgery, or anatomical challenges
  • Are older or have multiple chronic conditions

If you’re unsure whether TCAR is right for you or a loved one, speaking with a vascular specialist experienced in the procedure is essential.

Recovery and Results

Recovery from TCAR is generally quicker and more comfortable than traditional surgery. Most patients:

  • Go home within 24 hours
  • Resume normal activities within a week
  • Experience minimal scarring and pain

Clinical studies have shown TCAR to have stroke rates comparable to—or even lower than—carotid endarterectomy, making it a highly effective treatment option.

Improving Stroke Prevention in New England

With locations across New England, The Vascular Care Group is proud to be at the forefront of vascular innovation, offering TCAR to qualified patients. Our experienced specialists provide thorough evaluations and compassionate, individualized care to ensure the best possible outcomes.

If you or someone you love has been diagnosed with carotid artery disease, TCAR could be a safer path forward. Contact The Vascular Care Group today to schedule a consultation at one of our convenient New England locations. Our team is here to help you protect your health and your future.

 

How Smoking Impacts Vascular Health and How to Quit

Lighting up a cigarette might feel like a stress reliever, but beneath the surface, it’s doing serious damage to your blood vessels. Smoking is one of the leading causes of vascular disease, restricting circulation, weakening arteries, and increasing the risk of life-threatening conditions like stroke and peripheral artery disease. The good news? The moment you quit, your body begins to heal. Understanding how smoking impacts your vascular health can be the first step toward making a life-changing decision to quit for good.

How Smoking Affects Your Vascular System

Each puff of a cigarette introduces harmful chemicals into your bloodstream, which take a toll on your vascular system in several ways:

  • Narrowed Arteries – Smoking causes blood vessels to constrict, reducing blood flow and increasing blood pressure.
  • Increased Risk of Blood Clots – The chemicals in cigarettes make blood stickier, raising the likelihood of dangerous clots that can lead to heart attacks or strokes.
  • Weakened Artery Walls – Over time, smoking weakens the walls of arteries, making them more prone to aneurysms and ruptures.
  • Reduced Oxygen Supply – Carbon monoxide in cigarette smoke replaces oxygen in the blood, depriving tissues and organs of essential oxygen.
  • Peripheral Artery Disease (PAD) – Smoking is a leading cause of PAD, a condition where narrowed arteries reduce blood flow to the limbs, increasing the risk of infections and amputations.

Signs That Smoking Is Affecting Your Circulation

If smoking has already started to impact your vascular health, you may experience:

  • Cold or numb hands and feet
  • Leg pain or cramping while walking (claudication)
  • Slow-healing wounds, especially on the feet and legs
  • Swelling in the lower limbs
  • Shortness of breath or persistent fatigue

Recognizing these symptoms early can help you take action before serious complications develop.

The Benefits of Quitting Smoking on Vascular Health

The moment you quit smoking, your body starts to repair itself. Here’s how your vascular health improves over time:

  • Within 20 minutes – Blood pressure and heart rate begin to drop.
  • Within 12 hours – Carbon monoxide levels in the blood return to normal, allowing oxygen to flow more freely.
  • Within a few weeks – Circulation improves, and lung function begins to increase.
  • Within a year – The risk of heart disease is cut in half.
  • After 5-10 years – The risk of stroke and other vascular diseases drops significantly, approaching that of a non-smoker.

How to Quit Smoking for Good

Quitting smoking is challenging, but with the right strategies and support, it’s possible. Here are some effective ways to kick the habit:

1. Find a Strong Motivation

  • Focus on reasons to quit, such as protecting your heart, improving circulation, or setting a healthy example for loved ones.

2. Consider Nicotine Replacement Therapy (NRT)

  • Products like nicotine patches, gum, and lozenges can ease withdrawal symptoms and increase your chances of success.

3. Explore Prescription Medications

  • Medications like varenicline (Chantix) or bupropion (Zyban) can help reduce cravings and make quitting easier.

4. Seek Support

  • Join a smoking cessation program, talk to your healthcare provider, or connect with a support group for encouragement.

5. Develop Healthy Habits

  • Replace smoking with activities that relieve stress, such as exercise, meditation, or hobbies that keep your hands and mind busy.

Vascular Care and Smoking Cessation Support in New England

At The Vascular Care Group, we understand how smoking affects circulation and vascular health. Our expert team provides personalized care to help prevent and manage smoking-related vascular conditions. With locations across New England, we are committed to helping patients improve their vascular health and take steps toward quitting smoking.

Schedule a consultation with The Vascular Care Group today to learn more about treatment options and support programs available near you.

 

Managing Hypertension and Its Impact on Vascular Health

High blood pressure doesn’t always come with warning signs, but its impact on your vascular health can be serious. From increasing your risk of heart disease to affecting circulation in your legs, hypertension quietly puts stress on your arteries every day. The good news? Managing your blood pressure can help prevent long-term damage and improve overall vascular health

Whether you’ve recently been diagnosed or have been managing hypertension for years, understanding its effects and taking proactive steps can make all the difference.

How Hypertension Affects Your Vascular Health

When blood pressure remains high over time, it puts excess strain on the arteries and blood vessels. This can lead to:

  • Artery Damage & Narrowing—High blood pressure weakens artery walls, making them more prone to damage and narrowing (atherosclerosis) and increasing the risk of blockages.
  • Increased Risk of Blood Clots—Damaged arteries can create conditions for clot formation, which can lead to heart attacks or strokes.
  • Reduced Blood Flow to Organs—Poor circulation can impact major organs, including the heart, kidneys, and brain, leading to long-term complications.
  • Aneurysms—Persistent high blood pressure can cause weakened artery walls to bulge, potentially leading to life-threatening aneurysms.

Signs Your Blood Pressure May Be Too High

Because hypertension often doesn’t cause symptoms, routine monitoring is essential. However, in severe cases, you may experience:

  • Frequent headaches or dizziness
  • Blurred vision or difficulty concentrating
  • Shortness of breath
  • Chest pain or irregular heartbeats
  • Fatigue or unexplained weakness

If you notice these symptoms, especially in combination, it’s crucial to seek medical care immediately.

Lifestyle Changes to Manage Hypertension

The good news is that many lifestyle changes can help lower blood pressure and reduce the strain on your vascular system.

1. Maintain a Heart-Healthy Diet

  • Eat more fruits, vegetables, whole grains, and lean proteins.
  • Reduce sodium intake by limiting processed and fast foods.
  • Increase potassium-rich foods like bananas, spinach, and avocados to help balance blood pressure.

2. Stay Active

  • Aim for at least 150 minutes of moderate exercise per week (walking, swimming, cycling, etc.).
  • Incorporate strength training to improve circulation and overall heart health.

3. Manage Stress Levels

  • Practice relaxation techniques such as deep breathing, yoga, or meditation.
  • Prioritize sleep and work-life balance to keep stress levels in check.

4. Monitor Your Blood Pressure

  • Regularly check your blood pressure at home or at a local clinic.
  • Work with your healthcare provider to track trends and make necessary adjustments.

5. Follow Medication Plans as Prescribed

  • If lifestyle changes aren’t enough, your doctor may prescribe medications to control hypertension.
  • Always take medications as directed and report any side effects to your provider.

Why Early Intervention Matters for Hypertension

Hypertension doesn’t just happen overnight—it develops over time. The earlier you take control, the better your chances of avoiding long-term damage. Whether through lifestyle changes, medication, or regular check-ups, proactive care can significantly lower your risk of vascular complications.

Expert Vascular Care in New England

At The Vascular Care Group, we specialize in diagnosing, managing, and treating vascular conditions related to hypertension. Our team of experienced specialists provides personalized care to help you maintain healthy circulation and reduce the risks associated with high blood pressure. With multiple locations across New England, expert vascular care is always within reach.

If you’re concerned about hypertension and its impact on your vascular system, don’t wait—early intervention is key. Schedule an appointment with our team today and take the first step toward better heart and vascular health.

 

How Hormonal Changes Affect Vascular Health in Women

The connection between hormones and vascular health is a relationship often overlooked but profoundly significant to women’s well-being. Hormones, particularly estrogen, play a pivotal role in maintaining the health and elasticity of blood vessels. Yet, hormonal fluctuations experienced during life stages such as puberty, pregnancy, and menopause can have a noticeable impact on vascular health

Understanding these changes is crucial for taking proactive steps toward maintaining a healthy cardiovascular system. Whether you are embarking on the exciting changes of adolescence, navigating through the physical adaptations of pregnancy, or transitioning into menopause, this guide will provide insights into how hormonal changes influence vascular health and offer empowering tips to nurture your well-being. 

Understanding Hormones and Their Vital Role 

Hormones are the body’s messengers—chemical signals that regulate vital processes and maintain balance. Estrogen, a hormone unique to females, is one of the most significant players when it comes to vascular health. 

Estrogen’s Role 

Estrogen supports the health of blood vessels in several ways:

  • Maintaining Vasodilation: Estrogen stimulates the production of nitric oxide, which helps blood vessels relax and expand. This ensures proper blood flow throughout the body. 
  • Promoting Elasticity: Healthy blood vessels are elastic, allowing them to accommodate shifts in blood pressure. Estrogen aids in maintaining this flexibility. 
  • Anti-inflammatory Properties: Estrogen has an anti-inflammatory effect, reducing the risk of damage within the vessels themselves. 

However, the presence and levels of estrogen are anything but static. They change drastically at various stages of life, altering their impact on vascular health. 

How Hormones Affect Blood Vessels 

Blood vessels are like the highways of your body, tirelessly delivering life-giving oxygen and nutrients to tissues. However, they are highly sensitive to hormonal changes. 

When estrogen levels drop—such as during menopause—vascular health can begin to decline. The elasticity of the blood vessels decreases, inflammation increases, and the risk of conditions like hypertension, peripheral artery disease, and even stroke may rise. These changes underscore how deeply hormonal balance and vascular health are intertwined. 

On the flip side, rising estrogen levels during life stages like pregnancy can increase blood flow and support vascular function. Each shift, whether an increase or decrease, can leave its unique mark on the cardiovascular system. 

Hormonal Shifts Across Life Stages 

Hormonal fluctuations during key life stages not only affect mood and energy levels but also directly impact vascular health

Puberty 

During puberty, estrogen production kicks into high gear. Blood vessels become more robust and elastic, priming the young body for the demands ahead. This period often represents the “golden years” of vascular health for many women. 

Pregnancy 

Pregnancy is marked by a surge in estrogen and progesterone—both of which ensure increased blood flow and vascular adaptability to accommodate the fetus’s growing needs. However, conditions like gestational hypertension and preeclampsia can emerge if vascular health is compromised. 

Menopause 

Menopause marks one of the most significant hormonal shifts in a woman’s life. Estrogen levels plummet, leading to reduced vascular elasticity, less nitric oxide production, and increased risk of vascular disease. This is also when many women begin experiencing symptoms like hot flashes, which may further affect vascular function. 

Prevention and Management 

The good news is that plenty of steps can be taken to support vascular health and minimize the impact of hormonal shifts. These include simple lifestyle changes combined with guidance from expert vascular care providers. 

Lifestyle Tips for Healthy Blood Vessels 

  1. Follow a Heart-Healthy Diet 

  Prioritize whole foods such as leafy greens, fruits, lean proteins, and healthy fats. Omega-3 fatty acids, found in fish, walnuts, and flaxseed, are particularly beneficial for reducing inflammation and supporting vascular function. 

  1. Stay Active 

  Aim for at least 150 minutes of moderate exercise per week. Whether it’s brisk walking, swimming, or yoga, physical activity improves circulation and strengthens the heart. 

  1. Focus on Smoking Cessation 

  If you smoke, quitting is one of the best gifts you can give your vascular health. Seek support from healthcare providers or smoking cessation programs to get started. 

  1. Stress Management 

  Practices like meditation, deep breathing, or even daily gratitude journaling can help reduce stress hormones that affect vascular health. 

  1. Stay Hydrated 

  Drinking enough water aids circulation and ensures blood vessels remain flexible and functional. 

  1. Routine Health Checkups 

  Regularly monitor key metrics like blood pressure, cholesterol levels, and blood sugar to stay ahead of conditions. 

Seeking Professional Guidance 

While prevention is powerful, expert support can be critical for addressing specific vascular concerns. Comprehensive care from specialists like The Vascular Care Group can provide all levels of support, from early intervention to advanced treatment. 

Take Charge of Your Vascular Health 

Understanding how hormonal changes influence vascular health empowers women to take control of their well-being. By maintaining a healthy lifestyle—coupled with professional guidance when needed—you can support your heart and blood vessels through every phase of life. 

If you’d like to explore your vascular health more deeply, consider reaching out to The Vascular Care Group in New England. Their expert treatment and personalized approach will help you chart a path to better vascular health. Schedule your consultation today and take the first step to feeling empowered and cared for.