Author: Ferocious Digital

Traveling is an exhilarating experience, offering new sights, sounds, and perspectives. However, it can also present unique challenges for those managing vascular conditions. The key to a safe and enjoyable journey lies in meticulous planning and informed strategies. At The Vascular Care Group in New England, we understand the importance of personalized care and preparation. Our expert guidance ensures that your travels are as smooth as they are adventurous, allowing you to explore the world with confidence and peace of mind.

Plan Ahead

Effective planning is crucial for any traveler, especially those managing vascular health. Here’s how to get started:

• Consult Your Healthcare Provider: Discuss your travel plans with your doctor before your trip. They can provide specific advice and adjustments to your medication schedule if necessary.
• Research Your Destination: Look for healthcare facilities near your accommodation. Knowing where to seek help in an emergency can offer peace of mind.
• Pack Smartly: Include all necessary medications and medical supplies in your carry-on. Keep a list of prescriptions and emergency contact information handy.

Stay Active and Comfortable

Long periods of inactivity can be detrimental, especially during long flights or road trips. Consider these tips:

• Move Regularly: Take breaks to stretch your legs during flights or long drives. Walking around every couple of hours helps maintain circulation.
• Wear Compression Stockings: These can help reduce swelling and improve circulation during travel.
• Choose Comfortable Clothing: Opt for loose-fitting clothes to ensure comfort and freedom of movement.

Manage Stress and Stay Hydrated

Travel can be stressful, but managing stress and staying hydrated are vital components of maintaining vascular health.

• Practice Relaxation Techniques: Deep breathing, meditation, or listening to calming music can help control stress levels.
• Hydrate Frequently: Drink plenty of water to stay hydrated. Avoid excessive caffeine and alcohol, as they can dehydrate you.
• Keep Healthy Snacks on Hand: Nuts, fruits, and other light snacks can help maintain energy levels and prevent over-indulgence on unhealthy options.

Embrace Local Experiences Safely

Exploring new places can be thrilling, and with some precautions, you can fully enjoy all your destination has to offer:

• Opt for Guided Tours: These can provide a safe and structured way to see the sights without overexerting yourself.
• Stay Informed about Local Weather Conditions: Plan your activities around the weather, avoiding extreme temperatures that can affect vascular health.
• Engage in Light Activities: Short walks, museum visits, and scenic drives are excellent ways to explore without overdoing it.

Your Health, Our Priority: Visit The Vascular Care Group

At The Vascular Care Group in New England, we believe managing vascular health shouldn’t limit your adventures. Our team is dedicated to providing personalized care plans that cater to your unique needs. 

Let us guide you on your journey to optimal health. Contact our team to learn more about how we can help make your travels safe and enjoyable.

Peripheral Artery Disease (PAD) is more than just a condition—it’s a wake-up call to take charge of your health. Affecting millions worldwide, PAD narrows arteries, reducing blood flow to limbs and causing pain and mobility issues. But here’s the silver lining: you can manage PAD effectively through lifestyle changes.

Whether you’re a patient, a health enthusiast, or part of the senior community, this guide will offer valuable insights to improve your quality of life.

What is Peripheral Artery Disease?

Peripheral Artery Disease (PAD) occurs when arteries in the legs become narrowed or blocked due to plaque buildup. This condition can lead to symptoms like leg pain, cramping, and fatigue, especially during physical activities.

Understanding PAD is the first step toward managing it. By recognizing the symptoms and becoming aware of the risks, you can take proactive measures to improve your vascular health.

Understanding the Importance of Lifestyle Changes in PAD Management

Lifestyle changes play a vital role in managing PAD. While medical treatments are essential, incorporating healthy habits can significantly enhance their effectiveness. Lifestyle modifications not only alleviate symptoms but also reduce the risk of complications.

For PAD patients, adopting a healthier lifestyle isn’t just about managing the disease—it’s about reclaiming control over your life. Let’s explore some fundamental lifestyle changes that can make a difference.

Essential Lifestyle Changes for PAD Patients

Diet Modifications for Improved Blood Flow

What you eat directly impacts your vascular health. Diet modifications can improve blood flow, reduce plaque buildup, and promote overall well-being. Here are some dietary tips:

• Increase Fiber Intake: Foods rich in fiber, such as whole grains, fruits, and vegetables, can help lower cholesterol levels and improve blood circulation.
• Choose Healthy Fats: Opt for sources of healthy fats like avocados, nuts, and olive oil while avoiding trans fats and saturated fats found in fried foods and baked goods.
• Stay Hydrated: Drinking plenty of water helps maintain proper blood viscosity and prevents blood clots.

The Role of Exercise in PAD Management

Exercise is a powerful tool in managing PAD. Regular physical activity improves circulation, strengthens muscles, and reduces symptoms. Here’s how to get started:

• Walking Programs: Walking is one of the most effective exercises for PAD patients. To improve leg circulation, aim for 30 minutes of moderate walking several times weekly.
• Strength Training: Incorporate light resistance training to build muscle strength and improve overall mobility.
• Stretching and Flexibility: Gentle stretching exercises can help alleviate stiffness and improve range of motion.

Consult with your healthcare provider before starting any exercise program to ensure it’s safe and appropriate for your condition.

Smoking Cessation and Healthy Habits

Smoking is a significant risk factor for PAD. Quitting smoking can dramatically improve your vascular health and reduce the progression of the disease. Here are some strategies to quit smoking:

• Seek Support: Join a smoking cessation program or support group to stay motivated and accountable.
• Use Nicotine Replacement Therapy: Nicotine patches, gum, or lozenges can help reduce cravings and withdrawal symptoms.
• Adopt Healthy Habits: Replace smoking with healthy habits like deep breathing exercises, chewing sugar-free gum, or engaging in hobbies.

Tips and Strategies for Implementing Lifestyle Changes

Making lifestyle changes can seem daunting, but with the right approach, it can be manageable and even enjoyable. Here are some tips to help you get started:

• Set Realistic Goals: Start with small, achievable goals and gradually build on them. For example, aim to walk for 10 minutes a day and increase the duration as you become more comfortable.
• Create a Support System: Surround yourself with supportive friends and family who can encourage and motivate you. Consider joining a support group for PAD patients to share experiences and tips.
• Track Your Progress: Keep a journal or use a mobile app to track your dietary changes, exercise routines, and smoking cessation progress. Celebrating small victories can keep you motivated.
• Educate Yourself: Stay informed about PAD and its management. Read books, attend workshops, and consult with healthcare professionals to gain a deeper understanding of your condition.
• Stay Positive: Focus on the benefits of lifestyle changes rather than the challenges. Visualize a healthier, more active version of yourself and believe in your ability to make positive changes.

Take the First Step Toward a Healthier Future with the Vascular Care Group

Remember, you’re not alone in this journey. The Vascular Care Group offers expert support and guidance to help you manage PAD effectively. Visit one of our locations across New England to learn more about our services and how we can assist you in your health journey.

For more information and personalized support, request an appointment with our team. Together, we can help you achieve better vascular health and a higher quality of life.

Joann, a Canadian native and former high-tech marketing executive, was born into a military family and grew up living “a wonderful gypsy life,” she recalls. Joann eventually married and had two children of her own. The young family relocated to the United States in search of better healthcare as one of her children required specialized care for the first six years of life. Joann had no idea then that she too would require the specialized care best found here in the US.

Being a working wife and mom, Joann loved horseback riding for both pleasure and competition and attending her girls’ soccer games, which took them all over the country. As is often the case though, managing work and family left little time for much else in the way of hobbies.

A few years ago, Joann noticed that little things like walking normally, running up the stairs, evening beach walks with her husband, playing catch with her dogs, and even horseback riding became difficult. “I loved to travel – particularly faraway cruises – but had to stop because I couldn’t walk or tour the wonderful destinations. I could not bend either leg much at all or certainly couldn’t kneel on any surface. So, playing with my dogs or grandchildren on the floor was no longer an option for me,” Joann said.

The first real sign of an issue was the sharp pangs of pain behind the kneecaps, which Joann attributed to injuries she sustained in her teen years. As she got older, these pangs became “severe arthritic pains and eventually bone on bone often agonizing pain and swelling of my whole knee. I couldn’t walk for more than a few minutes at a time. Walking up or down the stairs or even a hill required more of a two-step action and cringing pain with each one. And eventually I tried to avoid any walking that was not absolutely necessary.”

Joann’s condition now not only impacted her life, but the life of her family. She recalls, “I had to ask one of them to bring me a drink or shoes or whatever rather than me being the one bringing it to them. I had to ask them to walk the dogs instead of doing it myself or going with them. But probably the worst impact of this condition was that I had to bring in help to help me care for my Alzheimer’s-stricken husband and eventually had to hospitalize him when I just couldn’t provide him with what he needed for safety anymore.” Sadly, Joann became a widow two years ago.

Knee replacement became the obvious choice for Joann, and she scheduled knee surgery twice, only to have it cancelled both times; once due to Covid and once for the flu. Still, she began physical therapy to prepare for the inevitable.

Joann had already built a relationship with Dr. Scott James and the staff at the Plymouth office of The Vascular Care Group when they began to help manage her carotid artery disease diagnosis. During one visit, while chatting with Regina, the nurse practitioner in the office, Joann recalls that she mentioned how much she dreaded the upcoming knee replacement surgeries. Regina suggested that she talk with Dr. James about a new procedure he was doing, called Genicular

Artery Embolization, that could maybe forestall the need for these surgeries. “Boy was that a godsend conversation,” Joann said.

Genicular Artery Embolization, or GAE, is a new treatment for those patients suffering with osteoarthritis of the knee or residual pain after knee replacement. A small catheter is inserted in the leg and tiny particles are injected that block the small vessels that supply the inflamed arthritic tissue around the lining of the knee. Blocking these vessels reduces the pain that accompanies osteoarthritis of the knee. This simple procedure, performed in the office, has been shown to reduce the inflammation and pain that often accompanies osteoarthritis of the knee. When done properly, this DOES NOT affect the blood flow to the leg.

Joann had the GAE procedure on both knees, on June 3 and June 17. Joann said, “I felt a huge difference the same day as the surgery in both cases. The crippling pain in my knee, particularly behind the kneecap, is virtually gone and has not returned. It just doesn’t hurt anymore.”

“The first thing I did was book a 10-day small-ship luxury cruise in the Mediterranean with my daughter. I no longer two-step up the stairs. I can play with my dogs on the floor. I can ride the stationary bike and do strengthening exercises. I can get my own drinks, etc. I can drive for more than half an hour. I can go shopping with my girls for hours. And so much more than I could list here. This has been my miracle.

Dr. James is an amazing medical man. He is respectful, kind, compassionate, professional, and the most competent surgeon I have ever experienced. He has built such a wonderful practice. His staff is the very best and his offices are large, bright, clean, and welcoming. I’ve been a lucky lady to find this guy and his team. I would rate these procedures a complete success in my case.”

Aging can bring about various health challenges, but one that often goes unnoticed until it’s too late is vascular dementia. This condition, caused by reduced blood flow to the brain, affects cognitive function and can drastically impact quality of life. For aging adults and caregivers, understanding vascular health‘s critical role in preventing vascular dementia is vital.

Understanding the Link Between Vascular Health and Brain Function

The human brain relies on a constant supply of oxygen-rich blood to function optimally. Blood vessels transport essential nutrients and oxygen to brain cells, allowing them to perform cognitive tasks, regulate mood, and maintain overall brain health. When these vessels become damaged or blocked, it can lead to vascular dementia.

Vascular dementia results from conditions that impair blood flow to the brain, such as strokes or chronic high blood pressure. This disruption can cause cognitive decline, memory loss, and difficulty with problem-solving and reasoning. Understanding this link emphasizes the importance of maintaining vascular health for optimal brain function.

Research has shown that a healthy vascular system supports not only brain function but also reduces the risk of other conditions like heart disease and diabetes. By prioritizing vascular health, aging adults can safeguard their cognitive abilities and overall well-being.

Risk Factors for Vascular Dementia

Identifying and managing risk factors early on can help prevent vascular dementia. Some common risk factors include:

1. High Blood Pressure: Chronic high blood pressure can damage blood vessels, reducing blood flow to the brain. Regular monitoring and management are crucial.
2. Diabetes: Uncontrolled diabetes can lead to vascular damage. Maintaining healthy blood sugar levels is essential for vascular health.
3. Smoking: Smoking damages blood vessels and increases the risk of vascular diseases. Quitting smoking can significantly reduce the risk of vascular dementia.
4. High Cholesterol: High cholesterol can lead to plaque buildup in arteries, restricting blood flow. A heart-healthy diet and medication can help manage cholesterol levels.
5. Obesity: Excess weight puts strain on blood vessels and can contribute to other risk factors like high blood pressure and diabetes. A balanced diet and regular exercise can help maintain a healthy weight.

By understanding and addressing these risk factors, aging adults and caregivers can take proactive steps to prevent vascular dementia and support brain health.

Strategies for Maintaining Good Vascular Health

Maintaining good vascular health is crucial for preventing vascular dementia. Here are some strategies to keep your blood vessels in top shape:

1. Eat a Balanced Diet: A diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can support vascular health. Foods like berries, leafy greens, nuts, and fish are particularly beneficial.
2. Exercise Regularly: Physical activity improves blood circulation, strengthens the heart, and helps maintain a healthy weight. Aim for at least 150 minutes of moderate-intensity exercise per week.
3. Manage Stress: Chronic stress can negatively impact vascular health. Practices like mindfulness, meditation, and deep breathing can help reduce stress levels.
4. Stay Hydrated: Drinking plenty of water supports overall health and keeps blood vessels functioning properly. Aim for at least eight glasses of water a day.
5. Limit Alcohol and Avoid Smoking: Excessive alcohol consumption and smoking can damage blood vessels. Limiting alcohol intake and quitting smoking can significantly benefit vascular health.

By incorporating these strategies into daily routines, aging adults can promote vascular health and reduce the risk of vascular dementia.

Importance of Early Diagnosis and Treatment in Preventing Vascular Dementia

Early diagnosis and treatment of vascular conditions are essential for preventing vascular dementia. Regular check-ups and screenings can help detect issues before they become severe. Key steps include:

1. Monitor Blood Pressure: Regularly checking blood pressure can help detect hypertension early. Medication and lifestyle changes can manage high blood pressure effectively.
2. Screen for Diabetes: Regular blood sugar tests can identify diabetes or pre-diabetes. Managing blood sugar levels through diet, exercise, and medication can prevent vascular damage.
3. Cholesterol Checks: Routine cholesterol tests can help monitor levels and guide dietary and medication interventions to manage high cholesterol.
4. Consulting Healthcare Providers: Working closely with healthcare providers ensures that any vascular health concerns are addressed promptly. They can provide tailored advice and treatment plans.

Early intervention can slow or prevent the progression of vascular dementia, safeguarding brain function and maintaining quality of life.

Providing Comprehensive Vascular Care Across New England

Understanding the critical link between vascular health and brain function is essential for aging adults and caregivers. Early diagnosis and treatment are crucial, and engaging in activities that stimulate the brain and promote social connections can further enhance overall well-being.

For those seeking expert guidance in managing vascular health, The Vascular Care Group offers comprehensive care and support. With locations across New England, we are dedicated to helping individuals maintain optimal vascular health and prevent conditions like vascular dementia. 

Visit our website to learn more and schedule a consultation.

Pregnancy is a beautiful and life-changing experience, but it also brings many changes to a woman’s body. Among the most critical yet often overlooked aspects are the changes in vascular health. 

Join the team at The Vascular Care Group as they explore how pregnancy affects your vascular system, common complications, and practical steps to maintain good vascular health. 

The Importance of Vascular Health During Pregnancy

Maintaining good vascular health during pregnancy is crucial for both the mother and the baby. During pregnancy, your body undergoes numerous changes that can impact your blood vessels and overall circulation. Poor vascular health can lead to complications such as high blood pressure, preeclampsia, and even preterm birth. Therefore, being proactive about your vascular health can ensure a smoother pregnancy and a healthier baby.

Understanding the Changes

How Pregnancy Affects the Vascular System

Pregnancy brings about a series of changes that affect your vascular system. Firstly, your blood volume increases by about 30-50% to support the growing fetus. This increase puts extra strain on your blood vessels. Secondly, hormonal changes can cause the walls of your blood vessels to relax, making it easier for blood to pool, especially in the lower extremities.

Increased Blood Volume

The increase in blood volume is essential for nourishing the baby but can be a double-edged sword. While it ensures that your baby gets enough nutrients and oxygen, it can also lead to swelling and other vascular issues. Your heart has to work harder to pump the increased volume, which can sometimes lead to elevated blood pressure.

Hormonal Changes

Hormones play a significant role in pregnancy and can affect your vascular health. Progesterone, a hormone that helps maintain pregnancy, causes the walls of your blood vessels to relax. This relaxation can lead to varicose veins and other circulatory problems. Additionally, the increased levels of estrogen can make your blood more likely to clot, increasing the risk of deep vein thrombosis (DVT).

Common Vascular Complications During Pregnancy

Varicose Veins

One of the most common vascular issues during pregnancy is varicose veins. These are swollen, twisted veins that usually appear in the legs. They occur when the blood pools in the veins due to the increased blood volume and hormonal changes. Symptoms include aching, heaviness, and visible veins.

Deep Vein Thrombosis (DVT)

Deep vein thrombosis is a more severe condition where blood clots form in the deep veins, usually in the legs. DVT can be dangerous if the clot travels to the lungs, causing a pulmonary embolism. Symptoms to watch for include swelling, pain, and redness in one leg.

High Blood Pressure and Preeclampsia

High blood pressure is another common issue during pregnancy. If left untreated, it can lead to preeclampsia, a condition characterized by high blood pressure and damage to organs such as the liver and kidneys. Symptoms include severe headaches, vision problems, and swelling in the hands and face.

Prevention Techniques

Diet

A balanced diet is crucial for maintaining good vascular health during pregnancy. Foods rich in vitamins C and E, omega-3 fatty acids, and fiber can improve circulation and reduce inflammation. Include plenty of fruits, vegetables, whole grains, and lean proteins in your diet.

Exercise

Regular exercise can significantly benefit your vascular health. Activities such as walking, swimming, and prenatal yoga can improve circulation and reduce the risk of varicose veins and DVT. Aim for at least 30 minutes of moderate exercise most days of the week.

Compression Stockings

Wearing compression stockings can help prevent varicose veins and DVT. These stockings apply gentle pressure to your legs, encouraging blood flow back to the heart. They are particularly useful if you have to stand or sit for long periods.

Seeking Professional Help

When to Consult a Healthcare Provider

It’s essential to consult your healthcare provider if you notice any symptoms of vascular complications. Early intervention can prevent more severe issues. Don’t hesitate to seek help if you experience swelling, pain, or redness in your legs, severe headaches, or vision problems.

The Role of Vascular Specialists in Pregnancy

Vascular specialists can provide additional support and treatment for more severe vascular issues. They can perform diagnostic tests such as ultrasounds and offer treatments like sclerotherapy for varicose veins or anticoagulants for DVT. Don’t hesitate to seek specialized care if recommended by your healthcare provider.

Navigate Your Pregnancy with Ease with The Vascular Care Group

Pregnancy brings about significant changes to your body, including your vascular system. Being aware of these changes and taking proactive steps can help you maintain good vascular health. For more personalized advice and treatment options, consider visiting The Vascular Care Group, a leading provider of vascular care with locations across New England. Take charge of your vascular health today for a healthier, happier pregnancy.

Don’t wait—start taking steps to improve your vascular health today!

The Vascular Care Group Expands Advanced Vascular Surgery Practice in Hyannis

HYANNIS, MA. – The Vascular Care Group (TVCG) a state-of-the art medical practice committed to the prevention, diagnosis and treatment of vascular disease, welcomes Roger C. Rosen, MD, FACS, FSVS to its Hyannis, MA location. Dr. Rosen is a board-certified vascular surgeon with extensive expertise in both open and endovascular procedures. He specializes in treating abdominal aortic aneurysms, carotid artery disease, and lower extremity vascular conditions, including arterial and venous diseases as well as varicose veins.

Dr. Rosen earned his Bachelor of Science with high distinction from the University of Michigan and his Doctor of Medicine from the University of Texas Southwestern Medical School. He completed his general surgery residency at Tufts New England Medical Center, where he served as Chief Resident, followed by a vascular surgery fellowship at the Tufts VA program.

Prior to joining The Vascular Care Group, Dr. Rosen practiced vascular surgery at the Hawthorn Vascular Center, part of Hawthorn Medical Associates in New Bedford, MA. He was also a founding partner at New Bedford Vascular Surgical Associates Inc. Additionally, Dr. Rosen held several leadership roles at St. Luke’s Hospital in New Bedford, including Chief of Surgery, Chief of Vascular Surgery, President of the Medical Staff, and President of the South Coast Hospital Medical Executive Committee.

Dr. Rosen maintains active affiliations with the Society for Vascular Surgery, the American College of Surgeons, the Society of Vascular Technology, the Massachusetts Medical Society, and the New England Society for Vascular Surgery. He has served as Vice President and Membership Committee Chairman for the New England Society for Vascular Surgery, is a Founding Member and Former Secretary/Treasurer of the South Florida Society for Vascular Surgery and is a Fellow of the American College of Surgeons. Currently, he is the Director of the South Shore Vascular Society.

The Vascular Care Group Strengthens Its Presence in Greater Portland with Three Expert Physicians

PORTLAND, ME. – The Vascular Care Group (TVCG) is proud to announce the addition of three distinguished vascular surgeons, Dr. Nathan J. Aranson, Dr. Elizabeth Blazick, and Dr. Christopher T. Healey, to its state-of-the-art vascular center in Portland, ME.

Dr. Nathan J. Aranson, MD, RPVI, FACS, is a third-generation physician from Maine, bringing a wealth of experience and a strong commitment to advancing vascular care in the region.

Dr. Aranson is a dual board-certified general and vascular surgeon. He is an Assistant Professor of Surgery at Tufts University School of Medicine and a nationally recognized educator and lecturer with numerous publications.

Dr. Aranson graduated Cum Laude from Tufts University in 2001 with a Bachelor of Arts in Chemistry, followed by his Doctor of Medicine degree from the University of Massachusetts Medical School in 2006. His extensive training includes a general surgery residency at LAC/USC Medical Center in Los Angeles, coupled with two years of vascular surgical research at Harvard Medical School as part of an NIH-funded program. He completed his fellowship in Vascular and Endovascular Surgery at Massachusetts General Hospital, where he earned numerous awards for his teaching and educational contributions.

Before joining The Vascular Care Group, Dr. Aranson was a Staff Surgeon in Vascular Surgery at Virginia Mason Medical Center and, most recently, Maine Medical Center for more than five years. In the State of Maine, he performed the first thoracic branch endograft insertion as well as the first minimally invasive arteriovenous fistula creation for dialysis access.

Dr. Elizabeth Blazick, MD, RPVI, FACS, brings extensive clinical expertise in all areas of vascular surgery, along with a robust background in research and medical education.

Dr. Blazick earned her Bachelor of Science in Sports Biology and Chemistry from Springfield College, followed by a graduate Certificate in Physician Assistant Studies from Springfield College/Baystate Health Systems. She completed her Doctor of Medicine  degree at the University of South Florida, where she received numerous awards, including induction into the Alpha Omega Alpha academic honor society and the Arnold P. Gold Humanism Honor Society. She completed her General Surgery Residency and Vascular and Endovascular Surgery Fellowship at Massachusetts General Hospital and Harvard Medical School.

Previously, Dr. Blazick was an attending vascular surgeon at Maine Medical Center and served as the Program Director for the Integrated Vascular Surgery Residency. She is also an Assistant Professor of Surgery at Tufts University School of Medicine. Dr. Blazick is an active member of several professional societies, including the Society for Vascular Surgery and the American College of Surgeons, where she is a Fellow. She has been honored with the Society for Vascular Surgery’s Leadership Development Award.

Dr. Christopher T. Healey, MD, RPVI, FACS, offers extensive clinical expertise in vascular surgery, complemented by significant contributions to research and medical education.

Dr. Healey graduated Magna Cum Laude with a Bachelor of Science in Biology and a Bachelor of Arts in Chemistry. He earned his MD from the Warren Alpert School of Medicine at Brown University and completed his General Surgery Residency at the University of Vermont, where he received numerous awards, including the Resident Excellence in Teaching Award and the Norman Snow Award for excellence in Cardiothoracic Surgery. He completed his Vascular Surgery Fellowship at Tufts Medical Center.

Since beginning his career in Portland, ME, in 2007, Dr. Healey has served as an Assistant Professor of Surgery at Tufts University School of Medicine and has been the principal investigator on multiple clinical trials. His research includes studies on stem cell treatments for critical limb ischemia and the development of a novel endovascular aneurysm sealing device. He has also held key educational roles, including Assistant Program Director for the General Surgery Residency at Maine Medical Center and Program Director for the Vascular Surgery Integrated Residency. Dr. Healey is a Fellow of the American College of Surgeons and a member of the Society of Vascular Surgery, the New England Society of Vascular Surgery, the Undersea and Hyperbaric Medical Society, and the Wound Healing Society.

When it comes to vein health, two common concerns often arise: varicose veins and spider veins. While both conditions involve visible veins, they differ in appearance, causes, and treatment options. Understanding these differences can help you decide on the best course of action for maintaining healthy veins.

What Are Varicose Veins?

Appearance and Symptoms

Varicose veins are enlarged, twisted veins that often appear blue or dark purple. They are most commonly found on the legs and can be seen bulging above the skin’s surface. Symptoms of varicose veins can include:

• Aching or heavy feeling in the legs
• Burning, throbbing, or muscle cramping
• Swelling in the lower legs
• Itching around the veins
• Skin discoloration around the affected area

Causes

Varicose veins occur when the valves in the veins that regulate blood flow become weak or damaged. This causes blood to pool in the veins, making them swell. Factors that can increase the risk of developing varicose veins include:

• Age
• Gender (women are more likely to develop varicose veins)
• Genetics
• Obesity
• Prolonged standing or sitting
• Pregnancy

What Are Spider Veins?

Appearance and Symptoms

Spider veins are smaller, red, purple, or blue vessels that also twist and turn. They are closer to the skin’s surface and often resemble a spider web or tree branches. Spider veins can appear on the legs and face. While they are typically not painful, some people may experience discomfort or itching.

Causes

Similar to varicose veins, spider veins are caused by increased blood pressure. Contributing factors include:

• Genetics
• Hormonal changes
• Sun exposure
• Injuries
• Prolonged standing or sitting

Treatment Options for Varicose Veins and Spider Veins

Lifestyle Changes

Certain lifestyle changes can help alleviate symptoms and prevent further progression for both varicose and spider veins. These include:

• Exercise: Regular physical activity improves circulation and can help reduce the risk of developing vein issues.
• Weight Management: Maintaining a healthy weight reduces pressure on the veins.
• Elevating the Legs: Elevating your legs when resting can help reduce swelling and improve blood flow.
• Compression Stockings: Wearing compression stockings can help support the veins and improve circulation.

Medical Treatments

Sclerotherapy

Sclerotherapy is a common treatment for both varicose and spider veins. This procedure involves injecting a solution directly into the vein, causing it to scar and collapse. The treated vein is eventually absorbed by the body and fades from view. Sclerotherapy is typically performed in a doctor’s office and does not require anesthesia.

Endovenous Ablation (Radiofrequency)

Radiofrequency (RF) Ablation is a revolutionizing treatment of chronic venous insufficiency and varicose veins. It is an advanced, minimally invasive office procedure that can rapidly treat varicose veins with minimal discomfort. Under local anesthesia, a catheter is inserted into the target vein. As the catheter is slowly withdrawn, the malfunctioning vein is heated and sealed. Return to daily activity is immediate.

Varithena and Venaseal

Varithena uses a foam to close the diseased vein; this foam can spread into branch veins and under skin ulcerations. Venaseal utilizes a surgical adhesive to close the vein without any anesthesia.

Vein Surgery

Ambulatory Phlebectomy is a method of removal for larger, thicker, surface varicose veins (the spongy coiled veins just beneath the skin). Unlike traditional surgical techniques, micro-incisions are made to gently remove the undesired veins. The incisions are so small that stitches are not necessary and heal with virtually no scarring. Surgery is usually reserved for large varicose veins that have not responded to other treatments and can often still be performed in the office setting.

When to Seek Professional Help

If you are experiencing persistent pain, swelling, or skin changes due to varicose or spider veins, it’s important to consult a vascular specialist. Early intervention can prevent complications and improve your quality of life.

Why Choose The Vascular Care Group?

At The Vascular Care Group, we are dedicated to providing comprehensive, compassionate care for all your vascular health needs. Our team of experienced specialists utilizes the latest technologies and treatments to ensure the best outcomes for our patients. With convenient locations across New England, we offer personalized care plans tailored to your specific condition and lifestyle.

Don’t wait to seek treatment if you’re struggling with varicose or spider veins. Contact The Vascular Care Group today to schedule a consultation and take the first step towards healthier, more comfortable legs.

Former professional linebacker, Steve Towle, was born in Prairie Village, Kansas, a suburb of Kansas City. Steve’s life has always revolved around sports, culminating with his eight years playing for the NFL’s Miami Dolphins, where he still holds the team record for most tackles in a single game. “My family was very supportive of my games, with the entire family traveling, both when I was young and over the course of my professional career,” Steve says. Off the field, Steve still enjoys the hobbies of his youth, including fishing and woodworking. Some of his fondest memories are those of fishing with his grandfather at the lake house and working alongside him in his shop as he built projects for his classes as a woodshop teacher.

As a professional athlete, Steve was very familiar with injuries, the ensuing interaction with healthcare providers, and the complexity of the healthcare system. Years of injuries, coupled with his history as a former smoker, created a somewhat complicated medical history as the years went on, and the natural aging process caught up with him. In 2005, Steve found himself the recipient of five coronary artery stents to open blockages that had formed; those stents would eventually save Steve’s life more than once.

Steve and his wife recently moved to South Carolina to be closer to their adult daughters and grandchildren. His new primary care provider suggested that because of his cardiac history and multiple risk factors, including his smoking history, some imaging to evaluate the patency of his stents that were now 18 years old was in order. During this evaluation, Steve was found to have a relatively large infrarenal abdominal aortic aneurysm measuring approximately 6 cm in diameter.

An abdominal aortic aneurysm (AAA) is an enlargement or bulge in the part of your aorta that extends through the belly or abdomen (abdominal aorta). The bulge forms in an area where your aorta’s wall has grown weak. As a result, the weakened part of your aorta’s wall expands outward and enlarges. This expansion, or ballooning, continues to grow wider over time. The larger an aneurysm grows, the more likely it is to burst open (rupture) and cause life-threatening internal bleeding. AAAs usually have no symptoms until they rupture or are close to rupturing.

The Towles met with a group of vascular surgeons in South Carolina who offered him an open aortic surgical procedure and were insistent on this particular modality for repair despite his relatively advanced age, multiple medical comorbidities, and body habitus. As it turned out, the Towles were close friends with a high-ranking surgeon in Southern California. Their friend had previously consulted with Dr. Naiem Nassiri of The Vascular Care Group regarding a patient with a very complex thoracoabdominal aortic aneurysm because of Dr. Nassiri’s extensive experience and reputation performing complex aortic operations minimally invasively. He strongly recommended Steve reach out to Dr. Nassiri for a consultation as soon as possible. They sent an email and were able to get the CD containing the CT scan of his

aneurysm, which Dr. Nassiri reviewed personally. All this initial consultation was done via phone and email exchanges between the two. A review of his CT scan found Steve to be an excellent candidate for minimally-invasive repair of his large abdominal aortic aneurysm. Dr. Nassiri explained that this operation could be accomplished percutaneously, meaning with just two needle punctures in the groin, no incisions whatsoever, and only a one-night stay in the hospital. Steve and his wife were absolutely flabbergasted at the idea of this being such a minimally-invasive approach, particularly since they were given such a grim proposition for repairing his aneurysm with the other very invasive operation closer to home.

Steve and his wife were pleased, yet somewhat surprised, at the confidence with which Dr. Nassiri spoke about his candidacy for minimally-invasive endovascular aortic aneurysm repair (EVAR). He and his wife made the trip from South Carolina to Connecticut and reserved a hotel stay for several days for Steve to undergo his operation and then recover from it.

The procedure was performed on February 22, 2024, and went remarkably well. Dr. Nassiri was able to utilize the absolute latest in AAA stent graft technology available which helps to facilitate aortic remodeling and AAA sac regression. This device has active fixation both above and below the renal arteries to ensure a good seal and is also the only device that allows the surgeon to customize the stent graft to the patient’s anatomy and length. Dr. Nassiri was able to perform the procedure as promised with just two needle punctures in the groin and a couple of Band-Aids; no sutures, incisions, or any other surgical maneuvers were necessary. Steve had an unremarkable postoperative course. He was up and out of bed that same night. He was using the bathroom, tolerating a normal diet, and was able to be discharged home the next day, completely pain-free and in excellent spirits.

Steve and his wife were back on a plane to South Carolina two days after the operation, and he has done remarkably well. Now two weeks after his procedure, Steve said, “I’ve started walking around our neighborhood, pain-free.” The Towle’s were extremely grateful for the service they received at The Vascular Care Group and were very happy to have made the trip to Connecticut and received the care that they did.

Steve added, “As a pro athlete, we get hurt a lot and have many surgeries. The goal back then included coming back better to continue to compete at a very high level. I often joked that I hurt people for a living and tried to be a good person in the off-season. With conditions like mine and my new lease on life, I now focus on being kind. It doesn’t matter to be right…but being present for others reminds me of team sports. I’m happy to now have that chance. Thank you, Vascular Care Group and thank you Dr. Nassiri.”

It’s another busy day at the (home?) office, and you find yourself glued to your desk, engrossed in your work. Hours pass, and before you know it, you’ve been sitting for what feels like an eternity. Sound familiar? If so, you’re not alone. 

In today’s fast-paced world, many of us spend the majority of our day seated, whether it’s at work, during our commute, or while relaxing at home. But have you ever considered the toll that prolonged sitting can take on your vein health and circulation? In this article, the experts at The Vascular Care Group guide you through the world of standing desks and explore how they can revolutionize the way you work while keeping your veins happy and healthy.

The Impact of Sedentary Jobs on Vein Health

Sedentary jobs, where individuals spend long hours sitting at a desk, can lead to poor circulation and an increased risk of vein-related issues such as varicose veins and deep vein thrombosis (DVT). Sitting for extended periods makes blood flow sluggish, leading to swelling, discomfort, and potential health complications.

Understanding the Benefits of Standing Desks

Standing desks offer a simple yet effective solution to combat the adverse effects of prolonged sitting. These desks promote better circulation and reduce the strain on the veins in the legs by allowing employees to alternate between sitting and standing throughout the day.

Tips for Using Standing Desks Effectively

1. Start Slowly: If you’re new to standing desks, ease into it by gradually increasing your standing time each day.
2. Invest in Proper Footwear: Supportive shoes can help alleviate discomfort associated with standing for extended periods.
3. Take Breaks: Remember to take regular breaks to stretch your legs and move around, whether sitting or standing.
4. Adjust Desk Height: Ensure your standing desk is adjusted to the correct height to maintain proper posture and alignment.

Incorporating Movement into Your Workday

In addition to using a standing desk, incorporating movement into your workday is essential for maintaining circulation and overall vein health. Simple activities like taking short walks, doing leg exercises at your desk, or using a balance board can help keep your blood flowing and reduce the risk of vein-related issues.

Elevate Your Vein Health with Expert Vascular Care in New England

The Vascular Care Group is a leading provider of vascular care services dedicated to improving the health and well-being of our patients. With teams of experienced vascular specialists and state-of-the-art facilities across New England, we offer personalized care and innovative treatments for various vascular conditions. 

If you’re experiencing any vein-related concerns or would like to learn more about our services, contact us today to schedule a consultation.