by Dr. Nero & Dr. Magnant | Vein Specialists
There are many reasons people have trouble sleeping at night, but there is one cause that is often overlooked. If you have restless legs, leg cramps or night time urination keeping you up then chronic venous insufficiency may be the cause.
Venous insufficiency is a very common and underdiagnosed condition affecting millions of Americans. It is estimated to present in as much as 40% of the population and becomes more prevalent after age 50. Heredity is a major risk factor, as is a history of blood clots or DVT, obesity, standing or sedentary occupation, female gender and prior pregnancies though the condition afflicts many men as well.
Venous insufficiency is a condition that develops over time as the valves in the veins that keep blood flowing back to the heart in the legs fail. This leads to the pooling of blood in the legs which causes high pressure in the venous system which is normally a low pressure system. This high pressure in the leg veins throughout the day leads to the various symptoms of venous insufficiency.
Most people are aware of the most common sign of venous insufficiency which is varicose veins, but many people without varicose veins also have the condition. Leg swelling as well as achy, heavy or tired legs at the end of the day are common symptoms. Over time, in severe cases, the skin around the ankles can become discolored, thickened or even ulcerated.
As the pressure in the venous system builds throughout the day when patients are on their feet, symptoms progress and are worst in the evening and at bedtime. This is when the less well known symptoms of venous insufficiency such as restless legs, leg cramps and excessive urination become problematic and can rob a patient of a good night’s sleep. All of these symptoms can exist in the absence of venous insufficiency but many patients’ symptoms are related to venous disease. These symptoms often improve dramatically with the treatment of venous insufficiency.
Modern Vein evaluation and intervention is much different than it was years ago. Prior to 2000, procedures such as vein stripping were very invasive, required general anesthesia, and had unacceptably high complication rates. For this reason, most patients with venous insufficiency were forced to suffer as there were no effective treatment options available other than compression hose and leg elevation.
At Vein Specialists in Fort Myers and Bonita Springs/ Naples, we offer comprehensive, modern vein evaluation and care. Both myself and Dr. Joseph Magnant are board certified surgeons focused 100% on the management of venous disease. We start by taking a detailed history and physical exam and then offer detailed ultrasound evaluations in our office which is the gold standard in evaluating venous disease. We are then able to formulate a specific treatment plan tailored to each patient.
Often the best treatment option for patients with venous insufficiency is something called endovenous ablation or vein closure. This can be accomplished with either laser or radiofrequency catheters that allow us to heat and permanently seal the poorly functioning veins decreasing the venous pressure in the leg and significantly improving if not resolving symptoms, including those that keep many patients awake at night. This procedure is minimally invasive and offered under local anesthesia in our both our office locations with minimal discomfort.
If you or a loved one is having trouble sleeping at night due to restless legs, leg cramps or excessive nighttime urination, or is experiencing any of the other symptoms associated with venous insufficiency, please consider visiting our website at Weknowveins.com for more information. Dr. Magnant and myself see patients along with our two highly trained nurse practitioners in both our Fort Myers and Bonita Springs/ Naples locations daily so call for an appointment today.
This story is provided and presented by our sponsor: www.eVeinscreening.com.