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This website is dedicated to our most important asset, the health of our patients. It is our belief that the patient-doctor relationship is enhanced by good communication between Dr. Vazquez, his staff, and the patient. In addition, we believe that a well-informed patient is a better health care consumer than a poorly informed patient. This website is designed to provide our patients with complete patient information and computer-based communications services.

Included in this site are important sections on billing, insurance and emergencies. New patients often experience some apprehension about visiting a surgeon for the first time. They are concerned about their health and also feel some anxiety about the examination. The information contained in our website is designed to help put the patient at ease by explaining what to expect when seen by Dr. Vazquez as well as outline the procedures and services offered.

Please explore our website and, as always, let us know how we can better serve you. Feel free to contact our staff should you have additional questions or concerns.

If you suffer from problems related to varicose and spider veins, you need not feel alone. More than 80 million Americans are suffering from similar problems. While some will seek treatment for cosmetic improvement, many are looking for relief from pain. Regardless of your reason for seeking treatment, we can help you.

This section of our website will provide you with helpful information about evaluation and treatment of varicose and spider veins, with special attention to recent advancements in these areas. We hope this information will offer answers to some of the questions you may be having, or perhaps have been afraid to ask.

What Are Varicose Veins?

Arteries bring blood from the heart to the extremities. Veins, by virtue of one-way valves, channel blood back to the heart. When obstruction is present, or when prolonged pressure is placed on the veins, the vein wall stretches and the valves no longer close properly. The veins in the legs that are close to the surface of the skin enlarge and result in what is commonly called varicose and/or spider veins.

Pain in the legs is frequently related to varicose veins in the lower limbs. Symptoms include feelings of fatigue, heaviness, aching, burning, throbbing, itching and cramping. These symptoms often are accompanied by swelling, which frequently appears after long hours of standing. Vein disorders are not always visible, and diagnostic techniques are important tools in determining the cause and severity of the problem. A physical examination and the use of noninvasive diagnostic tests such as Doppler examination (a test which determines how blood is flowing), duplex ultrasound scanning and light reflection rheography may be used to evaluate the extent of the disease.

How Are They Caused?

Heredity is the number one contributing factor causing varicose and spider veins. Women are more likely to suffer from varicose veins, and more than 50 percent of American women with varicose veins experience varying degrees of discomfort as a result. Other predisposing factors include advancing age, careers requiring prolonged standing, and obesity.

Other influencing factors such as pregnancy,the use of birth control pills, and estrogen replacement therapy, may contribute to the disease process. As many as 70-80 percent of pregnant women develop varicose veins during the first trimester. Pregnancy causes an increase in hormone levels and blood volume which in turn causes veins to enlarge. In addition, the enlarged uterus causes increased pressure on the veins. Approximately 60-70 percent of varicose veins due to pregnancy will disappear within about three months after delivery.

How Can Phlebology Help?

Phlebology is the study and treatment of vein diseases and disorders. It has been practiced in Europe for decades and has long been an established medical specialty there. However, phlebology has become recognized as an established specialty in the United States only within the last 10 years.

Phlebology is practiced by physicians from many specialties, particularly dermatology, vascular surgery, internal medicine, gynecology and general medicine. Dr.Vazquez is an active member and committee member of the American College of Phlebology. The American College of Phlebology was founded in 1985 and is the largest phlebology society in the United States. It was established to improve the standards of practice and patient care related to disorders of the venous system. He also belongs to the http://veinforum.org/

Content reviewed and updated on August 3, 2013.