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What
is Elite Vein Specialists? |
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Elite
Vein Specialists is
a full service diagnostic and treatment medical facility
specializing in the evaluation and management of all types
of vein disease. We treat large varicose veins, leg
spider veins and hand veins. |
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Where
is Elite Vein Specialists located? |
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Elite
Vein Specialists is
located in Walnut Creek, California.
Our address is:
675
Ygnacio Valley Road, suite B214
Walnut Creek, CA 94596
(925) 937-8346 |
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How
are appointments scheduled? |
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All
appointments are scheduled by calling (925) 937-8346. No
referrals are needed for our initial, low cost consultation. For
driving directions or a map click on our Scheduling
and Directions link. |
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What
services are offered at Elite Vein Specialists? |
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Dr.
Nicholas H. Hyde, medical director of Elite Vein Specialists,
is a phlebologist - a physician with a special interest and training
in the diagnosis and management of all types of venous disease. At
Elite Vein Specialists all types of varicose veins and spiders
are treated - from cosmetically important spider veins and facial
veins to large painful varicose veins.
Specifically, we evaluate
and treat:
- Varicose
veins - large and small
- Leg
spider veins
- Facial
veins
- Breast
Veins
- Hand
Veins
*Taking advantage
of Dr. Hyde's vast experience with needles and injection
techniques, EVS is delighted to offer botox injections
for dimunition of fine wrinkles. Please ask Dr. Hyde
and his staff if you are interested in these services. |
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How
are diseased veins treated at Elite Vein Specialists? |
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Elite
Vein Specialists is
a full service, state of the art medical facility offering
advanced, outpatient treatment services for all types of
varicose veins, leg spiders and facial veins. We perform
the following procedures and services:
- Ultrasound
guided sclerotherapy - large varicose veins and wide
spread spiders
- ELVeS-cutting
edge endovenous laser solution to large varicose veins
originating high in the leg
- Surface
laser treatment of small leg spiders after sclerotherapy
- Ambulatory Phlebectomy
- Compression
Therapy
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I
have large varicose veins. How should they be treated? |
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Happily,
the days of surgical stripping for large varicose veins are all
but gone. Rarely now must patients endure hospitalization,
undergo general anesthesia, experience considerable pain or miss
extended time from work or play because of surgery for varicose
veins.
Now, because of advances
in color-flow ultrasound imaging equipment and the development
of newer and more complex sclerotherapy techniques as practiced
at Elite Vein Specialists, physicians trained and skilled in
performing a new procedure called "Ultrasound Guided Sclerotherapy" can
successfully treat even very large varicose veins right in
their offices without surgery, without anesthesia, and with
virtually no post-operative down time.
When seeking treatment for
your vein problem, be sure to ask about "ultrasound guided
sclerotherapy" if you have medium to large sized varicose
veins or wide-spread spider vein disease.
For patients with large varicose
veins secondary to sapheno-femoral junction (groin area) reflux,
Elite Vein Specialists offers ELVeS, an outpatient local alternative
to vein stripping and ligation. This has a greater than 98%
success rate after a single treatment session. |
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How
are spider veins treated? I've been told nothing
can be done for them. |
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Virtually
any type of spider vein - whether on the legs or face - can now
be treated with sclerotherapy, laser, ultrasound guided sclerotherapy
and often times, a combination of techniques depending upon the
type and severity of the problem that exists. When patients
come in for their initial consultation, they are advised on the
best type of treatments for their own particular problem. |
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What
exactly is sclerotherapy? Is it painful? |
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Developed
over 40 years ago in Europe, sclerotherapy at Elite Vein Specialists
utilizes only FDA approved drugs to close undesired veins. It is
a simple, nearly painless, vessel injection technique that causes
vein closure. Veins most commonly treated are leg spider veins,
blue-green veins (that often are the blood supply to nests of spider
veins) and varicose veins. Other successful areas for sclerotherapy
include hands, breasts, and small spiders on shoulders or back.
A treatment session typically lasts 30 minutes after which stockings
are applied and walking for 20-30 minutes occurs to complete the
session. Patients often benefit if they also are having leg fatigue
or pain due to their vein disease. |
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What
exactly is ultrasound guided sclerotherapy? Why
is it so important? |
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All
diseased veins - from the largest of varicose veins to the tiniest
of spiders - are caused by abnormal leakage of blood through faulty
valves located inside veins deep beneath the surface of the skin. Over
time, this abnormal leakage of blood, also called reflux causes
veins visible on the skin surface to dilate and turn into diseased
veins we call varicose veins and spiders. In order for sclerotherapy
to be successful, the source of this venous reflux must be both
identified by the treating doctor and injected or treated with
sclerosing solution so the varicose vein caused by this leakage
will disappear.
Often the source of reflux
causing varicose veins and even spiders is much deeper than
can be reached by injecting from the skin surface, and since
conventional sclerotherapy is done right on the surface of
the skin, regular sclerotherapy will not be effective in treating
veins caused by such a source of reflux.
We also offer ultrasound
guided sclerotherapy. Ultrasound
can see below the surface of the skin!
If abnormal veins deep under
the skin can be visualized with the ultrasound machine, then
Dr. Hyde can successfully guide a needle directly into the
source of reflux and satisfactorily treat that source with
the result of complete disappearance of the varicose vein originating
from that source. |
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What
is foam sclerotherapy? |
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Foam
sclerotherapy is an emulsion of the same drug that we use for
conventional sclerotherapy. It appears to have much greater clinical
effect on the inner wall of veins. It suffers less dilution from
blood and perhaps displaces blood rather than simply mixing with
it. The results are very positive probably due to greater drug-vessel
wall surface contact. This procedure provides outstanding results
with less concentrated drug requirements. This often leads to
faster results with less treatment sessions. Foam sclerotherapy
works extremely well on larger vessels in conjunction with ultrasound
guided injections. |
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What
about surface laser for treatment of varicose veins? |
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Although
surface lasers do serve an effective role in treating small facial
veins (especially reddish spider veins), they still in my opinion
have a very limited role in treating large varicose veins. Firstly,
they don't treat the underlying reverse flow or valve incompetence.
Secondly, it is a painful, costly procedure often involving multiple
sessions. Lasers can assist after sclerotherapy if small remnant
vessels remain. |
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How
many sclerotherapy treatments are necessary? |
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Regardless
of the type of treatments needed, the number of treatment sessions
varies depending upon the extent of vein disease, patient compliance
with the post-treatment instructions and types of veins present. People
usually have a mixture of diseased veins and each type of vein
requires different treatment. Spider veins usually require
three to five treatments, larger reticular veins more, and large
varicose veins even more. Improvement will be noticed after
every treatment and most people notice a fairly good degree of
improvement after just three to four treatments. |
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Can
varicose and spider veins reappear? |
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Once
a varicosity or spider vein has been adequately treated, that
vein is gone forever and will not reappear. You can, however,
develop new varicosities and/or spider veins in other areas or
even in areas that were previously treated. |
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Will
getting rid of varicose veins and spider veins hurt my
circulation? |
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Removal
of true varicosities actually improves venous circulation by
helping to restore normal venous blood volumes and venous pressures.
In general, the removal of spider veins has a minimal effect
on overall circulation and may improve local venous circulation
in the area treated. |
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Can
I get a blood clot from injection therapy (sclerotherapy)? |
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Blood
clots do occur in the superficial varicosities being treated
by injection therapy. They occur when the vein is shut down during
injection therapy, but they do not impose any health risks and
resolve as the injected vein is absorbed by the body. These superficial
blood clots should not be confused with much more dangerous blood
clots which can occur for other reasons in the deeper veins in
the legs. |
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How
long will it take before I see results? |
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This
varies based on the severity of the disease being treated. Some
individuals see results within a few weeks, but we caution most
people not to expect their best cosmetic results for two to three
months. In rare instances, it may take up to six months before
the best cosmetic result is achieved. Individuals who are being
treated for symptomatic varicosities will notice improvement
in their symptoms within the first week or two following treatment. |
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Where
do these veins come from? |
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Both
varicosities and spider veins arise from previously normal veins
that have become enlarged and dilated. The most common causes
of vein enlargement are an inherited weakness in the vein wall
and local injury. |
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When
can I start exercising following treatment? |
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In
general, light exercise can be started approximately 72 hours
following injection or light-based therapy treatment with resumption
of normal or even aggressive activity at one week. |
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Does
sclerotherapy cause discomfort during treatment? |
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There
is minimal discomfort during treatment employing either of these
therapies. Sclerotherapy is performed with extremely small needles
close to the diameter of a hair, and most individuals barely
feel the injection at all. Many feel that this sensation is much
less painful than having your legs waxed. |
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Will
my insurance cover these treatments? |
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Insurance
will reimburse a percentage of the treatment cost if there is
a documented problem of venous insufficiency. If you have a medical
problem and if you receive a positive result from a Doppler Duplex
Ultrasound Scan, we can provide the diagnostic and procedure
codes for pre-certification by your insurance company. It is
important to note that each insurance company reimburses different
amounts for these treatments. We will work with you to ensure
you receive the most reimbursement possible. We also accept cash,
personal checks, bank debit cards, and major credit cards. |
Dr. Nicholas H. Hyde, Bay Area Vein Specialists,
is Medical Director of Elite Vein Specialists. As the Varicose
Vein Center of Excellence they excel at complex recurrent vein
problems, endovenous laser ablation, ultrasound guided foam sclerotherapy,
varicose vein treatment, spider vein removal and hand vein treatments.
All treatments are nonsurgical, physician performed in a caring & attentive
environment.
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