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Varicose Veins

Varicose Veins Treatment– The road to recovery starts right here!

Varicose Veins TreatmentAre you tired of always having to cover up your legs due to unsightly spider veins and varicose veins? You are not alone. 50% of American women and men suffer from some form of vein disorder. Each year over 1 million people undergo surgery for their vein problems.

Mississippi Vein Institute is an outpatient center that specializes exclusively in the diagnosis and minimally invasive treatment of venous disorders. Mississippi Vein Institute was founded in July 2008 by Dr. Manning to create a center of excellence for the treatment of varicose veins, spider veins, and venous ulcerations.

Call 601-707-7026 for a consultation.


What are Varicose Veins?
Blood is carried away from the heart by arteries and back to the heart by veins. The heart pumps the blood downward to the feet but it is the contraction of the leg muscles that pumps the blood back upward to the heart.The primary leg muscle responsible for the pumping is the calf muscle. Each time the calf muscle contracts, blood is propelled upward through veins past one-way valves. The one-way valves prevent the flow of blood back into the legs in between muscular contractions. Varicose veins result when these one-way valves fail. The most common cause of varicose veins is an inherited disorder that affects the one-way valves.


What are the Symptoms?
Lower extremity venous insufficiency (valve failure) is progressive if not treated effectively. The symptoms can progress from pain and swelling to skin discoloration and skin ulceration. The skin discoloration is caused by the deposition of iron in the skin. Red blood cells (which contain iron) are forced outside the vein by a progressive increase in venous pressure as more and more valves within the leg veins fail (domino effect). The skin may eventually ulcerate if the venous pressure rises high enough to interfere with the nutritional support to the skin. Treatment (endovenous laser ablation) directed at the high venous pressures will heal the ulcerated skin.

We can help!

The Mississippi Vein Institute is led by Dr. Manning and his partner, Dr. Adams. Both are Diplomates of the American Board of Phlebology and the American Board of Anesthesiology. Dr. Manning began Mississippi Vein in 2008. He and Dr. Adams have performed over 3,000 endovenous laser procedures.


Varicose Veins

Varicose veins are dilated veins that have been enlarged by exposure to abnormally high venous pressure. The high pressure is most commonly due to a malfunction in the great saphenous vein which runs from the groin to the ankle along the inside of the leg. The great saphenous vein contains several one way valves that promote the return of blood back to the heart. Valve failure within the great saphenous vein diminishes blood flow out of the vein which leads to venous congestion and increased pressure within the great saphenous vein. The increased pressure is transmitted into the branches of the great saphenous vein and varicose veins are the eventual result.

The valve disorder within the great saphenous vein is most commonly an inherited condition. If one parent has varicose veins, the chance you will have them is about 50%. If both parents have varicose veins, the chance you will have them approaches 100%. Varicose vein disease is a medical condition that commonly causes symptoms that include leg pain and swelling, leg cramps, and restless legs. The leg pain is typically worsened with prolonged sitting and standing and improved with movement and leg elevation.

The thing to realize about varicose vein disease is that the varicose veins seen at the skin surface are a manifestation of an abnormality in a vein that can’t be seen (most commonly the great saphenous vein). An ultrasound exam is needed to identify the underlying source of the varicose veins. If varicose veins are simply removed without treating their underlying source, they will recur.

The most conservative option used to treat varicose veins is compression hose. Compression hose work by speeding the flow of blood out of the legs which relieves the venous congestion and thereby improves the associated symptoms. Compression hose relieve symptoms associated with varicose veins but they are difficult to remain compliant with and they do not address the underlying problem at its source. The most comprehensive and effective approach to treat varicose veins involves the destruction of their underlying source using laser energy (endovenous laser ablation) followed by the removal of the varicose veins at the skin surface through micro incisions (micro-phlebectomy).

A laser fiber about the size of a piece of spaghetti is placed into the malfunctioning vein that is the underlying source of the varicose veins. The heat from the laser destroys the abnormal vein and its remnant is then absorbed by the body. The vein is no longer “stripped out” therefore, the recovery time is dramatically improved over what was done in the past. The varicose veins at the skin surface are then removed through micro incisions that are so small that they do not require any stitches and leave little to no mark. Once the underlying source vein is destroyed and the varicose veins are removed, the body then re-routes the blood through healthy veins, the venous pressures within the leg normalize, and the patient’s symptoms resolve. Patients are able to return to work and full activities within 2 days. They wear a thigh high compression hose for 1 week after the procedure. The procedure is done in our clinic, Mississippi Vein Institute, located in Madison using local anesthetic and mild sedation. The procedure typically takes about an hour and it is covered by insurance.

Most patients with varicose veins also have spider veins which are small unsightly veins located just beneath the skin. These are most effectively cleared using sclerotherapy which involves the injection of a substance that destroys the spider veins. We have been able to get fantastic results by performing endovenous laser ablation, micro-phlebectomy, and sclerotherapy all at one sitting. The final results have been truly life changing for our patients.

Problematic leg veins cause physical symptoms but they also cause emotional symptoms as well. Whether it’s avoiding wearing shorts or skirts or missing a pool party or a beach trip, a person’s quality of life can be severely affected. At Mississippi Vein Institute, Dr. Adams and myself specialize in the treatment of problematic leg veins using the most advanced techniques and technologies available. There is simply no reason to suffer the pain and embarrassment of problematic leg veins any longer.

Michael Manning, MD


Call today and let us help you re-discover the legs you once knew! 601-707-7026