Saturday, November 30, 2013

REPOST: New varicose vein treatment gets U.S. approval

The FDA recently gave its approval to British pharmaceutical company BTG to launch Varithena, minimally-invasive treatment for varicose veins, in the US. New York Daily News has the details.
Varicose vein on the leg of a 64-year-old woman. (Photo by: Media for Medical/UIG via Getty Images)
Varicose veins, which afflict many men and women as they age, can be painful as well as unsightly for some. | Image source: Media for Medical/UIG via Getty Images via NYDailyNews.com


Lovers of short skirts, rejoice: A new treatment for varicose veins has been approved in the U.S., its maker says.

British pharmaceutical firm BTG announced this week that its treatment, Varithena — previously known as Varisolve — has been given Food and Drug Administration approval.

Varithena uses an injectible foam to dissolve veins as an alternative to surgical removal, Reuters reported.

Speaking to Reuters on Tuesday, the company's chief executive Louise Makin said the product would set a new standard for the treatment of both the symptoms and appearance of varicose veins.

"We look forward to the commercial U.S. launch in the second quarter of 2014, and to continuing to advance our plans to expand use into other geographies and into non-symptomatic veins," she said.

Varicose veins — the twisted, enlarged and sometimes painful veins near the surface of skin that typically form on legs and feet — can show up with age, because of genetic disposition, or due to other factors like obesity, pregnancy, or having to stand for long periods of time. They affect more than 30 million adults aged 18 to 70 in the U.S., with women twice as likely as men to develop the condition.

Current treatments include surgically stripping or closing the vein using laser or heat treatments.

BTG said Varithena was minimally invasive and avoided the need for surgery and sedation, Reuters reported. The company's guidance for the product focuses on the medical market, but analysts told the news agency that cosmetic use could also present a "significant opportunity."

The company had worked for 10 years to obtain FDA approval.

With News Wire Services

Dr. Raymond Little has years of experience treating varicose veins as founder and CEO of The Vein Institute and MediSpa. Visit this site for more about advancements in vascular therapy.

Friday, October 25, 2013

Vascular diseases in children

Many people may not be aware that children can also suffer from vascular disease. Hence, families should learn about its various types so that they may recognize the symptoms and deal with the illness as early as possible. Listed below are some types of pediatric vascular diseases.

Image Source: www.clevelandclinic.org
Collagen vascular diseases manifest in the joints, blood vessels, and skin. Vital organs may also be affected by these disorders. One of the most common types is lupus, an autoimmune disease that causes chronic inflammation. Symptoms include photosensitivity, abnormal heart rhythms, and butterfly rashes. Another type is dermatomyositis, which causes red skin rashes in addition to muscle weakness and difficulty swallowing.

Blood clotting disorders may also occur in early childhood. Two common conditions are hemophilia and thrombophilia. The main difference between the two is that children (and adults) with hemophilia have trouble controlling bleeding, while those with thrombophilia are prone to blood clotting. A common treatment for the former is clotting factor replacement therapy, while treatment for the latter depends on the severity. Some children may even be treated with a low dose of aspirin.

Image Source: www.blogspot.com
Kawasaki disease is an autoimmune disease commonly seen in those under the age of five. Blood vessels, skin, and lymph nodes are generally affected by this disease, but in some rare cases, it can also cause fatal aneurysms if left untreated. Symptoms include strawberry tongue, high fever, and conjunctivitis. Its cause is still largely unknown, but the sick child should be treated at the hospital as soon as possible to lessen the risk of heart disease.

Image Source: www.123tagged.com
These are just a few examples of pediatric vascular diseases. The information above may prove useful for parents who are worried that their children may have some symptoms of disorders relating to the heart, blood vessels, and veins. Parents or caregivers who suspect that a child might have any of the conditions above should consult a vascular medicine specialist to receive more in-depth information about the illness.  

Dr. Raymond Little is committed to the accurate diagnosis and treatment of vascular diseases in people of all ages. Visit this website to learn more about Dr. Little and his practice.

Thursday, September 26, 2013

REPOST: Most Statin-Intolerant Patients Can Eventually Tolerate Statins


For those suffering from high cholesterol, Statin is their first line of defense from cardiovascular disease. Having patients with Statin intolerance then is a cause of great concern for doctors treating high cholesterol. Sciencedaily.com reports on a new study that says statin tolerance can be learned by a patient's system overtime.

image source: www.echiropractor.org

 Sep. 9, 2013 — Most patients who report statin intolerance, including muscle aches and other side effects from the cholesterol-lowering drugs, can actually tolerate drugs from this class on subsequent trials, according to research from Cleveland Clinic recently released online and forthcoming in the September issue of the American Heart Journal. The study is the largest ever to examine the effects of re-challenging statin-intolerant patients.
Statins are among the most prescribed drugs in the world and are a first-line, highly effective therapy for patients with high cholesterol, which is a major risk factor in the development of cardiovascular disease. Statins have been shown to reduce cholesterol levels by as much as 20 to 40 percent at the lowest dose level.


image source: flipper.diff.org
However, in clinical trials, about 5 to 10 percent of patients have been reported as suffering from statin-related side effects like muscle pain and liver enzyme abnormalities, making them statin intolerant. In observational studies -- which often incorporate patients not typically selected for clinical trials, including older patients, more women, and those with comorbidities -- the rate of statin intolerance is as high as 20 percent.

image source: http://alldiseasesknown.blogspot.com

In these patients, physicians often try intermittent dosing of statins, instructing patients to take the medication every other day, for instance, instead of daily, to reduce side effects.
Researchers, led by Leslie Cho, M.D., Section Head of Preventative Cardiology and Rehabilitation in the Sydell and Arnold Miller Family Heart & Vascular Institute at Cleveland Clinic, analyzed the electronic medical records of 1,605 patients who were referred to Cleveland Clinic for statin intolerance between January 1995 and March 2010.
Dr. Cho and her colleagues found that 72.5 percent of patients who were previously reported to be intolerant to two or more statins were able to take drugs from the class on subsequent trials when they were overseen in Cleveland Clinic's preventative cardiology clinic and had their statin regimen carefully restarted. Further, 63.2 percent of previously statin-intolerant patients were able to tolerate a daily statin regimen, with only 9.3 percent going on intermittent statin therapy. While those patients who remained on a daily dose of statin saw their cholesterol lowered to a greater extent than those on intermittent statin dosing, Dr. Cho and her colleagues found that the intermittent group did benefit significantly from the statin therapy.
"Our study shows that patients who have experienced statin intolerance should, under the close care of their physician, continue to try other drugs in this class because there is a very good chance that they will eventually be able to tolerate long-term use of a statin and benefit from its cholesterol-lowering effects," said Dr, Cho. "Even if patients cannot tolerate a daily dose of a statin, it's possible to see a significant reduction in cholesterol levels from taking the drug less often, even as infrequently as once a week."
Still, Dr. Cho points out that, given how widely statins are prescribed, it's important to note that almost 30 percent of the patients in the study remained statin intolerant and required alternative therapies to treat their high cholesterol.

Dr. Raymond Little founded the The Vein Institute and MediSpa. Go to this blog for similar articles  

Tuesday, September 03, 2013

Former US Olympian stands tall against varicose veins


Image Source: cf2.foodista.com

Only ten percent of those afflicted with varicose veins have them treated. A known member of this small population is 41-year-old Summer Sanders, a former US Olympian and gold medalist. A woman like her—life-long athlete, former Olympic swimmer, TV show host, sports commentator, and a mom of two—has her to-do list filled with activities that have her on her feet. But even a celebrity like her is not exempt from having chronic venous insufficiency (CVI) or varicose veins. Celebrity women, despite their access to medical treatments, are just as susceptible as other women to varicose veins.

Image source: www.repacted.org

When Sanders realized she was constantly in pain and feeling more fatigued in her legs, she immediately sought a vein specialist. She learned that her condition may have been caused by the weight she carried during her pregnancy, always being on her feet, or simple genetics. Most people think that varicose veins are related to age. This is a false assumption, as women as young as Sanders, and even younger, could have them.

Image Source: mms.businesswire.com

Varicose veins are degenerative, but according to Sanders, this should not always be the case. There have been developments in their treatment. Sanders Rethink Varicose Veins, a campaign aiming to educate people about  more serious health implications, was started by the Society for Vascular Surgery, American Venous Forum, and the American College of Phlebology.


Dr. Raymond Little specializes in the diagnosis and treatment of varicose veins and spider veins using sclerotherapy, surgical vein stripping, and other advanced techniques. Learn more about varicose vein treatments on this twitter page.

Tuesday, July 30, 2013

REPOST: Little girl copes with rare vascular disease

Condition can cause pain, disfigurement
 
In his report, Andrew Akers talks about venous malformation, a rare vascular disease, and how a 14-month-old girl suffers from it. 


Abigail Haynes celebrated her first birthday May 7, the same day she met the doctor who is trying to give her a normal life.

While most children see doctors for check-ups and vaccinations, the 14-month-old girl sees them for MRIs and painful procedures to treat a rare vascular disease.

She was born with venous malformations. Caused by unusually thin vein walls, her veins tend to grow into lesions that can cause pain, disfigurement and possibly inhibit normal bodily functions such as eating or breathing.

Abigail has three malformations — on her lip, cheek and the back of her tongue — that could grow and spread to other areas.

“When she was born, she had a blue mark on her left cheek and they said it was probably just a bruise,” said Jessica Haynes, Abigail’s mother. “When it didn’t go away after a few weeks, they said it was a birthmark.”

After another mark appeared on the back of Abigail’s head, her pediatrician sent her to the Emory University Hospital. Doctors there assured Haynes they were benign blemishes called hemangiomas, which are common to infants and usually dissapear by age 10, and there was nothing to be concerned about. However, the mark later led to the discovery of her venous malformations.

“I accepted what the doctors said, but I never quite felt right about it,” the mother of two said.
In March, Haynes noticed Abigail was having trouble taking her bottle.
“She was tugging at her cheek and just kept crying like it was hurting her,” Haynes said. “I looked at it and the mark had gotten larger.”

Haynes called doctors at Emory who advised her to bring Abigail in immediately. After an MRI and seven doctors conferring for more than two weeks, Abigail was diagnosed with venous malformations, a rare vascular anomaly.

“If not taken care of, controlled and treated, they continue to grow throughout her entire life,” Haynes said. “Doing some of the research on my own, it was disturbing to see the pictures of what it could turn into.”

Doctors at Emory explained they could remove Abigail’s masses as they formed and try sclerotherapy, a process of introducing irritants to a varicose vein to shrink it. But Abigail’s masses were currently inoperable, Haynes said.

“When you hear that from some of the best doctors out there, it is very upsetting,” she said.
Through her own research and a recommendation from a family member, Haynes and her husband Travis found Dr. Milton Waner, a world authority on vascular malformations, according to the Vascular Birthmark Institute of New York.

“He told me that he could cure her, but that he didn’t know how many procedures it would require,” Haynes said.

Waner proposed he use laser treatments to collapse the malformed veins, a method that he has extenisve experience with.

After two procedures, the malformations on Abigails tongue and cheek are responding to treatment. She has a more invasive procedure scheduled for Aug. 15, in which doctors will surgically remove the unresponsive malformation located on her lip.

While the Hayneses watch their youngest daughter undergo medical procedures, its effectiveness is not the only worry on their mind. The couple is also burdened by the treatment’s cost. Milton’s practice is in New York City and does not accept Haynes’ insurance.

“It’s been a battle with insurance,” Jessica Haynes said. “We did get the insurance company to acknowledge that they did not have an in-network provider capable of treating her, which was a large hurdle. …

“... They did say that they would process it to our in-network benefits. However, because he is not contracted with them, that means that we can be billed above and beyond.”

Abigail’s first procedure took place May 8 and cost $11,200. Only $300 was covered by insurance.
On top of medical bills, each trip to New York City costs approximately $1000 even though Haynes stays at the Ronald McDonald House.

“When it’s your kid, you do what you have to do,” Haynes said.

Therefore, the family has established a donation fund for Abigail at Wells Fargo bank, at 312 E. Main St., in Dahlonega. Checks must be made out to the “Abigail Haynes Donation Fund.” Donations can also be made electronically via Abigail’s Facebook page.

All excess proceeds from the fund will be donated to the Waner Children’s Vascular Anomaly Foundation in honor of Abigail. The foundation provides financial assistance to children suffering from vascular anomalies, funds research to understand and treat these anomalies, and supports efforts to educate the medical community on vascular malformations.

Readers can also keep up with Abigail’s treatment through her Facebook page.


Dr. Raymond Little stays at the forefront of the fight against illnesses like venous malformation. Keep up with the recent strides on the treatment and prevention of vascular diseases by visiting this website.

Thursday, June 13, 2013

The flapper’s varicose veins-free legs

The charm of the roaring ‘20s will never be complete without women in bobbed hair, fox-trotting their velvety, flawless legs on the dance floor. Yes, the legs, which were either clad in hosieries or naked under the knee-length skirts, became the icon of this almost-forgotten decade.

Image Source: historyiselementary.blogspot.com

As fashion regresses, designers borrow ideas from the lost years to come up with a new trend. This time, with the resurrection of ‘20s fashion, many women have noticed that a ‘20s ensemble is incomplete without a flapper’s signature legs – smooth legs that evoke desire, charm, and beauty.

The release of the movie The Great Gatsby has reminded viewers of the glamour that enveloped the roaring ‘20s, and women wanted to copy the look of Daisy and the other female characters in the movie. And as the fashion and beauty industry dictates, legs that aren’t as smooth as that of the flappers are an awful addition to pleats and billows of flapper skirts or tap pants. And flawless legs should be varicose veins-free.

Image Source: style.uk.msn.com

The good thing is that achieving the flapper’s legs isn’t really that hard today. The perfect legs are very achievable with the help of advanced medical treatments and technology. Dr. Raymond Little of The Vein Institute and MediSpa and Dr. John Mauriello of The Cardiovascular and Vein Center of Florida offer varicose vein treatments that can transform even tedious work-stricken legs into gams that can turn the head of a man like Jay Gatsby.

Image Source: sltrib.com


This Facebook page offers more information on vein disease, treatment, and care.

Tuesday, May 28, 2013

Function and fashion: Compression stockings need not be boring

One of the recommended treatments for varicose veins is the wearing of compression stockings. The Mayo Clinic sees it as a first approach in treating varicose veins before trying on other treatment procedures.

Image Source: MedicalExpo.com

Compression stockings vary in fitness and the amount of compression they provide, depending on the type and brand. Typically, they are beige-colored, thick, and clinical-looking—a standard appearance that has repelled some women.

Fortunately, there are companies today that manufacture functional and fashionable compression stockings. RejuvaHealth, for instance, creates compression stockings with designer fashion patterns—thigh-high stockings with lace “stay-up” bands that resemble lingerie, sheer knee-high compression socks with floral or printed patterns, and athletic leggings and capris. LegLuxe also has a line of elegant compression stockings that not only promote good blood circulation but also help elongate the legs.

Image Source: Rejuvahealth.com

T.J. Simpson shares on Yahoo! how she used to feel miserable for wearing “hideous,” “uncomfortable,” and “unfeminine” compression stockings. Now, she enjoys wearing them in breathable microfibers and fashionable designs. “I'm also having fun experimenting with fashionable compression legwear, as more companies are realizing that women should be able to look stylish as well [as have] comfort,” she says.

While wearing compression stockings may relieve vein disease symptoms, it will not make the varicose veins go away. Sclerotherapy, surgical vein stripping, and endovenous laser therapy remain the most effective options in treating varicose veins.

Image Source: TonusEurope.com

Dr. Raymond Little specializes in the diagnosis and treatment of varicose veins and spider veins using sclerotherapy, surgical vein stripping, and other proven techniques. Learn more about varicose vein treatments on this website.

Tuesday, April 16, 2013

REPOST: New Treatment for Varicose Veins

Medicine continues to find solutions to common health and body problems.  In fact, a new treatment for varicose veins has been discovered.  Read this report from ABC for more details:


Twisted rope-like veins bulge out of the legs of 50 percent of women in the United States, according to the American Academy of Dermatology.

Varicose veins can be more than just plain ugly. The unsightly veins can cause pain, swelling or itching severe enough to drive many sufferers to seek medical help.

Over the years, several procedures for treatment have surfaced, but most have been somewhat invasive.

A relatively new procedure that's being used in about 100 doctors' offices around the country is said to be far less invasive, painful and time-consuming than the current most popular procedure, known as vein stripping.

Seeking Closure

Mark Adelman, director of vascular surgery at Bellevue Hospital in New York City, says a procedure known as VNUS, or "closure," is a great option for patients who've been putting off a varicose vein procedure because of the pain and recovery time traditionally involved.

"The procedure itself is not painful at all and after the surgery the patients resume the normal day-to-day activities without pain," Adelman said on ABCNEWS' Good Morning America.

VNUS, which uses a radio frequency to close the troublesome vein, can be done while patients are under localized anesthesia, and patients usually recover completely in one to two days, Adelman said.

Varicose or "enlarged" veins that sit just under the skin of the leg have numerous causes. The most common cause is a valvular dysfunction of the main vein on the leg. That vein should allow blood to pass through the leg to the heart and close so blood doesn't pass back. When it's dysfunctional, the blood can pass back, causing the enlargement.

More women suffer from varicose veins than men because it's worsened by estrogen stimulation and by anything that puts pressure on the abdomen, like obesity or pregnancy. Only 20 percent of American men suffer from varicose veins.

Throbbing Pain

Lynette McCollum has been trying to cope with her own varicose veins for five years. The 38-year-old Broadway performer and mother of two said she's tried every trick in the book to try and relieve the pain of the veins — but support hose and dieting hasn't helped. "It's painful, the throbbing and the heaviness of the leg," she said.

McCollum hasn't been willing try traditional varicose vein removal procedures because they seemed too invasive to her. Vein stripping, the most commonly used procedure, is very effective, according to Adelman, but recovery can be difficult, he said. It entails two incisions on the leg — one at the ankle and one at the groin.

A wire is then passed through that main vein, which is pulled out. Once it's removed, several smaller incisions are made that remove the small branches of blood vessels off the main vein. The trauma of the tearing causes recovery to be uncomfortable, with bruising and an irritation of the nerves that could cause numbness, Adelman said.

With VNUS, there is only one incision at the ankle. A small catheter the size of a piece of spaghetti is passed through the vein and travels to the groin where a trigger is pulled. That opens prongs on the catheter, which contact a wall of the vein. The radio frequency is then turned on and the heat closes the vein.

Becoming Invisible

Since no blood remains in the vein, it becomes invisible, and not in position to feed the smaller branches. According to Adelman, there's no bruising and very little swelling or numbness associated with this treatment, but it takes about two to three weeks for the vein to completely disappear.

About 10,000 VNUS (www.vnus.com) treatments have been carried out since the Food and Drug Administration approved its use in 1999.

The cost of the procedure is comparable to vein stripping, which ranges from $2,000 to $4,000 per leg. Closure usually costs around $2,000 to $2,500. Some insurers cover it interchangeably with vein stripping as a medical necessity, not just a cosmetic procedure, but some insurers are just becoming aware of it, said Adelman

Other varicose vein removal procedures include sclerotherapy, which treats both spider and varicose veins. It consists of injecting a solution into the vein and bandaging the area tightly for about 24 hours. A yellow-brown discoloration can sometimes appear in the treated area. This may take weeks or sometimes months to fade.

Laser therapy also may be used to treat spider veins. Sometimes more than one treatment is needed.

While high-tech treatments have become available, experts say there are ways to ease the discomfort associated with varicose veins. Support hose and tight-fitting elastic stockings can help prevent blood from pooling in the legs and increasing pressure on veins with damaged valves.

Elevating the legs to help gravity drain blood out of the leg veins is often recommended as well. 


Dr. Raymond Little is an expert in the treatment of vascular conditions such as varicose veins.  Find more insights on vascular diseases and conditions from this Twitter page.

Monday, March 25, 2013

Aneurysm: The silent killer

Each person in a society works as part of a network that keeps the whole system running smoothly. For as much as there are activities in life, there are veins that make sure each part functions properly. Anatomy teaches that each individual is composed of veins where blood courses through, helping the body do what it needs to do on a daily basis. Unfortunately, much like it is in any society where bad people shoot down the progress of the good, anatomy also teaches that there are silent, but very violent, killers in the body.

Image source: wellnessamericas.com

Aneurysm is defined as “an abnormal blood-filled bulge of a blood vessel and especially an artery resulting from weakening (as from disease) of the vessel wall.” Aneurysms are silent killers as a lot of people do not know the signs of having one. Most people take aneurysm as pain in the body, without actually realizing that a balloon has formed in their veins. Aneurysm, if unnoticed or left untreated, may lead to severe bleeding or even instant death.

Image source: nhlbi.nih.gov

While most aneurysms are found in the brain or chest, seeking help from experts specializing in vein disease treatment, such as Dr. Steele Beasley of Vein Clinics of America and Dr. Raymond Little of The Vein Institute and MediSpa, will also help in determining whether there is abnormal ballooning of an artery in the legs. Maintaining a healthy diet and having an active lifestyle are two important preventive measures against aneurysm.

Image source: hawaiihomesandliving.wordpress.com

Stay abreast of the latest developments in vein disease treatment by following this Twitter page.

Thursday, February 14, 2013

Back fat be gone: Different ways to get rid of back fat

The lump of flesh that protrudes around the edges of the bra at the back of the body is called “back fat.”

Image Source: mupso.com















Back fat can be an embarrassing sight when wearing a backless dress or tight shirt. The bulge can be unattractive, and suggests an unhealthy lifestyle of poor food choices and lack of exercise.

Sometimes, back fat is produced when a woman wears a bra that is too small for her size. If this is the case, the bulge can be eliminated by wearing the right fit and style of bra. Intimate Guide suggests using a bra with a wide back panel and wide straps.

Image Source: onsugar.com




















When it comes to exercise, the trick is to follow simple exercise routines that can be performed over and over. These include bent-over rows, leg raises, back extensions, and bicycle crunches. Strength and core exercise routines also target and tone the muscles under the diminishing body fat stores. "You can't spot-reduce, but you can spot-firm," says fitness trainer Chris Santos. He recommends using the upper-body ergometer to challenge the entire upper body while burning more than 300 calories an hour.

Image Source: imagekind.com




















One of the modern solutions for back fat elimination is the bra-line back lift. This is a procedure that removes 8 to 10 inches of excessive tissue off the back to make it firm and toned. Incisions are carefully planned prior to the procedure so scars will be hidden by the woman’s bra.

The Vein Institue & MediSpa, founded by Dr. Raymond Little, is a respected leader in vascular medicine in Houston, TX. Get to know more about the clinic’s surgical procedures at its website.

Thursday, January 24, 2013

What is angina?

Image source: heartonline.org

People with blocked artery or coronary artery disease who are constantly doing strenuous activities are most likely to experience pain or discomfort in the chest that lasts for about 1 to 15 minutes. This condition is called angina.

Angina is caused by the lack of blood and oxygen flow to the heart muscle. The pain in the chest is also associated with tightness and heaviness. If not treated, angina may lead to heart attack, cardiac arrest, and sudden death from cardiac arrhythmias (irregular heartbeat).

In severe cases of angina, it is best to undergo medical procedures. Surgeries for the treatment of angina include angioplasty, stenting, and coronary artery bypass surgery. Doctors who specialize in the treatment of angina often have medical training in cardiology. Because angina and other heart diseases are often associated with vein problems, there are also doctors like Alan Hirsch, Peter B. H’Doubler, and Raymond Little who specialize in the treatment of both cardiovascular and vascular diseases.

Image source: yourdictionary.com

However, there are several ways to prevent angina before it worsens. Not smoking, exercising regularly, and eating food that’s good for the heart will slow down the progression of artery blockages. Other risk factors that should be avoided include drug abuse (especially cocaine), obesity, high blood pressure, diabetes, and sedentary lifestyle.

If lifestyle change is not enough to stop angina, medication may be taken. Medicines known to treat angina include aspirin, nitrates, beta blockers, statins, calcium channel blockers, angiotensin-converting enzyme (ACE) inhibitors, and ranolazine (ranexa). People are advised to consult their doctors before taking any of these medicines.

If angina is detected early, treatment is easier and more effective.

Image source: 123tagged.com

This website explains how angina is related to vein problems and how it can be treated by vascular medicine practice.