Vascular

Are You A Candidate?


vascular-angle
“The pain I was living with almost cost me my career. I could barely walk a block before my legs flared up and the discomfort became unbearable. I tried various over-the-counter options and indulged in every remedy suggested to me by family and friends, all to no avail. There has to be a lasting solution, one that would keep me from living a life of accepted pain.”

Beyond the physical manifestation of bulging veins, venous disease can limit motion, activities, even employment opportunities. Treated improperly, sufferers are often left with a plan for managing day-to-day pain.

It doesn’t need to be that way, and the professionals at O’Donnell Vein & Laser are more than happy to sit down and discuss treatment options that will get you back on your feet in no time.

Why O’Donnell Vein & Laser?

Choosing the right provider for vein care can make the world of difference in your outcome, satisfaction — and comfort. O’Donnell Vein & Laser is the first vein center in Maryland accredited by the Intersocietal Accreditation Commission, an honor extended to only facilities offering the highest level of care and service.

You know that you’re in the best hands possible as our patient under the leadership and guidance of Dr. Kelly O’Donnell, certified as a Registered Vascular Technologist (RVT) and a Registered Physician of Vascular Interpretation (RPVI), with board certification in venous disease from the American Board of Venous and Lymphatic Medicine and active memberships in the American College of Phlebology and the American Society for Laser Medicine and Surgery.

From your initial consultation through treatment and aftercare, our skilled team of professionals will first create a personalized plan to address your condition and then monitor your progress. While your treatment will depend on the type and severity of your symptoms, along with the location and size of your diseased veins, our team will spend the necessary time needed to review and explain your condition and options. And we’ll answer all your questions, removing any doubts that you’ve made the right decision.

For treatment of non-healing wounds and venous ulcers, our expertise is such that mid-Atlantic wound centers often refer patients to O’Donnell Vein & Laser because of our reputation for advanced training, exceptional results and care throughout any procedure.

O'Donnell vascular vein procedure

Conditions

Regrettably, venous disease is not a condition that will go away on its own. Left untreated it will adversely affect your quality of life, possibly leading to serious, debilitating medical conditions like chronic inflammatory skin changes, blood clots and ulcers. There are four common vascular conditions:

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Varicose Veins

These engorged blue and purple veins are visible on the surface of the skin. In some cases they may protrude, bulge and twist, causing significant cosmetic concern in many patients. While any vein may become varicose, the veins most commonly affected are those in your legs and feet…

Varicose veins are caused by venous insufficiency. Valves inside the veins are responsible for keeping blood flowing in a single direction toward the heart. When these valves become damaged or simply wear out over time, blood can begin to pool inside the veins because it cannot efficiently move out of the vein any longer. This results in swelling of the vein and the appearance of varicose veins, which are most common on the thighs and lower legs. Often they are also painful to touch. Varicose veins may be accompanied by the following symptoms:

  • Heaviness or aching in the legs
  • Cramping, particularly at night
  • Restless leg syndrome
  • Itching, burning or skin discoloration on the lower leg
  • Swelling of the lower legs, ankles and feet
  • The formation of open sores around the ankle

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Non-Healing Wounds

Proper treatment quickly is key for chronic leg ulcers. Most people are familiar with pressure sores or pressure ulcers, more commonly known as bedsores. However, did you know that untreated varicose veins that result in venous ulcers account for 80% of all lower extremity ulcerations?..

Regrettably, many patients who suffer from leg ulcers try to treat the condition on their own, or worse, wait until they have an infection to seek proper help from a physician.

A chronic leg ulcer is often painful and debilitating. Ulcers usually occur around the ankles and are thought to be caused from long-standing “water logging” or pooling from blood congestion in the affected leg. Faulty valves inside the veins prevent proper blood flow. When valves fail to close effectively, blood leaks back toward the feet and gathers, causing pressure and bulging of the veins. This congestion produces symptoms of aching, heaviness, throbbing, itching and restless legs.

When venous disease and blood pooling become severe, venous ulcers can develop in the skin. The congestion causes an obstruction in blood flow, which leads to changes in the skin pressure. The actual ulcer forms when the combined effect of the blood flow obstruction couples with a drop in oxygen levels. It usually begins as swelling and skin discoloration below the knee, and can show no signs of healing after three or more months. These ulcers often recur and can persist from a few weeks to many years. Yet, despite the frequency of this condition, receiving a correct diagnosis and treatment is not always easy. Patients who have experienced trauma to the skin — skin cancer removed/skin biopsies — may have underlying venous disease which contributes to slow healing process and make sores more difficult to heal. If treated, it is likely to heal more quickly.

The risk factors for developing leg ulcers are similar to venous disease in general. Leg ulcers are more common in women than men, and risk factors include advanced age, obesity, previous leg injuries, deep venous thrombosis (blood clots) and phlebitis. A family history of venous disease as well as working in occupations that require extended time standing can also contribute to the risk in developing this condition.

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Spider Veins

Also known as telangiectasias, spider veins are networks of vessels that become visible on the skin’s surface. They get their name because they often resemble a spider’s web. Like varicose veins, spider veins may be caused by venous insufficiency, heredity, skin trauma, hormonal fluctuations or sun damage…

Although spider veins are often asymptomatic, some patients report itching and stinging overtop the vessels. In worst cases these small vessels become so engorged that they rupture spontaneously and bleed. Bleeding may also occur when shaving affected areas.

Spider veins rarely cause the same physical symptoms as varicose veins. They can, however, pose a serious cosmetic concern, particularly when they appear on visible areas like the calves, face and chest. When spider veins are visible inside the knees or ankles, great saphenous vein insufficiency is often present. This underlying venous congestion causes eruption of the spider veins. An ultrasound venous scan may be advised if other symptoms such as heaviness and aching are present.

The “gold standard” treatment for spider veins is sclerotherapy; laser and radiofrequency energy treatments are generally much less effective.

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Venous Ulcers

Open sores appearing on the lower leg or ankle are called venous ulcers — these are signs that the venous disease has progressed. The most common areas of ulceration are above the inside and outside of the ankle. This condition can be difficult to treat effectively and has a very high recurrence rate…

Effective treatment for venous ulcers includes treating the underlying cause of the problem, as well as treating the ulceration. When venous insufficiency is treated, the ulcer heals more quickly and recurrence is less common. It can take weeks or even months before a severe venous ulcer is completely eliminated, but Dr. O’Donnell is considered an expert in this field.

Treatments

Fast. Safe. Effective. Relief from varicose veins and venous disease has never been easier.

O’Donnell Vein & Laser is the first vein center in Maryland accredited by the Intersocietal Accreditation Commission, so you know you’re in the best hands possible as our patient.

From your initial consultation through treatment and aftercare, our skilled team of professionals will first create a personalized plan to address your condition and then monitor your progress. While your treatment will depend on the type and severity of your symptoms, along with the location and size of your diseased veins, our team will spend the necessary time needed to review and explain your condition and options. And we’ll answer all your questions, removing any doubts that you’ve made the right decision. Treatment options based on your medical condition include:

Endovenous Ablation

This technique disables the diseased veins using laser or radiofrequency heat, causing them to gradually disappear while rerouting blood through healthier veins. By cauterizing your diseased veins you will experience relief of symptoms associated with the pressure of chronic blood pooling — such as aching, heaviness, fatigue, cramping and throbbing.

ADVANTAGES:

  • In-office, minimally invasive treatment
  • Highly effective — up to 98 percent success rate
  • Performed in less than an hour
  • Requires no general anesthesia or hospitalization
  • Immediate return to normal activities
  • Excellent cosmetic results — no scars and little risk of complications

Microphlebectomy

For conditions where large varicose veins are present, the microphlebectomy technique employs very small punctures in the skin, through which segments of the vein are removed.

ADVANTAGES:

  • Eliminates symptoms of varicose veins
  • Easily tolerated procedure under local anesthesia
  • Excellent cosmetic results

Sclerotherapy

Although often a cosmetic concern, spider veins may indicate an underlying medical condition. Sclerotherapy is the preferred treatment for spider veins and small varicose veins. This technique incorporates a sclerosant medication injected into the vein to disable and eventually shrink it away.

ADVANTAGES:

  • Relief of symptomatic spider veins — itching, burning, bleeding
  • Excellent cosmetic results

FAQs

Does the closure procedure hurt? Local anesthetic is used to provide comfort. For most patients the anticipation is worse than the procedure itself.


Will my spider veins go away after the closure procedure? No, however cosmetic sclerotherapy after treatment of underlying venous disease may be more effective.


Do I need all my veins? No. Your legs have deep and superficial venous systems that are connected. When the diseased superficial vein is eliminated the blood is rerouted into the deep venous system and other healthy superficial veins.


What are the possible complications? The risk of bruising from needle sticks is the most common. Often, one leg bruises more than the other. Localized inflammation or infection is rare. The highly uncommon complication is the formation of a deep vein clot (<0.1%). In the rare case of deep vein thrombosis, the most common location is a small vein in the lower leg, and patients are usually treated with observation and anti-inflammatory medication.

Will I need a sedative for the closure procedure? Most of our patients do not use any sedatives. If you want to be relaxed, a prescription will be provided. Medication will need to be taken one hour prior to your scheduled procedure. But — you must have a ride to and from the procedure if any sedatives are taken.


When can I go back to my normal routine? Patients are able to drive themselves to and from their procedure, but each case is individual and most patients do not miss any work. You should be able to perform your usual daily activities immediately — and you must walk on the same day of treatment. Lack of mobility is a contraindication to venous closure and can lead to post-treatment complications. Strenuous exercise, such as running and weight training, should be avoided for one week after your procedure.


Will I have recurrent problems after treatment? Superficial venous disease is a chronic condition. Your treatment plan has been designed to alleviate your current symptoms and our success is very high. We will continue to follow your progression and address recurrent symptoms if and when they arise.


Will my insurance cover the cost of my treatment? In most cases, insurance will cover the treatment.

Patient Photos

Treatment of vein conditions is more effective when the condition is diagnosed as early as possible. At O’Donnell Vein & Laser, our highly trained and experienced team can recognize and treat a wide range of vein conditions.

  • spider vein before and after
  • varicose before and after
  • varicose before and after
  • varicose before and after
  • varicose before and after
  • varicose before and after
  • venous ulcer before and after
  • venous ulcer before and after
  • varicose vein before and after
  • venous ulcer before and after
  • varicose vein before and after

“I just turned 77, and with osteoarthritis in both knees and severe pain in both legs, walking 150 yards became excruciatingly painful. Four weeks after my first visit and a series of treatments with Dr. O’Donnell, I was able to walk further and longer each day. My wife and children are amazed at the transformation they have actively witnessed in me!”

“After a couple of pleasant and positive visits to Dr. O’Donnell, my legs are free from unsightly varicose veins and I am relieved from swelling and soreness in my legs. Thank you, Dr. O’Donnell.”

“I developed open venous ulcers on both legs in 1992 and went to different hospitals, clinics and doctors in the DVM area. I first visited Dr. O’Donnell in 2015, and her aggressive and proactive approach to dealing with the ulcers resulted in immediate improvement in my legs. Now, a few months later, I am healed of the ulcer problems that have plagued me for so many years. I would not hesitate to recommend Dr. O’Donnell as a superior vein doctor. “

“I had procedures done on both legs with extremely protruding varicose veins. Results were amazing in both comfort and appearance. The entire facility was impeccably clean and the entire staff was very pleasant.”

“I could feel instant relief as soon as the procedure was halfway through. My feet and legs no longer go numb. No more tingling in my legs. The staff was wonderful. Dr. O’Donnell was excellent, I highly recommend them to all.”

“The office personnel were very friendly and caring. My results were more than I had anticipated. My ankles no longer swell and the heaviness is gone in my legs. My experience and results are fantastic; thank you Dr. O’Donnell.”

“I had experienced trouble with varicose veins for about five years, and after an outpatient surgery to remove the vein I was still left with the same pain and discomfort. I happened to see O’Donnell Vein & Laser’s sign and scheduled a consult. I have had two treatments and am about a month out of my procedures — I feel so much better! The results have definitely been worth it. “

“Spider veins and uglier, larger ones against my fair skin were more a concern of vanity than health for a long time. But, those behind my right knee began to burn and itch. Dr. O’Donnell and her staff are thorough when discussing techniques, compassionate when doing something they know may be painful. They give detailed and complete instructions as to care, and answer all your questions completely.”

“For several years, a large varicose vein continued to give me problems, especially after exercising. I finally decided to have something done and I am so pleased with the outcome. The procedure was virtually painless, recovery quick and uneventful. All in all, it was a wonderful experience, and I don’t know why I waited so long to have it done. O’Donnell Vein & Laser and Dr. O’Donnell are very professional and efficient.”

“For the past few years I have had leg aches, cramps, and nervous leg syndrome. In November, my regular doctor recommended that I see Dr. O’Donnell. I had my first vein treatment on my left leg and within two weeks I had my second treatment. I was amazed to find I had no more problems with my left leg. After one month I had another treatment on my right leg, and am very pleased with the results.”

“I had veins on my legs that would consistently bleed when bumped or scratched. I felt very welcomed in their office from the first visit. Not only did Dr. O’Donnell help me with my veins, she also talked to me about having my varicose veins taken care of. I never thought I would have these done, but I’m so glad I did. I work on my feet 40+ hours a week and my legs would be swollen and sore at the end of the day. To my surprise, the swelling is gone and I have no pain at the end of my day!”

“By word of mouth I came to see Dr. O’Donnell for varicose veins in my legs. I had trouble with swelling and itching around my ankle. She removed my veins, and now the swelling and itching is gone. I just came in for my one month check-up and everything is doing fine. The staff is very caring and nice.”

“My experience with Dr. O’Donnell was great. The procedure was pain-free with no down time. I only wish I had found Dr. O’Donnell sooner!”

“I am a single mom with a very active lifestyle. I work at a busy hotel that requires me to do several activities on my feet. I walk continually and had severe pain in the back of my legs, which caused swelling. Since I’ve been coming to O’Donnell Vein & Laser, the pressure is better and the pain has cleared up, with no time loss from work or any hospitalization.”

“I was diagnosed with diabetes earlier this year. Even after taking medication and trying to control my diet, I was still tired all of the time. I was introduced to Dr. O’Donnell by my Pop. She performed the laser surgery on both of my legs and it was amazing. Immediately, I began to feel 100% better. More energy and my willingness to do more improved greatly.”

“One month ago, my legs felt like they weighed a ton. My restless leg syndrome was unbearable! My varicose vein was burning and often hurt to the point of having to take meds. After Dr. O’Donnell’s procedure, I feel like a million bucks! My restless leg is so much better and the varicose vein is gone. No pain!”

“I suffered from varicose veins for many, many years, and I finally got up the nerve to see a doctor about them. I was a bit apprehensive, but after my first visit to O’Donnell Vein & Laser my anxiety was greatly alleviated. The procedures were completely painless, and the recovery was quick. I never missed a beat! The staff was friendly and welcoming, and I’ve recommended Dr. O’Donnell to some friends. My legs now look and feel much better!”