Edema (swelling) and Phlebolyphedema

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Leg, calf, foot, or ankle swelling (Edema) is a common sign of varicose veins.

The normal flow of blood in leg veins is against the force of gravity; from the foot to the thigh and then up towards the heart. When veins are stretched and enlarged (become varicose), they are too weak to overcome the force of gravity causing the blood to flow backward and pool in the legs. As the pooling continues throughout the day, the pressure inside the vein walls continues to increase. Eventually, some blood and other fluids can leak out of the vein into the surrounding tissue.

The pooling of blood, increased pressure and subsequent “leakage” causes swelling in the ankles and feet as gravity pulls the fluid down. As leakage continues, swelling can also be noted in the lower calf region and extend to the knee or even the thighs.

Swelling is more noticeable at the end of the day, especially if you have spent much of it sitting or standing still. When you elevate your legs, for example when you are sleeping, gravity is no longer a force working against the flow of the blood in your leg veins hence swelling is reduced. However, when you sit or stand, the swelling recurs. Other factors that can contribute to increased swelling include lifting or straining, pregnancy, heat (such as hot baths or sauna), and hormonal changes (that further relax and stretch the weak veins).

During the initial stages of edema, graduated compression stockings may be enough to diminish the tendency of the veins to stretch and control edema. Over time, patients may notice increasing leg fatigue, swelling, thinning of the skin, and discoloration of the overlying skin. Complications such as painful blood clots in the vein, bleeding from veins close to the skin surface, and nonhealing leg sores may develop. Many patients may also notice unsightly spider and varicose veins (Corona Phlebectatica).

Because of the potentially serious and long-term complications of varicose veins, proper treatment is important, and the best results are obtained before complications have already developed. A Vein Specialist can use a Duplex Ultrasound to check “leaky” varicose veins and treatment options.

Learn more about Edema and Phlebolymphedema

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Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

• VEIN DISEASE - OVERVIEW
• Varicose Veins
• Chronic Venous Insufficiency
• Blood Clots
• Spider Veins
• Restless Leg Syndrome
• Edema (swelling)
• Leg Ulcers (sores)
• Neuropathy

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Please describe your experience with us:

Front Desk staff:

So friendly.

Ultrasound Technologist:

Very professional and helpful.

Provider/Doctor/Nurse Practitioner:

I wish there were more doctors like Dr. Sam.

Billing/Patient Account Services:

Very nice.

Call Center/Patient Service Center:

Very pleasing.

What made you choose us?

I saw a pamphlet at Covenant Health Spa.

What symptoms were you experiencing?

Bad heavy tired legs. Wanted to sit on the couch all the time.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

No sleep without pain pills. Restless leg syndrome (no more problems on the right treated leg)

What improvements have you seen in your legs?

I have so much energy now from one leg treatment. No [cramps] on the right leg.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

I am 73 years old and I did not know such treatment exists. But I trust Dr. Gupta and his staff for the rest of the treatments. I feel so much better about life. Of course, then there is healing and such. But the whole experience is so nice that I soon forgot how much pain I went thru in my life with my legs. I could just cry for happiness.

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I came here a year ago, showed everybody my ugly legs – hah! And I made an appointment, and Dr. Gupta and staff worked on it. It was a year ago, and I had – oh my goodness – I had pain for 64 years because I had the [varicose] veins when I was 10.

I started having very bad varicose veins. And so they did the laser treatment on both legs, and immediately I felt relief. So, ever since, I have more energy. I do more things. My husband likes me better. I’m not as grouchy from the pain. Restless Leg Syndrome is gone. I can watch a whole movie for two or three hours without getting… fidgeting back and forth – my legs – and so on.

I just feel really blessed at this time in my life that I have legs that I can… that have no pain.

My husband says ‘What’s wrong with you?’ for forty-some years. It was miserable. It really was. It’s just… driving to Kansas City and home, my legs would be swelled up so bad, it takes three days for the swelling to go down.

At the Alsara Vein Clinic, it’s very comfortable to come in to. The girls that work here are very friendly – always have been. Dr. Gupta is absolutely the best doctor I’ve ever met. Ha! Bedside manners plus! I don’t feel anything when he works on it. He’s very conscientious. The girls are very conscientious. It’s a pleasure to come here.

Oh, I would recommend everyone that has vein problems, I would recommend go to Alsara Clinic and get your treatment. You feel so much better. Your life will change a hundred percent.

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I came into the Alsara Clinic because I had spider veins and they were really driving me crazy. And I really have a lot of pain behind the leg where those spider veins were, so I just kinda lived with fears. I never wore shorts or anything like that because they really looked bad.

Earlier, when we would take long car rides to go see the kids, my leg and feet would swell. [My leg] got really heavy. Just to get out of the car, I’d have to lift my leg just to put it out there and stand up and get my leg [working]. It was miserable and I hated to go for long car rides.

One day my husband found this flyer in the mail and so, made the call, came in, and the staff was amazing! Dr. Gupta was so good about explaining everything, I just couldn’t have asked for a better experience.

As far as the treatments go, I really thought at first they were going to be kinda painful. They weren’t bad at all, especially the spider veins – it’s a real quick little treatment, just a little sting like a mosquito bite. It just wasn’t bad at all. And the recovery time is so minimal. You can go right back to work. It’s no big deal. Anybody can do it.

Recently, since I’ve had the laser done, we went for a long car ride and I didn’t have any problems. No swelling, no having to lift my leg to get out of the car, I just immediately got out, and I realized 'wow'. So it’s been amazing. I completely can tell the difference.

I highly recommend it. If you have any problems with your legs: if they’re hurting, if they’re heavy, if you just don’t like how they are looking, [the treatment is] really not that bad. It’s worth it, it really is. Don’t put it off.

I would much rather be pain-free and have the energy in my legs to run around and catch those five grandkids! I just highly recommend it.

Please describe your experience with us:

Front Desk staff:

All very friendly, kind, professional.

Ultrasound Technologist:

All very friendly, kind, professional.

Provider/Doctor/Nurse Practitioner:

All very friendly, kind, professional.

Billing/Patient Account Services:

All very friendly, kind, professional.

Call Center/Patient Service Center:

All very friendly, kind, professional.

What made you choose us?

My husband had met Dr. Gupta through a real estate appointment & recommended him to me.

What symptoms were you experiencing?

Extreme itching of the skin on the lower right leg, ankle swelling. No pain, but the itching was intense for months.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

I was never prevented from normal activities. The itching did interfere with my sleep, however.

What improvements have you seen in your legs?

Swelling eliminated. Itching ceased. Skin affected has cleared up – no inflammation..

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

Appointments were promptly kept on time. The staff is courteous & professional. Kati's the best. Dr. Gupta always clearly explained my condition, office treatments & home care expectations. No changes [needed].

Please describe your experience with us:

Front Desk staff:

Amazing.😃

Ultrasound Technologist:

Amazing.😃

Provider/Doctor/Nurse Practitioner:

Amazing.😃

Billing/Patient Account Services:

Amazing.😃

Call Center/Patient Service Center:

Amazing.😃

What made you choose us?

My daughter Danielle Jagels recommended you.

What symptoms were you experiencing?

Restless legs, cramping, no sleep.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

I couldn't sit and watch TV for very long before I would need to stand up and either walk off the restlessness or a cramp. I could not get a good night's sleep even with medication. Now – I'm sleeping like a baby. No restlessness or cramping.

What improvements have you seen in your legs?

Not as heavy or tired. Restlessness is gone. No cramping. Able to sleep.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

The staff was very much appreciated because any question I had, they were able to answer, from Billing to Scheduling to the problems I was having with my legs. I really appreciated the fact when Dr. Gupta called me himself to discuss one of my concerns, instead of me driving for an hour & a half to get the answer needed. Differences between this clinic from others is the helpfulness and kindness. The #1 thing I appreciated most of all, was when my brother passed away and you were so thoughtful and sent flowers to me. That will always be cherished..

Please describe your experience with us:

Front Desk staff:

Absolutely professional staff. Great experience.

Ultrasound Technologist:

Friendly - knowledgeable.

Provider/Doctor/Nurse Practitioner:

Caring professional - explains everything to you. Friendly.

Billing/Patient Account Services:

Friendly - understanding - knowledgeable.

Call Center/Patient Service Center:

Friendly - professional.

What made you choose us?

Ad on TV.

What symptoms were you experiencing?

Leg pain - Varicose veins.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

Pain was bad - hurt to stand or walk sometimes. [Now] I don't experience the pain of standing or walking.

What improvements have you seen in your legs?

Not much pain.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

Everyone is so friendly & professional & caring. Happy experience. Some clinics aren't very friendly. Honestly, I don't know what else you could do better. Thank you for my great experience. Dr. Gupta is a great doctor. He & his staff are the best.

Please describe your experience with us:

Front Desk staff:

Friendly, greeted with a smile, always cheerful.

Ultrasound Technologist:

Puts you at ease, friendly. and professional.

Provider/Doctor/Nurse Practitioner:

Always greets you, professional, explains procedures, kind.

Call Center/Patient Service Center:

Friendly and precise with information.

What made you choose us?

Referred by Practitioner at Fairfax Medical Clinic, Fairfax, MO.

What symptoms were you experiencing?

I had pain in legs, weakness, trouble getting up and walking. Stairs were very difficult. Heaviness in legs more than usual.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

Mostly stairs and getting up and walking. I was limping and slow walking. Now, I'm getting back leg strength, walking normally, and taking the stairs without any difficulty.

What improvements have you seen in your legs?

Pain-free, stronger. legs. I had a lot of presure around the tops of my compression hose before. {Now} that is gone. I feel great.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

I was very impressed by the organized staff and professionalism! Appointments are always on time, no sitting for 20-30 minutes waiting. My expectations were less than what I experienced. You are all the best, your clinic is top-notch! I'm very pleased with my expereince at Alsara Clinic. I recommend anyone who has leg problems to visit Dr. Sam Gupta and staff. You don't have to live with poor veins. There was very minimal to no pain involved with my treatments. It was so worth the time.  Thank you!!

Please describe your experience with us:

Front Desk staff:

They are very helpful and kind.

Ultrasound Technologist:

They share their knowledge and are nice.

Provider/Doctor/Nurse Practitioner:

I love everyone in the office.

Billing/Patient Account Services:

Very helpful, very kind.

Call Center/Patient Service Center:

I can't say enough good things about the staff at Alsara Vein Clinic.

What made you choose us?

My doctor suggested I go to a vein doctor. I have made a wonderful choice at Alsara.

What symptoms were you experiencing?

Swelling in ankles.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

The swelling is gone now and my ankles do not swell anymore. No more pain.

What improvements have you seen in your legs?

I have no swelling or pain in my legs.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

Dr. Sam explains everything he is doing. He is a great doctor and I would go to no one but him. He is kind and explains every move he makes. He takes the fear out of me and I trust him completely.

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I was at the doctor’s office and I’d seen something about “veins,” and you’re like ‘Really? Veins can have a… ?” You know, you just don’t think that there’s an issue. And the more I read, then I asked my doctor, and she sent me here to you guys [Alsara Vein Clinic].

[It was] a relief, a sigh of relief. In fact, I think I even cried when [Dr. Gupta] was actually talking to me, because, it’s like, here’s a doctor that is literally talking to you. And he didn’t speak jargon. He laid it on the line. He spoke in a way that I could understand. And it was just like, to hear somebody give you an answer that they may be able to help you, was just like… I think… I know I cried. I know I cried because – oh my gosh – there’s somebody talking to me; not at me but talking to me.

The treatments were technically painless. I didn’t have any issues with pain or discomfort. I liked the way that he walked me through it, what he was going to do, how he did it. Love his helper, Kati. And they explained everything. And they even said if you want to watch, you can watch, which I did. It was just fascinating to see. Oh my gosh, I didn’t know that this was this, and that was that. He let me ask questions. Yeah, most places don’t let you ask questions.

I haven’t flown for a long time. I really haven’t done anything out of the ordinary for a long time because it was just… walking through an airport, ah, it was just the heaviness of the legs… sitting in a car didn’t work very well. As I said, unless you’ve been through it, just… you feel heaviness in your body, and you don’t really know why. And it’s like a constant discomfort, and [in] a plane; even more so. I mean, you never would have dreamed that that was an issue.

It is a godsend. It has been a godsend. I mean, when you look back to where I was a year ago or so to where I am present day, there had to have been a difference that was made that most people don’t think about. So it’s like, haaaaah [exhales]. Oh my gosh, I did this, I did that. I’m moving. I’m standing a little bit longer. So, shy of a miracle.

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My name is Katrina Brown. I enjoy spending time with my family. I enjoy walking - even more so now that I’ve had treatment on my legs.

What were your symptoms? How did they affect your daily life?

Before I had treatment, I was having restless legs at night. I hadn’t even realized how tired my legs were until after the treatment. I was having heavy, tired legs and just feeling the need to move my legs at night, just readjusting a lot as I was trying to fall asleep. Just the heaviness, the achiness, um, a lot of swelling after a day of activity when I didn’t have a chance to put my feet up and rest. I had some obvious varicose veins that I was concerned about.

How did you hear about Alsara Vein Clinic?

I’d seen a commercial about vein treatment, and so I just made a mental note to ask my Nurse Practitioner the next time I saw her, and she’s like 'Oh, yes, we can get that looked at'. And she referred be to Dr. Gupta.

What was your first impression of Alsara Vein Clinic?

After I came and saw Dr. Gupta and Kati and everyone for the consultation, I really liked the clinic. Everyone was very friendly. The clinic was nicely decorated, it’s pretty, and it smells good, and it’s always so calm and peaceful here. I really enjoy coming here… which sounds strange to say you really enjoy going for a medical treatment, but it’s just a nice, pleasant atmosphere.

How did you feel during and after your treatment?

I’ve had the laser treatment and the Varithena®. With the laser treatment, I don’t remember there being any pain. They do numb your leg as the procedure’s done – I mean, not your whole leg; it won’t be numb. They numb inside of the vein. And after the Varithena®, I didn’t feel anything. There was nothing whatsoever. Probably the most uncomfortable part was just wearing the stockings, and that’s so not a big deal. I have very sensitive skin and I get itchy from a band aid or a piece of tape, so, probably just the little band aid on there was the most irritating thing, ha!

Dr. Gupta does a good job of giving analogies to explain how your leaky veins affect the rest of your body, how it can affect your health long-term, and how – even if you can see and feel the problem – it could be lurking 'behind the walls' is what he would say! And the treatment was pretty much painless. Everyone made everything very clear before they did anything. Kati was very good at explaining what was going to happen and what she was doing. And as you’re getting the procedure, you’re able to see on the screen what Kati and Dr. Gupta are looking at and what’s taking place.

What are you able to do after treatment that you couldn’t do before?

I know for sure that I’m so much more active since I’ve gotten the treatment. And the swelling that I use to have before in my legs at the end of the day – if I was up doing anything at all, my legs would be so swollen by the end of the day that it would feel tight, and I would be just exhausted… like, I was ready for the day to be over. And now, the swelling has greatly changed – there’s not all that swelling in my legs at the end of the day. And it really helps me feel like you can go ahead and do something else the next day. You’re not going to be having to recover from a day of activity with a day of rest.

Now I feel like I can spend a whole day out shopping and running around without having to take time out to rest and put your feet up so that I’m not having swelling all day. I’m a lot more comfortable as I go about the things I do. Since I’ve had treatment, I’ve been able to walk; I’ve increased my walking between just my daily activities plus my exercise. I’ve been getting between five and seven miles of walking in a day, so I have so much more energy. I’m not flopping around like a fish at night anymore, ha hah!

I had two or three long veins that were visibly bulging, and now I can’t see those at all, so that’s great, ha! My legs look a lot better, for sure.

How would you describe Doctor Gupta?

Dr. Gupta is very friendly. I get the feeling that he’s probably a very good host when he has friends and family to his home because he’s always offering drinks, and he’s very good at simplifying things and putting them in basic, understandable terms. He always has an analogy for everything, and he takes the time to show you on the screen what he’s doing and why, and explain how this is good for your overall health in the long-term.

What is your impression of the staff at Alsara Vein Clinic?

The staff is wonderful. The first person I met was Kati, and she is amazing. She’s always calm and she’s really good at making you feel relaxed by caring on casual conversation. I felt like she was a friend as soon as I met her. She’s a hard worker. She really takes the time to make people feel comfortable. I was actually here one of the first days that Mia (Front Office Coordinator) came to work, which was pretty neat to see a new person on staff, and it was kinda fun to watch her as she’s progressed over the last few months working here.

How was your insurance coverage?

Insurance covered everything 100%. I believe my Nurse Practitioner checked to make sure that my insurance was accepted at Alsara, and there was never any problem. I believe they got pre-approval before any of the procedures, and I’ve never receive a bill or anything.

Would you recommend Alsara Vein Clinic to family or friends?

I would definitely recommend Alsara Vein Clinic. And I have recommended to my sister, my aunt, my grandmother that they come here. And actually, my first visit, I brought my mom along with me because I thought ‘Hey, we could make a day of it, go shopping, go out to eat’. And, we got to looking at the pictures, watching the video, and reading the information, and I said ‘Mom, I think you need treatment as well’. And she decided that that might be what was wrong with her legs. She’d been [previously] treated for several other medical conditions for her legs that the treatments never seemed successful. So I think, at the time, the doctors were looking at different issues and those weren’t her particular issues. So my mom did end up speaking to Dr. Gupta and he did the test on her, and she ended up pursuing treatment as well.

Is there anything else you would like to share?

My grandfather was a postal employee for many years and he always walked his route. As he got older, he had problems with his legs, and we were never really sure what the issue was. They got so bad that they ended up becoming infected, and he was in a wound hospital for several months. And after coming here to Alsara Vein Clinic, I realized by looking at the pictures that they had here that his medical condition probably was varicose veins that had went untreated for a year.

I had never really considered it a problem until I saw the commercial and realized it was a medical problem, not just a problem of wanting your legs to look good in the summer time. And when I saw the commercials, I realized ‘Oh, this might be an issue’. As I explored the issue further, after I came here for treatment, I realized that this was a medical issue for several people in both sides of my family.

I do wish I’d known about Alsara Vein Clinic and varicose vein treatment sooner. I feel like my legs are doing really well now, but there’s people in my family that I wish I could have told them about it sooner, and gotten treatment a lot sooner. I feel like mine happened just at the right time, but there are other people that I would like to have told even years ago.

Please describe your experience with us:

Front Desk staff:

Very professional and courteous.

Ultrasound Technologist:

Fantastic!!

Provider/Doctor/Nurse Practitioner:

Excellent! Nice job!

What made you choose us?

Referral from Beth Booker.

What symptoms were you experiencing?

Swollen legs, numbness, pain.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

Flexibility [in legs] was poor. Pain and that I couldn't do normal exercises. Now feel that I have much better flexibility and movement.

What improvements have you seen in your legs?

Less swelling.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

Very personable staff from Doctor through everyone else. Felt very comfortable with the work done here. In spite of apprehension about the procedure, everything was explained so well that it went very smoothly, although my wife didn't fall for my exaggerated limp!

Please describe your experience with us:

Front Desk staff:

Welcoming, reassuring, professional.

Ultrasound Technologist:

Kind, reassuring, helpful, professional.

Provider/Doctor/Nurse Practitioner:

All the above & more!

What made you choose us?

Word of mouth: all good.

What symptoms were you experiencing?

Heavy legs, lack of feeling, spasms, etc., discomfort.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

My balance has improved, no spasms. I can walk farther!

What improvements have you seen in your legs?

No “restless legs” spasms. My balance is better. My feet have feeling; my hands are steady.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

My initial fears were replaced/dispelled after meeting this totally professional and equally kind & encouraging staff. From the genuinely welcoming lady at the front desk, and each new person continued to make me/help me relax & even be excited about the future! My future health! I have only positive words & thoughts about my experience at Alsara!

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I am a Dietary Manager. I work a lot of hours. I’m on my feet constantly, all day long. I have a couple of daughters.

Oh gosh, I had, like... working all day long on the concrete, coming home at night, restless leg syndrome; couldn’t sleep, always kicking. Long car rides, short car rides – I couldn’t sit still because it was just unbearable. But, now, it’s been like a total game-changer. Oh, like the heaviness, the achiness – it’s so much better now.

I actually was going to go to Kansa City to go to the ‘closest one,’ and I came home one night, tired, watching TV, and you guys had a commercial on, so I called you the next day.

From the beginning to the end, everything’s been great. You have a great staff; just very kind, willing to work with you. Your scheduling, everything, was just fantastic.

[I was] nervous at first, ‘cause you don’t know what you’re going in to and if it’s going to help. But everything was just, like, you guys put me at ease. You explained everything. Dr. Gupta, like, explained everything detail-to-detail, like, ‘the plumbing and how it works,’ and I just love that part about it. Everything was a great experience, and I’m still looking forward to getting cosmetic [treatment] from you guys, so that’s my next step.

[Now], I can go on long care rides without it bothering me. I can work a little bit longer hours without being totally exhausted and my legs aching and killing me. I go home, I’m, like, able to do things at home for a couple hours, and then sit down and relax.

I’m more jovial now; I was before, but before [my leg problems]. When you’re in a lot of pain, you’re just, like, on edge sometimes. You don’t feel good. But it’s really changed my attitude. I’m more happier now. I’m not in a lot of pain. I feel like I used to, like, ten years ago. I should have had it done ten years ago – ha, ha, ha! I thought, ‘I’m too young for this!’ But, yeah, it’s been a blessing. It’s been great.

[Dr. Gupta], he’s great. He’s so caring. He explains everything detail-to-detail, and if he says it once he’ll tell you again. He’ll just explain it, explain it, until you understand what’s going on. He’ll walk you right through it. So, he’s great.

You guys have a great staff; very great, very caring. You guys were very friendly; a very clean environment; all around great experience; very professional. I’ve told people at work, like, some of the girls have the same problems. I’m, like, ‘I guarantee you’ll be, like, happy and it will be worth it.’ So, absolutely, I would absolutely recommend you guys.

I appreciated the cards that you guys sent me, like when I lost my daughter, and stuff like that, that was very kind-hearted. I did not expect that, so, you guys are great to work with and be around. And you feel that when you come in, like, you feel like you are part of, like, the community. You are good people. I’m glad I found you guys, ha, ha, ha!

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My name is Lawerence Matt; I go by Larry Matt. My partner and I run a restaurant here in St. Joe and we have for 32 years: The Cabbage Roll, a german restaurant. Very good, excellent food. I cook all the time and Andy helps me cook.

What were your symptoms? How did they affect your daily life?

I could hardly walk. I started with a cane, walking with a cane. Then I went to a walker, then I went to a wheel chair. I just couldn’t get around, period. And so I went to the hospital here in St. Joe, they sent us to Kansas City, then they sent us to Mayo [Clinic] in Rochester [MN]. They told me ‘The only thing you can do is go home and do physical therapy’. And I did physical therapy for like a month, which it helped a little bit, but I still couldn’t get around the way I knew I should be able to get around.

How did you hear about Alsara Vein Clinic?

So, then Bill and Sharon Luce told me about the doctor, [Dr.] Gupta, and said ‘They’ve done wonders with my legs. Why don’t you go try them?’ So I did, and this is the first place that ever did anything. It just was wonderful.

How did you feel during and after your treatment?

The first time he worked on my legs… I never could walk [before]. I had to go and use the scooters in stores and that, and after he did the first treatment, we went to Sam’s Club – I walked the whole store; went to Walmart – I walked the whole store. Of course, I was exhausted, but at least I could do it! And that was wonderful.

What was your first impression of Alsara Vein Clinic?

Out here was really the first time anybody actually said something was wrong. Nobody ever told me anything was wrong [before], and I knew something was. After the first consultation, it was just wonderful, you know, he’s so personable. He’s really a nice guy.

How did you feel during and after your treatment?

Well, during the procedure, I was skeptical to say the least. And then I said ‘Well, what are you going to do? How exactly are you going to do these veins in my legs’? And, so, he told me and, you know, I thought ‘well, that’s kinda goofy what you have to do to ‘em’ [laughs]! But it was great. I mean, he put some glue [VenaSeal™] in some of them, and put… [laughing] he had this can of stuff [Varithena®], foam stuff, and I said ‘hell, that foam stuff, I can go to Lowe’s and get a can of that stuff you spray for your house for cracks, ha ha ha!’

I had some pain, but not much. It was really, really kinda painless almost compared to some of the other stuff [other] people wanted to do, but it was fine. There wasn’t a lot that had to be done, really, for after-treatment care. I mean, I’d just… I’d come back here and they’d check me over [with ultrasound] and everything was fine. Yeah, after it was finished, we went to… and I walked the whole store – I didn’t need to use a cane, a walker, or my wheelchairs. It was really wonderful just walkin’ around, not having to… I mean, I love the scooters, though; they’re fun… but I didn’t have to use any of them, that was the best part. If I needed to, I had them all, but I didn’t have to use them.

How would you describe Dr. Gupta?

Dr. Gupta’s very professional and he knows what he’s doing. He explains everything to you; with a lot of doctors, they really don’t do that anymore. But, yeah, he’d stand there or sit there and he would explain to me what he was going to do, which I like that, and he had monitors that you could watch what he was doing. It was really, really nice.

What was your impression of the staff at Alsara Vein Clinic?

Oh, your staff is wonderful. They treat you like family. They’re really great. Kati, she’s kinda goofy, ha ha ha, but she’s good, ha ha ha! But, yeah, your staff is wonderful.

How did you feel after your treatment?

This is the only place that they’ve actually helped me, was here with Dr. Gupta at your vein clinic. I mean, nobody else really helped me do something with my legs except Dr. Gupta. I finally got answers as to why this is going on with my legs, so that was great, too.

How have the treatments changed your life?

The treatments have changed my life. I’m able to walk and do things I couldn’t do over a year ago. I can walk, I can do… I can’t dance yet, but I never could dance, so [laughs] that didn’t help much! But, ah, no, it was great.

How was your insurance coverage?

I never had a single problem with insurance coverage, not a bit. They just take care of it. Well, because I have a primary which is Medicare, and then I have my supplement, And, no, there have never been any questions with the insurance at all. So that’s wonderful, too [laughs].

Would you recommend Alsara Vein Clinic to family or friends?

Oh, yes, I’ve mentioned it to everybody that has something wrong with their legs to come out here. At least get a [free] consultation, you know. But I know they can do wonders for you.

Is there anything else you would like to share?

The best thing about Dr. Gupta is that he explains everything to you. Not like some doctors that don’t do that. And he said ‘Your veins in your legs are just like highways, where you have some that have off-ramps’ – all kinds of stuff like that – ‘and we’re going to block it off, and in this vein, we’re going to put stuff in [VenaSeal™] so that it starts coming out this vein.’ The way he explained it ‘like a highway’ you can understand what he means, and that was great that way. He explains everything to you – I like that. And he knew right away what the heck was wrong [with my legs]. Well, how come one doctor knows that, and none of these other doctors know anything about it? So, I came out here [to Alsara Vein Clinic] and been out here ever since – not going to anybody else, ha ha ha ha ha!

Leg Pain and/or Restless Legs Syndrome is a very common symptom of deeper vein problems. We've helped thousands achieve relief.

Even if you cannot see any visible or bulging varicose veins, your ongoing leg pain and/or restless legs syndrome may still be due to venous insufficiency. Other symptoms may include heavy legs, aching legs, tired legs, burning sensation in legs, itching, leg cramps or "charley horse", leg inflammation, swelling feet or ankles, skin discoloration, sores that heal poorly, skin ulcers, bleeding, even blood clots.

An estimated 60% of women and men suffer from vein disease.

How can I know if this is my problem?

We offer Consultations with a Board Certified Provider. They will visually examine your legs, evaluate your symptoms, answer any questions you may have, and determine whether an ultrasound "mapping" of your leg veins is necessary.

Ultrasound scanning is done in the office, is pain-free, and the results are available immediately. The Phlebologist (leg vein specialist) will perform a detailed examination, make a diagnosis, and then will discuss with you the best treatment options. Treatment is designed for each patient based on the results of the examination and ultrasound scan. Every patient is different, so an individualized treatment plan is essential.

How are varicose veins treated?

Fortunately, the days of painful vein stripping are over. Now, the treatments available are much safer, more effective, and patients are able to resume activities right away. We offer several minimally invasive, non-surgical, in-office procedures to ensure immediate and long-term results, including EVLA (Endovenous Laser Ablation), USGS (Ultrasound Guided Sclerotherapy), VenaSeal Closure System, and Microphlebectomy.

Leg problems don't wait – why should you?

If you're concerned about leg pain, endure leg pain or restless legs at night, or just wonder what is causing your lower leg pain or restless legs, claim your Consultation today and/or request an emailed informational brochure.

About Alsara Vein Clinic and Dr. Sam Gupta

Your Vein Specialist, Sam Gupta, M.D., M.P.H. completed his medical training at the Mayo Clinic and Masters in Public Health from Harvard University. He is one of the 795 Vein Specialists in the nation certified by The American Board of Venous & Lymphatic Medicine. He has devoted his career solely to the diagnosis and management of the entire spectrum of vein disorders. Alsara Vein Clinic is focused on varicose vein treatment and serves the greater northwest Missouri area. Many patients who have come to us with symptoms of leg pain and restless legs have found lasting relief with our virtually pain-free in-office varicose veins treatment. We offer Consultations, no referral necessary.

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

Veins are all we do, all day, every day. We've treated over 12,000 patients, many of whom sought relief from leg pain and/or restless legs and had no idea what was causing it.

Please describe your experience with us:

Front Desk staff:

I appreciated their kindness.

Ultrasound Technologist:

Very knowledgeable.

Provider/Doctor/Nurse Practitioner:

Did a good job.

Billing/Patient Account Services:

I appreciated them dealing with my insurance.

Call Center/Patient Service Center:

Very kind.

What made you choose us?

My Dr. Kenneth Tan.

What symptoms were you experiencing?

Soreness in my leg.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

A concern for blood clots. [Now I] feel better. Dr. Gupta assured me there should not be blood clots.

What improvements have you seen in your legs?

Less pain.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

I've not visited other vein clinics.

Please describe your experience with us:

Front Desk staff:

Good.

Ultrasound Technologist:

Good.

Provider/Doctor/Nurse Practitioner:

Good.

Billing/Patient Account Services:

Good.

Call Center/Patient Service Center:

Good.

What made you choose us?

My regular doctor sent me to this clinic.

What symptoms were you experiencing?

Phlebitis, burning, heaviness in leg.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

Hard time sleeping, swelling, trouble walking up stairs, restless legs.

What improvements have you seen in your legs?

No burning, no restless [legs], able to walk upstairs, no swelling.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

I appreciated the kindness towards me. The doctor explaining everything so I could understand it. Nothing better, everything was good.

Please describe your experience with us:

Front Desk staff:

Polite and efficient.

Ultrasound Technologist:

Polite and efficient.

Provider/Doctor/Nurse Practitioner:

Thorough info, kind, professional.

Billing/Patient Account Services:

Polite and efficient.

Call Center/Patient Service Center:

Polite and efficient.

What made you choose us?

Advertisement at festival / people with handouts.

What symptoms were you experiencing?

Restless leg. Swelling, aching, foot cramps.

How were you affected by your legs previously? What couldn't you do? How has that changed now?

Restless leg kept me awake.

What improvements have you seen in your legs?

Decreased restless leg, no swelling, less aching.

Additional Comments: What did you appreciate? What makes us different than other medical clinics? What could we have done better to exceed your expectations? What changes would you like to see?

The ultrasound technologist was wonderful! She was professional, friendly, supportive, and kind. She explained the process step by step. She and Dr. Gupta worked well as a team. Kati called attentively to check on me/my status. Thanks to all for a painless & effective treatment and follow up.