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Blood Clots & Varicose Veins - 5X Higher Risk

Blood Clots & Varicose Veins - 5X Higher Risk

Suspect a Blood Clot in Leg?

Ultrasound Blood Clot med

  • Alsara Vein Clinic offers same-day appointments
  • Detailed scan for Deep Vein Thrombosis (DVT) as well as Superficial Vein Thrombosis (SVT)

The best test currently available for thrombosis (clot) in the legs is a color flow duplex ultrasound. At Alsara Vein Clinic, we utilize very high-resolution ultrasound capable of diagnosing clots in even the smaller deep veins in the calf.

Certified by ABVLM Sam Gupta MDDr. Gupta is certified by the American Board of Venous and Lymphatic Medicine. All clinical staff has specialized education and training for the management of venous diseases including all types of blood clots. Urgent Care centers, Primary Care Providers, Patients, and their relatives routinely call us for same-day appointments.

At Alsara Vein Clinic, we treat vein problems all day, every day. Unlike duplex ultrasound performed at an Emergency Room that focuses only on deep vein thrombosis (DVT), we check for DVT and SVT. Do not let yourself or your loved one be another victim of an undiagnosed dangerous blood clot.

Call us at 816-396-0245 for a Consultation

Superficial Thrombophlebitis and Deep Vein Thrombosis (blood clots) are other potential complications from varicose veins.

Varicose veins are prone to developing Superficial Thrombophlebitis (SVT) as well as Deep Vein Thrombosis (DVT). Superficial Thrombophlebitis is characterized by redness of the skin, tenderness, and pain along the affected superficial vein just below the skin surface. As opposed to deep veins, blood clots in the superficial veins are less severe and generally do not break off and go to the lungs.

blood clots

Deep Vein Thrombosis or DVT on the other hand is a more severe condition. The vein in the leg still becomes inflamed and forms a blood clot. However, Deep Vein Thrombosis has the potential to cause a “pulmonary embolism” – a potentially life-threatening condition – if the clot breaks loose and travels to the right side of the heart and eventually migrates to the lungs.

Vein Disease Menu

Amy Hallquist - Blood Clots

Blood Clots - 5X Righer Risk

  • Blood Clots:
    • Embolism: a blood clot that travels from the site where it was formed
    • Thrombus: a blood clot that forms in a vessel
  • Deep Vein Thrombosis (DVT): 5 X higher risk of DVT in people with Varicose Veins
  • Pulmonary Embolism (PE): blood clot travels through the heart and blocks a blood vessel in the lung
  • Peripheral Arterial Disease (PAD): 1.7 X higher risk of Pulmonary Embolism (PE)

A landmark study was published in JAMA, a very reputable medical journal, that demonstrated how people who have varicose veins have five times (5X) higher risk for clots in the deep veins that can be potentially fatal. Those blood clotscan take off and get lost in areas like the lungs and cause conditions like Pulmonary Embolism.

In the initial stages of varicose veins, people may only see some spider veins or ropey veins, and sometimes there are no visible veins. You may have pain, heaviness, tiredness, restless legs, leg cramps, etc. More advanced stages are when you have skin changes, discoloration, bleeding, ulcers that are slow to heal, and blood clots.

Read More about Potentially Deadly Blood Clots

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

Contact

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Contact Alsara Vein Clinic

Schedule a consultation at our St. Joseph, MO vein clinic at 1105 S Belt Hwy, ask our expert, request more info, or provide feedback:

Address

Alsara Vein Clinic
1105 S Belt Hwy
St. Joseph, MO 64507

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Phone

Number:

 816-396-0245
Toll-Free:

 844-425-7272
(844-4-ALSARA)
Fax:

816-558-6544

Forms

Hours

Monday:

8:00 am–5:00 pm
Tuesday:

8:00 am–5:00 pm
Wednesday:

8:00 am–5:00 pm
Thursday:

8:00 am–5:00 pm
Friday: Closed
Note:

Limited evening, Friday & Saturday appointments available by prior arrangement only.

Alsara Vein Clinic - St. Joseph, MO

Alsara Vein Clinic provides world-classvaricose vein treatments forvein disease,varicose veins, andspider veins in Saint Joseph, MO.Alsara Vein Clinic serves patients inSt. Joe(Saint Joseph, MO) and greater northwestMissouri.Free Consultations –No Referral Necessary –Walk-ins Welcome! We have a relaxed atmosphere, a very caring staff, and expert vein care fromDr. Sam Gupta, a leadingVein Specialist (Phlebologist) who completed his training at theMayo Clinic andHarvard University. He is a Diplomate ofThe American Board of Venous & Lymphatic Medicine.

Edema (swelling) and Phlebolyphedema

Edema (swelling) and Phlebolyphedema

Leg, calf, foot, or ankle swelling?

edema or swelling in ankles, feet, calf or legsAlsara Vein Clinic has helped many patients achieve relief from Edema.

Edema (swelling) of the calf, ankle, foot, or leg is a common symptom of varicose veins that allows blood to flow backward and pool in the legs. Over time, some blood and other fluids can leak out of the vein into the surrounding tissue causing Edema (swelling). Edema Specialist and Vein Specialist Dr. Sam Gupta can help diagnose and treat Edema (swelling). Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine.

At Alsara Vein Clinic, we treat vein problems all day, every day.

Call us at 816-396-0245 for a Consultation

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.

edema swellingThe 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).

phlebectaticaDuring 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

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

Vein Disease Menu

Infection / Leg Ulcers

Infection / Venous Ulcer

Suspect a Blood Clot in Leg?

Left untreated, symptoms of varicose veins such as pain, fatigue, and swelling of the legs or ankles worsen over time. You may develop venous ulcers. Ulcers due to varicose veins are painful and difficult to heal unless the underlying venous backflow is corrected. Blood that pools in the varicose veins is depleted of oxygen and nutrients. The walls of these veins are already weakened and increased pressure allows red blood cells and fluid to leak into the tissues of the leg. This in turn causes swelling, pain, tingling, and numbness in the legs and feet. 

Chronic inflammation that develops from leakage makes the skin dark and discolored, commonly known as hyperpigmentation. Over time, the skin and surrounding fat under the skin can also get increasingly irritated and inflamed turning the tissue rubbery and firm; a condition called lipodermatosclerosis.

Another possible consequence of untreated varicose veins is spontaneous bleeding from the varicose veins. Bleeding may occur even from a minor injury to your legs and cause significant loss of blood in a short amount of time.

Your Venous Ulcer Specialist at Alsara Vein Clinic will perform a detailed examination and discuss the best treatment options. It is never too late to seek care. Call 816-396-0245 for a Consultation.

Progression of Varicose Veins can lead to Venous Ulcers and Infection

progression of varicose veins can lead to leg ulcers and skin infection

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

Vein Disease Menu

Leg Pain? Restless Legs? Common symptoms of vein disease

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.

leg pain and restless legs often caused by varicose veins

Signs and Symptoms

  • Aching
  • Burning or numbness
  • Cramping or 'Charley horse'
  • Heaviness
  • Itching
  • Leg pain
  • Restless legs
  • Tiredness
  • Swelling in feet ankles and calves

Left untreated, may result in skin discoloration, bleeding veins, sores that heal poorly, and blood clots.


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.

 

usgs mapping reveals if you have varicose veinsUltrasound 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?

alsara vein clinic logo onlyFortunately, 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.

Linda Cook

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.

cook linda

Microphlebectomy Treatments

Microphlebectomy Treatments

Introducing Next Generation Microphlebectomy

Microphlebectomy Poster sm

Safely and permanently remove unsightly varicose veins with no downtime and minimal pain or risk of scarring

Alsara Vein Clinic believes in the comprehensive treatment of venous disorders. Our goal is to offer long-lasting results. We do not believe in band-aid treatments. Prior to performing microphlebectomy, we will examine the larger deeper veins in the legs using ultrasound. If there are problems with the deeper (feeder) veins, those must be addressed first, otherwise, the chances of the veins returning or new varicose veins developing in the area are significantly higher. The deeper saphenous veins are typically sealed using a laser (endovenous laser ablation or EVLA). When microphlebectomy is coupled with EVLA, both procedures may be performed on the same day or scheduled a few weeks apart. A study using 76 patients demonstrated that 58.2% of legs treated with EVLA alone did not require further treatment with microphlebectomy. In most cases, EVLA allowed the varicosities to decrease in size or disappear altogether.

Microphlebectomy is a permanent fix for the varicose vein. The vein cannot come back. Other veins may develop and even appear in the same location, but those that have been removed are gone for good. If new veins should develop, they can easily be eliminated with sclerotherapy injections or microphlebectomy.

The procedure itself typically takes less than one hour to perform and requires no downtime. Further, microphlebectomy may be covered by medical insurance if you are experiencing symptoms such as aching, burning, itching, or swelling in your legs caused by varicose veins. There may also be some incidence of blood clots or bleeding. If symptoms are not present, the procedure will be considered cosmetic hence insurance coverage would be unavailable.

Patients are amazed at how easy the microphlebectomy procedure is and how quickly they can see positive results. Patients often comment on how sorry they are that they waited so long to get rid of their unsightly varicose veins that are also a health hazard. Call us now at 1-844-425-7272 to schedule a consultation with our vein specialist.

Alsara Vein Clinic specializes in microphlebectomy treatments to remove unsightly varicose veins.

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

Vein Treatment Menu

President Trump – Chronic Venous Insufficiency (CVI)

Chronic Venous Insufficiency

President Donald Trump was recently diagnosed with Chronic Venous Insufficiency (CVI). His diagnosis has sparked renewed interest in this common yet often overlooked condition. Many patients are now asking important questions: What is CVI? Is it serious? Who gets it? How is it treated? Let’s dive right in.

What is CVI?

RefluxingVeinAnimation smChronic Venous Insufficiency (CVI) is a medical condition in which the veins in the legs don’t function properly, making it difficult to pump blood back to the heart. This leads to circulation problems and a variety of leg symptoms.

In the early stages, symptoms may be subtle such as heaviness, fatigue, aching, throbbing, itching, or burning in the legs. As the condition progresses, due to inadequate blood flow to calf muscles patients may experience leg cramps (often called “Charley horses”) or restlessness at night (Restless Leg Syndrome).

Without treatment, CVI can worsen and lead to leg swelling, skin discoloration, bleeding varicose veins, recurrent skin infections, blood clots and poorly healing sores (ulcers)

Progression of Varicose Veins

How Common is CVI?

CVI is extremely common, affecting 10–35% of adults in the U.S. Both men and women are at risk, but women often develop symptoms earlier due to pregnancies and hormonal changes. In fact, nearly 40% of women over age 50 have some degree of CVI.

Risk factors include family history of vein disease, age and prolonged standing or sitting

Treatment of CVI

In the past, treatment for CVI often required invasive vein stripping surgery in a hospital, followed by a long and painful recovery. Thankfully, modern medicine has transformed vein care.

Today, CVI can be treated in the comfort of an office setting with minimally invasive procedures. Diseased veins are safely closed, restoring healthy circulation. Patients typically return to normal activities immediately with no downtime, and minimal discomfort. Many notice improvements in their legs as soon as the next day.

A quick, painless duplex ultrasound can diagnose CVI, and your vein specialist will review personalized treatment options. Almost all insurance plans including Medicare cover treatment of symptomatic vein disease.

Call Alsara Vein Clinic today at 816-396-0245 for a Consultation. We offer same-day appointments.

Restless Leg Syndrome (RLS)

restless leg syndrome treatment

Restless Leg Syndrome

Restless Leg Syndrome? Alsara Vein Clinic has helped many patients achieve relief.

Ultrasound Blood Clot med

Varicose Veins and Restless Leg Syndrome (RLS) have many symptoms in common: an urge to move your legs, that creepy-crawly feeling, itching, tingling, and restlessness. These symptoms may be an indication of poor circulation, even if you have no visible varicose veins. Phlebologist and Vein Specialist Dr. Sam Gupta can help diagnose and treat restless leg syndrome and symptoms. Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine.

At Alsara Vein Clinic, we treat vein problems all day, every day. 

Call us at 816-396-0245 for a Consultation

Varicose veins are a common cause of secondary RLS

Jumping can be good... as long as you have control over it!

restless legs syndrome jumping

restless legs rls

Varicose veins are a common cause of secondary RLS (restless leg syndrome). For those who have varicose veins, the symptoms of restlessness in legs center on the fact that leg muscles and tissue are not getting enough oxygen- and nutrient-rich blood. That "pins-and-needles" feeling is their body's way of telling them they need more blood flowing through their legs, and it creates an urge to move, making it difficult to sleep at night. In addition to cramps ("Charley horse") and restlessness in the legs, varicose vein sufferers may also notice heaviness, excessive tiredness, and aching in the legs. Left untreated the underlying venous insufficiency (pooling of blood in legs) may cause swelling, clots, and sores.

Primary Restless Leg Syndrome (RLS)

Some patients have Primary RLS (restless leg syndrome). This means that the cause is unknown. In addition to varicose veins, there are other secondary causes of RLS including iron deficiency anemia, kidney failure, side effects of certain medications (such as medications used to control depression), peripheral neuropathy, and dehydration (inadequate fluid intake or caffeine intake).

restless leg syndrome specialist doctor st joseph moIf you experience restlessness in your legs, consult with a Vein Specialist to see if varicose veins may be the cause. A duplex ultrasound examination in the comforts of the office setting can help determine if varicose veins are present.

Treatment of varicose veins may alleviate the symptoms of RLS (restless leg syndrome). One study found that 98% with RLS (restless leg syndrome) and varicose veins noted improvement after treatment of varicose veins with sclerotherapy.* Newer treatments such as endovenous laser ablation are more effective than sclerotherapy and offer longer-term solutions. The use of medications to mask symptoms of RLS (restless leg syndrome) may cause side effects without addressing the underlying cause. Other ways to manage symptoms of restlessness in the legs include calf exercises, weight loss, and the use of graduated compression stockings.

*Dermatol Surg. 1995 Apr;21(4):328-32.   The effect of sclerotherapy on restless legs syndrome.

Read More about Restless Leg Syndrome and Leg Cramps
Alsara Vein Clinic specializes in restless leg treatments.

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

Vein Disease Menu

Restless Legs - Varicose Veins may be responsible for Restless Legs Syndrome (RLS)

Varicose Veins and Restless Legs Syndrome

Many patients now recognize that varicose veins may not be visible from the outside. Most of our patients report experiencing tiredness, cramping (charley horse), restlessness, or swelling in the legs. Those whose condition has not reached one of the advanced stages often wonder if they are at increased risk of anything that could be limb or life-threatening.

At least one-third of our patients clearly have signs of advanced venous insufficiency – when varicose veins have progressed to a point where the chronic pooling of blood (stasis) in the legs causes skin changes. They may notice skin discoloration, thickening or hardening of the skin, recurrent skin infections, bleeding that can be profuse, and poorly healing sores in the legs. In addition, varicose veins may be an early warning sign of potentially deadly blood clots.

We routinely see patients with blood clots. Some are referred by their primary care providers and others present themselves with concerns about blood clots. Yet there are many patients who are surprised to find that they have a blood clot when we examine them using duplex ultrasound.

Introduction

Restless Leg Syndrome (RLS) is characterized by an irresistible urge to move the legs to alleviate discomfort, ranging from aching and throbbing to itching and crawling sensations.2 Articulating these sensations can be challenging for some patients.

Who gets it?

Initially documented in 1945, RLS, also known as Willis-Ekbom disease3, was reported to affect around 5% of the population. Recent studies, however, indicate a prevalence ranging from 3% to 15%. It tends to occur more frequently in women, with a nearly 2:1 female-to-male ratio. As age advances, there is a positive correlation with RLS prevalence. Genetics plays a role, as up to 25% of first-degree relatives of individuals with RLS report similar symptoms.4

Connecting Varicose Veins and RLS

Even in the 1940s, when Restless Leg Syndrome (RLS) was first identified, Dr. Ekbom suggested that venous disease could be a potential cause. However, it took around fifty years to firmly establish this connection. A groundbreaking 1995 study published in the Journal of Dermatologic Surgery treated 113 individuals with restless legs and ultrasound-confirmed vein disease using sclerotherapy.5 Surprisingly, 98% of participants reported immediate relief. Subsequent studies have consistently supported this link, uncovering RLS symptoms in individuals with primary and recurrent varicose veins1. Addressing superficial venous insufficiency has proven effective in alleviating RLS symptoms for most patients. Nonetheless, it's essential to acknowledge that certain conditions, including iron deficiency anemia, pregnancy, kidney failure, various neurological conditions, and specific medications, can also contribute to RLS symptoms.

Explaining the connection

Impaired venous blood return in the legs, particularly in chronic venous insufficiency (CVI), may drive the subconscious urge to move the legs (RLS), forcing you to use your muscles that help pump blood back to the heart. Inflammation associated with CVI could lead to overactive nerves, intensifying the situation. Nighttime leg cramps and pain, often linked to varicose veins, can further disrupt sleep, aggravating leg restlessness.

Determining if Varicose Veins might be responsible for Restless Legs

A straightforward and noninvasive duplex ultrasound in your Vein Specialist’s office can identify any underlying venous issues. The Vein Specialist will review a treatment strategy if venous insufficiency is found. Typically, the affected veins are closed using one of the FDA-approved treatment modalities to reroute blood flow through healthier veins.6

Conclusion

Restless Leg Syndrome (RLS) is a common issue often linked to varicose veins. You might also be encountering other symptoms of varicose veins and associated venous insufficiency, including sensations of heaviness, fatigue, aching, cramping, and swelling in the legs. If left untreated, the condition can worsen, leading to potential complications such as blood clots, bleeding, frequent skin infections, and slow-healing sores. Medications for RLS, such as Ropinirole and Pramipexole, may mask the symptoms without addressing the underlying problem. Reach out to Alsara Vein Clinic at 816-396-0245 for a complimentary Consultation.

Take the initial step towards relief and an improved quality of life.

  1. Restless legs syndrome symptoms in primary care: a prevalence study. Nichols DA, Allen RP, Grauke JH, et al. Arch Intern Med. 2003;163:2323–2329
  2. Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology:Sleep Med. 2003;4:101–119. 
  3. Restless legs syndrome/Willis-Ekbom disease diagnostic criteria Sleep Med. 2014;15:860–873. [
  4. Treatment of Leg Veins for Restless Leg Syndrome: A Retrospective Review, Swaminathan et al, Cureus 2019
  5. The effect of sclerotherapy on restless legs syndrome Dermatol Surg 1995 April 21 
  6. The effect of endovenous laser ablation on restless legs syndrome Hayes et al Phlebology June 2008

 

Sam Gupta, MD, MPH - Vein Specialist (Phlebologist)

Sam Gupta, M.D., M.P.H. ("Dr. Sam"), Vein Specialist, completed his medical training at the Mayo Clinic and Masters in Public Health from Harvard University. He is a Diplomate of the American Board of Venous & Lymphatic Medicine.

Vein Specialist: Dr. Sam Gupta

Doctor Sam Gupta has worked for many years in various settings including Primary Care, Urgent Care, Emergency and Wound care departments. It was in these settings where he saw countless patients who came with symptoms and complications of venous disorders (such as clots, bleeding veins, frequent infection, and poorly healing sores in legs). Sam Gupta, M.D., Vein Doctor, received certification from the American Board of Phlebology in 2009. Dr. Gupta has devoted his career solely to the diagnosis and management of the entire spectrum of vein disorders, offering the best vein services and vein treatments available. Named America's Top Doctor in 2007-2009, Dr. Gupta, Vein Specialist, sets the standards for vein treatment in Saint Joseph, MO, and greater Missouri.

Dr. Sam enjoys spending time with his wife, Priya, and their two girls, Alisha and Sara, as well as their dog, Caeser. He enjoys music, traveling all over the world, and fitness exercises.

Dr. Gupta, Vein Specialist, is a Diplomate of the American Board of Venous & Lymphatic MedicineDr. Gupta is a Diplomate of the American Board of Venous & Lymphatic Medicine

DrawingPin1 Blue

A Message from Dr. Sam

Treating vein problems is my passion. Although the science of medicine is not perfect and our healthcare system is constantly changing, I have had the privilege of helping thousands of patients. Many came with unsuccessful vein treatments in the past and some were told that nothing more could be done. Restoring their health (and lost smiles) has been a very humbling experience.

The wealth of knowledge and experiences that I have gained in practice is priceless. Many patients have told me that my work has changed their lives. The truth is that along the way they have changed mine!

Life is a beautiful journey; I wouldn’t trade the experiences for anything in the world.

Sam Gupta, M.D., your St Joe Vein Doctor

Free Consultation   Contact Us

Sclerotherapy Treatments

Sclerotherapy Treatments

Injection Sclerotherapy and Varithena® Vein Treatments

Injection Sclerotherapy is a method of treating varicose veins and chronic venous insufficiency using medication that is injected into a vein, causing it to close. Varithena® is a new, cutting-edge treatment option approved by the FDA in 2013. It is one of the most popular and effective treatments available to improve symptoms of superficial venous incompetence and the appearance of visible varicosities. Phlebologist and Sclerotherapy Specialist Dr. Sam Gupta can help diagnose and treat varicose veins and chronic venous insufficiency with a variety of treatment modalities, including Sclerotherapy and Varithena®. Dr. Gupta is certified by the American Board of Venous and Lymphatic Medicine.

At Alsara Vein Clinic, we treat vein problems all day, every day.

Call us at 816-396-0245 for a Consultation

What is Sclerotherapy?

ultrasound guided sclerotherapyUltrasound Guided SclerotherapyInjection Sclerotherapy, also known as Echosclerotherapy, is a method of treating varicose veins and chronic venous insufficiency using medication that is injected into a vein, causing it to close. Healthy veins then take over to correct blood flow back to the heart, resulting in symptom improvement. Using ultrasound guidance is essential in achieving long-term results and ensures the most complete treatment of all diseased veins.

How Does This Vein Treatment Process Work?

When the injectable agent comes in contact with the inside lining of the vein, the treated vein collapses and is soon replaced by a thin cord of fibrous tissue. The vein is now permanently closed. This process is called sclerosis, hence the name "sclerotherapy". The treated vein is then slowly absorbed by your body and eventually disappears.

Ultrasound Guided Sclerotherapy (USGS) is a highly versatile treatment and useful to treat any residual varicose veins that may persist after Endovenous Laser Ablation varicose veins treatment. This ensures comprehensive treatment of the entire diseased network of veins for long-term benefit.

This USGS treatment assumes a major role in the treatment of venous insufficiency, as well as smaller veins, such as telangiectasias and spider veins. USGS is considered the "Gold Standard" for treating spider veins, which are smaller versions of varicose veins that are visible under the skin surface. The success of the sclerotherapy relies upon the experience and skill of the provider. Choosing the right sclerosant, target, volume, concentration, and “exposure time” make the difference between success and failure. Your Vein Specialist at Alsara Vein Clinic is highly skilled in administering USGS treatments.

Varicose Veins Treatment using Varithena®

What is Varithena®?

varithena microfoam treatment for varicose veinsVarithena® is a new, cutting-edge treatment option approved by the FDA in 2013. It is one of the most popular and effective treatments available to improve symptoms of superficial venous incompetence and the appearance of visible varicosities. Administered under ultrasound guidance, it damages the interior lining of the problem vein and causes it to close shut. Over a period of several months, the body will slowly absorb the treated veins by the process of fibrosis.

When is Varithena® recommended?

Varithena® is not used for all forms of varicose veins. It is approved for the treatment of incompetent great saphenous veins, accessory saphenous veins, and visible varicosities of the great saphenous vein (GSV) system above and below the knee. Typically, Varithena® is used for residual varicosities after the truncal veins have been sealed with other treatment modalities such as thermal ablation (EVLA, RFA) or VenaSeal™. Treatments are tailored to individual patients' needs and circumstances. Your Vein Specialist will make the determination for you.

What happens after treatment?

Post-treatment bandages are applied, and compression stockings are used for a minimum of 1 week. It is important to stay active and avoid prolonged inactivity. Also avoid excessively heavy weightlifting, high impact activities, and exposure to heat.

What are the risks involved in the use of Varithena®?

Localized numbness, tenderness, redness, tingling, and bruising are not uncommon. These changes are typically near the injection site and resolve over time.

Varithena
Alsara Vein Clinic specializes in injection sclerotherapy and Varithena® treatments of varicose veins.

Vein Treatment Menu

Varicose Vein Treatments

Varicose Vein Treatments

Varicose Veins Treatment using Laser

What is Endovenous Laser Ablation Vein Treatment?

Varicose veins treatment using Endovenous Laser Ablation, or EVLA, is a non-surgical and minimally invasive varicose veins treatment that offers an effective alternative to the surgical stripping of veins. It is performed in the office under local anesthetic using our unique numbing system. We also offer needle-free numbing for the best comfort. Endovenous Laser Ablation is the safest, most effective, and long-term solution that science and modern medicine offers for varicose vein treatments.

How Does the EVLA Procedure Work?

Under ultrasound guidance, a thin fiber-optic probe is inserted through a tiny entry point, usually near the knee. Laser energy is delivered to seal the faulty vein so that blood cannot flow through it. This eliminates unsightly bulging and enables the blood to be diverted to healthy veins in the leg, thereby alleviating any symptoms. Immediately after the procedure patients can resume daily activity. Most patients are able to return to work immediately.

Laser Treatment of Varicose Veins

Innovative ThermaLite 1470 nm Laser System

varicose veins treatment using laserAlsara Vein Clinic exclusively uses the leading edge EVLA technology (1470 nm laser system), which decreases discomfort and bruising, while maintaining the unparalleled efficacy and safety of laser technology. Studies have shown that Endovenous Laser Ablation (EVLA) is more effective in treating varicose veins than Radiofrequency Ablation (VNUS Closure). Traditional laser machines have utilized lower frequencies (810 nm or 980 nm) and target blood (hemoglobin) within the veins. However, there was more, although temporary, bruising and soreness noted with these laser frequencies than with radiofrequency ablation. The new ThermaLite 1470 nmlaser machines target water in the vein wall instead of hemoglobin, which results in much less discomfort, practically no bruising, and a fast return to normal activities. This is particularly important for people living active lifestyles who want to resume their activities right away and would like to wear shorts or skirts. The new 1470nm offers the best of both worlds. Alsara Vein Clinic has treated numerous patients using the new 1470 nmLaser with almost no discomfort or any bruising after the procedure. Our patients cannot be happier with the results.

Varicose Veins Treatment using VenaSeal Closure System

FDA-approved VenaSeal

What is VenaSeal™ Vein Treatment?

VenaSeal™ is a revolutionary FDA-approved medical-grade superglue for the treatment of varicose veins. The VenaSeal™ Closure System is a non-thermal treatment option that seals – or closes – the diseased vein using a small amount of specially formulated medical adhesive that is delivered to the diseased vein. The adhesive permanently seals the vein, and blood is rerouted through nearby healthy veins. Unlike other treatment options, only a single injection of numbing medication is needed, and no compression stockings are necessary post-treatment, which reduces discomfort and recovery time. Many patients are able to return to normal activity immediately after the procedure.

VenaSeal

  • Vein sealed with VenaSeal
  • Before and After VenaSeal procedure

How do I get started with the Varicose Vein Treatment Process?

To determine whether or not the Laser Treatment or VenaSeal™ procedures we offer are right for you, please schedule a free consultation.

During this free consultation, you will meet with one of our board-certified vein specialists to assess your symptoms and discuss treatment options appropriate for you.

Alsara Vein Clinic specializes in varicose vein treatments using laser or medical grade adhesive.

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

Vein Treatment Menu

Varicose Veins

Varicose Veins

How are Ropey (visible) Varicose Veins Treated?

Varicose Veins Poster onlyTreatment of ropey varicose veins may require one or more combinations of the following: Endovenous Laser Ablation, VenaSeal Closure System, Injection Sclerotherapy (including Ultrasound Guided Sclerotherapy and Catheter Assisted Sclerotherapy), and Microphlebectomy.

Large bulging veins that appear on the skin surface as ropey veins are frequently a major branch of a deeper (inside the leg) saphenous vein, such as the Great Saphenous Vein, which is often, but not always, involved. Ultrasound testing is frequently necessary to determine the level of involvement. If the saphenous vein is involved, it would likely need to be sealed first using Endovenous Laser Ablation (EVLA) or VenaSeal Closure System. This step in itself is sometimes enough to “shrink” the bulging vein. Any remaining unsightly veins may be either closed with sclerotherapy (using medication to seal the vein) or sections of the bulging veins may be removed by microphlebectomy. Unlike vein stripping, microphlebectomy is a simple, out-patient procedure performed under local anesthesia. Using very fine instruments, sections of unwanted veins are carefully removed through tiny openings without the need for sutures and with minimal risk of scarring. Vein treatments may be staged (occur on separate days) or a combination of treatments may be performed on the same day if recommended by your Phlebologist (Vein Specialist).

Now you may be able to get rid of the unsightly ropey varicose veins during your lunch break (and start looking for that pair of shorts you thought you could never wear!).

Learn more about Alsara Vein Clinic vein treatment options on our Varicose Vein Treatments page.

Alsara Vein Clinic specializes in varicose vein treatments.

Varicose Vein Treatments are coved by insurance including Medicare and Medicaid

Veins Disease Menu

Varicose Veins – Early Sign of Potentially Deadly Blood Clots

Many patients now recognize that varicose veins may not be visible from the outside. Most of our patients report experiencing tiredness, cramping (charley horse), restlessness, or swelling in the legs. Those whose condition has not reached one of the advanced stages often wonder if they are at increased risk of anything that could be limb or life-threatening.

At least one-third of our patients clearly have signs of advanced venous insufficiency – when varicose veins have progressed to a point where the chronic pooling of blood (stasis) in the legs causes skin changes. They may notice skin discoloration, thickening or hardening of the skin, recurrent skin infections, bleeding that can be profuse, and poorly healing sores in the legs. In addition, varicose veins may be an early warning sign of potentially deadly blood clots.

We routinely see patients with blood clots. Some are referred by their primary care providers and others present themselves with concerns about blood clots. Yet there are many patients who are surprised to find that they have a blood clot when we examine them using duplex ultrasound.

Blood clots are far more common than most people think. Serena Williams and Hillary Clinton are among the dozens of celebrities who have suffered consequences due to blood clots. James “Jimmy” Stewart from the movie It’s a Wonderful Life and NBC journalist David Bloom lost their lives from blood clots. David Bloom’s wife, Melonie Bloom, has devoted her life to raising awareness of thrombosis.

The association between varicose veins and deep vein thrombosis (DVT) was demonstrated in a landmark Taiwanese study published in JAMA (Journal of the American Medical Association). Reviewing the health records of over 425,000 adults, the study found a higher rate of pulmonary embolism (when a blood clot in the leg breaks off and travels to the lung) and peripheral artery disease in patients with varicose veins.

  • take care of your bodyVaricose veins increase the risk of deep vein thrombosis (DVT) by five times
  • DVT is a clot in the legs, which can lead to amputation or even death
  • Varicose veins make people twice as likely to develop a pulmonary embolism
  • Varicose veins double the risk of peripheral artery disease, which reduces blood flow


Varicose veins are veins with weakened walls that fail and cause pooling of blood in the legs. Patients with varicose veins are known to have increased levels of inflammatory and pro-thrombotic markers. These patients have a considerably high risk of forming blood clots in their legs.

Not all clots are serious, but they often tell us about an underlying problem such as impaired blood flow that can lead to greater problems down the road. As Dr. Chang, the lead author of the Taiwanese study stated, “varicose veins deserve careful monitoring and early evaluation”.

Call us at 816-396-0245. We are here for you.

Learn more about Blood Clots

blood clots in the news

Vein Screening and Diagnosis

Screening & Diagnosis

How are Ropey (visible) Varicose Veins Treated?

Varicose Veins Poster onlyTreatment of ropey varicose veins may require one or more combinations of the following: Endovenous Laser Ablation, Injection Sclerotherapy (including Ultrasound Guided Sclerotherapy and Catheter Assisted Sclerotherapy), and Microphlebectomy.

Large bulging veins that appear on the skin surface as ropey veins are frequently a major branch of a deeper (inside the leg) saphenous vein, such as the Great Saphenous Vein, which is often, but not always, involved. Ultrasound testing is frequently necessary to determine the level of involvement. If the saphenous vein is involved, it would likely need to be sealed first using Endovenous Laser Ablation (EVLA). This step in itself is sometimes enough to “shrink” the bulging vein. Any remaining unsightly veins may be either closed with sclerotherapy (using medication to seal the vein) or sections of the bulging veins may be removed by microphlebectomy. Unlike vein stripping, microphlebectomy is a simple, out-patient procedure performed under local anesthesia. Using very fine instruments, sections of unwanted veins are carefully removed through tiny openings without the need for sutures and with minimal risk of scarring. Vein treatments may be staged (occur on separate days) or a combination of treatments may be performed on the same day if recommended by your Phlebologist (Vein Specialist).

Now you may be able to get rid of the unsightly ropey varicose veins during your lunch break (and start looking for that pair of shorts you thought you could never wear!).

Learn more about Alsara Vein Clinic vein treatment options on our Varicose Vein Laser Treatments page.

  • Vein Screening reveals vein problems in legs

    Vein Screening reveals vein problems in legs

Alsara Vein Clinic specializes in varicose vein treatments.