Veins function to bring blood back to the heart from the body. Veins have one-way valves that normally function to keep blood moving only in one direction. When these valves malfunction, the blood flows backward and dilates the veins. Spider veins are small red, blue or purple veins on the surface of the skin. Varicose veins are larger, and somewhat deeper than spider veins. Varicose veins frequently cause not only cosmetic problems, but can cause feelings of fatigue, heaviness, aching, and swelling of the legs. Long standing vein disorders can cause skin inflammation, and even skin ulcers.

Phlebology is the field of medicine focusing on the diagnosis and treatment of vein disorders. The American College of Phlebology was established 15 years ago in the United States as a forum for the advancement of this field and is the largest phlebology society in the United States. Its members are physicians with backgrounds from a variety of medical specialties who share a common interest and expertise in treating vein disorders.

Vein disorders are not always visible. Therefore, diagnostic techniques are important tools in determining the cause and severity of the problem. In addition to physical examination, noninvasive testing may be needed to accurately find the veins that are not functioning correctly. Handheld Doppler examination is often done by the evaluating nurse or physician to screen for problems involving larger veins that are not visible externally. If there is evidence to suggest this more serious venous problem, a test called a Duplex Ultrasound may be needed. This sophisticated, noninvasive test allows the physician to actually see the involved veins and assess each individual patient in order to ensure that an appropriate treatment plan can be made.

Dr. Richardson and Dr. Germano are active physician members of the American College of Phlebology.

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