Vein Specialists of the Carolinas

Your doctor for vein treatment in North Carolina and South Carolina

Gastonia, NC: 704-861-2072
Charlotte, NC: 704-544-5245

Before and After pictures of Varicose Vein Treatment at Vein Specialists of the Carolinas Varicose Vein Treatment has never been easier at Vein Specialists of the Carolinas in Charlotte and Gastonia

It's not even the end of the day and you can't wait to sit down and put your feet up. The heaviness, aching and throbbing you feel in your lower extremities may even be clearly visible by the bluish trails along your legs. If so, you probably dislike what you see as much as the discomfort it causes.

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May-Thurner Syndrome

What is May-Thurner Syndrome

May-Thurner syndrome is compression of the left leg vein as the right leg artery passes over it and squeezes it against the spine enough to cause restriction of outflow of the venous blood from the leg. This happens around the level of the belly button where the left and right leg veins join to form the main vein that goes to the heart, the Inferior Vena Cava(IVC). The continued pulsations of the artery set up scarring in and around the vein that won’t let the vein open up.

This causes the same symptoms as all the other vein problems:

  • pain
  • heaviness
  • aching
  • restlessness
  • throbbing
  • varicose veins
  • leg swelling
  • leg discoloration or inflammation and leg ulcers
It is also the reason there are more left leg blood clots, DVT, than right. It was thought to be very rare. It used to be found only after a blood clot was found going up that high. This is only because our diagnostic studies were just not sensitive enough to reliably find it. With the newest technology of IntraVenous UltraSound, IVUS, we can find it easily and accurately. Now that we have this sensitive test, we have actually learned that other structures can also cause this pinching of the veins of either leg. In total there are three locations along the vein that squeezing is commonly found. They are located between the belly button and the groin. Also since the veins from the pelvic organs, uterus, ovaries, bladder, rectum and gluteal muscles all drain into the leg veins, this blockage can affect them as well. In women this can lead to pelvic pain, urgency to urinate, fullness in the rectum, hemorrhoids, and buttock pain, and possibly pain or aching after sex. This pattern of pelvic pain is known as pelvic congestion syndrome.

Varicose veins coming from underneath the buttock, across the pubic area, and in the inner most thigh are additional specific clues that this problem exists.

IVUS is performed similar to a heart catheterization. However, the risks are much lower because we are not in a high pressure artery or in a vital organ.

If a blockage of more than 50% is found, the tight area is stretched open with a special balloon and one or more stents are placed to keep it open.

This is done with the patient “completely out” from our anesthesia specialists (CRNA and MD).

Afterwards you may have pain in the left and or right side of the lower back from the stents. This will go away similar to other surgical pain in a few days to a couple of weeks. The only incision will be tiny punctures in the thigh where we get into the vein with a large IV. This is usually covered with only a band aid or small dressing.

Some people experience relief from pain and swelling immediately. Others have to wait till the back pain wears off.

Dr Draughn has studied with the world’s pioneers and leading experts in this. It can be done as an outpatient in the hospital or in our accredited office based surgical suite.