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.

Read More


Sigvaris compression stockings

The expert in medical compression stockings for treatment of venous and lymphatic diseases.

ICAVL Accreditation Logo

May-Thurner Syndrome

What is May-Thurner Syndrome

Commonly referred as compression of the iliac vein in the left leg, this condition causes painful sensations for patients that experience this. Vein compression in this region, and on the left side particularly, happens by pressure exerted by the iliac’s right artery. The reason we have this depression of the left iliac vein by the artery is that of the extremely close position as they weave through the pelvic bone. The iliac artery lays in a crossed pattern to the vein so it usually happens on the left side that the larger artery could put added pressure here.

The reason that we focus on May-Thurner Syndrome is that of the tendency for these veins as they move through to the lower half of the body can become blocked by this compression or constriction of the vein to cause thrombosis. Deep vein thrombosis (DVT) presents a higher risk in these patients if we catch May-Thurner Syndrome early enough in our detailed assessment of the veins in our Vein Specialists of the Carolinas Charlotte clinic.

Why Deep Vein Thrombosis is a Concern

Most people are unaware of the further risk that deep vein thrombosis can cause, meaning that we develop the real possibility of contracting blood clots when blood can no longer flow freely in this compromised iliac vein. A blood clot is a serious blockage in the vein that begins as a formation attached to the vein wall, but could at some point break away from the vein wall and become a ticking time bomb for heart attack and stroke—an embolism. Before an issue like this presents itself, we hope that our patients will notice the signs and symptoms of May-Thurner Syndrome and come in for treatment as soon as possible so that we can take care of it and reduce your risk for DVT.

  • Swelling in the left leg
  • Varicose veins appearing on the left leg only
  • Experiencing pain and warmth in the left leg
  • Pigmentation in the left leg, usually red
  • Venous stasis ulcers (wound on the leg)
  • Discomfort during exercise
  • Fatigue in the leg
  • Incompetent vein function
How We Diagnose and Treat May-Thurner Syndrome

We perform bilateral leg ultrasound as well as the abdomen/pelvic ultrasound to diagnose May-Thurner Syndrome. Veins are best diagnosed for a variety of conditions based on these sound to image devices; with these, we can see the flow of blood through the structure as well as the walls of the veins and how they behave as compared to normal, healthy veins nonsurgically.

Vein Stenting at Vein Specialists of the Carolinas

Once we’ve confirmed that you have May-Thurner Syndrome, the next course of treatment is vein stenting. This vein stenting procedure is performed while our patients are under anesthesia, in a surgical setting and we go into the femoral or popliteal vein with a thin cannula that guides the stent into its proper position upwards into the iliac vein where we see this compression of the vein wall that blocks off flow. As we move through the vein in surgery to implant the stent, which is a small stainless steel or titanium circular pieces that allow us to maintain the open vein by propping up the vein walls, we use ultrasound as a guide.

We provide our clients with compression dressings where appropriate and as discussed during post-op consultation and pain medication if needed, although most people report that they only feel slight discomfort for a few days following implantation. Dr. Draughn will walk you through the steps of this vein stenting procedure as a treatment for May-Thurner Syndrome and all pre and post-op details.

To receive more information about May-Thurner Syndrome and how we at Vein Specialists of the Carolinas can help, call our Charlotte location at (704) 419-8386 or 1-855-VEINSNC.