Vein Clinic

At our vein clinic, we work with each patient to determine the best treatment plan for their individual needs. Our team of experienced doctors and nurses will guide you through the treatment process, ensuring that you receive the best care possible. Contact us today to schedule a consultation and take the first step towards healthier veins!

(406) 327-3950

Meet Our Team of Physicians

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Casey Cable, MD

  • SPECIALTY: Vascular and Interventional Radiology
  • MEDICAL SCHOOL: University of Washington School of Medicine, Seattle, WA 2012-2016
  • INTERNSHIP: General Surgery, Vanderbilt University Medical Center,
    Nashville, TN, 2016-2017
  • RESIDENCY: Vascular and Interventional Radiology Integrated Residency, Vanderbilt University Medical Center, Nashville, TN, 2017-2022
  • FELLOWSHIP: Vanderbilt University Medical Center,
    Nashville, TN, 2017-2022
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Ryne W. Dougherty, MD, MBA

  • SPECIALTY: Vascular and Interventional Radiology
  • MEDICAL SCHOOL: Mayo Medical School, Rochester, MN, July 2011 – May 2013; May 2014 – May 2016
  • INTERNSHIP: Transitional Internship, Sacred Heart Hospital, Spokane,
    WA, 2016-2017
  • RESIDENCY: Vascular and Interventional Radiology Integrated Residency, University of Michigan Health System, Ann Arbor, MI, 2017-2022
  • FELLOWSHIP: University of Michigan Health System, Ann Arbor, MI, 2017-202
Dr. Tarin Worrest

Tarin Worrest, MD

  • SPECIALTY: Surgical Specialist
  • MEDICAL SCHOOL: Georgetown University School of Medicine, Washington, DC
  • INTERNSHIP: Transitional Internship, Sacred Heart Hospital, Spokane,
    WA, 2016-2017
  • FELLOWSHIP: Advanced GI/Minimally Invasive and Bariatric Surgery: Oregon Health & Science University, Portland, OR
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What is Venous Insuffciency?

Venous insufficiency is a condition in which the veins in the legs are unable to properly circulate blood back to the heart. This can occur due to a variety of reasons, including damage to the valves within the veins or weakened vein walls. When the valves within the veins are damaged or weakened, they are unable to properly prevent the backflow of blood, which results in a buildup of pressure in the veins.

Over time, this increased pressure can cause the veins to become dilated and enlarged, leading to the development of varicose veins. In addition to varicose veins, venous insufficiency can also cause other symptoms such as leg swelling, pain, and skin changes.

Risk factors for developing venous insufficiency include:

  • Age: As we age, the valves within our veins can become weaker and less effective.
  • Gender: Women are more likely to develop venous insufficiency than men, possibly due to hormonal differences or the pressure placed on veins during pregnancy.
  • Family history: A family history of venous insufficiency can increase your risk of developing the condition.
  • Obesity: Excess weight places additional pressure on the veins in the legs, which can contribute to venous insufficiency.
  • Inactivity: A sedentary lifestyle can lead to poor circulation, which can contribute to the development of venous insufficiency.
  • Smoking: Smoking damages the blood vessels and can contribute to the development of venous insufficiency.

Overall, venous insufficiency is a common condition that can cause significant discomfort and, if left untreated, can lead to serious complications. If you are experiencing symptoms of venous insufficiency, it is important to speak with a healthcare professional to receive a proper diagnosis and explore treatment options that can help improve your vein health and reduce your risk of complications.

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Signs and Symptoms of Venous Insufficiency

  • Leg swelling and pain
  • Cramping or aching in the legs
  • Skin changes such as discoloration, thickening, or ulceration
  • Varicose veins or spider veins
  • Restless legs
  • Fatigue or heaviness in the legs
  • Itching or burning sensation

Consequences of Venous Insufficiency

  • Blood clots (deep vein thrombosis)
  • Skin changes and ulcerations
  • Chronic pain and discomfort
  • Decreased mobility and quality of life
  • Higher risk for infections

It is important to have venous insufficiency treated because it can progress and cause serious complications. If left untreated, it can lead to blood clots, skin changes, and chronic pain. In severe cases, it can lead to skin ulcerations and infections.

Treatment Options

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Radio Frequency Ablation (RFA)

This treatment uses heat energy to close off diseased veins. A small incision is made in the skin and a catheter is inserted into the vein. The catheter then delivers radio frequency energy to the vein, which causes it to shrink and collapse. The blood flow is then redirected to healthier veins. This is an outpatient procedure that typically takes less than an hour to complete.

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VenaSeal

VenaSeal is a minimally invasive treatment that uses medical-grade adhesive to close off diseased veins. A small catheter is inserted into the vein and a small amount of adhesive is injected into the vein. The adhesive then seals the vein shut, allowing blood to be redirected to healthier veins. This treatment is also an outpatient procedure and takes less than an hour to complete.

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Sclerotherapy

This treatment involves injecting a solution directly into the vein that causes it to scar and collapse. The body then reabsorbs the vein over time. This treatment is often used for smaller veins and spider veins. It is also an outpatient procedure that takes less than an hour to complete.

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Microphlebectomy

This treatment involves the removal of varicose veins through small incisions in the skin. This procedure is often used for larger varicose veins that cannot be treated with other minimally invasive techniques. This is an outpatient procedure that typically takes about an hour to complete.

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About Your Visit
WHAT TO EXPECT

If you are experiencing symptoms of venous insufficiency, your first step should be to schedule an initial clinic visit with our vein specialist. During your first appointment, our specialist will perform a comprehensive evaluation to determine the severity of your condition and recommend an appropriate treatment plan. Here's what you can expect during your initial clinic visit:

Initial Clinic Visit:

  • Medical history review: Our specialist will ask about your medical history, including any symptoms you are experiencing and any previous treatments you have received for vein issues.
  • Physical exam: Our specialist will perform a thorough physical examination of your legs to assess the appearance of your veins and any other potential issues.
  • Ultrasound exam: Our specialist may recommend an ultrasound exam to evaluate the blood flow in your legs and identify any areas of concern.

After your initial clinic visit, our specialist may recommend a follow-up ultrasound exam to provide additional information about the extent and severity of your vein issues. This exam typically takes about an hour and is painless and non-invasive.

Follow-Up Ultrasound Exam:

  • Preparation: Prior to your exam, you will be asked to wear loose-fitting clothing and avoid applying lotions or creams to your legs.
  • Procedure: During the exam, a technician will use a small handheld device to pass over your legs, creating images of your veins using high-frequency sound waves.
  • Results: The images created during the exam will provide our specialist with valuable information about the blood flow in your legs and the severity of your condition.

Once our specialist has reviewed the results of your ultrasound exam, they will recommend an appropriate treatment plan to address your specific needs. Depending on the severity of your condition, you may require multiple treatment sessions to achieve optimal results.

Treatment Day:

  • Preparation: Prior to your treatment, our specialist will provide you with specific instructions on how to prepare, which may include wearing loose-fitting clothing and avoiding certain medications.
  • Procedure: The specific procedure you will receive depends on your individual needs, but may include radiofrequency ablation, VenaSeal, sclerotherapy, or microphlebectomy. All of these procedures are minimally invasive and performed on an outpatient basis.
  • Recovery: After your treatment, you will be able to return home the same day. Our specialist will provide you with specific instructions on how to care for your legs after treatment, including wearing compression stockings and avoiding certain activities.
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Connect With Us: (406) 327-3950