Is it a Myth?

"If you have ropy, blue blood vessels in your legs, you may think that they’re unsightly but don't cause any overt symptoms. Yet for some people, varicose veins can cause skin damage and, even worse, lead to dangerous blood clots.

They’re incredibly common: Varicose veins affect about one in four U.S. adults, or about 22 million women and 11 million men between ages 40 and 80.

Your leg veins face an uphill battle as they carry blood from your toes to your heart. Small flaps, or valves, within these vessels prevent blood from getting backed up on this journey, and the pumping action of your leg muscles helps push the blood along."


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Veins throughout the Workday!


"Occupations that require prolonged periods of time spent either standing or sitting are both common causes of varicose veins, and can put those who do it at serious risk for developing them. Although, there may be other contributing factors for developing varicose or spider veins, working in a job that requires extended sitting or standing increases the chances of developing them, or aggravating existing ones.

Sitting in the same position with limited movement, or standing, especially on hard surfaces, can restrict circulation and can cause blood to pool in the legs, leading to varicose and spider veins. However, certain steps can be taken to help reduce the risk of developing them."

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Our History!

Located in Jackson, Tennessee, The Vein & Vascular Center specializes in giving the West Tennessee community the best in vascular care.


The physicians at The Vein & Vascular Center are leaders in providing the West Tennessee community with state-of-the-art, less-invasive, compassionate surgical care for many years. The clinic's current staff are Dr. David Laird, Dr. Daniel Day, Dr. Garrison Smith and Elizabeth Moseley.

Through the years, the surgeons at the Vein & Vascular Center have seen many changes in medicine and surgical techniques, but one thing remained constant: They always specialized in providing the best vascular care possible.

Provider of the Week: Garrison Smith, M.D.


"Dr. Smith, who is board certified in general surgery, earned his medical degree at the University of Tennessee Health Science Center (UTHSC) where he served as Class President throughout his four years of medical school.  During this time, he also earned a Certificate in Health Systems and Leadership.  His internship and residency were completed at the UTHSC Surgery program in Memphis, TN where he served as a chief surgery resident.  His training included the full scope of general surgery, with special interests in minimally invasive and endocrine surgery.  He also had extensive trauma training at the Presley Memorial Trauma Center, including six months as the chief resident on the service.

During medical school, he received the award for Outstanding Performance as a Student in the Art and Science of Surgery as well as the Distinguished UT Student Service Award.  He was inducted into The Imhotep Society for providing leadership, time, and service that significantly contributed to student life.  As a surgical resident, the UT College of Medicine - Class of 2013 selected him for the Arnold P. Gold Foundation Humanism and Excellence in Teaching Award and Outstanding Resident Role Model.

A native of Jackson, Tennessee, Dr. Smith and his wife, Tonya, have two daughters, Brianna and Lily.  He is also the son of Dr. Clyde E. Smith, who is a Hematologist/Oncologist and Palliative Care physician for Jackson-Madison County General Hospital.  His interests include aviation, running, boating, outdoor activities, and spending time with his family."

Provider of the Week: DANIEL DAY, M.D.!


Dr. J. Daniel Day earned his medical degree at the University of Tennessee in Memphis. His surgical internship and residency were at Mercer University School of Medicine/Medical Center of Central Georgia in Macon, Georgia.

A graduate of Central High School in Knoxville, Dr. Day has a bachelor’s degree from the University of Tennessee at Knoxville and a masters degree in counseling psychology from Assumption College in Worcester, Massachusetts.

Provider of the Week: Dr. David Laird!


Dr. David Laird, who is board certified in general surgery, is a medical graduate of Emory University School of Medicine in Atlanta. His internship in general surgery was at Methodist Hospitals of Memphis; his residency was at the UT School of Medicine in Memphis. A major in the U.S. Air Force, Dr. Laird moved to Jackson after serving as the Chief of Surgical Services at Holloman Air Force Base in Alamogordo, N.M. His experience includes the full scope of general surgery and extensive endoscopy experience. He also had in depth trauma training at the Presley Memorial Trauma Center in Memphis.

Updates on Veins!


"Varicose veins are enlarged, swollen, and twisting veins, often appearing blue or dark purple. They are caused when faulty valves in the veins allow blood to flow in the wrong direction or pool.

More than 23 percent of all adults are thought to be affected by varicose veins. Approximately 1 in 4 adults in the United States is affected by varicose veins.

But, although they are unpleasant, varicose veins rarely need to be treated for health reasons.

However, if the patient experiences swelling, aching, and painful legs and is in considerable discomfort, treatment is required. Thankfully, there are a number of treatment options available, including home-care methods.

Occasionally, in very severe cases, the varicose veins may rupture, or develop into varicose ulcers on the skin. These will also require treatment."


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Vein Logic!


"Varicose veins are so often dismissed as just a cosmetic issue. Yet most weeks in my clinic I see patients who have travelled from all over the country, many in constant pain and at their wits’ end. They have saved for months to see a vascular consultant – even at the reduced rates we offer. What’s most frustrating is that varicose veins can be easily and permanently resolved, but bureaucracy prevents us from treating them as we would wish. Unless you are literally bleeding from your leg, you’re very unlikely to be offered surgery on the NHS."

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Are you aware?

"Compression socks or stockings can be found on the legs of a wide swath of the population, from pilots, flight attendants, runners, and nurses to pregnant women, people recovering from surgery, and people otherwise at risk for blood clots in their legs. Just as varied as the people wearing them are the stockings’ materials and prices, with a pair selling anywhere from $10 to well over $100. Outside of medical uses, can the average person benefit from wearing compression stockings? Are there risks to wearing them? What do the pressure ratings on the packages mean? Here, a quick guide to this sometimes confusing category of products.

Who should wear compression stockings?

The clearest benefit is for people with certain leg problems or at risk for blood clots in the legs, known as deep vein thrombosis (DVT). Many factors can increase the risk of these clots, including prolonged bed rest (such as after surgery), sitting for long periods (such as on a plane), use of birth control pills or hormone replacement therapy, pregnancy, family history of DVT, inflammatory bowel disease, and certain genetic clotting disorders. Compression stockings are also sometimes used in people who have an acute DVT, to prevent a group of symptoms known as post-thrombotic syndrome that includes leg pain and swelling. But the American College of Chest Physicians says there’s insufficient evidence to support using the stockings for this purpose."

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Saphenous Vein Ablation

"Venous insufficiency resulting from superficial reflux because of varicose veins is a serious problem that usually progresses inexorably if left untreated. When the refluxing circuit involves failure of the primary valves at the saphenofemoral junction, treatment options for the patient are limited, and early recurrences are the rule rather than the exception.

In the historical surgical approach, ligation and division of the saphenous trunk and all proximal tributaries are followed either by stripping of the vein or by avulsion phlebectomy. Proximal ligation requires a substantial incision at the groin crease. Stripping of the vein requires additional incisions at the knee or below and is associated with a high incidence of minor surgical complications. Avulsion phlebectomy requires multiple 2- to 3-mm incisions along the course of the vein and can cause damage to adjacent nerves and lymphatic vessels.

Endovenous ablation has replaced stripping and ligation as the technique for elimination of saphenous vein reflux. One of the endovenous techniques is a radiofrequency-based procedure. Newer methods of delivery of radiofrequency were introduced in 2007. Endovenous procedures are far less invasive than surgery and have lower complication rates. The procedure is well tolerated by patients, and it produces good cosmetic results. Excellent clinical results are seen at 4-5 years, and the long-term efficacy of the procedure is now known with 10 years of experience. The original radiofrequency endovenous procedure was cleared by the US Food and Drug Administration (FDA) in March 1999."

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The Know!

"Varicose veins are most often swollen, gnarled veins that most frequently occur in the legs, ankles and feet. They are produced by a condition known as venous insufficiency or venous reflux, in which blood circulating through the lower limbs does not properly return to the heart but instead pools up in the distended veins.

More than 25 million Americans suffer from venous reflux disease. The symptoms can include pain and fatigue in the legs, swollen ankles and calves, burning or itching skin, skin discoloration and leg ulcers. In less severe cases, thin, discolored vessels – “spider veins” – may be the only symptom.

Gender and age are two primary risk factors in the development of venous reflux. An estimated 72% of American women and 42% of men will experience varicose veins symptoms by the time they reach their sixties. Women who have been pregnant more than once and people who are obese, have a family history of varicose veins or spend a great deal of time standing have an elevated risk for the condition, but it can occur in almost anyone at almost any age. Varicose veins never go away without treatment and frequently progress and worsen over time.

Severe varicose veins can have a significant impact on the lives of people who work on their feet – nurses, teachers, flight attendants et al. Research has shown that more than two million workdays are lost each year in the US, and annual expenditures for treatment total $1.4 billion."

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DVT Prevention!

"The key to prevention of DVT is to reverse any risk factors, for example:

  • Lose weight if overweight or obese.
  • Avoid periods of prolonged immobility. Get up and move around every 15 to 30 minutes during long plane flights. Do simple stretching exercises while seated. Make frequent stops and get out of the car when driving long distances.
  • Keep the legs elevated while sitting down or in bed.
  • Avoid high-dose estrogen pills, unless they are deemed necessary by the doctor.

In the case of recent surgery, preventive treatment may be prescribed to avoid formation of a clot.

  • The patient may be instructed to get out of bed several times a day during the recovery period.
  • Sequential compression devices (SCDs) may be placed on the legs. Their squeezing action has been shown to reduce the probability of clot formation. The patient may also be given elastic compression socks or stockings to wear.
  • Low-molecular-weight heparin or low-dose warfarin may be prescribed to prevent clot formation.


What is the prognosis for a person with DVT (deep vein thrombosis)?


Most DVTs resolve on their own. If a pulmonary embolism (PE) occurs, the prognosis can be more severe.

  • About 25% of people who have a PE will die suddenly, and that will be the only symptom.
  • About 23% of people with PE will die within 3 months of diagnosis, just over 30% will die after 6 months, and there is a 37% mortality (death) rate at 1 year after being diagnosed."

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I was quite relaxed and no pain. Afterwards I went home and I was allowed to walk around and do little things. After three days, I was back to my full routine. Bev J

I have so much more energy now. This [Closure Procedure] literally changed my life. Cara M

No pain whatsoever. If I'd had known it was this easy, I probably would have come a lot sooner. Patty D

It was quick, painless and instant results. Instant pain relief, It's kind of miraculous. Christine R

I feel great. I can do things without my legs getting tired. I could have went right from here to work. Darlene B

I came in on a Friday, and by Sunday, I was standing at my kitchen sink, and I could feel the difference in the leg that had had the procedure and the leg that had not. Audra T

I'm excited to be able to not live with the pain and the heaviness in my legs and get back to some normal activities. Grace B"

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Understanding is Key!

"Leg veins carry blood from your feet and legs back to your heart. If a vein is damaged, it may cause problems in your legs."

The problems that may happen from damage to the veins include:

  • Varicose veins. This a swollen, twisted vein located close to the skin.
  • Deep vein thrombosis (DVT). This is a blood clot in one of the deep veins, usually of the legs. The clot can separate from the vein and travel to the lungs (pulmonary embolism or PE). In the lungs, the clot can cut off the flow of blood. These two conditions together are called venous thromboembolism (VTE).
  • Chronic venous insufficiency. This is a long-term problem with the veins not working well.

Your healthcare provider can give you more information on these conditions and how to prevent and treat them."

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Home Remedies!

"Varicose veins are twisted and enlarged veins, usually found on legs. Excessive pressure on the veins, especially when standing and sitting, is the main reason for the enlargement of these superficial veins, but heredity also seems to have a major role.

Since legs are the farthest extremity from the heart, it requires extra effort to pump the blood up the veins in the leg and back into the heart against gravity. This is done by the calf muscles. There are paired valves in these veins to prevent backflow of the blood, but as the veins lose their elasticity and become dilated, these valves fail. This results in blood getting pooled in the veins, causing them to twist and bulge out.

Varicose veins are seen more often in women and in people who have to work in a standing position for long hours. Pregnancy and obesity worsen the condition since they put extra strain on the legs. Unless accompanied by pain, severe itching, ulceration, or eczema, varicose veins are often considered merely a cosmetic problem. Occasionally it could be associated with another serious condition called deep vein thrombosis, in which case, immediate medical intervention may be necessary."


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Great Saphenous Vein

"The great saphenous vein is the major superficial vein of the medial leg and thigh. It is the longest vein in the human body, extending from the top of the foot to the upper thigh and groin. The great saphenous vein plays an important role in returning blood from the superficial tissues of the leg to the heart and is also used in several medical procedures due to its size and superficial location.

The great saphenous vein is a superficial vein that runs through the subcutaneous tissue layer deep to the dermis and superficial to the skeletal muscles of the foot and leg.

It begins at the dorsal venous arch of the foot, a major superficial vein that drains blood from the toes and back of the foot. From the dorsal venous arch, the great saphenous vein passes anterior to the medial malleolus of the ankle and enters the medial side of the leg. As it ascends through the leg, it merges with many superficial veins of the leg before passing over the medial epicondyle of the femur at the knee and entering the thigh. Continuing through the thigh, the great saphenous vein turns anteriorly while merging with several more superficial veins. At the top of the thigh, it passes through the saphenous opening of the fascia lata and enters the deeper tissues of the upper thigh before merging into the femoral vein."

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"Varicose veins and telangiectasia (spider veins) are the visible surface manifestations of an underlying problem with reverse venous flow, which is also termed venous insufficiency syndrome. Mild forms of venous insufficiency are merely uncomfortable, annoying, or cosmetically disfiguring, but severe venous disease can produce serious systemic consequences and can lead to loss of life or limb. See the image below."


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Deep Venous Thrombosis

"Deep venous thrombosis (DVT) is a manifestation of venous thromboembolism (VTE). Although most DVT is occult and resolves spontaneously without complication, death from DVT-associated massive pulmonary embolism (PE) causes as many as 300,000 deaths annually in the United States."

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Vein Replacements

"Peripheral artery disease (PAD) results from the build-up of plaque (atherosclerosis) in the arteries of the legs. For most people with PAD, symptoms may be mild or absent, and no treatment of the artery blockages is required. However as these blockages become more extensive, patients may experience pain and disability that limits their walking, and in the most advanced cases individuals may be at risk for loss of the limb unless circulation is improved. For these patients with severe PAD, attempts to improve blood flow in the leg are usually indicated. The goals of improving blood flow to the limb are to reduce pain, improve functional ability and quality of life, and to prevent amputation. "

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