The Womens Journal-Tired, Painful, or Unsightly Legs…?

Tired, Painful, or Unsightly Legs…?

samuel_m_wilson_color4 June 2009
By: Samuel M. Wilson, M.D., FACS

If you are among the estimated 20 to 40 million men or women who suffer from venous insufficiency, you may have venous reflux disease. You may feel that your legs are aching or uncomfortable and may note that they swell up, especially as the day goes on. Your legs may feel heavy. Other symptoms include painful varicose veins, seen as protruding veins of various sizes.

Over time this may lead to discoloration of the lower leg above the ankles or even open sores in the same area, known as venous leg ulcers.

Certain jobs or activities which require prolonged standing may make you more likely to have these problems. They are also seen in pregnancy. Other risk factors include a family history of varicose veins, overweight, and increasing age.

The diagnosis may be simply made with a short, non invasive (no needles) procedure using an ultrasound machine combined with a physical exam.

Many of the most basic cases can be treated with venous compression stocking and elevation. If this is not sufficient or more definitive treatment is required, a minimally invasive outpatient office procedure may be done, often with cure.

When indicated, one of the newest and most effective outpatient procedures, which is done in the office, is the VNUS Closure Procedure. A catheter is inserted in a superficial vein and the diseased vein is closed by radiofrequency (RF) energy. This causes blood to be returned by other normal veins.

The procedure takes about one half hour to one hour with only local anesthesia required. There is minimal discomfort. Normal activities are usually resumed in one day.

Samuel M. Wilson, M.D., FACS and his Board Certified partners, Thomas P. Barnett, M.D., FACS and Cristobal G. Alvarado, M.D., FACS of Surgical Associates at Eden Hill have been successfully performing the VNUS Closure Procedure since 2005.

If you are experiencing the signs and symptoms of varicose veins and venous reflux disease, the physicians of Surgical Associates at Eden Hill are available for help. Call (302) 674-0600 for a consultation.


“I was surprised at how quick it took, and really pain free and that’s not an exaggeration it was pain free.”
~Kate S., Dover, DE

“I had torturous veins. Now they’re really flat… The appearance is much better.” ~Joan L., Viola, DE

“I tell anyone who has these not to put off treatment. Literally, the next day, it was like a miracle.”
~Jim W., Smyrna, DE

“I was shocked at how quickly I recovered. I was on the phone with my office as soon as I got home from the hospital. I’ve had more discomfort after a dental appointment than I had after this procedure.”
~John D., Elkton, MD

Dr. Samuel Wilson has been practicing general and vascular surgery since 1986 and has been in Dover since 1996. He graduated from Swarthmore College in 1972 and earned his medical degree from Temple University School of Medicine. He completed his surgical residency at Temple University Hospital followed by a two-year vascular fellowship at Presbyterian University of Pennsylvania Medical Center in Philadelphia. He was Chief of Surgery at Kent General Hospital from January 2005 through December 2007. A surgeon who is published in the general, vascular, and trauma literature, he is a member of the Delaware Valley Vascular Society, the Eastern Vascular Society, the Vascular Access Society of the Americas (VASA),  the American Society of Breast Surgeons, the American Medical Association, the Medical Society of Delaware, and the Southeastern Surgical Congress. Dr. Wilson is Board Certified in Surgery and is a Fellow of the American College of Surgeons. He is listed in the Who’s Who in Medicine and Healthcare and is a Delaware Today “Top Doc.

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