What is Phlebology?

Phlebology is the study of and the body of knowledge concerning the totality of venous disease.

Varicose veins are protruding painful veins that cause many people to realize a need for evaluation. They are the result of a chronic condition symptomatic of underlying venous insufficiency. Left untreated, venous insufficiency, can produce tissue congestion, edema, and eventual impairment of tissue nutrition resulting in stasis and ulcers. As many as 2–3 million people in the U.S. have ulceration due to venous disease.

Many people consider varicose veins as a simple cosmetic problem and may needlessly suffer dangerous increased symptoms due to lack of knowledge.

Venous ulcers occur in 1-2% of the general adult population. Eighty percent have superficial reflux as an underlying component. Without expert treatment, 20% of these ulcers remain unhealed at 2 years. Over 66% of patients with ulcers will continue to have ulceration recurrence for at least 5 years without proper treatment.

As a Diplomate of the American Board of Phlebology, a physician must demonstrate comprehensive knowledge of venous disease as well as expert skill in performing venous vascular procedures. In 2008, Dr. Joan Warren was one of two hundred-plus physicians nationally and only 15 in California to demonstrate this commitment to obtain board certification. As a phlebologist utilizing new, cutting-edge technologies, healing can occur in much shorter time with much less cost than was formerly required. Patients are more satisfied and quality of life can be greatly enhanced.

In a comprehensive approach, Dr. Warren is able to provide complete care of chronic venous insufficiency, venous varicose veins, telangiectasia (“spider”) veins and venous ulcer disease.

Treatment begins with a comprehensive evaluation by Dr. Warren, which includes:

Assessment:
Obtain history and discuss patients concerns regarding varicose veins with a focused exam.

Validation:
Utilize ultrasound by Dr. Warren, a certified phlebology sonographer, to verify whether venous reflux is present.

Preparation:
Dr. Warren will design a plan of care for your diagnosis.

Implementation:
That plan of care will be administered safely and satisfactorily to the patient.

Treatment:
Venous reflux disease will be treated before complications can occur. Treatment assists in lessening risk factors like deep and superficial vein thrombosis (clots), spontaneous bleeding, skin discolorations, thickening and ulcerations.

Evaluation:
Review and adjust treatment plan as needed for best outcomes.

What is phlebology2
What is phlebology2
What is phlebology1
In summary, a phlebologist is best able to address venous disease utilizing a systematic research-driven best practice way that leads to multiple benefits such as improved clinical outcomes, improved quality of life and cost savings.