Vascular surgery, rehabilitation and endovascular therapy
Our vascular surgery program is recognized as the regional leader in the diagnosis and management of vascular disease. We excel in treating more common conditions as well as rare disorders of the vascular system.
We are also proud to offer a comprehensive vascular rehabilitation program for patients with circulatory problems, such as peripheral arterial disease or intermittent claudication that limits your walking ability. Conditions we diagnose and manage include:
- Aortic and thoracic diseases
- Blockages to arms
- Carotid artery disease
- Iliac disease
- May-Thurner syndrome
- Pelvic congestion syndrome
- Peripheral arterial disease (PAD)--also known as peripheral vascular disease
- Peripheral venous disease (PVD)
- Thoracic outlet syndrome
- Varicose veins
Our treatment specialties include:
- Minimally invasive aneurysm repair to treat complex artery aneurysms
- Drug therapy, balloon angioplasty and arterial stenting for peripheral artery disease (PAD)
- Thrombolytic therapy and other treatments options for deep vein thrombosis (DVT)
- Comprehensive thoracic outlet syndrome program that includes surgical and endovascular intervention plans
- Complex vascular surgical services
- Laser therapy for varicose veins
Our heart screening services
Our heart specialists use the diagnostic capabilities of an ICAVL-certified vascular lab to perform our heart screening and imaging. Our services include:
- Stress test
- Electrocardiography (EKG)
- Angiography—specialists X-ray your blood vessels or heart to view the arteries, veins and heart chambers to find any plaque buildup.
- Heart catheterization—our specialists use catheter-based intervention to get rid of plaque buildup in your heart’s arteries.
Patients with circulatory problems such as PAD that limits walking ability may experience pain, cramping, burning, limping and a tired feeling in the legs even when walking short distances. Our program focuses on patient education related to all aspects of vascular health including nutrition, smoking cessation, behavioral counseling, stress management, risk factor reduction and exercise therapy.
A therapy plan is designed for each participant by the vascular rehabilitation team. The exercise plan begins with individualized and monitored exercise two to three times a week and then leads to behavioral reinforcement and ongoing support.
Walk away from PAD program
The American Heart Association and the American College of Cardiology recommend combating PAD with a supervised walking program. We assist patients with motivation and coaching during supervised treadmill-walking exercises designed to improve muscle tone, function and walking distance.
Some of the many benefits of this program include:
- Improved walking distance (endurance) in patients
- Improved quality of life and stress management
- Increased muscular endurance and strength
- Reduced risk of PAD progression and thereby reduced cardiovascular risk factors
- Reduced chance of hospitalization
Center for thoracic outlet syndrome
Thoracic outlet syndrome (TOS) occurs in individuals experiencing pain, numbness, tingling and/or weakness in the arm and hand due to pressure against the nerves or blood vessels that supply the arm. TOS can be brought upon by tight muscles, ligaments or bands, though is most often produced by hyperextension neck injuries, such as whiplash from auto accidents and repetitive stress in the workplace.
TOS is often caused by working on assembly lines, keyboards, or 10-keypads as well as filing or stocking shelves overhead. In some people, symptoms develop spontaneously without an obvious cause. In rare occasions, an extra rib—called a cervical rib—in the neck is present. People with this rib are 10 times more likely to develop symptoms of TOC; however, it usually requires some type of neck injury to show symptoms.
How is TOS diagnosed?
A physical examination typically helps physicians diagnose TOS. Common findings are tenderness over the scalene muscles, located about one inch to the side of the windpipe; pressure on this spot causes pain or tingling down the arm. In addition, rotating or tilting the head to one side causes pain in the opposite shoulder or arm, and tingling in the hand elevating the arms reproduces a feeling of discomfort, numbness and tingling in the arm and hand. There is often reduced sensation to a very light touch in the involved hand as well, though this comparison can only be detected in people with involvement on one side.
A neck or chest X-ray may also be conducted to look for an additional cervical rib, although it is rare. This may be the reason that a patient is experiencing sensations related to TOS.
How does TOS progress?
Scar tissue is present throughout patients’ necks because it was caused by a neck injury that stretched their muscle fibers. These scarred, tight muscles press against your arm nerves, which produce hand and arm symptoms. This typically results in neck pain and headaches in the back of the head because of the tightness of these muscles. This could also be the result of stretching muscles and ligaments along the cervical spine, in cases of whiplash.
Physical therapy is typically administered by implementing neck stretching exercises, abdominal breathing, posture correction and nerve glides. Other physical therapy exercises include therabands, heavyweights and painful stretching that focuses on strengthening.
Surgery can be performed for TOS, but it is typically the last resort. TOS surgery is designed to take pressure off the nerves to the arm by removing the muscles and/or the first rib surrounding it. Each operation differs with each patient and his or her needs. Symptoms of pain, numbness and tingling are most often the result of scar tissue formation during the healing period. This happens regardless of which operation is performed.
Patients who received treatment through the Center for thoracic outlet syndrome have shared their stories, and how our procedures made a difference in their lives.Patients who received treatment through the Center for thoracic outlet syndrome have shared their stories, and how our procedures made a difference in their lives.