Tag Archives: varicose veins

11.02.21
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How to Keep Your Circulation Moving – Safely

tampa vein specialist west florida vein center

tampa vein specialist west florida vein centerExercising with Varicose Veins

Having varicose veins doesn’t mean you have to stop being active.

If you’ve been diagnosed with vein disease, then you have likely already been told by your doctor that it is in your best interest to be active and maintain a healthy weight. Fortunately, there are a variety of things you can do to help make sure that you take care of both, all while helping to alleviate some of the off-putting symptoms that can be experienced with venous insufficiency.

Stretching
If you have vein issues, then it is particularly important to both keep your legs strong and circulation healthy. Exercises geared towards those with venous disease almost always focus on the lower extremities especially the muscles in the calves, as it is there that the force of gravity is greatest and veins must work the hardest in order to pump blood upwards towards the heart.

When it comes to exercising with varicose veins, however, you should start out slowly and gently and try not to exert yourself too much or place too much strain on your legs. Calf raises are a great way to strengthen calf muscles without placing too much strain on them. Calf raises can be performed with or without weights. If your job keeps you confined to a sitting position for extended periods of time, stretching your legs and flexing your feet though out the day is an excellent substitute for calf raises.

Low-Impact Exercise Choices
There are still plenty of fun activities that you can do even after your venous insufficiency diagnosis. It is important to keep these activities as low impact as possible. Bicycling, for instance, is a great way to promote circulation while being easy on the joints and allowing you to maintain control over the intensity of your work-out. Walking is another great work-out that is simple and easy to do and allows you to pace yourself in both speed and distance to your own current level of fitness.

Running, Walking, and cycling can be difficult for seniors who have vein problems but there always an alternative option. Swimming offers an alternative that is non-weight bearing, and there are even a variety of aerobics classics that can be offered in this environment. No matter what you decide to do, signing up for a class or inviting friends to walk, cycle, or swim along with you can be fun for both staying in shape and keeping social as well.

No exercise or diet regimen should be undertaken without first consulting with a qualified physician, and more specifically an experienced vein specialist who is familiar with your condition. To get on the right track today by contacting a vein specialist in Tampa who services the surrounding areas as well, call Dr. Zuzga of the West Florida Vein Center at (727) 712-3233. www.westfloridaveincenter.com.

 

08.02.21
by

Why You Should Never Ignore Varicose Veins

vein specialist tampa tampa cardio

vein specialist tampa tampa cardioNever ignore varicose veins for two reasons:

  1. They are not a cosmetic issue alone.
  2. They will get worse, if not treated, over time.

Varicose veins effect an estimated 40 million people just in the USA. Upwards from 50% of the population over the age of fifty currently have them.

This does not mean that varicose veins are inevitable and that you should simply give up and accept them as a normal part of aging. Varicose veins are caused by venous insufficiency aka vein disease. It is a disease.

By being aware of potential risk factors that might predispose you to such a condition, you can take action to prevent varicose veins from occurring, or at the very least greatly prolong their initial occurrence.

Risk Factors May Encompass Any or All of the Following:

  • Age – Although varicose veins can occur at any age, even in teens and pre-teens, they are much more common in the elderly. Once reaching the age of fifty, a person’s risk for developing varicose veins increases greatly.
  • Weight – Being overweight can lead to the development of varicose veins, especially if an unhealthy diet is present at the same time. Not only does being overweight tend to contribute towards a more sedentary lifestyle, but like with pregnancy, the additional weight creates pressure on the veins of the lower extremities, veins which in turn must work harder against the force of gravity when pumping blood back upwards towards the heart.
  • Activity Level – Staying active and getting frequent exercise is crucial for those who want to prevent varicose veins. An inactive lifestyle can promote the pooling of blood in leg veins and adds pressure to the lower extremities during periods of rest, impairing circulation and preventing important muscle growth from occurring in the calves
  • Sex – While both men and women can have varicose veins, certain factors lead them to be more common in women. Pregnancy and hormonal changes are the culprit for these differences, as both the additional weight of carrying a baby can add pressure to the lower extremities while the presence of additional estrogen in the body leads to an increased risk for blood clots.
  • Genetics – If you have a history of varicose veins in your family, then there is a fairly good chance that you will be afflicted by them as well at some point in your life. In fact, if both of your parents have had varicose veins, then your chance of developing them yourself is considered to be as high as 90%.
  • Trauma to an area – Even in a person who is perfectly healthy and active, physical injury to one or both of the legs can result in varicose veins if the blood vessels beneath the skin are damaged. While these traumas are most likely unpredicted and unpreventable, they can be an indication that varicose veins may be eminent.
  • Profession – Those whose professions require them to sit or stand for prolonged periods of time will be more likely to develop varicose veins. The same can be said for those who are frequent travelers, as sitting in the same position in a car or on a plane for extended periods can make it difficult to adjust posture and take breaks to walk around.

If you are concerned that you may have varicose veins or venous insufficiency and would like to schedule a vein screening at a Tampa vein center, contact the specialists at Tampa Cardiovascular Associates to schedule an appointment today by calling (813) 975-2800. WWW.TAMPACARDIO.COM

 

05.05.21
by

Eliminate leg pain with a Visit to Dr. Zuzga, D.O. of The West Florida Vein Center

dr-mark-zuzga-west-florida-vein-center-vein-treatment

Ready to Live Life with Pain Free Legs?

dr-mark-zuzga-west-florida-vein-center-vein-treatmentPain detracts from life. It can be incredibly difficult to care about much else when you are not feeling your best. Leg pain caused by varicose veins can range from mild to debilitating and hamper your ability to get through the day.

There is an alternative. There is help.

Hi, I am Dr. Mark Zuzga, D.O. of the West Florida Vein Center located in Safety Harbor, Florida serving the Tampa Bay area. I have made it my life’s mission to care for and help those struggling with venous insufficiency.

I love what I do, and it gives me great fulfillment to see patients walk out of the office feeling good and good about themselves once again.  There have been so many amazing medical advances over the years that allow physicians who have chosen to dedicate their practices to the correction of venous disease that can take you from discomfort and pain and the unsightly bugles caused by vein deterioration to the repaired state of having healthy pain free beautiful legs once again.

In our office we offer the following treatments which can help eradicate varicose and spider veins as well as ulcerations, itchiness, vein related skin issues, pain, swelling, and tenderness.

Venefit Targeted Endovenous Therapy 

Microphlebectomy 

Sclerotherapy

Endovenous Thermal Ablation 

Click on each link above to learn more about the individual procedures on our website.

Every patient’s treatment is custom tailored to his or her own personal health needs. When you come into the office, I will sit down with you for a personal consultation going over your health history as well as what is currently going on that you are concerned with. We will do a physical examination and I will recommend the best course of treatment.

From there you can decide how you would like to proceed going forward. Choosing to correct vein damage can drastically improve your quality of life and most procedures are deemed medically necessary and covered by insurance.

Give us a call today at 727-712-3233 or visit www.WestFloridaveincenter.com to learn more. We look forward to seeing you in our office!

Sincerely,

Dr. Mark Zuzga, D.O.

03.02.21
by

A Look at Sclerotherapy – Veins Vanish Nearly Instantly

west florida vein center dr mark zuzga

west florida vein center dr mark zuzgaSclerotherapy Laser Treatment is a state-of-the-art procedure intended to help eliminate unwanted painful spider veins and smaller varicose veins.

These visible veins result from damaged and broken-down valves. They form both due to age and related health and lifestyle issues. These damaged valves cause blood to flow backward causing pooling and stagnation. As the blood pools larger varicose veins can form as the vein stretches to hold the excess.

When a person with venous deficiency remains stationary for long periods of time, this can mean standing or sitting it can cause issues. Non movement can place extreme pressure on the veins in the lower legs. When varicose veins start to cause you distress, it is time to speak with a Dr. Mark Zuzga, D.O. a vein specialist at The West Florida Vein Center to discuss treatment options.

What Is Sclerotherapy?

Sclerotherapy is the most common forms of treatment when it comes to spider veins. The procedure involves injecting a salt solution directly into the damaged area. The solution irritates the lining of the vein, causing it to collapse. The lining of the now collapsing vein sticks together and the vein closes. The damaged vein then becomes scar tissue and fades away absorbing back into the body while rerouting the former blood flow.

Preparation

Before the treatment begins, Dr. Zuzga,D.O. will examine you to determine if you are a good candidate.

It is advisable to stop taking certain medications before the procedure. Avoid ibuprofen or aspirin at least 48 to 72 hours before sclerotherapy. We will advise you on which specific medications to avoid before your treatment.

Please do not apply any lotion, perfume, powder, or cologne to your legs prior to treatment. You should drink plenty of water and bring compression socks to the office to wear aftertreatment. All other clothing should be comfortable and loose fitting.

The Procedure itself

The solution is injected into the patient’s vein directly using a very fine needle. The area is numbed before the needle being inserted. You may feel some discomfort or pressure while the solution is injected into the vein. That feeling could last for one to two minutes per vein. The number of veins injected during a single procedure depends on the location and size of the veins and the general health of the patient. The entire process often takes around 15 to 30 minutes to complete.

This procedure has been performed for many decades by doctors, dermatologists, and vein specialists. The procedure is performed in-office, and most people can go back to their usual activities following the process. However, you are advised not to do any aerobic or other strenuous exercises a few days after treatment.

Some patients experience side effects after treatment, such as itching, which may last for a few days. You may also experience redness or bruising at the injection site that should go away a few days after the procedure.

We Serve the Tampa Bay and Safety Harbor areas of Florida!

Ready to change your life?

Vein surgery can be life changing for many people and a huge boost of confidence. If you are ready to feel better and look your best we would love to see you in our office for a consultation. www.westfloridaveincenter.com 727-712-3233 to schedule with Dr. Mark Zuzga, D.O,

10.12.19
by

Varicose and Spider Veins – What’s the Difference?

varicose-veins-spider-veins-tampa-cardio

varicose-veins-spider-veins-tampa-cardioPeople often incorrectly use the terms “spider veins” and “varicose veins” interchangeably, and it’s important to understand that these are two very different conditions.

While one is a simple cosmetic problem, that while causing embarrassment and discomfort poses no real medical threat, the other can not only be very painful but also present physical signs of some very serious underlying conditions. Understanding the difference between these venous disorders can make all the difference in what kind of treatment a patient seeks, and whether they find it necessary to seek treatment at all.

 

What are Varicose Veins?

Varicose veins occur when the one-way valves within veins weaken, and a portion of the blood that is meant to be pumped back to the heart instead leaks back into the vein and collects, causing the veins to enlarge and bulge past the surface of the skin. Varicose veins can appear red, blue, or flesh-colored, are twisted or ropey in appearance, and can be found throughout the body, though most commonly in the legs where the force of gravity is greatest. Varicose veins are a condition in themselves that can be quite painful and uncomfortable, often causing aching, swelling, itching, burning, or feelings of heaviness in the legs. If ignored, varicose veins can result in skin ulcers that sometimes bleed and are very hard to heal. In the most extreme cases, varicose veins can lead to a condition called Deep Vein Thrombosis (DVT), which is present when a blood clot forms in a deeper vein. If one of these blood clots breaks off and travels to the lungs, the results can potentially be fatal.

What are Spider Veins?

Spider veins are caused by a back up of blood in the veins and appear very close to the surface of the skin in sunburst or spider web patterns, hence their name. Spider veins are typically quite small, but can appear in a variety of locations on the body, most commonly on the legs but also on the arms and even on the face. These red or blue veins can be brought about by hormone changes, injury, or sun exposure, and treatments are available to remove them if the patient so desires. Fortunately, while spider veins can be unsightly and uncomfortable, they are typically not causing alarm and only present a cosmetic problem for the patient.

If a condition or ailment appearing on your body concerns you, it is always wise to seek the advice of a medical professional.

While most spider veins are harmless and not all varicose veins lead to more serious conditions, only a medical professional can decide whether your personal condition calls for further action. Treatments for both spider veins and varicose veins are readily available, and because varicose veins are considered a health condition, their treatment or removal is covered by most insurance policies, making their treatment affordable as well.

If you are in any way concerned about the health of your veins, please visit the Vein Center at Tampa Cardiovascular Associates to speak with a certified vein specialist. www.tampacardio.com (813) 975-2800. 

09.10.19
by

Varicose Veins – Think You Know the Facts?

veins-tampa-florida-tampa-cardio-vein-center

veins-tampa-florida-tampa-cardio-vein-centerOur circulatory system is an amazing mechanism. Veins run throughout our entire body. They feed blood to every organ and cellular tissue. When veins sustain damage from trauma or vein disease – venous insufficiency they begin stages of venous insufficiency. 

Damage to valves along with pooling blood is the cause of varicose veins. Though varicose veins are sometimes thought of as a cosmetic issue the effects can be medical as well. Varicose and damaged veins can lead to leg pain, swelling, ulceration, itching, aching, and even death of areas of flesh due to decreased circulation.

Even if you know the basics, we thought we would share some interesting vein facts that you might not know:

  • Veins are more defined during strenuous exercise. This is due to increased arterial pressure. Blood that would normally be resting in capillaries during a work out is now forced into the surrounding muscle. This is what is known as a “pump”.
  • One of the very first drawings of vein disease was on a tablet dating back to the 4th century in Greece.  The carving shows a man gripping a disembodied leg with a big bulging vein on it.
  • The human body can form new pathways and vessels if one becomes blocked! The process is called angiogenesis. This is the way that your body heals if you get a cut or scrape. Your body will compensate for the lack of blood flow in any way that it can. It is best though to seek medical attention if you notice that you have problems with varicose veins. The sooner you seek treatment, the better, less invasive, less expensive, and better the prognosis will be.
  • Strong veins are essential – your heart depends on your veins for nourishment, as does every other organ. If your veins are too weak to get the blood where it goes it can cause pooling, discoloration, and even wounds that are very tough to heal.
  • Pre 17th Century doctors believed there were two blood systems – one where the liver was the organ pumping the blood and another which carried air from the lungs and blood to tissue. It wasn’t viewed as circulating but more of an ebb and flow. It was not until 1682 that Dr. Wiliam Harvey first correctly outlined what our circulatory system actually does and how it works.

You may not be obsessed with anatomy history and facts the way that we are, but we do hope you found this interesting!

If you are looking for a cardiologist or Vein Specialist in the Tampa, Florida area we invite you to visit WWW.TAMPACARDIO.COM or give us a call to set a consultation by calling 813-975-2800.

09.05.19
by

Reduce Alcohol Intake for Vein Health

varicose-veins-alcohol-Dr-zuzga-

varicose-veins-alcohol-Dr-zuzga-That’s right. The health of your veins can be majorly impacted by what you choose to put in your body. Alcohol being one of the very worst offenders when it comes to damaging vein and circulatory health.

Vein disease can begin because of family genetics and you are even more prone if you are a woman. The good news is that there are many factors completely within your control. Weight, diet, activity level, and lifestyle including drinking excessively and or doing drugs can have a big effect on health.

When it comes to health and diet, people are quick to analyze what they are eating but often overlook what they drink. Excessive alcohol consumptions effect on varicose veins is a lesser contributing factor, but it should nevertheless be taken into account when considering potential causes of venous insufficiency.

Varicose veins are caused due to a circulatory malfunction. It is a fact that alcohol affects blood circulation so it should come as no shock that the two are intertwined. The body’s circulatory system consists of the heart, veins, valves, and arteries. They all assist in pumping blood from the heart, through the body, then returned to the heart once again.

Blood is pumped back up to the heart through the veins by way of a series of one-way valves that open in the direction of the heart closing immediately after the blood has passed. When valves are damaged they are unable to prevent a backflow of blood. This backwash causes pressure to build up in the veins which result in the swollen, bulging, and enlarged appearance associated with varicose veins.

When alcohol is consumed it increases the heart rate. This makes your entire circulatory system work harder as a result. Because alcohol intake also has a direct effect on a person’s liver, which is responsible for filtering blood as it is circulated, alcohol attacks the veins from multiple angles. When the liver is unable to properly filter the blood of toxins and waste, the blood becomes thicker and more viscous, making it even harder for those already fragile leg veins to function properly.

Consuming alcohol does not automatically lead to varicose veins if no other risk factors are present, it can make the development of varicose veins and venous insufficiency far more likely in those people who are predisposed to such conditions or who are already experiencing symptoms.

Dr. Zuzga of West Florida Vein Center is not going to tell you that you should never drink alcohol  again, if your goal is healthy veins he may suggest that it is wise to refrain from drinking alcoholic beverages if varicose veins are already present or if your gender, age, or family history makes you a likely candidate for future venous disease.

Interested to learn more?
Visit www.westfloridaveincernter.com or call (727) 712-3233 to schedule an in-person appointment with Dr. Zuzga of the West Florida Vein Center.

08.03.19
by

Look and Feel Your Very Best This Summer!

summer-legs-west-florida-vein-center

summer-legs-west-florida-vein-centerThings are hot this summer here in Florida and our clothing choices show it. Tank tops, skirts, bathing suits, shorts, we will adorn nearly anything to keep cool. That poses a problem when you are living with venous insufficiency or vein disease.

Not only is vein disease uncomfortable and even sometimes painful it is visually embarrassing for many. Your once beautiful legs now marred by purple and blue lines. Here is the thing… unlike the old days, you don’t simply have to grin and bear it or wear ankle-length skirts the way your grandmother did. You can fix the issue in a few quick painless appointments with our office.

The initial appointment is a consultation. We will take a look at your current state and take into consideration your entire medical history. From there we will create a treatment plan customized to your needs to get you the very best results possible.

The West Florida Vein Center is proud to offer a variety of state of the art vein dissolution services that can help heal your legs and rid you of unsightly painful varicose and spider veins.

We offer the following vein treatment options:

Venefit™ Targeted Endovenous Therapy procedure, formerly known as the VNUS Closure™ procedure, for the treatment of varicose veins and CVI. The procedure is a minimally invasive segmental ablation treatment that utilizes radiofrequency energy to provide an even and uniform heat to contract the collagen in the vein walls, causing them to collapse and seal. Once the diseased vein is closed, blood will re-route itself to other healthy veins. This procedure allows for a quick, comfortable recovery and a return to everyday activities for the average patient, while also improving the appearance of varicose veins. It has been proven in clinical studies to have excellent long term effectiveness, with less pain and bruising than laser.

Endovenous Ablation

This revolutionary new treatment for large varicose veins was pioneered at Cornell University in New York. Originally performed in Spain, the EndoVenous Laser Ablation is performed in the office, takes less than an hour and accomplishes the same thing as a major surgical vein stripping. Using ultrasound guidance and local anesthesia, a thin laser fiber in a catheter is threaded up to the vein. As the catheter is slowly withdrawn, the laser shrinks and seals the large vein that causes varicose veins in most patients. There is little or no visible scarring. In those patients who are candidates for the procedure, it is 97% successful.

Microphlebectomy / Phlebectomy

Varicose veins are micro-surgically removed through tiny punctures about the size of the tip of a ballpoint pen.  The word “phlebectomy” literally means removing the vein. On the day of the procedure, the doctor or nurse will mark your leg where the veins bulge out. Then, a special local anesthetic (numbing medication) called “tumescent” is injected into the area surrounding your vein. The doctor will make tiny incisions or “stabs” of about 2-3mm – the size of a ball-point pen tip – and use a crochet-type hook to “grab” the vein and remove it. This interrupts the vein, causes any remaining portions of the vein to “clot off”, and gets rid of those unsightly bulgy areas!

Sclerotherapy

Sclerotherapy involves the injection, via a very fine needle, of a solution into small to medium varicose veins and spider veins. The solution causes the veins to shrink, close off and gradually disappear. A session usually lasts approximately 15 minutes. There are few reported allergic reactions to the solution used. Depending on the number of veins, multiple sessions may be required, which will be decided after the initial consultation and evaluation.

If you are considering vein treatment but haven’t quite decided yet, let us help you make the right decision for you. Give us a call at (727) 712-3233 to schedule an appointment with Dr. Zuzga or visit www.westfloridaveincenter.com to learn more.

07.01.19
by

Are Your Legs in Summer Ready Shape? – Don’t Let Veins Stop You!

summer-legs-west-florida-vein-center

summer-legs-west-florida-vein-centerThings are downright hot here in Florida this year and our clothing choices show it. Bathing suits, shorts, tank tops, skirts, we will wear nearly anything to keep cool. That becomes a problem when you are living with venous insufficiency or vein disease.

Not only is vein disease uncomfortable and even sometimes painful it is visually embarrassing for many. Your once beautiful legs now marred by purple and blue lines. Here is the thing… unlike the old days, you don’t simply have to grin and bear it or wear ankle length skirts the way your grandmother did. You can fix the issue in a few quick painless appointments with our office.

The initial appointment is a consultation. We will take a look at your current state and take into consideration your entire medical history. From there we will create a treatment plan customized to your needs to get you the very best results possible.

The West Florida Vein Center is proud to offer a variety of state of the art vein dissolution services that can help heal your legs and rid you of unsightly painful varicose and spider veins.

We offer the following vein treatment options:

Venefit™ Targeted Endovenous Therapy procedure, formerly known as the VNUS Closure™ procedure, for the treatment of varicose veins and CVI. The procedure is a minimally invasive segmental ablation treatment that utilizes radio frequency energy to provide an even and uniform heat to contract the collagen in the vein walls, causing them to collapse and seal. Once the diseased vein is closed, blood will re-route itself to other healthy veins. This procedure allows for a quick, comfortable recovery and a return to everyday activities for the average patient, while also improving the appearance of varicose veins. It has been proven in clinical studies to have excellent long term effectiveness, with less pain and bruising than laser.

Endovenous Ablation

This revolutionary new treatment for large varicose veins was pioneered at Cornell University in New York. Originally performed in Spain, the EndoVenous Laser Ablation is performed in the office, takes less than an hour and accomplishes the same thing as a major surgical vein stripping. Using ultrasound guidance and local anesthesia, a thin laser fiber in a catheter is threaded up the vein. As the catheter is slowly withdrawn, the laser shrinks and seals the large vein that causes varicose veins in most patients. There is little or no visible scarring. In those patients who are candidates for the procedure, it is 97% successful.

Sclerotherapy

Sclerotherapy involves the injection, via a very fine needle, of a solution into small to medium varicose veins and spider veins. The solution causes the veins to shrink, close off and gradually disappear. A session usually lasts approximately 15 minutes. There are few reported allergic reactions to the solution used. Depending on the number of veins, multiple sessions may be required, which will be decided after the initial consultation and evaluation.

Microphlebectomy / Phlebectomy

Varicose veins are micro-surgically removed through tiny punctures about the size of the tip of a ballpoint pen.  The word “phlebectomy” literally means removing the vein. The day of the procedure, the doctor or nurse will mark your leg where the veins bulge out. Then, a special local anesthetic (numbing medication) called “tumescent” is injected into the area surrounding your vein. The doctor will make tiny incisions or “stabs” of about 2-3mm – the size of a ball-point pen tip – and use a crochet-type hook to “grab” the vein and remove it. This interrupts the vein, causes any remaining portions of the vein to “clot off”, and gets rid of those unsightly bulgy areas!

If you are considering vein treatment but haven’t quite decided yet, let us help you make the right decision for you. Give us a call at (727) 712-3233 to schedule an appointment with Dr. Zuzga or visit www.westfloridaveincenter.com to learn more.

06.01.19
by

Vein Ligation and Stripping – The Recovery Process

varicose veins

When a patient decides to undergo any type of medical procedure it is important that they have all of the information. This includes what to expect post-procedure. Though the vein treatment may take only a few minutes, your body will need some additional care and rest afterward.

varicose veinsEvery person recovers at a slightly different rate. Your own recovery time may vary. This is based on the average experience of all of our patients.

What You Can Expect

Your leg(s) may feel a little sore or stiff for the first few weeks. You may be prescribed pain medication to get through this part of the recovery. Your legs in the areas they worked on may be slightly bruised.

We ask that you continue to wear tight compression dressings for the first 3 days after surgery. If you have stitches they will dissolve on their own or your doctor will let you know they need to be removed if non-dissolvable within 14 days.

Make sure to rest for 3 to 7 days. Veins removed will be immediately non-visible. Those injected will take time to fully dissolve and disappear from sight.

Caring for Yourself at Home

  1. Your doctor may limit activity for a few days
  2. Get enough rest/sleep
  3. Avoid strenuous activities
  4. Prop your legs up on a pillow many times throughout the day
  5. Walk a little more each day
  6. Take all medicine as directed
  7. Do not drive until you are given the go ahead
  8. You may shower after the compression dressing comes off. Please do not take a bath for the first two weeks.
  9. Ice and elevate. 10-20 minutes at a time place an icepack on the leg worked on.
  10. Be sure to follow up with your physician as directed for the very best outcome.

If you have any questions do not hesitate to call and ask, that is what we are here for during your recovery. Ready to take back your leg and circulatory health? Call us to schedule an appointment today: www.westfloridaveincenter.com (727) 712-3233.