Chronic Venous Insufficiency

Chronic Venous insufficiency (or peripheral venous disease) is a condition in which the valves inside the veins cannot close completely as they help to guide blood back towards the heart. When the valves fail, blood flows in both directions causing swelling, pooling of blood, and bulging of the veins under the skin. The pooling of the blood in the veins increases the risk of life-threatening blood clots forming on the vessel walls.

Venous Disease Results In The Following

  • Spider veins
  • Varicose veins
  • Leg swelling and leg pain
  • Leg skin changes, such as brown or purple discoloration
  • Leg ulcers

Common contributing factors to Venous disease

  • Gender: Males are at a higher risk than females
  • Prior history of blood clot formation in the veins
  • Diabetes
  • Obesity
  • Pregnancy
  • Prolonged standing or immobility
  • Major surgery
  • Trauma - especially fractures of the pelvis, hip or leg
  • Family history

We offer a wide range of therapeutic options for patients with peripheral venous disease, acute chronic occlusive venous disease, or advanced lower extremity venous stasis disease.
Learn more about our treatment options.

Varicose Veins

Closely related to chronic venous insufficiency, varicose veins are enlarged veins that are visible through the skin. They develop as a result of non-functioning valves that create weakness of the vein wall, causing the veins to expand. The veins often appear bulging or twisted and are generally larger than three millimeters in diameter. Varicose veins affect one out of two people over the age of 50, and women are particularly susceptible.

Who Is at risk?

  • Women who have had children
  • Anyone whose job requires them to stand or sit for long periods of time
  • Over weight individuals
  • Family history

If left untreated, can lead to

  • Thickening and discoloration of the skin of the legs
  • Eczema and non-healing sores
  • Superficial thrombophlebitis: forming of blood clots

It has become widely accepted that spider and varicose veins are a side effect of age; but that doesn’t mean you have to live with them. Breakthroughs in technology have lead to minimally invasive treatments varicose veins that are safe, simple, effective, and often covered by medical insurance.
Learn more about our treatment options.

Deep Venous Thrombosis

A DVT is the formation of a blood clot (thrombus) in a deep veins, most commonly occurring in the legs. This thrombus disrupts the normal flow of blood from the legs or arms back to the heart. A DVT presents a serious risk to your life; the clot could move to your heart or lungs causing serious and sometimes fatal conditions. You must see a doctor immediately if you think you may have a DVT.

Risk factors for DVT

  • Previous or family history of DVT
  • Use of oral contraceptives/estrogen replacement therapy
  • Problems with the coagulation of your blood
  • Traumatic injury, recent surgery or have recently been pregnant
  • Have cancer or have undergone cancer treatment
  • Smoke and use tobacco
  • Recently spent long period of time off of your legs
    such as extended travel, bed rest, or injury recovery
  • Obesity

Unlike other forms of vascular disease where risk factors increase with age or poor physical condition, a DVT may occur in people of any age and any level of health, from active athletes to those with limited mobility. If untreated, a DVT may lead to serious conditions such as Pulmonary Embolism, which causes more fatalities than Breast Cancer and AIDS combined.

If you have pain, redness, swelling, warmness, and/or enlarged veins near your surface of the skin, you may be experiencing symptoms of a DVT and need to see a doctor as soon as possible. Our physicians provide a wide range of treatment options to address the specific nature of your DVT.
Learn more about our treatment options.

What to expect | Your first appointment will involve the following


Your treatment will being with an ultrasound examination of your veins, arteries, or both, in your legs to diagnose the presence and extent of disease. Your test results will be immediately available to review with the doctor.

Learn More

Consult with the doctor

Once we review the results of your diagnostic tests, our physicians will help you develop a plan to provide you with the best treatment for your disease.

Learn More


Love this place, the staff and the Doctors. They help people that might otherwise have a greater problem! Very professional, answers all questions. Provides information so that patients understand.
Great vascular surgery facility in Orange County. Their doctors are great. Office looks very nice. Staff is really helpful and kind.

They take the time to understand the problem. You will feel like you are in very caring hands.

My experience at Pedes Orange County has been great! I have no complaints. Dr. Goldstein and Dr. Hewett have been professional in explaining my procedures and treatment plan. I have even recommended your office to my friends and people I know from church. Gregg and David (Ultrasound techs) have treated me well and the rest of the staff has been very helpful.

Video Testimonial - Ernesto Suarez