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Varicose Veins Require Expert Professional Treatment
By Nancy Kennedy


Nicole BrunoMillions of people suffer with varicose veins, spider veins and other circulatory conditions of the legs. These conditions can be uncomfortable, causing aching pain, swelling, and a feeling of heaviness, and they can even lead to discoloration and disfigurement. Many people mistakenly believe that varicose veins are not a serious condition, and so they simply endure the symptoms. Others are convinced that the unsightly veins are primarily a cosmetic problem.

In fact, varicose veins and related circulatory conditions of the lower extremities are indicative of a deeper medical problem that requires expert professional treatment, says Nicole Bruno, M.S.N., C.R.N.P., an acute care nurse practitioner who specializes in cardiovascular and pulmonary conditions and is part of the team at Greater Pittsburgh Vascular Associates, Inc. Bruno says that when varicose veins are untreated, they will usually worsen and may result in venous stasis, infections and subsequent skin breakdown and ulcers, which can be challenging to treat and slow to heal.

“If you have varicose veins and venous insufficiency, you should seek treatment before the disease progresses. There can be irreversible damage without treatment,” she warns. “At Greater Pittsburgh Vascular Associates, we offer state-of-the-art treatment for these conditions as well as preventive care for those who are at risk or are in the earliest stages.”

Greater Pittsburgh Vascular Associates is part of Jefferson Cardiology Associates and has two locations, including one right here in Westmoreland County, in Jeannette. GPVA is one of the region’s foremost facilities for the treatment of a broad spectrum of cardiovascular conditions and offers numerous advantages to patients:

  • State of the art diagnostic and therapeutic care, right in the office;
  • Expert physicians including Gennady Geskin, M.D. who perform the most advanced, minimally invasive procedures;
  • The latest cutting edge diagnostic and surgical technology;
  • A full service, “one stop” setting featuring seamless care, from diagnosis through follow up;
  • A patient-centered, comfortable environment in a free standing facility with ample free parking and easy access on the ground floor of the facility.

According to Nicole Bruno, venous insufficiency can afflict people as young as age 30. Heredity, pregnancy, weight gain and occupations that require constant standing are among the most common risk factors. The symptoms can be eased with professionally measured compression stockings, elevation of the legs, weight reduction and walking, but these measures are not a full solution. “Prophylactic measures can slow the progression of disease and reduce the severity of symptoms, but definitive treatment is essential,” she explains. At Greater Pittsburgh Vascular, we offer the most expert care available. Dr. Geskin is one of the most experienced cardiovascular surgeons in the region.”

Treatment begins with a diagnostic venous ultrasound, performed right in the office, to identify the malfunctioning veins. Dr. Geskin and his colleagues use endovenous thermal laser ablation, a procedure that uses a concentrated beam of light, or radiofrequency, which uses electricity. The procedure is an outpatient, minimally invasive, and very safe procedure that requires only a local anesthetic.  There is no incision and no pain. The procedure is usually complete in less than ten minutes and the patient can walk out afterwards, wearing compression stockings. Most people can resume their usual daily routine in one day.

For Nicole Bruno, working at GPVA is immensely satisfying. “I get to see positive results every day. It can be life-changing when people get their vein problems taken care of; they feel better, they can move more easily and they can live a healthier lifestyle because they no longer have that heavy, aching feeling in their legs. I recall a patient with non-healing leg ulcers who spent two years seeing many doctors. She came here and under our care, her wound finally healed.”

Greater Pittsburgh Vascular Associates offers compression hose fittings, ultrasound diagnostics, complete assessment by a board-certified physician, patient education, and post-procedure follow up care. Greater Pittsburgh Vascular Associates is a private practice and thus is able to accept almost all insurance carriers.

Greater Pittsburgh Vascular has two locations: One in the South Hills, on Route 51, and a second one in Jeannette, at 6637 State RT. 30, 15644.  For directions, or to learn more about the services, visit the web site, www.GreaterPittsburghVascular.com. To contact Jefferson Cardiology Association and Greater Pittsburgh Vascular Associates, call 412-469-1500. To make an appointment at the Jeannette location, call 724-853-1444.



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