Vascular Center and Vein Clinic of Southern Indiana - Ricardo Vasquez, M.D.

Vascular Center and Vein Clinic of Southern Indiana - Ricardo Vasquez, M.D. Dr. Ricardo Vasquez Vascular Care: Expert surgeries & treatments for vascular health. Trustworthy, quality care.

Specializing in treatment of varicose veins, leg swelling, stroke prevention, and peripheral artery disease leg pain. Ricardo Vasquez, MD, is a Board Certified Vascular Surgeon at the Vascular Center & Vein Clinic of Southern Indiana which was founded in 2007. His expertise and private practice has been serving patients and providing trustworthy care from offices in Bloomington and Bedford. After

earning his Bachelor of Science degree in Physiology from the University of California, Davis, Dr. Vasquez went on to earn his Doctor of Medicine at the University of Iowa. He continued his General Surgery Residency training at the Mount Sinai School of Medicine-Cabrini Medical Center in New York City, while being recognized Chief Resident. Dr. Vasquez earned his vascular and endovascular fellowship from the Boston University Medical Center in Massachusetts. Dr. Vasquez has been utilizing cutting-edge techniques and the latest medical devices to advance the treatments of his vascular surgery patients. He has a nationally accredited angiogram suite and a vascular ultrasound laboratory to help diagnose and treat patients. As a prominent vascular surgeon in the community, Dr. Vasquez has served on many hospital credentialing and administrative committees, as well as advisory boards. His practice mentors medical students, ultrasonographers and medical assistants from Indiana University and Ivy Tech Community College. He is an active supporter of the Monroe County public school system and local athletics.

08/08/2025

5 Common Causes of Leg Pain—and Why You Don’t Need to Wait for a Hospital Referral

Leg pain is a common symptom that can range from a mild nuisance to a sign of a more serious vascular condition. At the Vascular Center and Vein Clinic of Southern Indiana, Dr. Ricardo Vasquez - board-certified vascular surgeon with over 20 years of experience, offers immediate in-office evaluations to help patients in Bloomington and surrounding areas get the answers they need—without a referral, hospital visit, or unnecessary delay.

Here are five common causes of leg pain and how Dr. Vasquez’s in-office accredited Vascular Lab can help provide fast, accurate diagnosis and affordable care.

1. Varicose Veins & Venous Insufficiency
Varicose veins are more than just a cosmetic issue—they can lead to leg pain, heaviness, throbbing, and swelling. Chronic venous insufficiency, where blood doesn’t flow properly back to the heart, is a common underlying cause. If left untreated, it can lead to skin changes or even leg ulcers.
At our clinic, Dr. Vasquez performs real-time vascular ultrasound during your visit to evaluate blood flow and check for signs of vein reflux. Treatment is often minimally invasive and performed in-office.

2. Peripheral Artery Disease (PAD)
PAD occurs when arteries in the legs become narrowed or blocked, reducing blood flow. Symptoms often include leg pain when walking (claudication), leg fatigue, or slow-healing wounds on the feet. PAD can be a warning sign of more widespread atherosclerosis.
Dr. Vasquez uses non-invasive arterial testing to detect PAD and tailor treatment plans—whether through lifestyle changes, medications, or procedures—all without the need for hospital referral or waitlists.

3. Deep Vein Thrombosis (DVT)
DVT is a medical emergency that involves a blood clot forming in a deep vein, usually in the leg. It often presents with sudden leg swelling, warmth, and pain. Immediate evaluation is critical to prevent complications like pulmonary embolism.
With an on-site Vascular Lab, Dr. Vasquez can perform a duplex ultrasound right in the office—saving time, costs, and the hassle of hospital imaging or ER visits.

4. Lymphedema
Lymphedema causes chronic leg swelling due to a buildup of lymphatic fluid, often resulting from damaged or blocked lymph vessels. This can lead to discomfort, tightness, and a feeling of heaviness in the limbs.
Dr. Vasquez evaluates swelling causes thoroughly and offers guidance on compression therapy, lifestyle adjustments, and management strategies that are individualized to each patient.

5. Nerve Compression or Neuropathy
Sometimes leg pain is not vascular but neurological in origin—such as sciatica or peripheral neuropathy. Dr. Vasquez’s thorough vascular evaluation helps rule out circulation-related issues first, guiding patients toward the appropriate specialist if needed.

Why Choose Dr. Ricardo Vasquez?

- No Referral Needed: You can call and schedule your visit directly—no primary care referral required.

- Quick, Accurate In-Office Diagnostics: Our accredited Vascular Lab allows for same-day vascular ultrasounds and evaluations.

- Significant Cost Savings: Skip the hospital fees and long wait times—our office evaluations are a fraction of the cost.

- 20+ Years of Expertise: Dr. Vasquez has been diagnosing and treating vascular conditions for over two decades.

- Compassionate, Personalized Care: Every patient receives a one-on-one evaluation with Dr. Vasquez, ensuring peace of mind and a clear path forward.

Experiencing leg pain or swelling? Don’t wait.

Call 812-336-6008 today to schedule an evaluation with Dr. Ricardo Vasquez, board-certified vascular surgeon. Get fast answers, affordable care, and expert treatment—right here at 815 W 2nd Street, Bloomington, Indiana 47403.

08/01/2025

Understanding Leg Ulcers: Causes, Symptoms, and Treatment

Leg ulcers are open sores that can significantly impact daily life, causing pain, discomfort, and reduced mobility. Identifying the specific type of leg ulcer is essential to ensure effective treatment and healing. This blog explores the common types of leg ulcers, their causes, symptoms, and available treatment options.

1. Venous Ulcers
Venous ulcers are the most prevalent type and occur due to chronic venous insufficiency, a condition where the vein valves become ineffective, causing blood to pool and elevate pressure in the lower legs. Common symptoms include swelling around the ankles, a characteristic brownish discoloration of the skin, aching pain relieved by elevating the legs, and shallow wounds primarily located near the ankles. Treatment involves compression therapy, elevating the legs, careful wound care, and minimally invasive treatments like endovenous ablation to address underlying venous issues.

2. Arterial Ulcers
Arterial ulcers stem from insufficient blood flow to the limbs, primarily caused by peripheral artery disease (PAD). These ulcers usually appear as painful, deep wounds on toes, heels, or ankles. Additional symptoms can include pale or bluish skin around the wound, increased pain when legs are elevated, and noticeably cooler extremities. Treatment strategies include lifestyle modifications to enhance circulation, medication to improve blood flow, and surgical interventions such as angioplasty or bypass surgery in severe cases.

3. Diabetic (Neuropathic) Ulcers
Diabetic ulcers commonly affect individuals with diabetes who have developed neuropathy, causing reduced sensation in their feet. These ulcers typically develop unnoticed due to the loss of feeling and commonly appear on the soles or areas subject to repeated pressure. They often have callused edges and are usually painless due to nerve damage. Effective management includes careful control of blood sugar levels, specialized wound care, relieving pressure on the ulcerated area, and regular foot care examinations by healthcare professionals.

4. Pressure Ulcers
Pressure ulcers, commonly known as bedsores, occur from prolonged pressure on the skin, predominantly affecting individuals with limited mobility or who are bedridden. Symptoms start as redness and progress to deeper wounds, typically occurring over bony areas such as the heels. Prevention and treatment involve frequent repositioning to alleviate pressure, use of specialized cushioning, thorough wound care, and vigilant monitoring to prevent infections.

5. Vasculitic Ulcers
These ulcers are caused by vasculitis, an inflammatory condition that affects blood vessels, leading to reduced blood flow to the skin and tissues. Vasculitic ulcers are characterized by painful sores with irregular borders, often accompanied by inflammation and redness. Treatment includes medications such as corticosteroids or immunosuppressive therapies to reduce inflammation, combined with meticulous wound care and pain management.

6. Sickle Cell Ulcers
Individuals with sickle cell anemia may develop ulcers primarily due to poor blood circulation and chronic vessel damage. These ulcers usually form around the ankles and are typically very painful, slow to heal, and may frequently recur. Management involves addressing sickle cell disease symptoms, ensuring effective pain relief, and providing advanced wound care and dressing techniques to promote healing.

Expert Leg Ulcer Care at Vascular Center and Vein Clinic of Southern Indiana

Prompt and accurate diagnosis is vital for effectively treating leg ulcers. At the Vascular Center and Vein Clinic of Southern Indiana, board-certified vascular surgeon Dr. Ricardo Vasquez provides comprehensive assessments and personalized care strategies tailored to each patient’s needs. If you're experiencing symptoms associated with leg ulcers, contact us at 812-336-6008 to schedule your consultation and begin your journey toward healing and improved comfort.

07/26/2025

Top 3 Reasons Hoosiers Seek Vascular Care: Varicose Veins, DVT, and PAD

If you’re experiencing leg pain or swelling, you’re not alone. In Indiana, three of the most frequently searched vascular conditions online are varicose veins, deep vein thrombosis (DVT), and peripheral artery disease (PAD). Understanding these conditions can guide you to seek timely care—especially when prompt evaluation can significantly impact your health outcomes.

Common Conditions Requiring Vascular Evaluation:

1. Varicose Veins: Characterized by swollen, twisted veins visible beneath the skin, varicose veins cause discomfort, leg heaviness, and swelling. Beyond cosmetic concerns, untreated varicose veins can lead to complications like skin changes and ulcers.

2. Deep Vein Thrombosis (DVT): A blood clot in a deep vein—typically in the leg—resulting in acute pain, swelling, and redness. Immediate diagnosis is essential to prevent serious complications, such as pulmonary embolism.

3. Peripheral Artery Disease (PAD): Involves narrowed arteries, restricting blood flow to the legs. PAD commonly causes pain while walking, relieved by rest, and significantly impacts daily life and mobility if untreated.

No Referral Needed: Faster Access, Better Outcomes
In Indiana, limited availability of primary care providers can delay important medical evaluations. At the Vascular Center and Vein Clinic of Southern Indiana, we make vascular care more accessible by accepting self-referrals. Patients experiencing leg pain, swelling, or other vascular symptoms can schedule an ultrasound evaluation directly—no primary care referral required.

Convenient, Affordable Ultrasounds Right in Our Office

Our state-of-the-art accredited vascular lab, directed by board-certified vascular surgeon Dr. Ricardo Vasquez, offers immediate ultrasound evaluations. By performing ultrasounds directly in our Bloomington office, we provide:

Improved Access: Schedule quickly and easily, avoiding hospital delays.

Enhanced Quality: Receive expert interpretation and immediate treatment planning from a specialized vascular surgeon.

Greater Affordability: Significantly lower costs compared to hospital-based imaging, without facility or radiology fees.

Take Control of Your Vascular Health

If you have symptoms related to varicose veins, DVT, or PAD, don’t wait for a referral. Contact the Vascular Center and Vein Clinic of Southern Indiana today at 812-336-6008 to schedule your in-office ultrasound evaluation and take the first step toward healthier legs.

07/19/2025

High-Quality Vascular Ultrasounds at an Affordable Price

If you’re experiencing leg pain or swelling and need to rule out a clot, don’t wait for hospital scheduling or face hefty facility fees. At the Vascular Center and Vein Clinic of Southern Indiana, Dr. Ricardo Vasquez offers same-day, in-office duplex ultrasound evaluations that cost up to five times less than the hospital price.

Cost Savings: No facility or radiology fees—just straightforward pricing for essential vascular imaging.

Urgent Access: Walk-ins and self-referrals welcome for immediate evaluation of leg pain and swelling.

Expert Care: Our accredited vascular lab is overseen by a board-certified vascular surgeon who interprets your results and recommends next steps on the spot.

Call 812-336-6008 today to schedule your in-office vascular ultrasound—fast, affordable, and comprehensive care in Bloomington and Southern Indiana.

06/28/2025

Targeting Leg Swelling This Summer

Hot weather and increased activity can bring on—or worsen—leg swelling. If your ankles puff up, your legs feel heavy, or you notice new bulging veins, you don’t have to wait for a referral or endure hospital delays. Board-certified vascular surgeon Dr. Ricardo Vasquez welcomes self-referrals and walk-ins at our Bloomington office, where same-day duplex ultrasound in our accredited lab pinpoints the cause—and gets you relief faster.

Common Summer Causes of Leg Swelling
1. Varicose Veins & Chronic Venous Insufficiency:
Weak or damaged vein valves let blood pool in the legs, creating pressure that leads to swelling, aching, and the visible “rope-like” veins of varicosities. Summer heat dilates vessels further, making varicose veins more uncomfortable—and more obvious.

2. Lymphedema:
When lymph fluid can’t drain properly—due to lymph node removal, radiation, infection, or congenital factors—it accumulates in tissues. The result is persistent swelling, tightness, and skin changes. Warm temperatures often exacerbate fluid buildup.

3. Superficial Vein Thrombosis (SVT):
Clots in veins just under the skin can cause localized redness, tenderness, and swelling. Though less dangerous than deep-vein thrombosis, SVT still demands prompt ultrasound evaluation to prevent extension or complications.

Why Early Evaluation Matters

Untreated leg swelling can progress—leading to skin discoloration, open sores (venous ulcers), or increased clot risk. Early diagnosis by a vascular specialist allows targeted treatment before complications arise. At the Vascular Center and Vein Clinic of Southern Indiana, we offer:

- Walk-In & Self-Referral Appointments:
No primary-care referral needed—call ahead or simply walk in.

- In-Office Duplex Ultrasound:
Fast, noninvasive imaging performed by our accredited vascular lab pinpoints valve reflux, lymphatic blockages, or superficial clots immediately.

- Avoid Hospital Wait Times:
Get your ultrasound, results, and treatment plan —all in a single office visit.

Summer-Ready Treatment Options

1. Endovenous Ablation (Radiofrequency or Laser)
Minimally invasive closure of refluxing veins under local anesthesia. Patients walk out and return to activities quickly.

2. Sclerotherapy & Varithena® Foam
Ultrasound-guided injections seal off spider veins, small varicosities, and superficial vein clots for improved comfort and appearance.

3. Manual Lymphatic Drainage & Compression Therapy
Gentle massage techniques plus custom-fitted compression garments help reduce lymphedema swelling and support lymphatic flow.

4. Superficial Vein Thrombosis Management
Focused ultrasound evaluation to confirm SVT, followed by compression wrapping, anti-inflammatory measures, and monitoring to prevent clot progression.

Take Control of Your Leg Swelling

Don’t let summer leg swelling sideline you. Dr. Ricardo Vasquez, your local vascular surgeon in Bloomington, makes it easy:

- Self-refer or walk in—no referral needed
- Same-day in-office ultrasound and diagnosis
- Personalized, minimally invasive treatments
- Most insurance plans accepted for medically necessary care

Enjoy your summer with lighter, more comfortable legs. Call 812-336-6008 or stop by the Vascular Center and Vein Clinic of Southern Indiana at 815 W 2nd Street, Bloomington, IN 47403 today to get started on relief—fast.

06/07/2025

Understanding Lymphedema: Causes and Effective Treatments

Lymphedema is a chronic condition characterized by swelling, typically in the arms or legs, caused by an accumulation of lymph fluid. It can significantly impact your quality of life, causing discomfort, restricted movement, and increased risk of infection. Understanding the causes and available treatments can help manage symptoms effectively.

What Causes Lymphedema?

Lymphedema occurs due to blockages or damage within the lymphatic system, preventing lymph fluid from draining properly. Common causes include:
- Surgical Procedures: Lymph node removal during cancer treatments, especially breast cancer surgeries, can damage lymph pathways.
- Radiation Therapy: Radiation treatments for cancer can scar and inflame lymph vessels.
- Infections: Certain infections, such as cellulitis, can damage lymphatic vessels and tissues.
- Congenital Conditions: Some individuals are born with underdeveloped lymphatic systems, a condition known as primary lymphedema.
- Trauma or Injury: Physical trauma or injury can damage lymphatic vessels.

Recognizing Symptoms

Common signs of lymphedema include:
- Persistent swelling of arms or legs
- Feeling of heaviness or tightness
- Restricted range of motion
- Recurring infections
- Thickening or hardening of the skin
Early diagnosis is crucial for effective management and preventing progression of symptoms.

Effective Treatments for Lymphedema

While lymphedema is a chronic condition, multiple therapies can effectively manage symptoms and enhance your quality of life:

1. Compression Therapy
Using compression garments or bandages can help lymph fluid circulate properly and reduce swelling.

2. Manual Lymphatic Drainage (MLD)
This gentle, specialized massage technique encourages lymph fluid movement and reduces swelling.

3. Exercise and Physical Activity
Light, regular exercise tailored to your needs can help stimulate lymph drainage and maintain joint flexibility and strength.

4. Skin Care
Good hygiene and skincare practices reduce infection risks. Regular moisturizing and immediate treatment of cuts and abrasions are essential.

5. Pneumatic Compression Devices
Specialized pumps intermittently inflate sleeves worn over the affected limb, promoting fluid movement and reducing swelling.

6. Surgical Treatments
In severe cases, surgical interventions like lymphatic bypass or lymph node transfer may be considered.

Personalized Care at Vascular Center and Vein Clinic of Southern Indiana - 815 W 2nd Street, Bloomington, IN

Dr. Ricardo Vasquez, Board Certified Vascular Surgeon, provides comprehensive evaluations and individualized care plans for lymphedema patients in Bloomington and Southern Indiana. Early intervention and tailored treatment can dramatically improve your condition and daily comfort.

If you’re experiencing symptoms of lymphedema, contact our office at 812-336-6008 for an expert consultation. Take proactive steps toward managing your lymphedema effectively and enhancing your overall quality of life.

05/31/2025

Understanding and Managing Foot and Muscle Cramps

Muscle cramps, especially in the feet and legs, can be uncomfortable and disruptive. These involuntary and often painful muscle contractions occur for various reasons. Understanding the latest insights and effective remedies can help you manage and reduce their occurrence.

Why Do Muscle Cramps Occur?

Recent research has moved beyond the traditional beliefs around dehydration and electrolyte imbalances, highlighting a more prominent cause: neuromuscular control issues.

- Neuromuscular Control: Muscle cramps primarily result from fatigue or overexertion that disrupts nerve signals to the muscles. Fatigued muscles can send irregular signals to your nerves, resulting in painful cramps, particularly in muscles like those in the calves and feet, which cross multiple joints and are heavily used.

- Electrolyte and Hydration Factors: While electrolyte imbalances (e.g., potassium, sodium, magnesium) and dehydration do not directly cause cramps, they can exacerbate muscle sensitivity, making cramps more likely during intense physical activity or heat exposure.

- Central Nervous System Role: Conditions affecting the central nervous system (CNS), such as restless leg syndrome or pregnancy-related changes, can lower the threshold for cramp occurrence.

- Metabolic and Vascular Factors: Reduced circulation or metabolic disturbances, common in diabetes or kidney disease, can lead to cramps, especially in the feet.

- Genetic and Environmental Influences: Genetic predispositions and external factors such as cold temperatures or restrictive footwear may also trigger muscle cramps.

Immediate Relief from Muscle Cramps

When cramps occur, immediate relief can be achieved through:

- Stretching: Gently stretch the cramped muscle. For foot cramps, pull your toes toward your shin. For calf cramps, straighten your leg and flex your foot upwards.

- Massage: Firmly massaging the muscle improves blood flow and reduces tension.

- Heat or Cold Therapy: Applying a warm compress relaxes muscles, while a cold pack reduces nerve irritability and inflammation.

Effective Preventive Measures

To reduce your risk of muscle cramps, consider the following:

- Maintain Hydration and Electrolyte Balance: Drinking adequate fluids and consuming electrolyte-rich foods can support muscle function and reduce cramp risk.

- Proper Warm-Up and Conditioning: Regular, moderate exercise and dynamic stretching before physical activities help prevent muscle fatigue and cramps.

- Magnesium Supplementation: Supplements or topical magnesium treatments may benefit some individuals, particularly with frequent nocturnal cramps.

- Footwear and Orthotics: Wearing comfortable, supportive shoes helps minimize mechanical stress and improve circulation, significantly reducing foot cramps.

- Medical Evaluation: Persistent cramps may indicate underlying conditions like neuropathy, thyroid disorders, or side effects of medications (e.g., diuretics). Consulting your healthcare provider is crucial if cramps continue despite home remedies.

Emerging Remedies

Several new and alternative treatments have shown promising results:

- Pickle Juice: Studies suggest pickle juice can rapidly relieve cramps due to its acetic acid content, reducing muscle excitability.

- Compression Therapy: Compression socks can enhance circulation and reduce cramp frequency.

- Acupuncture and Physical Therapy: While evidence is limited, some individuals find relief through these alternative methods, especially for chronic cramps.

When to Seek Medical Help

If cramps are frequent, severe, or accompanied by other symptoms like persistent swelling or pain, it’s important to seek professional evaluation. Dr. Ricardo Vasquez provides comprehensive vascular assessments in Southern Indiana, helping patients identify and treat underlying causes effectively.

Contact the Vascular Center and Vein Clinic of Southern Indiana at 812-336-6008 to schedule your consultation today and find lasting relief from muscle cramps.

05/23/2025

Managing Varicose Vein Symptoms in Hot Weather: Tips for Summer

As the temperatures rise in Southern Indiana, those with varicose veins may notice increased discomfort and swelling. Hot weather can exacerbate vein symptoms, causing legs to feel heavy, achy, and swollen. Fortunately, a few simple strategies can help you stay comfortable and maintain healthy circulation throughout the summer months.

Why Hot Weather Affects Veins

Heat causes veins to dilate, increasing the amount of blood pooling in your legs and intensifying symptoms like swelling, discomfort, and fatigue. If you have varicose veins, your veins are already compromised, and hot weather further challenges your circulation.

Tips to Keep Vein Symptoms at Bay This Summer:

1. Stay Hydrated:
Drinking plenty of water throughout the day supports healthy circulation and prevents fluid retention, reducing swelling and discomfort.

2. Stay Cool:
When possible, avoid prolonged exposure to heat. Seek shade or cool indoor environments regularly, and use cold compresses or showers to alleviate vein-related discomfort.

3. Elevate Your Legs:
Elevating your legs above heart level several times a day helps reduce swelling and improves blood flow. Try to incorporate elevation breaks into your daily routine, especially after periods of standing or sitting.

4. Compression Therapy:
Wearing compression stockings can significantly relieve vein symptoms during hot weather. Compression helps veins work more efficiently, reducing swelling and discomfort.

5. Stay Active:
Gentle activities like swimming or walking in the cooler parts of the day help maintain healthy circulation without overheating.

6. Wear Appropriate Clothing:
Choose loose-fitting, breathable clothing made from natural fibers to reduce heat-related discomfort. Avoid tight garments and shoes, as they restrict circulation and exacerbate symptoms.

7. Monitor Travel and Activities:
Summer holidays often involve travel. If you're taking long car rides or flights, take frequent breaks to move your legs and feet, wear compression stockings, and stay hydrated to prevent swelling and discomfort.

05/09/2025

We are pleased to share the recent national recognitions awarded to Monroe Hospital’s Vascular Surgery program, reflecting our sustained commitment to clinical excellence and patient safety:

- Five-Star Recipient for Carotid Procedures — Healthgrades, 2022 – 2024

- America’s 50 Best Hospitals for Vascular Surgery — Healthgrades, 2023

- Top 5 % in the Nation for Vascular Surgery — Healthgrades, 2024 & 2025

Led by board-certified vascular surgeon Dr. Ricardo Vasquez, our team remains dedicated to providing the highest standard of vascular care in Bloomington and throughout Southern Indiana. Thank you for trusting Monroe Hospital as your destination for award-winning vascular care.

05/03/2025

Varicose Veins FAQ: Answers from Your Vascular Surgeon in Bloomington, IN

Curious about varicose veins, their impact on your health, and how they’re treated? Below, vascular surgeon Dr. Ricardo Vasquez addresses the most common questions he hears from patients across Bloomington and Southern Indiana. Whether you’ve just noticed bulging veins or you’re ready for treatment, these answers will help you make informed decisions.

1. Are varicose veins just a cosmetic problem?
No. While varicose veins can be unsightly, they often cause aching, heaviness, swelling, itching, and restless legs. Untreated veins can progress to skin discoloration, bleeding, or ulcers. Early evaluation prevents complications and improves comfort and appearance.

2. What causes varicose veins?
They develop when vein valves weaken, allowing blood to pool in the legs (venous reflux). Risk factors include genetics, age, pregnancy, obesity, prolonged standing or sitting, and lack of exercise.

3. Do I need a referral to see Dr. Vasquez?
No referral is needed. Indiana insurers typically cover consultations for leg pain, swelling, or visible varicose veins. You can call our clinic directly to schedule an ultrasound evaluation.

4. How are varicose veins diagnosed?
Dr. Vasquez performs a simple, painless duplex ultrasound in our accredited vascular lab. This test maps blood flow, pinpoints faulty valves, and guides a personalized treatment plan—all in one office visit.

5. What treatment options are available?
- Endovenous Ablation (Laser or Radiofrequency): Closes the vein with heat.
- Varithena Foam Sclerotherapy: Ultrasound‑guided foam seals twisted veins.
- Ambulatory Phlebectomy: Tiny incisions remove surface veins.
- Compression Therapy: Stockings ease symptoms and support healing. Most procedures take under an hour, require only local anesthesia, and allow you to walk out the same day.

6. Will insurance cover my treatment?
If varicose veins cause pain, swelling, skin changes, or other medical symptoms, insurance usually covers diagnostics and medically necessary procedures. Our staff verifies coverage and obtains any required authorizations.

7. What is recovery like?
Expect minimal downtime. Patients typically resume normal activities within 24–48 hours, wearing compression stockings for one to two weeks. Mild bruising or tenderness fades quickly.

8. Can varicose veins return after treatment?
Treated veins remain closed, but new varicose veins can develop over time. Maintaining a healthy weight, staying active, using compression when needed, and following up with Dr. Vasquez help minimize recurrence.

9. Do men get varicose veins?
Yes. Although more common in women, around 45% of men develop varicose veins. Men often delay seeking care—don’t wait until discomfort worsens; early treatment is easier and more effective.

10. Are compression stockings enough?
Compression alleviates symptoms and supports circulation but does not correct the underlying valve failure. Definitive treatments like ablation or sclerotherapy provide lasting relief by closing diseased veins.

11. When should I seek immediate medical attention?
Seek care promptly if you experience sudden leg swelling and pain (possible DVT), bleeding varicose veins, or rapidly worsening skin ulcers. Dr. Vasquez can assess you the same day in urgent cases.

12. What makes office‑based treatment better than hospital procedures?
Our Bloomington office offers:
- Lower costs (no hospital facility fees)
- Quicker scheduling and same‑day ultrasound
- Local anesthesia, minimal downtime
- Personalized attention from the same care team at every visit

Ready for Healthier Legs?
If you have questions not covered here—or you’re ready to address leg pain, swelling, or visible veins—contact the Vascular Center and Vein Clinic of Southern Indiana at 812‑336‑6008. Dr. Ricardo Vasquez will provide a thorough evaluation and customized treatment plan so you can enjoy lighter, pain‑free legs.

04/25/2025

When to See a Vascular Surgeon for Leg Swelling and Varicose Veins

Leg swelling, aching veins, or skin changes on your lower legs aren’t just cosmetic concerns—they can be signs of underlying vein or artery disease that deserves prompt attention. The earlier you seek a specialist’s evaluation, the easier it is to relieve discomfort, avoid complications, and get back to living pain‑free. Below are five clear signals that it’s time to schedule an appointment directly with vascular surgeon Dr. Ricardo Vasquez in the greater Bloomington, Indiana area—no referral required and typically covered by insurance.

1. Persistent Swelling
If puffiness in your ankles or calves lingers despite elevating your feet or resting overnight, circulation problems may be to blame. Chronic venous insufficiency (faulty vein valves) often causes this kind of constant swelling. Persistent edema can also signal more serious issues—such as lymphatic obstruction or kidney problems—so a vascular ultrasound is the fastest way to pinpoint the cause.

2. Leg Pain or Heaviness
Throbbing, aching, or a heavy sensation—especially worse at the end of the day—often stems from varicose veins. Pain that starts when you walk and eases at rest could indicate peripheral arterial disease (PAD). Either way, a vascular specialist can distinguish between venous and arterial causes and tailor treatment accordingly.

3. Skin Changes
Look for brownish discoloration around your ankles, patches of dry or itchy skin, or areas that feel hot to the touch. Untreated venous reflux raises skin pressure and can lead to eczema, lipodermatosclerosis (hardening), or even open sores (ulcers). Early evaluation helps prevent these problems from progressing.

4. History of Blood Clots (DVT)
A previous deep‑vein thrombosis greatly increases the risk of another clot. Ongoing leg swelling or pain after a DVT may indicate post‑thrombotic syndrome. A vascular surgeon can use duplex ultrasound to assess vein patency, check for lingering obstruction, and prescribe therapies—such as compression or anticoagulation—to reduce recurrence risk.

5. Severe or Bleeding Varicose Veins
Large, rope‑like veins that throb, itch, or occasionally bleed warrant immediate evaluation. Significant bulging veins not only affect your confidence but also raise the chance of skin ulceration and clot formation. Modern, office‑based treatments close or remove diseased veins quickly and safely.

Why Choose a Vascular Surgeon First?

Comprehensive Diagnosis:

At our accredited vascular lab, Dr. Vasquez performs duplex ultrasound right in the office. This painless test shows real‑time blood flow, valve function, and vessel anatomy—so you leave with answers the same day instead of waiting for hospital imaging.

Full Range of Treatment Options:

From conservative care (graduated compression stockings, exercise plans) to minimally invasive procedures—including radiofrequency or laser ablation, Varithena® foam sclerotherapy, and ambulatory phlebectomy—Dr. Vasquez tailors therapy to your unique needs. Most procedures take under an hour, require only local anesthesia, and let you walk out and resume normal activities quickly.

Prevention of Serious Complications:

Early intervention lowers the risk of leg ulcers, recurrent DVT, or potentially life‑threatening pulmonary embolism. Treating problem veins sooner also translates to better cosmetic outcomes and lasting symptom relief.

No Referral Needed—Insurance Typically Covers Leg‑Pain Visits
Indiana insurers recognize that leg swelling, pain, and visible varicose veins are medical issues, not merely cosmetic. In nearly all cases, they will cover specialist evaluation and medically necessary treatment. You can book an appointment directly with Dr. Vasquez—no primary‑care referral or lengthy authorization process.

Ready for Relief? Schedule Today

If you live in Bloomington or anywhere in Southern Indiana and struggle with persistent swelling, painful varicose veins, or any of the warning signs above, don’t wait. Call the Vascular Center and Vein Clinic of Southern Indiana at 812‑336‑6008 to schedule your consultation with vascular surgeon Dr. Ricardo Vasquez. Our team will perform an on‑site ultrasound, explain your results immediately, and craft a personalized treatment plan—often beginning the same day. Take the first step toward healthier, lighter legs and peace of mind.

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815 W Second Street
Bloomington, IN
47403

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+18123366008

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