Tri-State Vein Center, P.C. located in Dubuque, IA

505 Cedar Cross Road, Suite A
Dubuque, Iowa 52003
Telephone: 563.583.VEIN (8346)




July 13, 2017
Contact: Christopher M. Murphy
(202) 457-8408


Established in 1995, the American Board of Wound Management (ABWM) is dedicated to the multidisciplinary team approach in promoting the science of prevention, care and treatment of acute and chronic wounds. The primary function is to establish and monitor a national certification process, re'cognii'e competency, promote education/research, and elevate the standard of care across the continuum of wound management. Currently the ABWM has certified approximately 3,700 individuals nationwide with their three wound management designations.

Qualified candidates for certification in wound management are required to achieve a passing score on the examination in order to earn the designation CWSP’. Board certification in wound management is achieved only through a rigorous process by the ABWM. Those who become certified in wound management through the ABWM have earned the professional designation of CWSP“. CWSPs are an elite group of healthcare professionals involved in wound management.

The CWSP credential is accredited by the National Commission for Certifying Agencies (NCCA), the accrediting body of the Institute for Credentialing Excellence. The CWSP program received accreditation for demonstrating compliance with the NCCA Standards for the Accreditation of Certification Programs, which ensures certification programs adhere to modern standards of practice for the certification industry.

This is an important accomplishment achieved through hours of hard work in preparation for the CWSP‘ Examination. Joseph T. Jenkins, MD, was originally certified on 7/8/2017 as a CWSP‘, and will be required to recertify by examination no later than 7/8/2027.

Why Become Certified
A CWSP“ should always be sought to become a key member of an institution's wound management team. An expert such as a CWSP’ can help an institution get to the heart of the needs of an institution's wound care program and can identify and give guidance in the reduction of costs associated with the management of chronic wounds.

1. Payors and insurance companies should consider reimbursement to companies that employ CWSPs because a CWSP‘ can maximize the revenues for providing quality wound care services while controlling the costs of those services.

2. CWSPs can also be utilized risk managers. Attorneys would find their expert testimony a valuable consultant for their legal team.

3. Your state should fully recognize the CWSP’ designation as a bona fide credential for any individual specializing in wound management.

Please do not hesitate to call the ABWM if you have any questions regarding the CWSP’ designation.


Christopher M. Murphy
Executive Director

Venous Reflux Disease

Venous Reflux Disease

By: Joe Jenkins MD
Tn-State Vein Center

Do you have varicose veins? Then you may be suffering from superficial venous reflux disease, a condition that affects over 25 million people in the United States. So what is venous reflux disease?

Our leg veins are actually a network of blood vessels. There are superficial veins that are located close to the skin, and deep veins located deep inside the muscles of ours legs. Finally, there are perforator veins that connect the superficial veins with the deep veins. Healthy leg veins contain valves that act as a one-way flap. These valves keep blood from flowing backwards as it moves up the legs against gravity. If these valves weaken or become damaged, the blood can leak back down the legs and collect in dilated veins called varicosities. This is venous reflux disease.

There are many factors which may put you at risk for the presence of venous reflux disease. These include age, sex, family history of vein problems, pregnancy, obesity, and a standing profession. The listed factors cause the valves to weaken or become damaged.

What symptoms might one experience if you have venous reflux disease? A person may have pain, swelling of the ankles, burning sensation, leg heaviness, itching, bulging varicose veins, skin changes, or ultimately skin ulcerations. The disease is progressive and symptoms can worsen over time if left untreated.

To make the diagnosis of venous reflux disease you will be evaluated by a physician. A medical history regarding your leg veins will be taken. Questions will be asked about prior treatment of varicose veins and possible blood clots in the past. The symptoms you are experiencing will be discussed. An examination of your legs will be done with you in both the sitting and standing positions. The doctor will order an ultrasound study of your leg veins. The study shows the blood flow within your leg veins, and tells us how well your valves are working.

If I have venous reflux disease, what can be done for me? Instead of the old method of vein stripping surgery, a Venefit Closure procedure can be performed. Through a small skin incision a catheter is placed into the diseased vein, using ultrasound guidance. Using radiofrequency energy the catheter delivers heat to the vein. This heat welds the vein closed as the catheter is removed from the vein. Blood is then re-routed into healthy veins. This procedure is performed in an office setting. Patients report very little pain with the procedure. There is minimal scanning, bruising, or swelling that develops after the treatment. Patients typically resume normal activities the next day. Many people notice immediate relief of pain and leg heaviness. The full benefits from the procedure make take a few weeks.

Will my health insurance cover the cost of this procedure? Most major health care insurers will cover the procedure as long as medical necessity has been proven. The physician providing the Venefit CLOSURE procedure will discuss your insurance coverage further at the time of consultation.

Dr. Joseph Jenkins has been performing this procedure for the past 5 years here in Dubuque (Serving patients from the Quad Cities-Davenport, Bettendorf, Rock Island and Moline), Madison, Cedar Rapids, and Tri-State (Iowa, Illinois, Wisconsin) areas). He opened the Tri-State Vein Center in January of 2011 to take care of your leg vein problems.

Vein Treatment Vain

Vein Treatment Vain

By Sam Millhouse

These ain’t your grandma’s varicose veins.
And they aren‘t treated the same way, either.
A few decades ago, one of the few procedures to get rid of troublesome varicose veins was to strip them, a surgical removal that involved general anesthetic and a recovery time of weeks.

Today, a variety of treatments are available for unsightly or uncomfortable veins, with a far greater ease of treatment and recovery than previously seen.

But first, many of those without varicose veins, and some with them, may think the issue is a purely cosmetic complaint. For some patients, it is. For others, it can cause discomfort and even pain.

Venous disease, as it is called, occurs when the valves in a person’s veins weaken, causing blood to pool in the legs. It can be exacerbated by weight, long periods of standing or sitting, pregnancy or trauma such as a blood clot. In its least problematic form, the pooling can cause spider veins, which can appear as a network of small veins visible on the skin's surface.

Varicose veins are like spider veins, but they are larger and can sometime be accompanied by discomfort, including itchiness, heaviness, burning or throbbing. In extreme cases, venous disease can cause ulcerations or dark discoloring of the skin.

“Women are more likely to come see us because of the appearance of the vein," said Darlene Curoe, an R.N. with Tri-State Vein Center in Dubuque "Men are more likely to come see us because they experience discomfort.”

"A lot of people think it's strictly a women‘s problem," said office assistant Sandy Jenkins, also of Tri-State Vein. "The symptoms come gradually, so a lot of people don't understand that there’s something they can do about the discomfort and the pain."

Pregnancy can also contribute to venous disease, with progesterone especially playing a role in its formation. All told, about 25 million people in the U.S. are estimated to have venous disease.

Those with venous disease can make lifestyle changes that will ease the burden on their veins. Compression stockings, which help push blood up against the force of gravity, can help increase blood flow.

However, genetics, occupation, age and other factors may make it impossible to alleviate the bulging veins solely through these methods, and other treatments are also available. These basically function by shutting off blood to the troublesome vein.

Doing so doesn’t result in decreased blood flow, however. When superficial vein – such as the varicose-prone saphenous vein - is shut off, blood is re-routed through the large network of veins that serve various parts of the body.

A variety of treatments are available. For example, VNUS uses radio frequency heat delivered through a catheter to weld a vein closed. Sclerotherapy injects medication into a vein, causing it to become inflamed and stopping blood flow to the vein, after which the vein disappears. With stab microphlebectomy and transilluminated powered phlebectomy, the vein is removed through small incisions.
Treatment is covered by most insurance, Curoe said.
“We’ve had people go home and dance,” Curoe said. “We had someone run six miles afterward, and people typically go to work the next day. It doesn’t involve the recovery time it used to.”

Are Varicose Veins a problem for you?

Are Varicose Veins a problem for you?

By: Joe Jenkins MD
Tn-State Vein Center

Do you suffer from varicose veins? They are the unsightly rope-like structures that can bulge in your lower legs. These are generally caused by weak or damaged valves within our legs. A person’s heart pumps oxygen rich blood and nutrients to every place within the body through arteries. The veins carry the blood back to the heart. To keep the blood within the vein moving back towards the heart, the veins contain valves that act as a one-way flap. These valves keep blood from flowing backwards as it moves up the legs against gravity. If these valves weaken or become damaged, the blood can leak back down the legs and collect in dilated veins called varicosities.

The varicose veins can be the source of multiple complaints besides just the bulging unsightly veins noted in your lower leg. These symptoms include pain, leg heaviness, burning, itching, swelling, and skin changes or skin ulcerations. If you suffer from any of these symptoms, your varicose veins should be treated.

Gone are the days of the old vein stripping surgeries. New, minimally invasive techniques performed in a physician’s office are the treatments offered today to patients with varicose veins. The techniques may include a catheter threaded into the vein, and heated with radio frequency waves to destroy the lining of the vein. This procedure welds the vein closed, thus stopping blood from flowing through the vein. Sclerotherapy is a technique which injects a medication into the varicose veins. The medication destroys the lining of the vein and causes the vein to scar down, resulting in stoppage of blood flow. Lastly, surgical removal of a large ropey varicose vein may be required by the technique of ambulatory phlebotomy. All these techniques change the blood flow within the leg veins so that it is routed into normal functioning veins.

If you or a loved one has problems with varicose veins, then a discussion with your primary care physician is in order. A referral to a vein treatment center could put the spring back in your step.

State of the Art Varicose Vein Care available in Dubuque

State of the Art Varicose Vein Care available in Dubuque

By: Joe Jenkins MD
Tn-State Vein Center

Technical advancements in medical care are occurring at record pace. Varicose vein treatment is no exception. For many years the only option for a patient suffering with varicose veins and venous reflux disease was to undergo vein stripping surgery. Post procedure, the patient was unable to return to their normal lifestyle for many weeks. Many patients were reluctant to undergo such procedures.

Catheter treatment causing destruction of the great saphenous vein revolutionized vein treatment in 2000. The procedure was able to be carried out in the physician’s office. Generally, the patient was able to return to their normal activities within 24 hours. Patients’ leg symptoms improved in a short period of time.

A drawback to this treatment was the need for injection of anesthetic solution along the entire vein length, so one did not feel the heat as the procedure was being completed. This required several needle sticks. Thus, different treatment modalities were developed to overcome this issue.

The newest procedure for vein treatment approved by the FDA in February of 2015, is called VenaSeal. The vein is closed by placing cyanoacrylate (Super Glue) via a catheter along the vein. The vein is glued closed.
This procedure was showcased on the Dr. Oz show just prior to Thanksgiving. The Tri-State Vein Center performed the procedure for the first time on two patients early December. This was a first in the Midwest, according to the company representative for this treatment option.

Dr. Jenkins and the staff at the Tri-State Vein Center are committed in providing cutting edge treatment for patients with varicose veins and venous reflux. Call the office for an appointment if you want to discuss this treatment option.

Compression Stockings

Compression Stockings

By: Joe Jenkins MD
Tn-State Vein Center

Compression stockings are also called support hose. They are used to treat leg problems associated with vein or lymphatic problems. A person with tired, achy, heavy, legs should consider compression stockings. The white surgical stockings or TED compression stockings that one wears during a surgical procedure are classified as anti- embolism stockings. They are used to maintain normal venous blood return to the heart in a bedridden person. They have a compression rating of 8 to 18 mm of Hg. The medical compression stocking have a compression rating of 15 to 20 mm Hg, or higher. They are used by people who are ambulatory. Graduated compression stockings are used to treat varicose veins, swelling, skin changes about the ankle, venous stasis ulcers, or other symptoms associated with Chronic Venous Insufficiency. The compression provided by TED hose is not adequate to treat people who suffer from Chronic Venous Insufficiency.

Compression stockings are also used to treat Post Thrombotic Syndrome, a serious complication that can arise after someone has suffered a deep vein blood clot within the leg.

However, some form of compression stockings are of benefit to anyone who is required to stand in one place for long periods of time or is sitting for long periods of time with their feet on the floor. In those positions our calf muscle which is a major pump to get the blood out of the legs back to the heart is not functioning.

I had lots of purple spider veins right above my knees on both sides of my legs. During my Sclerotherapy treatment there were just little needle pricks. Really no pain and it didn't take long. After sclerotherapy I was never restricted from anything and my legs did not hurt. I was so happy when summer came and I could were shorts and a swimsuit without the normal embarrassment.

Connie (age 68)

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