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

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


Radio-frequency Thermal Ablation - An office procedure to treat venous reflux disease of the greater saphenouse vein, of the lower leg. Using ultrasound, a small catheter is positioned into the vein undergoing treatment. The catheter delivers heat to the vein wall by using the power of radio-frequency (RF) energy. The vein is welded closed, and blood is rerouted into other healthy veins of the leg.

Ambulatory Phlebectomy - An office procedure that may be required in order to remove large ropey varicose veins of the leg. Small incisions are made in the skin overlying the larger vein. Using small crochet hook-like instruments the vein is removed from the leg. The incisions are closed with a single stitch.

Sclerotherapy - An office procedure in which a medication is injected into a varicose vein. The medication destroys the lining of the vein. The vein becomes inflamed and blood flow stops within the vein. Over time the body takes care of the vein and it will disappear.

Venaseal - The newest catheter vein treatment using advanced medical adhesive (glue). The procedure requires only one needle stick at the vein access site, instead of the multiple sticks to inject anesthesia (numbing medication) along the vein. The glue seals the vein, and blood is rerouted into the healthy veins of the leg.

Varithena - commercial based foamed medication (polidocanol) which is placed in the varicose vein through a catheter or direct injection. The foams fills the varicose vein and destroys the vein. The vein collapses, and blood is rerouted into other healthy veins of the leg

Clarivein - This treatment is termed mechanochemical. The catheter placed into the vein, spins and injures the inner layers of the vein as it is withdrawn. A chemical medication is injected into the catheter as it is removed slowly from the vein. The combined procedure destroys the vein, and blood is rerouted into healthy veins of the leg.

Wound Management - Seventy to ninety percent of leg wounds are due to vein problems. There are three components to caring for wounds are: Meticulous local wound care (Debridement, cleansing, dressings and skin substitutes), Compression Therapy-(Graduated compression stockings, medicated soft cast, multi-layer compression dressings and specialized compression devices), Definitive treatment of the veins that have been identified as being the underlying cause of the wound.

Leg Swelling - Swelling can be caused by numerous etiologies, cardiac, renal, medication, vein issues, lymphedema, etc. Chronic venous insufficiency causing phlebolymphedema is often overlooked in clinical practice. The lymphatic overloaded protein-rich fluid can compromise a patient’s local immune response. This places an individual at risk for infection / cellulitis. The damage to the lymphatic channels caused by the infection causes increased leg swelling. A spiral of worsening complications is put in place.

When dealing with patients suffering from leg swelling, reducing the edema is first and foremost. Simple maneuvers to treat swelling include leg elevation, calf muscle pump exercises (walking), and graduated compression stocking. A patient may or may not see significant improvement with these simple therapies. More aggressive treatments are available to include massage techniques and leg wrapping carried out by a lymphedema therapist. The issue with these treatments is that they are provided for a relatively short period of time, i.e. up to 12 weeks.

For long term therapy one must look at lymphedema devices that provide sequential compression treatment to the effected extremity. The patient uses the device for a set period of time on a regular basis. These devices provide a way of moving the lymph fluid out of the effected extremity, similar to the lymphedema therapist’s massage techniques. A patient requires evaluation by a physician with knowledge concerning lymphedema.

Compression Stockings
Compression stockings are designed for people who, through work or leisure, are on their feet a lot. These products can help prevent the tired, achy discomfort that is associated with extended periods of standing or sitting and lengthy work shifts.

Not all performance compression products are the same! When a person slips on a pair of graduated compression socks or sleeves, his or her legs will instantly feel supported and comfortable, but the real benefit happens at a deeper level. Graduated compression means that the compression is strongest at the ankle and gradually diminishes up the leg. The compression fibers act as a layer of muscle; gently squeezing stretched vein walls, fighting the force of gravity, and circulating blood back to the heart more efficiently.

When blood is properly circulated, it restores much-needed oxygen and nutrients to tired muscles that have been deprived during a long day of work. Graduated compression products help muscles regenerate more efficiently and help to remove any lactic acid that has built up. Informed people understand that graduated compression products help improve work comfort and performance.

When you shop for compression socks or sleeves, keep in mind that many brands don't offer the benefits of True Graduated Compression. You can trust that the products available from our office have this unique technology and that they have been tested and proven to be exceptionally valuable by our staff and patients. We encourage you to stop by our office to see for yourself the variety of compression products we offer. Remember, these products come in a variety of colors—perfect for keeping you comfortably in fashion!

True Graduated Compression Products will give you the following benefits:

  • Increased circulation and improved blood flow
  • Increased oxygen to muscle tissue
  • Reduced pulled muscles and less exercise or work-induced muscle soreness in the legs
  • Less lactic acid buildup in the legs during exercise/work
  • Improved energy, performance and recovery
  • Injury prevention and reduced shin splints and calf cramps

Before the VNUS closure procedure my legs were sore and my veins pronounced. I chose the VNUS procedure because of the look and discomfort of my leg but more so because of what Dr. Jenkins said they could lead to. The procedure only took about an hour it was pleasant and virtually painless. I started to see excellent improvement over the next couple months. My life has improved since the procedure because my leg no longer hurts and I feel stronger.
Terry (age 54)

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