Tag: Chronic Venous Insufficiency

Skin Discoloration or Texture Changes on Your Lower Legs? It Might Be a Warning Sign of Serious Vein Disease

Posted on by Michael Kokinos

Changes in the color or texture of the skin on your lower legs are not just signs of aging. They’re often early indicators of vein disease — a condition that progresses quietly but can have serious consequences if ignored.

At South Bay Vascular Center and Vein Institute, Dr. Polly Kokinos has earned her reputation as the Bay Area’s foremost vascular surgeon by identifying what others overlook. Her commitment to early detection and precision care has helped thousands of patients avoid ulcers, blood clots, and even limb loss. If you notice brown, red, or shiny patches on your lower legs, this post is your sign to take it seriously.

What Skin Discoloration Says About Your Vein Health

The skin is often your body’s first warning sign that something deeper is wrong. In patients with Chronic Venous Insufficiency (CVI), blood pools in the lower legs, leaking into surrounding tissue. Over time, this causes visible changes that include:

– Brown, purple, or red patches near the ankle or calf
– Thin, shiny, or tight skin
– Itchy, irritated areas that don’t go away
– Flaky or leathery texture
– Hardening of the skin (lipodermatosclerosis)

These signs aren’t just cosmetic. They’re signals that your veins are struggling to return blood to your heart.

Why This Happens – and Why It Gets Worse Without Help

When vein valves weaken, gravity pulls blood downward. This causes vein pressure to rise and forces red blood cells into surrounding tissues. The iron in those cells (hemosiderin) stains the skin, while inflammation from stagnant fluid damages the surrounding tissue.

Left untreated, this can lead to:
– Venous leg ulcers
– Painful skin infections (cellulitis)
– Severe leg swelling (edema)
– Long-term mobility issues

What Sets Dr. Polly Kokinos Apart in Diagnosing and Treating Vein-Related Skin Changes

While many doctors misdiagnose these symptoms as eczema or aging, Dr. Polly Kokinos uses advanced diagnostic imaging to uncover the vascular root causes. Her experience – and success – treating vein disease in its early stages is unmatched.

– Vascular ultrasound performed on-site during your first visit
– Personalized treatment plans (no cosmetic band-aids)
– Minimally invasive procedures with fast recovery
– Four South Bay locations for convenient care
– Trusted by referring physicians, wound care centers, and hospitals

What Our Patients Say

“I thought it was just age spots. Dr. Kokinos showed me it was a circulation issue and treated it before it became an ulcer.”
— Brenda L., Los Gatos

“I was using creams for months, but my skin kept getting worse. She knew exactly what was wrong. She’s the best.”
— Kevin J., Santa Clara

Don’t Let a Skin Change Become a Health Crisis

If you notice color changes or rough, tight skin on your lower legs, don’t wait. The earlier vein disease is diagnosed, the easier it is to treat – and the better your outcome.

Call South Bay Vascular at (408) 376-3626 today to schedule a consultation with Dr. Polly Kokinos, the most trusted name in vein care across Santa Clara County.

Confident Legs, Confident Life. Trust your legs to the surgeon other doctors trust most.

Chronic Venous Insufficiency (CVI): The Silent Circulatory Disorder Affecting Professionals in Santa Clara County

Posted on by Michael Kokinos

If you’re a busy professional dealing with leg fatigue, swelling, or heaviness after a long day at work, you might be experiencing more than simple exhaustion. Chronic Venous Insufficiency (CVI) is a progressive vein disorder that often goes undiagnosed — until serious symptoms begin to impact your daily life.

At South Bay Vascular Center and Vein Institute, Dr. Polly Kokinos has become the most trusted name in diagnosing and treating CVI across Santa Clara County. Her unparalleled experience in vascular surgery, minimally invasive treatment options, and her deep understanding of circulatory health sets her apart as the physician of choice for discerning professionals who demand excellence in care.

What is Chronic Venous Insufficiency (CVI)?

CVI occurs when the veins in your legs cannot efficiently return blood back to your heart. This is typically due to valve failure within the veins, causing blood to pool in the lower extremities. Over time, this can result in pain, swelling, skin changes, and venous ulcers.

CVI is often progressive and linked to varicose veins, deep vein thrombosis (DVT), and venous reflux. It affects up to 40% of adults and is more common in individuals who sit or stand for long periods — such as teachers, tech workers, healthcare professionals, and those in retail or service roles.

Common Symptoms Professionals Often Overlook

– Aching or tired legs, especially after work
– Swelling in the ankles or calves by the evening
– Cramping or restlessness at night
– Skin discoloration or thickening near the ankles
– Visible varicose veins or bulging veins
– Open wounds or sores that are slow to heal

These symptoms are often mistaken for aging or stress-related fatigue — when in reality, they are early signs of a potentially serious vascular condition.

Why Dr. Polly Kokinos Is the Physician of Choice for CVI

Dr. Kokinos is a board-certified vascular surgeon with over 20 years of experience treating CVI and complex vein conditions. Her approach is methodical and precise, backed by cutting-edge diagnostics and minimally invasive treatments that allow patients to return to work and life quickly.

✔️ Same-day ultrasound diagnostics onsite
✔️ Advanced vein mapping and treatment planning
✔️ In-office procedures with minimal downtime
✔️ Two convenient South Bay locations

What Professionals Say About Their Treatment Experience

“I had no idea my leg swelling and fatigue was a vein issue. Dr. Kokinos immediately identified the problem and fixed it. She’s the real deal.”
— Martin P., San Jose

“Dr. Kokinos is in a league of her own. I felt seen, heard, and cared for. Her precision and compassion were exactly what I needed.”
— Serena W., Sunnyvale

Don’t Wait to Get the Answers You Deserve

CVI doesn’t resolve on its own — but the good news is that with early intervention, it can be managed and even reversed. If you’re experiencing symptoms, don’t wait.

📞 Call South Bay Vascular Center at (408) 376-3626 today to schedule your evaluation with Dr. Polly Kokinos — the trusted vascular expert for professionals in Santa Clara County.

Confident Legs, Confident Life. Rediscover comfort, mobility, and energy with the care of a true specialist.

Varicose Veins: They’re More Than Just Cosmetic — Here’s What You Need to Know

Posted on by Michael Kokinos

Why Ignoring Your Leg Veins Could Cost You More Than Confidence

If you’ve noticed twisted, bulging veins on your legs — especially if they throb, ache, or worsen at the end of the day — it’s time to stop thinking of them as “just cosmetic.” Varicose veins are often the visible warning signs of deeper venous disease, and for thousands of people in Santa Clara County, they’re a call to action that should not be ignored.

At South Bay Vascular Center and Vein Institute, Dr. Polly Kokinos has built her reputation over two decades as the most trusted, experienced, and highly skilled vascular surgeon treating varicose veins in Santa Clara County. This blog breaks down why her expertise matters — and what your legs might be trying to tell you before things get worse.

What Are Varicose Veins?

Varicose veins are enlarged, twisted veins that typically appear in the legs due to weakened or damaged valves. These faulty valves allow blood to pool, leading to the swelling and bulging veins we commonly associate with the condition.

But that’s just the surface.

What many people don’t realize is that varicose veins often signal chronic venous insufficiency (CVI), a progressive condition that, if untreated, can lead to serious complications like leg ulcers, skin changes, blood clots, and even deep vein thrombosis (DVT).

5 Signs Your Varicose Veins May Be a Warning Sign

  1. Pain or heaviness in the legs that worsens after standing or sitting.
  2. Swelling around the ankles — especially in the evening.
  3. Itching, burning, or throbbing sensations near the vein.
  4. Skin discoloration or thickening around the ankle or lower calf.
  5. Open sores or wounds near the ankle that don’t heal (venous ulcers).

Ignoring these symptoms can lead to irreversible damage to your veins, skin, and overall vascular health.

Why Varicose Veins Are Not Just Cosmetic

While spider veins and small varicosities may be harmless, larger varicose veins are frequently part of a larger circulatory issue. Left untreated, they can escalate into:

  • Stasis dermatitis
  • Leg ulcers
  • Lipodermatosclerosis
  • Superficial thrombophlebitis
  • Deep vein thrombosis (DVT)

If you’ve ever been told to “just wear compression stockings” or “wait until they get worse,” you’re not alone. Unfortunately, too many physicians without vascular training miss the systemic implications of varicose veins.

That’s where Dr. Polly Kokinos stands apart.

Why Dr. Kokinos Is the Authority on Vein Care in Santa Clara County

Unlike many doctors offering vein procedures as a cosmetic sideline, Dr. Polly Kokinos is a board-certified vascular surgeon who has dedicated her life to treating venous and arterial disease. Her expertise blends clinical mastery with aesthetic grace, ensuring not only that patients get relief from symptoms — but that their legs look and feel better than they have in years.

She has performed thousands of successful vein procedures, from radiofrequency and laser ablation to phlebectomy with outcomes that speak for themselves.

📍 Two convenient South Bay locations
🔬 On-site diagnostic ultrasound lab staffed by full time Registered Vascular Technologists
💡 Advanced minimally invasive treatments
🩺 Full-spectrum vascular care from diagnosis to follow-up

In a field flooded with non-specialists, Dr. Kokinos’s depth of experience and vascular insight make her the clear choice for anyone suffering from varicose veins.

What Patients Are Saying

“After years of hiding my legs and dealing with pain, Dr. Kokinos changed my life. The procedure was quick, and my legs look amazing. I can finally wear shorts again!”
— Jennifer M., Los Gatos

“I saw a few other doctors before landing at South Bay Vascular. Nobody took my symptoms seriously until I met Dr. Kokinos. She’s the real deal.”
— Elaine D., San Jose

“She didn’t just treat the veins — she found the underlying issue. That’s the difference when you see a real vascular surgeon.”
— Lisa T., Morgan Hill

When to Seek Help — and Why You Shouldn’t Wait

If you’ve been brushing off your symptoms as “just cosmetic” or “a normal part of aging,” it’s time to think again. The longer venous disease progresses, the harder it is to treat — and the more your quality of life suffers.

Early intervention means better outcomes, fewer complications, and in many cases, a dramatic improvement in leg appearance and comfort.

📞 Don’t Wait — Get the Answers Your Legs Deserve

At South Bay Vascular Center and Vein Institute, Dr. Polly Kokinos and her team offer personalized evaluations, non-invasive testing, and same-week treatment plans designed to help you walk confidently again.

Call us today at (408) 376-3626 to schedule a consultation at one of our four South Bay locations.

Confident Legs, Confident Life.
Trust the name Santa Clara County turns to when vein health is on the line: Dr. Polly Kokinos.

FOOT PAIN AT NIGHT?

Posted on by Michael Kokinos

As vascular surgeons, many of the consultations and questions we receive revolve around one issue: foot pain!  As people age there can be many sources of foot and leg pain and I want to shine some light onto a few of the most common causes that I see.  They include peripheral vascular disease, chronic venous insufficiency, diabetic foot disease, and sciatica.

Peripheral Vascular Disease:

In all people there are two main kinds of blood vessels, arteries, and veins.  Arteries bring blood from the heart to the feet.  Veins bring blood back from the feet to the heart.  In individuals who have a history of

  • High blood pressure,
  • High cholesterol,
  • Diabetes,
  • Obesity,
  • Smoking

The arteries that lead to the feet can develop blockages, otherwise known as Peripheral Vascular Disease.  When too many blockages develop, the feet do not receive the amount of blood they need to stay alive, and they become very painful.  When this happens, patients tend to hang their feet in dependent positions off the side of the bed at night to allow gravity to help the blood travel through the blockages to the feet.  The pain tends to concentrate on the forefoot and toes where the blood vessels are the smallest.

Chronic Venous Insufficiency

With vein disease, patients tend to have swelling in the legs below the knee including the ankle and feet.  Normally, there are structures in the veins called valves that allow blood to go to the heart but not to go back down towards the feet.  In patients with vein disease, these valves leak and cause blood to pool in in the legs below the knees.  After patients are standing or sitting upright for extended periods of time, the pressure in the veins of the legs builds resulting in an aching pain as well as also causing varicose veins, dark discoloration of the skin, and, in the worst cases, ulcers on the leg.

Diabetic foot disease

Diabetic foot disease is one of the most common problems I see as a vascular surgeon.  These patients describe numbness much more often than pain.  This numbness is a result of the inflammatory damage that high sugar levels in the blood can inflict on the nerves of the foot.  Sometimes, even when these patients develop ulcers, they do not feel any pain because the nerve damage is so severe.  As such, patients with diabetic foot ulcers, though they can experience pain, often experience numbness as well.

Sciatica

Lastly, sciatica can also be a cause of leg and foot pain.  The nerves that detect sensation from the legs and foot originate from the spinal cord in the back of the pelvis and abdomen.  As such, when these nerves are pinched they tend to cause the patient to feel a pain radiating from the lower back or buttock down the leg and sometimes even to the foot.  This radiating pain can be easily distinguished from the pain of peripheral vascular disease and venous insufficiency which is concentrated in the legs and feet.

 

If you or anyone you know suffers from leg pain at night and if any of these stories seem to fit the pain or discomfort that you may be having in your legs, please call one of our South Bay Vascular Offices in either Campbell or Gilroy CA at 408 376 3626 today to schedule an appointment! We Can Help!