Prescott’s Leading Group of Subspecialty Radiologists
Vascular Specialists and Interventional Radiologists Provide Specialized Care for Prescott’s Community
About Vascular and Interventional Specialists of Prescott
Vascular & Interventional Specialists of Prescott (VISP) has been a part of the Prescott medical community and serving patients since 2010. We are a group of subspecialty radiologists that perform numerous minimally-invasive, low-risk procedures using the tools of our trade for guidance—x-ray, ultrasound, CT scan, and MRI. Our goal is to educate the public and medical community, then diagnose and treat people in the safest, most compassionate way, with rapid recovery times and low risk of complications.
Meet Our Doctors
The physicians at VISP offer a vast background and thorough experience in diagnostic and interventional radiology, specializing in minimally invasive procedures using image guidance. The subspecialty group also provides therapeutic treatment through specific procedures to help alleviate chronic and severe back pain.
Click here to learn more about the specialties of Dr. Dicker, Dr. Lloyd, and Dr. Paxton.
Procedures
- Back – VISP offers an array of therapies to treat chronic and severe back pain such as caudal epidurals, nerve block procedures, sciatica epidurals, injections similar to a cortisone injection, and vertebral cement augmentation.
- Arterial – The physicians at VISP are vascular specialists who work with patients with peripheral vascular disease (PVD) or peripheral arterial disease (PAD) to provide treatments to correct narrowed or blocked vessels to ease blood circulation throughout the body.
- Vein – Patients will see our varicose vein specialists for top-level care to treat uncomfortable and painful varicose veins, spider veins and reticular veins. Vein ablation procedures are nonsurgical and provide a quick recovery time.
- Cancer – The interventional specialists at VISP perform specific cancer therapy treatments to help shrink the size of tumors in cancer patients. Learn more here about the types of therapies offered.
- Epidurals – An epidural injection is a method to deliver pain-relieving and anti-inflammatory medicine to the epidural layer of the spine. VISP physicians use epidurals often to relieve severe back pain and chronic back pain in their patients.
- Nerve Blocks – Nerve block injections are used to alleviate pain by way of turning off the pain signal to the brain. The doctors at VISP use the nerve block procedure often in patients who are experiencing debilitating pain in their bodies. Learn more about the procedure here.
- Other – There are many procedures that we do at VISP with precision and care including implanting MediPorts, J Tube Placements, PICC Lines, IVC Filter Placement and Removal, Biopsies, and more.
Conditions We Treat
The hardworking and diligent team of physicians at VISP performs an array of diagnostic testing, procedures and treatment options for many conditions. Area physicians often refer to us because we are well-known and trusted to provide the best in care for our patients who are experiencing the following:
Latest News

Can a Varicose Vein Burst? (& What Happens If It Does?)
The thought of a varicose vein bursting can be quite unsettling. Many people know varicose veins as a source of discomfort or a cosmetic concern, but they also carry a less common, yet serious risk: they can rupture. A ruptured varicose vein is a situation that demands prompt and correct attention. While a varicose vein bursts infrequently, understanding why this happens, what to do if it occurs, and how to get medical help is very important for anyone dealing with varicose veins. This knowledge can make a frightening experience more manageable. This article will clearly explain what happens when a burst varicose vein occurs, the potential dangers, and the essential steps for first aid and medical care to ensure your vein health. Why Do Varicose Veins Burst? Varicose veins are essentially bulging, enlarged veins, most often found in the legs. They develop because of increased pressure. Inside your veins, there are tiny one-way valves that help blood flow towards your heart. When these valves weaken or become damaged, they don’t work well. As a result, blood can flow backward and pool in the veins. This pooling causes the veins to stretch, enlarge, bulge, and become visible under the skin. Think of a varicose vein like a balloon. If the balloon’s wall is weak and there’s too much pressure inside, it can eventually break or burst. Several factors contribute to the risk of a varicose vein rupture: Increased Venous Pressure: The main reason a varicose vein bursts is the high pressure from chronic venous insufficiency. This condition means blood doesn’t flow efficiently from the legs back to the heart. This leads to sustained high pressure inside the leg veins, especially in the lower legs and ankles. Weakened Vein Walls: Over time, this constant high pressure stretches and weakens the walls of the varicose veins, making them more fragile. Thin Overlying Skin: The skin over prominent varicose veins, especially near the ankles, can become thin, dry, and fragile. This is often due to long-term venous insufficiency. This makes the affected vein underneath more vulnerable. Minor Injury or Trauma: Sometimes, a slight bump, scratch, or even vigorous rubbing against a bruised varicose vein or an already fragile skin area can be enough to cause a varicose vein to burst. Occasionally, a burst varicose vein can seem to happen spontaneously, without any noticeable injury. Other Risk Factors: Several factors can increase your risk of developing varicose veins and, consequently, the risk of a rupture. These include older age, obesity, pregnancy, having other family members with varicose veins, and jobs that require prolonged standing or sitting. These situations can increase pressure in your leg veins, contributing to varicose vein development. Understanding what causes varicose veins to burst helps in recognizing your personal risk and highlights the importance of managing your vein health. What Happens When a Varicose Vein Bursts? Signs and Symptoms When a varicose vein ruptures or bursts, it can happen in two main ways: externally, through the skin, or internally, beneath the skin. Here’s what can happen when a varicose vein bursts: External Rupture When people hear about a varicose vein bursting, they usually picture an external rupture, meaning it breaks through the skin. The clearest sign of this is a sudden rush or a steady stream of dark red blood coming from the varicose vein. This bleeding can be surprisingly heavy and fast because the blood inside these damaged veins is under more pressure than usual. It’s interesting to note that the bleeding itself might not hurt much at first. However, seeing a lot of blood can be very scary. This kind of bleeding often happens on the lower leg or ankle. In these spots, the veins are closer to the skin’s surface, and the skin might be thinner, making it easier for a vein to break through. Internal Rupture Sometimes, a varicose vein can break open under the skin without creating an open wound. This is essentially a severe bruise forming around the affected vein. You might experience a sudden, sharp pain or a persistent ache in the area of a varicose vein. A large, dark bruise can then appear quite quickly as blood leaks from the vein and pools beneath your skin. The area around the bruise may also feel tender to the touch, warm, and become noticeably swollen. If the internal bleeding is significant, you might start to feel dizzy or lightheaded. These symptoms can occur due to substantial blood loss, similar to what could happen with heavy external bleeding, and indicate that the situation could be serious. First Aid for a Bleeding Varicose Vein If you or someone else experiences a burst varicose vein with external bleeding, quick action is vital to control blood loss. These steps are critical: Stay Calm (or Keep the Person Calm): This can be hard when faced with bleeding, but panic can make the situation more difficult to manage. Lie Down: Immediately have the person lie down flat. This helps prevent fainting and makes it easier to elevate the leg. Elevate the Leg: Raise the affected leg as high as possible, ideally above the level of the heart. You can prop it up on pillows, a chair, or have someone hold it. Elevation helps reduce blood pressure in the leg veins, which can slow down the bleeding. Apply Direct, Firm Pressure: Use a clean cloth, towel, or dressing. If nothing else is available, use your hand. Press firmly and directly onto the bleeding site. Direct pressure helps to manually close off the bleeding vein. Maintain Pressure: Keep applying firm pressure for at least 10-15 minutes without peeking. If blood soaks through the first cloth, add another one on top; do not remove the original cloth, as this can disturb any clot that is starting to form. Call for Emergency Medical Help: Even if the bleeding seems to slow or stop with these measures, it’s crucial to seek medical attention immediately. Call your local emergency number (like 911) or have someone transport you to the nearest emergency room. A ruptured varicose vein needs professional medical assessment. Potential Dangers of Bleeding Varicose Veins Bleeding varicose veins are a valid concern and should be treated seriously. A ruptured varicose vein can cause significant blood loss in a short amount of time, especially if not managed promptly with elevation and direct pressure. Significant Blood Loss: While fatalities are extremely rare, substantial blood loss can occur. If bleeding is severe and not controlled, it could potentially lead to a dangerous drop in blood pressure and shock (hypovolemic shock). Infection: An open wound from a burst vein creates an entry point for bacteria. If not properly cleaned and cared for by medical professionals, it can become infected. Severe complications from a burst varicose vein can include hypovolemic shock or infection. This can lead to further complications. Recurrence: Once a varicose vein has burst, there’s a high risk of it happening again if the underlying chronic venous insufficiency and the specific weakened vein are not treated. Delayed Healing: The skin in areas affected by severe varicose veins and venous insufficiency often has poor circulation. This can make healing from such an event slower and more difficult. It’s not just about stopping the immediate bleed; the underlying condition of venous disease that led to the varicose veins burst needs to be addressed by a vein specialist or vascular specialist. How Burst Varicose Veins Are Treated After immediate first aid, professional medical evaluation is essential for anyone who has experienced a burst varicose vein. Seeking medical consultation is crucial to diagnose and treat varicose veins effectively. What to Expect at a Medical Facility: Assessment: Medical staff will assess the wound, the amount of blood loss, and your overall condition. They will check your vital signs and ask about your medical history, including any history of varicose veins or venous disease. Stopping the Bleed: If bleeding is ongoing, they will take further measures to stop it. This might include more definitive pressure dressings or, in some cases, a suture (stitch) to close the opening in the vein or skin. Diagnosis of Underlying Issues: A key part of the evaluation is often a Duplex ultrasound. This non-invasive imaging test uses sound waves to create pictures of your veins and shows how blood is flowing. It helps doctors identify the faulty veins, the extent of your venous insufficiency, and the source of the bleeding. This is crucial for planning ruptured varicose vein treatment and preventing future problems. Treatments to Prevent Future Ruptures: The goal of long-term ruptured varicose vein treatment is to address the underlying cause (the poorly functioning veins) to prevent recurrence and other complications like leg ulcers or further painful symptoms. Your healthcare provider or vein care specialist might discuss options such as: Sclerotherapy: A special solution is injected directly into the problematic vein. This solution irritates the lining of the vein, causing it to scar and close off. Blood then naturally reroutes through healthier veins. Sclerotherapy is often suitable for smaller varicose veins or superficial bleeding points from spider veins or small varicosities. Endovenous Ablation (Laser or Radiofrequency): In these minimally invasive procedures, heat (generated by laser or radiofrequency energy) is delivered into the vein through a thin catheter. The heat seals off larger varicose veins, such as the saphenous veins, which are often the root cause of the problem. This helps to improve blood flow in the leg. More information about what to expect during your vein ablation therapy recovery is available. Phlebectomy (Ambulatory Phlebectomy): Bulging varicose veins are physically removed through very small incisions in the skin. This is often done for veins that are too large for sclerotherapy but are branches of larger veins treated with ablation. Compression Therapy: Wearing prescription-strength compression stockings can help improve circulation, reduce pressure in the leg veins, and lower the risk of complications from untreated varicose veins. This is often recommended as a conservative measure, or before and after other vein procedures to support healing and maintain results. Your vein specialist will recommend the best approach based on your specific condition, the severity of your venous insufficiency, and the characteristics of the vein bursts. Reducing Your Risk of a Burst Varicose Vein While it’s not always possible to prevent a varicose vein from bursting, especially if significant venous disease is already established, taking proactive steps can help you manage your varicose veins and significantly lower the risk of such an event. Consult a vein specialist: If you have varicose veins that are large, cause symptoms (like pain, aching, or heaviness), or appear notably swollen and concerning, it’s important to consult a vein specialist. Early assessment and appropriate treatment can prevent serious complications, including vein rupture or the development of leg ulcers. Your primary care doctor can provide a referral, or you can look for accredited specialists. Wear compression stockings: If your doctor advises it, consistently wear compression stockings. These specially designed garments help support your veins, improve blood flow, and lessen the pressure within your leg veins. This is a key measure in preventing varicose veins from worsening and can reduce the risk of rupture. Elevate your legs: Whenever you’re resting or sleeping, make an effort to elevate your legs, ideally above the level of your heart. This simple action aids blood flow back towards your heart and helps to decrease pressure in the veins of your legs. Manage your weight: Carrying excess weight places additional pressure on your leg veins. This can worsen existing varicose veins and increase your susceptibility to complications like rupture. Stay active: Engaging in regular, moderate exercise, such as daily walking, swimming, or cycling, boosts your circulation and strengthens the muscles in your legs. Stronger leg muscles are more effective at pumping blood upwards from the legs, which supports overall vein health. Move around often: If your daily routine or job involves extended periods in one position, make it a point to take frequent breaks. Every 30 minutes to an hour, try to move around, stretch, or simply shift your position to encourage healthy blood flow. Protect your leg skin: If you have varicose veins, treat the skin on your lower legs with particular care, especially if it appears thin, discolored, dry, or irritated. Moisturize regularly with a gentle, fragrance-free lotion to maintain skin suppleness and integrity. It’s also crucial to avoid scratching your legs, even if they itch (itching can be a symptom of venous stasis dermatitis, a skin condition related to chronic venous insufficiency), as scratching can damage fragile skin over vulnerable veins. Concerned About Your Vein Health? If you have varicose veins and are concerned about the risk of rupture, or if you’ve experienced any bleeding or sudden, severe bruising near your varicose veins, it’s important to seek professional advice from a vein care specialist. Dealing with untreated varicose veins can lead to more serious issues, so it’s important to keep your veins healthy. A vein specialist can assess your condition, diagnose any underlying venous disease, and discuss the most appropriate management or treatment options to protect your health and ensure a safe and healthy recovery from any current issues. Don’t wait for further complications to arise. Contact us today to schedule a consultation with a vein specialist and learn more about your treatment options for varicose veins and how to prevent varicose veins from causing serious problems. Frequently Asked Questions What makes a varicose vein pop or burst? Varicose veins can pop or burst mainly because of high blood pressure inside them from poor circulation (chronic venous insufficiency) and because their vein walls become weak and stretched over time. The skin over these veins, especially on the lower legs, might also be thin, making them more easily damaged by a minor bump or even without a clear injury. What are the immediate signs if a varicose vein breaks open? If a varicose vein breaks open through the skin, you’ll see a sudden flow of dark red venous blood, which can be quite heavy. If it breaks under the skin (an internal rupture), you’ll notice sudden sharp leg pain, quick and large bruising, and swelling in that leg area. What is the correct first aid for a bleeding varicose vein? If a varicose vein is bleeding, you should immediately lie the person down flat and elevate the affected leg as high as possible, ideally above their heart. Then, apply firm, direct pressure on the bleeding site with a clean cloth for at least 10-15 minutes and call for emergency medical help right away. How dangerous is it if a varicose vein starts bleeding? A bleeding varicose vein is a serious situation because it can lead to significant blood loss very quickly if not treated promptly with first aid and medical care. While very rare, excessive blood loss can be dangerous, and there’s also a risk of infection or the vein bursting again. Should I see a doctor if a burst varicose vein stops bleeding on its own? Yes, you absolutely need to see a doctor even if the bleeding stops. A burst varicose vein means there’s an underlying problem with your venous disease that needs to be checked by a healthcare provider or vein specialist to prevent it from happening again or causing other issues like infection. How do doctors fix veins to stop them from bursting in the future? Doctors treat the unhealthy varicose veins that are at risk by using procedures like sclerotherapy, where a solution is injected to close the vein, or endovenous ablation, which uses heat to seal off the vein. Sometimes, small veins are removed through a procedure called phlebectomy, and wearing compression stockings is often recommended too. You can learn more about what to expect after varicose vein treatment for a healthy recovery. What can I do to lower the chances of a varicose vein bursting? To lower your risk, get any existing large varicose veins checked by a vein specialist and follow their advice, which might include wearing compression stockings. Also, elevate your legs when resting, maintain a healthy weight, exercise regularly, avoid prolonged standing or sitting, and be gentle with the skin on your lower legs. Is it possible for a varicose vein to rupture under the skin without any outside bleeding? Yes, a varicose vein can rupture under the skin, which is called an internal rupture. This causes internal bleeding, leading to a sudden, large, dark bruise (hematoma) around the affected vein, often with leg pain, tenderness, and swelling.

How Shoulder Braces Help With Sleep and Recovery
Shoulder pain can disrupt your day and make restful sleep almost impossible. Whether you’re dealing with a rotator cuff injury, frozen shoulder, or general shoulder discomfort, finding relief at night is key to recovery. One of the most effective tools for managing nighttime shoulder pain is a shoulder brace designed specifically for sleeping. A shoulder brace provides targeted support, helps stabilize the shoulder joint, and promotes healing while you rest. Let’s explore how shoulder braces work, how to choose the right one, and how they support your recovery process. 3 Benefits of Using a Shoulder Brace for Sleeping Nighttime is when your body repairs itself, but only if it can rest without strain. Shoulder injuries often worsen during sleep due to poor positioning, unconscious movement, or lack of support. A shoulder brace helps maintain alignment, reduce muscle tension, and minimize movements that can worsen pain or slow healing. 1. Reduces Shoulder Pain and Discomfort Shoulder braces gently hold the shoulder joint in a stable, supported position. This reduces the strain on injured tissues and helps alleviate inflammation. People with torn rotator cuffs, frozen shoulder, or post-surgery recovery often notice a significant drop in pain and stiffness after wearing a brace consistently at night. 2. Prevents Further Injury A sleeping brace restricts excessive or harmful motion while you rest. This is especially important after injury or surgery, when even small movements can delay healing or aggravate the shoulder joint. By limiting movement, the brace creates a safe environment for your shoulder to recover overnight. 3. Encourages Proper Alignment Some sleep positions can put pressure on the injured shoulder or twist it out of alignment. A well-designed shoulder brace helps keep the joint in a neutral position, easing tension on muscles and tendons. Over time, this can lead to better posture and improved shoulder stability. What Happens If You Don’t Use a Shoulder Brace When You Need One? Skipping a brace when your shoulder clearly needs support, especially at night, can slow down recovery or even make things worse. Without proper stabilization, your shoulder may shift into painful or harmful positions during sleep. You might toss and turn, unknowingly applying pressure or stretching an injured tendon. This can lead to increased inflammation, stiffness in the morning, and a greater risk of re-injury. Over time, this strain can turn a short-term injury into a chronic issue that limits movement or requires more intensive treatment. If your provider has recommended a brace for nighttime use, wearing it consistently could make the difference between healing on schedule and prolonging your recovery timeline. When Should You Get a Shoulder Brace? If you’re unsure whether a shoulder brace could help, consider the following scenarios. If any of these apply to you, it may be time to talk with your provider about trying one, especially for sleep. 1. You’re recovering from a shoulder injury Whether it’s a rotator cuff tear, dislocation, or sprain, stabilizing the joint at night can prevent re-injury and support healing. 2. You’ve had shoulder surgery Post-operative recovery often requires limiting movement. A brace ensures your shoulder stays aligned and supported as you rest. 3. You wake up with shoulder pain or stiffness Pain that flares up overnight may be a sign that your shoulder isn’t being properly supported while you sleep. 4. You have a history of poor sleep posture If you tend to sleep on your stomach or roll onto your sore side, a shoulder brace can keep you in a healthier, more protective position. 5. You’ve been advised by a physical therapist or doctor Medical professionals often recommend braces when stability, alignment, or joint protection is needed, especially during the healing phase. In any of these cases, a well-fitted shoulder brace can be a valuable part of your recovery toolkit. Common Types of Sleep-Friendly Shoulder Braces Not all shoulder braces are made for sleep. When shopping for one, focus on features that enhance comfort, fit, and function during overnight wear. 1. Sling-style braces These braces fully immobilize both the shoulder and arm to prevent movement during rest. This level of restriction helps reduce strain on healing tissues and protects against accidental re-injury. Best for individuals recovering from shoulder dislocations, surgery, or severe rotator cuff injuries where motion must be minimized. 2. Compression sleeves These are snug, flexible braces that apply gentle pressure across the shoulder joint. The compression reduces swelling, encourages circulation, and provides light support without limiting movement too much. Best for managing chronic shoulder pain, inflammation, or mild overuse injuries where mobility is still important. 3. Posture correctors These braces help guide the shoulders back into proper alignment and relieve tension from poor posture. They ease stress on the upper back and shoulder joints, particularly during long periods of stillness like sleep. Best for individuals with rounded shoulders, postural imbalances, or shoulder fatigue linked to poor alignment. Features to Look For in a Shoulder Brace The wrong fit or fabric can interrupt your sleep instead of helping your shoulder heal. That’s why it’s worth taking a closer look at the key features that separate a good shoulder brace from a great one designed for comfort and recovery while you sleep. Adjustable Straps These allow you to personalize how much compression or restriction you want. A well-fitted strap system prevents the brace from slipping during sleep while also avoiding excessive tightness. This feature is especially helpful if your swelling fluctuates or if you need to wear the brace for extended periods. Soft, Breathable Materials Look for braces made of moisture-wicking or ventilated fabrics that feel comfortable against your skin. Breathability is essential for overnight use, particularly if you tend to run warm or live in a humid environment. The right material reduces irritation and ensures you won’t wake up feeling overheated or sweaty. Lightweight Design Heavier braces can feel bulky and make it harder to fall asleep. A slim, lightweight design keeps the focus on support without making you feel restricted. This is ideal for people who move during sleep or want minimal interference with their normal sleep position. Padding or Pressure Points Some braces come with built-in cushioning around key areas of the shoulder and upper arm. This extra padding can relieve pressure on sensitive areas and help reduce pain at specific trigger points. It’s especially useful if your shoulder pain is localized or if certain positions make it worse. How to Wear a Shoulder Brace Correctly at Night Wearing your brace properly ensures it provides maximum benefit. Follow the manufacturer’s instructions, and keep these general tips in mind: Put the brace on over your injured shoulder. Secure the straps snugly, but not so tight that they restrict circulation. Adjust to balance comfort and stability. Sleep on your back or your non-injured side. Use pillows to support your arm and maintain neutral alignment. It may take a few nights to get used to sleeping with a brace. If you experience numbness or pain, loosen the straps and check for pressure points. Always consult a medical provider if the brace causes discomfort or worsens your symptoms. Other Ways to Support Shoulder Recovery Wearing a brace is just one part of the healing process. Many people find even greater relief by combining it with other recovery strategies. Gentle physical therapy exercises can rebuild strength and improve mobility. Applying a heating pad before bed may relax stiff muscles, while cold therapy can reduce inflammation after a long day. Massage and safe stretching also help relieve muscle tension and improve circulation, especially when approved by your provider. Together, these treatments support your brace’s work and help your shoulder recover more efficiently. Sleep Tips for Shoulder Pain Relief Your sleep position has a major impact on how your shoulder feels overnight and how quickly it heals. Making just a few small changes to your sleeping setup can ease pressure on the joint and reduce irritation, helping you wake up with less pain. 1. Sleep on your back or your non-injured side This keeps weight off the injured shoulder and prevents twisting that could aggravate inflammation or slow healing. 2. Use wedge or regular pillows to elevate your arm Raising your arm slightly can reduce swelling and keep the shoulder in a more natural position during sleep. 3. Avoid sleeping directly on your injured shoulder Putting pressure on the painful area may increase discomfort and interfere with circulation. Use positioning to stay off the injured side. 4. Try a recliner or semi-upright sleeping setup Sleeping at an incline can limit shoulder movement and reduce stress on the joint, especially if lying flat increases your pain. Even small adjustments can make a big difference in comfort. The more supported your shoulder feels at night, the better your body can recover. Support Your Shoulder, Improve Your Sleep Wearing a shoulder brace at night offers more than comfort, it promotes healing, protects injured tissues, and improves your chances of restful, restorative sleep. Choosing the right brace and pairing it with healthy sleep positions and supportive therapies can make a meaningful difference in your recovery. If you’re struggling with shoulder pain at night, contact us about whether a sleep-specific shoulder brace is right for you. Relief might be just one good night’s rest away.

DVT vs Varicose Veins: How to Spot the Difference
If you’ve noticed pain, swelling, or visible veins in your legs, you might be wondering whether it’s a sign of something serious like deep vein thrombosis (DVT) or simply varicose veins. These two conditions both affect your veins—but they aren’t the same. Understanding the differences can help you know when to monitor symptoms and when to seek immediate medical care. This guide breaks down how DVT and varicose veins differ in cause, symptoms, risks, and treatment options. What Is Deep Vein Thrombosis (DVT)? Deep vein thrombosis (DVT) occurs when a blood clot forms in a deep vein, usually in the leg. These clots restrict blood flow and may become life-threatening if they travel to the lungs, causing a pulmonary embolism. DVT often forms without noticeable symptoms at first, which is why it’s important to understand the risk factors. Common symptoms of DVT include: Pain or tenderness in one leg, especially when standing or walking Swelling in the leg or calf Red or discolored skin around the affected area A feeling of warmth in the swollen leg What Are Varicose Veins? Varicose veins are twisted, enlarged veins that often appear just under the skin’s surface. They develop when the valves in your veins become weak or damaged, allowing blood to pool. While usually not dangerous, varicose veins can cause discomfort and cosmetic concerns—and in some cases, they increase the risk of complications like superficial thrombophlebitis, which may lead to DVT. Symptoms of varicose veins include: Bulging, rope-like veins visible under the skin Aching or cramping in the legs Heaviness, especially after long periods of standing Itching or skin discoloration around the vein Shared Risk Factors Although DVT and varicose veins are different, they share several risk factors that may increase your chances of developing either condition: Prolonged immobility (such as long flights or bed rest) Obesity or high body weight Pregnancy Older age A family history of vein disorders Prior blood clots or vein damage Smoking Recognizing these shared risk factors can help you monitor your vein health more closely—especially if you’re already managing one condition. Key Differences Between DVT and Varicose Veins While both affect your veins and blood flow, DVT and varicose veins differ in seriousness, visibility, and urgency. CategoryDVTVaricose VeinsType of vein affectedDeep veins (not visible)Superficial veins (visible)AppearanceNo external signs in many casesBulging, twisted veins near skinUrgencyMedical emergencyTypically not urgentRiskCan cause life-threatening embolismMay lead to minor complicationsSymptomsPain, swelling, redness, warmthAching, heaviness, visible veinsTreatmentAnticoagulants, hospitalizationCompression stockings, lifestyle changes, sometimes surgery When to Seek Medical Attention It’s important to know when symptoms may indicate something more serious. You should seek immediate medical care if you notice: Sudden leg swelling (especially in one leg) Sharp, unexplained pain or tenderness Skin that feels warm or looks red Shortness of breath, chest pain, or coughing blood (possible signs of pulmonary embolism) For varicose veins, schedule a visit with your healthcare provider if you experience: Increasing pain or swelling Skin changes like ulcers or darkening A hardened or warm area over the vein How Are These Conditions Diagnosed? DVT is typically diagnosed through imaging tests such as ultrasound or a D-dimer blood test. If a clot is suspected, treatment may begin right away to reduce the risk of complications. Varicose veins are usually diagnosed through a physical exam. In some cases, your provider may order a venous Doppler ultrasound to evaluate blood flow and check for deeper vein problems. Treatment Options for DVT and Varicose Veins Treating DVT The goal of DVT treatment is to prevent the clot from growing or traveling to the lungs. This often involves: Anticoagulant medications to thin the blood Compression stockings to improve circulation Thrombolytics for severe cases Surgical interventions in rare situations Severe cases may require hospitalization. Ongoing treatment usually includes lifestyle changes and monitoring to prevent recurrence. Managing Varicose Veins Treatment for varicose veins depends on the severity of your symptoms. Common approaches include: Lifestyle changes like exercise, weight loss, and elevating your legs Compression stockings to support blood flow Minimally invasive procedures such as laser therapy, sclerotherapy, or vein ablation Surgery for large or painful veins that don’t respond to conservative care While not life-threatening, varicose veins can worsen over time if left untreated. Managing them early may prevent more serious complications. Can Varicose Veins Lead to DVT? Although varicose veins and DVT are different conditions, there is a potential link between the two. Damaged vein valves and poor circulation can increase the risk of clot formation. In particular, complications like superficial thrombophlebitis—a clot in a varicose vein—can increase your risk of developing DVT if the clot spreads into deeper veins. If you have varicose veins and a history of blood clots, talk to your provider about your risk and what you can do to prevent DVT. How to Prevent DVT and Varicose Veins Many of the same strategies can help reduce your risk of both conditions: Maintain a healthy weight Exercise regularly, especially if you sit or stand for long periods Avoid prolonged immobility during travel or recovery Elevate your legs throughout the day Wear compression stockings if recommended Stay hydrated and avoid smoking Proactive prevention and regular checkups can help you catch vein issues early and manage symptoms before they become serious. Understand the Signs and Protect Your Health Knowing the difference between DVT and varicose veins can help you take the right steps for your health. While varicose veins are usually manageable with lifestyle changes, DVT can be life-threatening and requires urgent care. Recognizing the symptoms and seeking help when needed could save your life—or the life of someone you love. If you’re dealing with leg pain, swelling, or visible veins, don’t wait. Contact VISP to schedule an appointment and get the answers you need from experts who care.

6 Signs Your Herniated Disc Is Healing
Dealing with a herniated disc can be painful and frustrating, but the good news is that the healing process is possible. Whether you’re following a treatment plan with physical therapy exercises, pain management strategies, or lifestyle adjustments, your body is working to promote healing and restore function. But how do you know if your herniated disc is healing? Recognizing the signs your herniated disc is healing can give you confidence that you’re on the right track. Below, we’ll cover six key healing signs and how to support your recovery process. Signs Your Herniated Disc Is Healing 1. Your Pain Is Decreasing One of the first and most noticeable signs of healing is a reduction in pain. At the beginning of the injury, the pain is often sharp, intense, and can radiate down the legs or arms, especially if the sciatic nerve is affected. As healing progresses, the pain typically becomes more localized, less severe, and occurs less frequently. You may also find that over-the-counter pain relievers or anti-inflammatory medications become more effective, and you don’t need to take them as often. 2. You’re Moving More Easily When a herniated disc is at its worst, simple movements like bending over, standing up, or walking for extended periods can feel impossible. As the healing process continues, you’ll likely notice that your flexibility improves and your range of motion increases. Everyday activities, such as getting out of bed, tying your shoes, or sitting for longer periods, become easier. You might also be able to engage in low-impact exercises like walking or stretching without triggering pain. 3. Muscle Spasms and Weakness Are Subsiding A herniated disc can cause muscle weakness and spasms due to nerve irritation. If your muscles are becoming stronger and spasms are happening less often, it’s a sign that the nerve is healing and communication between your spinal cord and muscles is improving. You may notice that climbing stairs, carrying groceries, or standing for longer periods feels less tiring. A physical therapist can help guide you through exercises that further restore strength and prevent future injuries. 4. You’re Sleeping Better Pain from a herniated disc often makes it difficult to find a comfortable sleeping position. Tossing and turning throughout the night can leave you feeling exhausted during the day. As inflammation subsides and nerve irritation decreases, you may find that it’s easier to fall asleep and stay asleep. You might wake up feeling more refreshed, with less stiffness or discomfort in the morning. Improved sleep is a great sign that your body is recovering properly. 5. You Can Do More Daily Activities Without Pain A major indicator of healing is the ability to go about your daily life with less difficulty. If you can stand, walk, or sit for longer periods without discomfort, it means your spine is becoming more stable and your nerves are no longer as irritated. Many people find that they can return to light activities such as cooking, driving, or gardening as they heal. However, it’s important to continue avoiding heavy lifting or sudden movements that could re-aggravate the injury. 6. Your Treatment Plan Is Working If you’ve been following a structured treatment plan—including physical therapy, pain management techniques, and lifestyle adjustments—you should see steady improvement. Signs that your treatment is helping include needing pain medication less frequently, feeling stronger after physical therapy sessions, and experiencing fewer flare-ups. If you’re consistently making progress without setbacks, it’s a strong indication that your herniated disc is healing. How to Heal Faster From A Herniated Disc Recovering from a herniated disc requires patience, but there are steps you can take to speed up the process and reduce discomfort. Working with a physical therapist can help you regain strength and flexibility while preventing future injuries. They will guide you through exercises that target the core and lower back, which are crucial for stabilizing the spine. Pain management is another key component of recovery. Heat therapy can relax tight muscles and improve blood flow, while cold therapy can help reduce inflammation and numb sharp pain. Many people find that alternating between heat and cold provides the best relief. Anti-inflammatory medications, when used correctly, can also help manage pain and swelling. Lifestyle adjustments play a huge role in disc healing. Maintaining a healthy weight reduces pressure on the spine, making it easier for the disc to heal. Staying active with gentle movements, such as walking or stretching, can improve circulation and prevent stiffness. Stress management techniques like deep breathing or meditation can also help, as stress can contribute to muscle tension and pain. When to Seek Medical Attention While many herniated discs heal over time with the right care, some cases require medical intervention. Seek medical attention if you experience: Worsening pain that doesn’t improve with treatment. Severe muscle weakness or loss of coordination. Loss of bowel control or bladder function (a sign of serious nerve compression). If your pain is worsening instead of improving, or if you experience severe muscle weakness, loss of coordination, or numbness that spreads, it’s important to see a doctor. In rare cases, a herniated disc can press on nerves that control the bladder or bowels, leading to incontinence. This is a medical emergency that requires immediate attention. Ready to Take the Next Step Toward Lasting Back Pain Relief? Back pain can make everyday life harder than it needs to be. Whether it’s caused by injury, nerve compression, or chronic conditions, you don’t have to live with ongoing discomfort. The right diagnosis and treatment plan can reduce pain, restore movement, and help you get back to doing what you love. If your back pain isn’t improving or is getting worse, now is the time to act. Contact us at VISP in Prescott, AZ to explore advanced, minimally invasive solutions tailored to your needs. Our team is here to help you find real relief and long-term results—starting today. FAQ What are the signs that my herniated disc is healing? Signs of healing include less pain and discomfort. You might also notice better mobility and flexibility. Muscle spasms and weakness should decrease, and sleep quality might improve. Being able to do daily activities more easily is another sign. A positive response to treatments like physical therapy and medication also indicates healing. How long does it take for a herniated disc to heal? Healing time varies. It depends on the herniation’s severity, your age, health, and treatment adherence. Generally, noticeable improvement happens in 4 to 6 weeks. Full recovery can take a few months to a year. Everyone’s healing pace is different. Can a herniated disc heal on its own without treatment? Some herniated discs might get better with rest and self-care. But, getting medical advice and following a treatment plan is key for healing. Ignoring symptoms can cause prolonged pain and muscle weakness. It can also lead to nerve damage. Always seek professional help for proper healing. What can I do to support the healing process of my herniated disc? Follow your doctor’s treatment plan. This might include physical therapy, pain management, and lifestyle changes. Keeping a healthy weight and good posture helps. Do low-impact exercises as advised. Avoid activities that make symptoms worse. Consider massage or acupuncture for pain relief. When should I seek medical attention for my herniated disc symptoms? See a doctor for severe pain, muscle weakness, numbness, or tingling. Also, seek help if you have trouble with bladder or bowel control. These signs may mean a serious issue. If symptoms don’t get better with treatment, talk to your doctor. They can discuss other options and ensure healing.

Pinched Nerve vs. Pulled Muscle: What’s Causing Your Pain?
Pain in your neck, back, or shoulders can be hard to diagnose on your own—especially when it comes to choosing between a pinched nerve vs pulled muscle. Both can cause discomfort, but they’re not the same. Each has different symptoms, causes, and treatments. Knowing the difference is the first step toward relieving pain and healing properly. This guide breaks down what you need to know about pinched nerves and muscle strains, so you can understand what’s happening in your body and when to seek help. Comparison Table: Pinched Nerve vs Pulled Muscle Pinched NervePulled MuscleType of InjuryNerve compression (nerve root is pressed or irritated)Muscle strain (overstretched or torn muscle fibers)Pain DescriptionBurning, tingling, numbness, may radiate outwardSharp, localized pain, especially during movementAdditional SymptomsMuscle weakness, pins-and-needles, reduced reflexesSwelling, stiffness, cramping, possible bruisingCommon CausesHerniated disc, bone spurs, poor posture, repetitive motionOveruse, sudden movement, lack of warm-upLocation of PainOften spreads along the nerve (neck, back, limbs)Stays in one area, usually the injured muscleTreatment OptionsPhysical therapy, muscle relaxers, corticosteroidsRICE (rest, ice), stretching, physical therapyHealing TimelineWeeks to months, depending on severityA few days to weeks, with proper care How to Tell the Difference Between a Pinched Nerve and Pulled Muscle A pinched nerve happens when pressure—often from bone spurs, a herniated disc, or tight soft tissue—compresses the nerve root near the spinal cord. This compression affects how the nerve signals travel through the body, causing symptoms in the affected area and sometimes far beyond it. A pulled muscle, also called a muscle strain, is when the muscle fibers get overstretched or torn. This kind of pain usually stays local to one area and tends to happen suddenly during activity or movement. Symptoms Pinched Nerve Symptoms If you have a pinched nerve, you may feel more than just pain. Common symptoms include a burning sensation, tingling, or numbness that spreads down your arm or leg. Some people notice muscle weakness, especially if the nerve is compressed for an extended period. The pain may radiate outward and feel worse when you move or stay in one position too long. Pulled Muscle Symptoms With a pulled muscle, the pain is usually sharp and tied directly to movement. You might feel a sudden jolt of pain during activity, followed by tightness or muscle spasms. The affected muscle may become swollen or tender, and in severe cases, there could be bruising. Unlike nerve pain, muscle pain tends to be more isolated and doesn’t involve numbness or tingling. Causes Understanding the causes of a pinched nerve or pulled muscle can help you avoid future injuries. Pinched Nerve Causes: Herniated discs pressing on nearby nerves Bone spurs narrowing nerve pathways Poor posture leading to nerve compression Repetitive movements in sports or work Pulled Muscle Causes: Overuse or lack of rest between activities Sudden, forceful movements like twisting or lifting Poor conditioning or not warming up before exercise Who’s Most at Risk? Certain people are more likely to develop either condition. If you’re over 40, overweight, or have a job that involves repetitive motions or heavy lifting, your risk increases. Poor muscle strength and flexibility can also make you more prone to injury. People with spinal issues such as facet joint problems or degenerative disc disease are more likely to develop nerve-related pain. How to Find the Real Cause of Your Pain To get the right treatment plan, it’s important to find out what’s actually causing your pain. Doctors often start with a physical exam, followed by imaging like X-rays or MRIs. In cases where a pinched nerve is suspected, they may perform nerve conduction studies to check how well your nerves are working. This helps confirm whether the problem lies in the nerve or muscle. Treatment How to Treat a Pinched Nerve If you’re diagnosed with a pinched nerve, most cases can be treated without surgery. Doctors typically recommend conservative treatments, including: Physical therapy to improve posture, strengthen muscles, and relieve pressure Corticosteroid injections to reduce inflammation around the nerve Muscle relaxers or NSAIDs to ease pain and tightness Adjusting daily activities and work habits to avoid repetitive stress How to Treat a Pulled Muscle Healing from a pulled muscle also starts with conservative care. The focus is on reducing inflammation and allowing the muscle to repair. Treatment often includes: Rest, ice, and elevation for the first 48 hours Gradual reintroduction of movement and gentle stretching Physical therapy to rebuild strength and flexibility Pain medication or muscle relaxants if needed Most pulled muscles heal within a few weeks, especially with early and appropriate care. When to See a Doctor Not all pain goes away with home care. If you experience severe pain, numbness, tingling, or progressive muscle weakness, it’s time to seek medical attention. These may be signs of serious nerve root compression or a more complex injury that needs professional treatment. If your symptoms haven’t improved after two weeks of rest and conservative care, a pain management specialist can help identify the issue and create a targeted treatment plan. Don’t Wait to Get Help Dealing with muscle pain or nerve pain can be overwhelming—but you don’t have to manage it alone. Whether it’s a pinched nerve, muscle strain, or something more complex, our specialists at VISP in Prescott, AZ can help. Our team uses advanced diagnostics and customized treatment plans to relieve pain, restore function, and get you back to living comfortably. We treat every case with care—because your pain isn’t just a symptom. It’s personal. Contact us today to schedule a consultation and take the first step toward real relief. FAQ What are the main differences between a pinched nerve and a pulled muscle? Pinched nerves cause burning pain, tingling, numbness, and weakness. Pulled muscles lead to muscle spasms, sudden pain, and discomfort in one area. What causes a pinched nerve? Pinched nerves can be caused by herniated discs, bone spurs, poor posture, or repetitive movements. These actions compress the nerve root or spinal cord. What causes a pulled muscle? Pulled muscles often result from overuse injuries, sudden movements, or muscle strain. This strain happens when muscles or tendons are stretched or torn too much. What are the risk factors for developing a pinched nerve or pulled muscle? Age, obesity, and certain jobs or activities increase the risk. Also, conditions like arthritis or spinal stenosis can play a role. How are pinched nerves and pulled muscles diagnosed? Doctors use physical exams, MRI or CT scans, and nerve conduction studies. These help find the affected area and assess nerve function. What are the conservative treatment options for a pinched nerve? Treatment for pinched nerves includes physical therapy and corticosteroid injections. Pain medications and lifestyle changes also help reduce pressure on the nerve. What are the conservative treatment options for a pulled muscle? For pulled muscles, rest, ice, compression, and elevation (RICE method) are recommended. Gentle stretching and over-the-counter pain relievers also help manage pain and inflammation. When should I seek medical attention for a pinched nerve or pulled muscle? If you have severe pain, progressive weakness, numbness, or tingling, seek medical help. These symptoms that last a long time or affect daily activities need a doctor’s attention. A pain management specialist can provide a proper diagnosis and treatment plan.

Can Pain Make You Nauseous? Causes, Symptoms, and Relief
Pain and nausea often go hand in hand, but why does this happen? The connection between pain and nausea is complex, involving the nervous system, digestive system, and hormonal responses. When pain signals reach the brain, they can trigger nausea and vomiting, making symptoms even more difficult to manage. Certain conditions, such as chronic pain, severe pain episodes, and gastrointestinal issues, are more likely to cause nausea. Let’s look into why this happens to help us effectively manage symptoms and find relief. How Pain Signals Trigger Nausea The autonomic nervous system plays a major role in regulating both pain perception and digestion. When pain signals are sent to the brain, the sympathetic nervous system can trigger the “fight or flight” response, which: Increases heart rate and blood pressure Slows down the digestive process, leading to nausea Activates the chemoreceptor trigger zone (CTZ) in the brain, which controls nausea and vomiting In cases of long-term pain, the imbalance in nervous system activity can make nausea more frequent and severe. Common Causes of Pain-Triggered Nausea Chronic Pain Conditions Migraines – Severe headaches often come with nausea and vomiting due to nervous system changes. Fibromyalgia – This condition causes widespread muscle pain, often leading to gastrointestinal issues and nausea. Endometriosis – Severe abdominal pain from endometriosis can disrupt digestion and trigger nausea. Gastrointestinal Conditions Irritable Bowel Syndrome (IBS) – Can cause abdominal pain, bloating, and nausea due to abnormal gut motility. Inflammatory Bowel Disease (IBD) – Chronic inflammation in the digestive tract can lead to severe pain and nausea. Peptic Ulcers – Excess stomach acid can cause pain and nausea, especially on an empty stomach. Severe Pain Episodes Kidney stones – The intense visceral pain from kidney stones often triggers nausea. Back pain and muscle spasms – When nerves in the spinal cord are affected, nausea can occur as a secondary symptom. How to Reduce Nausea from Chronic Pain and Severe Pain Episodes Managing pain-induced nausea requires a combination of medical treatments, lifestyle changes, and preventative strategies. Here’s how to find relief: Pain relief options – Nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and targeted treatments for underlying conditions can reduce both pain and associated nausea. Hydration strategies – Dehydration worsens nausea, so drink ginger tea, electrolyte water, or clear broths to stay hydrated and support digestion. Frequent meals – Eating small, nutrient-rich meals every few hours can help stabilize digestion and prevent nausea from an empty stomach. Posture adjustments – If back pain, nerve pain, or muscle spasms are contributing to nausea, maintaining proper posture, using ergonomic seating, and stretching regularly can help. Temperature therapy – Applying heat or cold packs to painful areas can ease discomfort and minimize nausea triggers. Relaxation techniques – Stress and anxiety can worsen nausea, so practices like deep breathing, meditation, and progressive muscle relaxation can help calm the nervous system. By using a multifaceted approach to pain management, you can minimize nausea and improve overall well-being. When to Seek Medical Advice for Pain and Nausea While mild nausea and pain can often be managed at home, some symptoms require immediate medical attention. Seek medical care if you experience: Severe or persistent nausea lasting more than 48 hours, especially if it prevents you from keeping fluids down. Pain that worsens over time or doesn’t improve with medication or other treatments. Nausea accompanied by unexplained weight loss, fever, or night sweats, which could indicate an underlying condition. Vomiting with blood or dark-colored stool, as this may signal internal bleeding or digestive tract issues. Intense nausea with chest pain or dizziness, which could be a sign of a more serious problem, such as heart issues. Early intervention can prevent symptoms from worsening, so if you’re unsure whether your pain and nausea require medical attention, consult a healthcare professional as soon as possible. Take Control for a Better Quality of Life Pain and nausea are closely linked, often making daily life difficult. Whether caused by chronic pain conditions, severe pain episodes, or gastrointestinal issues, understanding this connection is key to finding relief. By addressing the root cause and using the right combination of pain management techniques, lifestyle adjustments, and medical treatments, you can effectively reduce both pain and nausea. Many treatment options exist to help you feel better—don’t wait for relief. If ongoing pain and nausea are disrupting your life, contact us today to explore solutions tailored to your needs. Early intervention can make a significant difference in managing symptoms and improving your well-being. FAQ How does pain cause nausea? Pain can make you feel sick to your stomach through your nervous system. When pain signals get to your brain, it might start the autonomic nervous system. This system controls things like digestion, leading to nausea and other stomach problems. Can chronic pain conditions cause nausea? Yes, long-term pain like fibromyalgia, migraines, and endometriosis often makes people feel nauseous. These conditions can mess with your stomach, causing nausea and vomiting. What role does the autonomic nervous system play in pain-induced nausea? The autonomic nervous system handles things you can’t control, like digestion. When pain signals hit your brain, it can wake up this system. This might mess with digestion, causing nausea. Can gastrointestinal issues like irritable bowel syndrome cause pain and nausea? Yes, problems like irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) can lead to pain and nausea. They can mess up your digestive system, causing cramps, bloating, and nausea. How can I manage pain-related nausea? To deal with nausea from pain, you can try different things. There are medicines for pain and nausea, and also alternative treatments like acupuncture or massage. Changing your diet and reducing stress can also help. Always talk to a doctor to find the best plan for you. When should I seek medical attention for severe pain and nausea? If you have really bad pain and can’t stop feeling sick, you should see a doctor right away. Symptoms like these could mean something serious is going on. You need a doctor to figure out what it is and how to fix it.