Medical Vein Clinic

09/11/2026

From our friends at Sigvaris Group USA! The compression you count on. Softer and lighter than ever. https://www.shopsigvaris.com/

New Style Bamboo compression socks for women and men — you’ll love the way these feel.

09/10/2026

What is Genicular Artery Embolization (G*E) and How Does It Work?

The geniculate artery is one of the small arteries that supply blood to a specific part of the knee. By closing down (also known as embolizing) the specific artery, blood flow to the part of the knee causing pain and inflammation is slowed. The G*E procedure safely reduces inflamed synovial (joint) lining caused by osteoarthritis. The result is usually long-lasting pain relief, three to five years, making it easier to move the knee joint.

G*E is performed using image guidance, allowing the physician to precisely locate and treat the affected artery without open surgery. Unlike steroid injections or gel injections, G*E addresses the source of inflammation rather than temporarily masking the pain.

You are a candidate for G*E if you have:
➡️Moderate to severe knee pain in one or both of your knees
➡️Pain in both knees when walking upstairs or performing daily activities
➡️Stiff knees when you wake up
➡️Are routinely taking medications for knee pain
➡️Not ready or willing to undergo a knee replacement

What to Expect During the G*E Procedure
The procedure normally takes 30 minutes to one hour. We use IV conscious sedation (you’ll be relaxed but awake), during the procedure. Because of the type of medication used, you will need someone to drive you home and stay with you that day.

The G*E procedure at Medical Vein Clinic® is performed by Thomas Gianis, II, MD, FACS, FSVS, DABVLM, RPVI, RVT, CWSP, a board-certified vascular surgeon and fellowship-trained endovascular specialist. His credentials include board certification from the American Board of Surgery, Fellow of the American College of Surgeons (FACS), Fellow of the Society for Vascular Surgery (FSVS), and registered certification in vascular interpretation (RPVI).

Dr. Gianis completed his fellowship in vascular and endovascular surgery at the University of Virginia Medical School. He has treated hundreds of patients for knee pain and peripheral artery disease, giving them lasting relief and a return to an active life.

Dr. Gianis sees G*E patients at both Medical Vein Clinic locations in San Antonio. If you are suffering, you don't have to any longer. Call our office today: 210-622-8000.

*E

09/09/2026

NEW BLOG POST: "What Instagram Can’t Tell You About Your Lymphatic System"

When it comes to filtering waste and clearing toxins, your liver and kidneys do the heavy lifting, not a massage technique or a jade roller. The human body is already remarkably efficient at this process all on its own. While “lymphatic detox” is a popular buzzword in the beauty industry, it doesn’t accurately reflect how human anatomy or the lymphatic system actually work.

That said, the short-term cosmetic changes shared on social media are real; they just don’t mean what the captions claim

Real manual lymphatic drainage is a clinical technique using feather-light, directional pressure. It takes training most spas don't have. Both Dr. Joshua Trock, PT, DPT, CWS, RVT, CLT-LANA and Dr. Jonathan Sidle, DNP, APRN, FNP-C, CLT-LANA hold LANA board certification for exactly this reason.

If your swelling is persistent, sits on one side, or doesn't improve with rest and elevation, that's a medical evaluation, not a spa appointment. Read more on our blog on the website: https://www.medicalveinclinic.com/what-instagram-cant-tell-you-about-your-lymphatic-system/

Dr. John Hogg of Medical Vein Clinic separates commercial wellness trends from vascular medicine. Learn when lymphatic swelling requires a clinical specialist.

09/08/2026

Happy !

Today, we recognize the vital role physical therapists play in global healthcare, rehabilitation, and long-term wellness.

With this year's global campaign focusing on Cardiovascular Disease and Stroke Prevention, we are proud to highlight the work of Dr. Joshua Trock, PT, DPT, CWS, RVT, CLT-LANA , the dedicated Physical Therapist, Registered Vascular Technologist, Certified Lymphedema Therapist, and Certified Wound Specialist at Medical Vein Clinic®️.

Physical activity and tailored rehabilitation are key to managing vascular health, lowering stroke risks, and improving cardiac outcomes.

Dr. Trock specializes in helping patients restore mobility and optimize circulation, empowering them to achieve lasting health and systemic wellness.

Thank you, Dr. Trock, for your clinical expertise, leadership, and unwavering dedication to outstanding patient outcomes and preventative care.

09/08/2026

Who takes care of the caregivers?

At 7:15 a.m., a nurse is marking a patient’s vein. By 10 a.m., they’re caring for an 82-year-old’s leg ulcer. By 1:00 p.m., they’re teaching a patient how to prevent blood clots. By 4 p.m., they notice one calf is larger than the other and recognize a DVT (deep vein thrombosis or blood clot) before anyone else does.

After 19 years on a vascular floor, this nurse knows exactly what unhealthy veins look like. But at the end of the day, their own legs are a different story.

After a 13-hour shift, their ankles are swollen. There are deep marks from their socks. Their legs ache.........They call it “being on my feet.”

Nurses aren't uninformed about their health. They're caretakers.

Their days are spent watching for the smallest changes in their patients, remembering appointments, recognizing symptoms and making sure everyone else gets the care they need.

Sometimes, their own health simply isn't on the list. And nurses aren't alone. It's the teacher who stands all day. The server who doesn't sit down until the shift is over.

The hairdresser, cashier, healthcare worker or hotel employee who spends hours on their feet. It's also the person who sits at a desk all day with barely enough movement to activate the calf muscle pump.

This September, for , take a closer look at the legs you spend so much time using to take care of everyone else.

Your legs deserve care, too.

09/07/2026

Deep vein thrombosis doesn't care about your birth year.

The myth that DVTs only happen to older adults is dangerous. It causes young, active professionals to ignore early warning signs, turning a treatable issue into a medical emergency. Blood clots can happen at any age, and the corporate world introduces unique risks:
*The Desk Grind: Sitting for back-to-back Zoom calls or binging a show pools blood in your legs.
*Frequent Travel: Long-haul flights or road trips exceeding 4 hours spike your risk.
*Hormonal Factors: Estrogen-based birth control or pregnancy naturally alters blood chemistry.
*Hidden Biology: Genetic clotting factors (like Factor V Leiden) often go undetected until a clot forms.

The ultimate danger? If a DVT breaks free, it can travel to your lungs, causing a life-threatening Pulmonary Embolism (PE).

Know the signs (usually on just ONE side):
❗Swelling in one leg or arm.
❗A throbbing ache that feels like a permanent charley horse
❗Skin that feels warm to the touch or looks red/discolored

Your health shouldn't take a backseat to your calendar. Move your legs every hour, stay hydrated, and never ignore unexplained leg pain.

09/07/2026

Put your feet up.

This Labor Day, take a well-deserved break and put your feet up (figuratively and literally😀)

Elevating your legs can help reduce swelling and take some of the pressure off your veins by helping blood move back toward your heart. It’s a simple way to give your legs a little relief after a long day on your feet.

And if your legs are often swollen, heavy, achy or tired, don’t just chalk it up to getting older. These can be signs of an underlying vein problem.

Take a break. Elevate those legs. And enjoy your Labor Day!

From all of us at Medical Vein Clinic®, have a happy and healthy Labor Day! 🇺🇸

09/05/2026

September is Month.

When we think about preventing falls, we usually think about removing tripping hazards like loose rugs. But a major cause of falls actually starts inside our legs.

Bad circulation and leg swelling drastically increase the risk of falling:

➡️Poor blood flow (like PAD): Starves leg muscles of oxygen, making them weak and tired. This nearly doubles a person's risk of falling.

➡️Swollen legs: Fluid buildup makes limbs heavy and stiff. It becomes hard to lift the feet properly or move the ankles, leading to trips.

➡️Numbness: Poor circulation can damage nerves, causing people to lose "ground feel" so they can't tell exactly where they are stepping.In fact, leg weakness and walking difficulties are the number one physical cause of falls.

Preventing falls isn't just about changing the home environment. It is also about taking care of our leg health, managing swelling, and keeping lower body muscles strong.

Let’s prevent falls from the ground up!

📸 Administration for Community Living

09/05/2026

"Always Greeted with a Smile and Enthusiasm"! -That sure puts a smile on my face!! We love helping our patients with their legs! I always remember, Healthy Legs Take You Further™! And I want to be in that bunch! Thank you! "

Yours,
Dr. Hogg

09/03/2026

That Leg Cramp on Your Evening Walk Might Not Be a Cramp

You stop halfway down the block, calf burning, and wait for it to pass. It does. You keep walking. This happens every few days, always around the same distance, always the same leg. Most people chalk it up to age or bad shoes. Sometimes it's peripheral artery disease , an artery in the leg narrowing or closing off, cutting the blood supply the muscle needs to keep moving.

PAD affects 8 to 10 million adults in the U.S. It shows up more often in people of Hispanic or Black heritage, in adults over 60, and in anyone with a family member who's had it. Smoking, diabetes, high blood pressure, chronic kidney disease, and high cholesterol all raise the risk. If several of those apply to you, the leg pain deserves a second look, not just a stretch.

September is PAD Awareness Month. Knowing the warning signs can help you catch PAD earlier and protect your circulation.