In 2017, under the direction of cardiologist Dr. Vishal Patel, Northern California Medical associates opened the NCMA Vein Center for patients with venous disorders. The NCMA Vein Center, a local center of excellence, was formed to address the needs of those suffering from venous reflux, which causes varicose veins and other severe venous diseases such as leg ulcers.

“NCMA is the top local medical group in cardiac care, so it made sense to extend our leading-edge technologies along with our cardiac and vascular specialists into a specialty  service line treating venous disorders,” explains Ruth Skidmore, NCMA’s CEO. “We  developed our clinic to provide comprehensive diagnostics and treatments for all types of vein disorders without lengthy hospital stays or extensive surgeries.”

Causes and symptoms

25 million people suffer from venous reflux. Our legs are made up of a network of veins. Healthy leg veins contain valves that open and close to assist the return of blood back to  the heart. Venous reflux develops when the valves that keep blood flowing out of the legs and back to the heart become damaged or diseased. This can cause blood to pool in your  legs and lead to symptoms such as pain, swelling, swollen limbs, leg heaviness and fatigue, skin changes and skin ulcers, and varicose veins.

The prognosis

While venous reflux itself is not serious, its symptoms often increase the risks of a wide variety of other diseases. Many of these diseases, such as thrombophlebitis, can be serious. Without proper treatment, venous reflux can become debilitating. With diligent treatment  and monitoring, however, many patients experience dramatic symptom relief.


The NCMA Vein Center offers several treatment options depending on severity. One popular treatment is radiofrequency ablation (also known as Venefit or VNUS Closure) which is a minimally invasive means of curing varicose veins and venous insufficiency. It involves the use of radiofrequency energy, delivered through a catheter in a vein, to close the vein from the inside. This treatment requires only a tiny incision in the leg to be performed. It is often done in the office using only local anesthesia, and does not require a hospital stay. Most patients find that the procedure is nearly painless, and the vast  majority of patients are back to their usual routine by the next day.

About Dr. Patel

Dr. Vishal Patel’s background as Director of the NCMA Vein Center began with board certification in interventional cardiology, cardiovascular disease, endovascular medicine and specialty certification with the American Registry for Diagnostic Medical Sonography  Physicians’ Vascular Interpretation. Vein disease treatment is Dr. Patel’s professional  specialty and patient outcomes are extraordinary. To request more information about  venous reflux today call 707-573-6166. Read more