Vein Disease Care



1125 West Jefferson Street
1159 Building, Suite 305
Franklin, IN 46131

Vein disease can be painful. It also can be dangerous to your health. That’s why treatment by a qualified physician and healthcare provider is important, especially in the early stages.

Johnson Memorial Health Franklin Indiana
Our vein disease care team is led by:
Johnson Memorial Health Franklin Indiana
Daniel LeGrand, MD

Dr. LeGrand has spent most of his career as a vascular surgeon/specialist – later becoming certified in wound care and the treatment of Venous Insufficiency. He is committed to advancing wound care medicine by sharing his prevention and care expertise.

Johnson Memorial Health Franklin Indiana
Gaston Dana, DO

Dr. Dana is certified in multiple specialties including wound care medicine and vascular sonography. He has completed hundreds of vein ablation procedures including thermal and chemical ablations. Your Wound Healing Center is a resource for the care and maintenance of your wounds and feet.


Get information about vein disease and the treatment options available.

Johnson Memorial Health Franklin Indiana


40 million people in the United States suffer from varicose veins.

40% of people in the United States have chronic venous insufficiency.

30% percent of the population suffer from varicose veins.

80% of varicose veins are responsible for leg ulcers.

50% of varicose vein patients have a family history of varicose veins.

90% chance of developing varicose veins if both of your parents have them.

55% percent of varicose vein sufferers are women.

Dr. Dana Explains Vein Disease


What is Vein Disease?

Medically speaking, it’s called Chronic Venous Insufficiency – and it involves a spectrum of vein issues that affect more than half of the American adult population.

Valves in the leg veins don’t work properly, and lead to pooling of blood in your lower extremities. Eventually, pressure in the legs start a sequence of complications that include:

  • Swelling
  • Hyperpigmentation (skin color change)
  • Ulcer
  • Cellulitis of the legs, ankles and feet

What Happens When You Have Venous Insufficiency?

In order to understand Venous Insufficiency, it is important to be familiar with the circulatory system within the human body. Blood is carried throughout the body in a network of arteries and veins, which together make up the circulatory system. Arteries carry fresh blood from the heart to tissue, Including the lower legs and feet. This fresh blood provides these tissues with the oxygen and nutrients needed to keep them healthy. Veins carry the used blood back to the heart so that it may pick up more nutrients and circulate again.

The arteries are thick and help the heart to pump the blood by contracting. The walls of the veins are thin and have small valves in them, which open to allow the blood to flow through, and then close, after each heartbeat, to prevent the blood from rushing backward.

Venous Insufficiency occurs when these veins and their valves become damaged. This prevents the blood from properly flowing from the feel, up the leg, to the heart. The system becomes backed up, causing the blood end fluid to be trapped in the feet, ankles and lower legs, which results in swelling of these areas.

Along with chronic swelling, there are other complications associated with Venous Insufficiency. Skin problems such as weeping of fluid, itching, hardened reddish/brown skin and a rash may be present. Painful, irregularly shaped wounds located Just above the ankle, and throbbing in the lower legs at night are other signs that the venous system has been damaged.

What are the Symptoms?

  • Leg swelling or achiness
  • Leg fatigue or heaviness
  • Skin changes such as hyperpigmentation or ulcers
  • Cellulitis of the legs

What are the Types of Vein Disease?

Spider Veins and Reticular Veins

These veins are superficial and the least severe. Thought normally harmless, they may be an early sign of more advanced vein disease.

Varicose Veins

Dilated veins can be swollen, ropey and painful. Varicose veins case lead to progressive problems such as:

  • Skin hyperpigmentation
  • Venous ulcers
  • Deep Vein Thrombosis (DVT)

What are Venous Stasis Ulcers?

These are wounds located between the ankle and the calf that are caused by the failure of the veins to move blood back to the heart normally.

Venous Stasis is caused by damaged veins in the legs and that allow blood to pool in the lower leg. This causes the leg to swell and the skin to stretch like an oversized balloon. The skin breaks open and wounds form. Changes in the skin color and texture may result.

What are the Risk Factors?

Veins and their valves become damaged due to various reasons.

Approximately 10 to 15 percent of men and 30 percent of women have visible varicose veins on their legs. Venous Insufficiency often occurs in middle aged and older adults. It can be Inherited, but often It is due to lifestyle factors including:

  • Advancing age
  • Family history of varicose veins
  • Prolonged standing
  • Pregnancy
  • Obesity
  • Smoking
  • Drinking alcohol
  • Not eating a well-balanced diet


Detecting Vein Disease

Why Your Legs Are Wearing Out

Treating Your Circulation Problems

Treating Your Leg Pain

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