The circulatory system is very simple to understand. We only have 2 types of blood vessels in our body. Arteries and veins. Our circulatory system is a closed loop. Arteries are the supply side and veins are the return side. When your heart beats, it sends blood out to your body through arteries. Once our tissues are done utilizing the oxygen and nutrients, then the veins job is to collect this “spent” blood and transport it back to the heart where the entire process is repeated.

Since human beings are upright, the arteries (the supply side), have gravity working with them. The veins (the return side) must transport blood up hill against gravity. To accomplish this up hill journey the veins have several one-way check valves built inside of them.


When those one-way check valves become “leaky” the entire venous system of your leg backs up and blood pools progressively in your legs. This results in symptoms of heaviness, aching, cramping, restless legs, itching, or leg pain. Additionally, patients may have nonhealing ulcers on their legs and, occasionally, the enlarged veins will spontaneously bleed. Also, 80 percent of patients will have varicose veins popping out all over their legs but, 20 percent of patients with “leaky” valves can be very symptomatic but have normal looking legs.

The Nellestein Vein Institute ( is Northwest Missouri’s premier vein treatment facility. Dr. Nellestein is the only board certified surgeon within 40,000 square miles offering every major vein treatment modality, and he does full-time vein care, all day, every day, Monday-Friday. This includes radiofrequency and laser ablation, Varithena, ClariVein, ultrasound-guided sclerotherapy, microphlebectomy, and spider vein treatment. We tailor the treatment to the patient thus optimizing patient outcomes.

Every major insurance plan is accepted. Over 90 percent of all treatments are considered medically necessary-not cosmetic.

No referral is needed. You can make the appointment yourself!  

Call 816-291-4149 or visit us at to schedule a consultation.




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