A venogram is a special X-ray test that uses a contrast dye to show how blood flows through the veins. It helps doctors find blood clots, blockages, or other vein problems. Venogram A venogram is a special X-ray test that uses a contrast dye to show how blood flows through the veins. It helps doctors find blood clots, blockages, or other vein problems. Back to All Services & Procedures How Do Venograms Work? Dye injection A doctor puts a safe contrast liquid into a vein (usually in your foot, leg, or arm). X-ray pictures As the dye moves through your blood vessels, live X-rays (fluoroscopy) take clear pictures of the inside of your veins. Treatment option Sometimes, doctors can fix a blocked vein right away using a small balloon or mesh tube called a stent during the same test. What are Venograms For? Blood Clots You have signs of a deep vein thrombosis (DVT) or a blocked vein. Unexplained Pain You have ongoing swelling, cramps, or pain in your legs. Surgical Prep Your doctor needs to find a healthy vein for a bypass graft or dialysis. Vein Issues You have varicose veins or vein problems you were born with. What are the Benefits of Venograms Diagnostic advantages Detects blood clots (DVT) : One of the most common uses — venograms can identify deep vein thrombosis with high accuracy, including clots that other tests might miss Maps venous anatomy : Shows the size, location, and structure of veins, which is useful for identifying blockages, narrowing, or abnormal vein formation Identifies venous insufficiency : Helps diagnose valve problems that cause blood to pool or flow backward (reflux), a key contributor to varicose veins and chronic venous disease Evaluates vein compression or obstruction : Useful for conditions like May-Thurne syndrome (where an artery compresses a vein) or other structural blockages Guides vascular surgery planning : Provides detailed mapping before procedures like vein harvesting for bypass surgery, dialysis access planning, or vein stenting Procedural benefits Minimally invasive : Usually performed via a small catheter or needle inserted into a vein, without the need for open surgery Can be combined with treatment : In some cases, if a clot or blockage is found, doctors can treat it in the same session (e.g., clot-dissolving medication, angioplasty, or stent placement) Detailed, real-time images : Shows how blood flows through the venous system, which helps assess function, not just structure Clinical impact Helps prevent complications from DVT : Such as pulmonary embolism, by catching clots early Assists in managing chronic venous conditions : Helps guide treatment for chronic swelling, skin changes, or ulcers caused by poor venous return Useful when non-invasive tests are inconclusive : Sometimes ultrasound doesn't give a clear enough picture, especially in certain body areas (like the pelvis or abdomen), and venography fills that gap Are You a Candidate for a Venogram? You may be a candidate for a venogram if your doctor needs to look at your blood flow, find blood clots, or check for vein damage. Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100

We receive, collect, and store any information you enter on our website or provide us in any other way. In addition, we collect the Internet protocol (IP) address used to connect your computer to the Internet; login; e-mail address; password; computer and connection information, and purchase history. Privacy Policy Effective Date: November 4, 2025 What type of information do we collect? We receive, collect, and store any information you enter on our website or provide us in any other way. In addition, we collect the Internet protocol (IP) address used to connect your computer to the Internet; login; e-mail address; password; computer and connection information, and purchase history. We may use software tools to measure and collect session information, including page response times, length of visits to certain pages, page interaction information, and methods used to browse away from the page. We also collect personally identifiable information (including name, email, password, and communications); payment details (including credit card information), comments, feedback, product reviews, recommendations, and personal profile. How do we collect information? When you conduct a transaction on our website, as part of the process, we collect the personal information you give us such as your name, address, and email address. Your personal information will be used for the specific reasons stated above only. Why do we collect such personal information? We collect such Non-personal and Personal Information for the following purposes: To provide and operate the Services; To provide our Users with ongoing customer assistance and technical support; To be able to contact our Visitors and Users with general or personalized service-related notices and promotional messages; To create aggregated statistical data and other aggregated and/or inferred Non-personal Information, which we or our business partners may use to provide and improve our respective services; To comply with any applicable laws and regulations. How do we store, use, share, and disclose our site visitors' personal information? tlcvascular.com is hosted on the Wix.com platform. Wix.com provides us with an online platform that allows us to sell our products and services to you. Your data may be stored through Wix.com’s data storage, databases, and the general Wix.com applications. They store your data on secure servers behind a firewall. All direct payment gateways offered by Wix.com and used by our company adhere to the standards set by PCI-DSS as managed by the PCI Security Standards Council, which is a joint effort of brands like Visa, MasterCard, American Express, and Discover. PCI-DSS requirements help ensure the secure handling of credit card information by our store and its service providers. How do we communicate with our site visitors? We may contact you to notify you regarding your account, to troubleshoot problems with your account, to resolve a dispute, to collect fees or monies owed, to poll your opinions through surveys or questionnaires, to send updates about our company, or as otherwise necessary to contact you to enforce our User Agreement, applicable national laws, and any agreement we may have with you. For these purposes, we may contact you via email, telephone, text messages, and postal mail. How do we use cookies and other tracking tools? tlcvascular.com utilizes the following Wix cookies at our site: XSRF-TOKEN - Used for security reasons hs - Used for security reasons session - Used in connection with user login SSR-caching - Used to indicate the system from which the site was rendered _wixCIDX - Used for system monitoring/debugging _wix_browser_sess - Used for system monitoring/debugging consent-policy - Used for cookie banner parameters session - Used to identify logged-in site members TS* - Used for security and anti-fraud reasons obsession - Used for system effectiveness measurement fedops.logger.X - Used for stability/effectiveness measurement wixLanguage - Used on multilingual websites to save user language preference Other 3-party cookies sourced by Google and their Google Analytics and Google Search Console products are also being utilized. For more information on Google's cookies, please click here. How can our site visitors withdraw their consent? If you don’t want us to process your data anymore, please contact beth.morris@tlcvascular.com Privacy policy updates. We reserve the right to modify this privacy policy at any time, so please review it frequently. Changes and clarifications will take effect immediately upon their posting on the website. If we make material changes to this policy, we will notify you here that it has been updated, so that you are aware of what information we collect, how we use it, and under what circumstances, if any, we use and/or disclose it. Questions and your contact information. If you would like to: access, correct, amend, or delete any personal information we have about you, you are invited to contact beth.morris@tlcvascular.com . Delivering excellence. Every patient. Every time.

Venous Ablation is a minimally invasive medical procedure that uses heat from radio waves to target and destroy specific tissues, such as abnormal nerve pathways transmitting pain signals or cells within small tumors and growths. Venous Ablation Venous Ablation is a minimally invasive medical procedure that uses heat from radio waves to target and destroy specific tissues, such as abnormal nerve pathways transmitting pain signals or cells within small tumors and growths. Back to All Services & Procedures How Does Venous Ablation Work? Numbing the skin Doctors clean the area and use a local numbing medicine so you do not feel sharp pain when the needle goes in. Guiding the needle The doctor uses a special X-ray or ultrasound machine to see inside your body and guide a thin, hollow needle right next to the painful nerve. Safety testing Before applying heat, the doctor sends a tiny electrical current to test the spot and make sure it is not touching a nerve that moves your muscles. Creating a heat lesion An electrode sends radio waves through the needle to heat a tiny tip. This heat creates a small scar or lesion on the nerve, blocking it from carrying pain signals. What are Venous Ablation For? Chronic Spinal and Joint Pain When patients suffer from persistent neck, back, or knee arthritis pain that does not improve with physical therapy or medications. Failed Conservative Care When initial treatments like rest, anti-inflammatory drugs, or steroid injections wear off too quickly or provide no relief. Positive Diagnostic Blocks When a patient gets temporary, successful pain relief from a preliminary diagnostic nerve block injection, confirming the exact source of the pain. To Delay or Avoid Surgery When a minimally invasive option can successfully manage a patient's pain without the risks of a major operation. What are the Benefits of Venous Ablation General procedural advantages Minimally invasive : Performed through a small needle or catheter, usually guided by imaging (ultrasound, fluoroscopy, or CT) — no large incisions Precise targeting : Heat is delivered to a very specific, localized area, sparing surrounding healthy tissue Outpatient procedure : Most RFA procedures are done same-day, often under local anesthesia or light sedation Quick recovery : Patients typically resume normal activities within a few days, much faster than open surgery Repeatable : Can often be redone if symptoms return or a new area needs treatment For chronic pain (e.g., spine, joints) Long-lasting pain relief : Can reduce or eliminate pain for 6 months to 2+ years by disabling the nerve's ability to transmit pain signals Reduces need for pain medication : Can decrease reliance on opioids or other pain management drugs Improves function and mobility : Less pain often means better ability to participate in physical therapy and daily activities Are You a Candidate for Venous Ablation? Long-lasting Pain Long-lasting pain in your spine, neck, or arthritic joints that stays for more than three to six months. Temporary pain relief after a test nerve block procedure, which proves the exact spot causing your pain. Failed relief Failed relief from basic care like physical therapy, rest, or medicine. Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100

This Cookie Policy explains how TLC Vascular ("we," "us," or "our") uses cookies and similar technologies to recognize you when you visit our website at tlcvascular.com. It explains what these technologies are, why we use them, and your rights to control their use. Accessibility Agreement Effective Date: August 3, 2026 TCL Vascular strives to ensure that its digital services are accessible to people with disabilities. TLC Vascular has invested significant resources to help ensure access for all users, including people with disabilities, with the strong belief that every person has the right to live with dignity, equality, comfort, and independence. Digital accessibility is not just a target we aim to achieve, but an ongoing commitment that we carry in every aspect of our digital service delivery. We recognize that this requires continuous monitoring, improvement, and adaptation. In the sections below, we elaborate on the various efforts undertaken to measure our progress in ensuring digital accessibility for all. We use industry-standard accessibility methods and tools to accomplish this, in accordance with the relevant version of the Web Content Accessibility Guidelines (WCAG) as set forth by the World Wide Web Consortium (W3C), the internet’s main international standards-setting organization. We are here to assist you and make your experience as smooth and inclusive as possible. If you encounter any digital accessibility issues with our products or services, or need information related to digital accessibility, we want to hear from you! We appreciate and welcome feedback and are always open to suggestions to enhance our digital accessibility efforts. If you have questions or concerns about this Accessibility Agreement, please contact beth.morris@tlcvascular.com. We take accessibility seriously and will get back to you shortly. Delivering excellence. Every patient. Every time.

Advanced Lab Testing refers to specialized blood panels that measure detailed heart disease risk factors, such as cholesterol particle sizes, specific proteins, and inflammatory markers. Unlike a basic cholesterol check, these tests help find hidden dangers. Advanced Lab Testing Advanced Lab Testing refers to specialized blood panels that measure detailed heart disease risk factors, such as cholesterol particle sizes, specific proteins, and inflammatory markers. Unlike a basic cholesterol check, these tests help find hidden dangers. Back to All Services & Procedures How Does Advanced Lab Testing Work? Lipoprotein Subfractions Counts the actual number and size of low-density lipoprotein (LDL) particles rather than just total LDL levels. Apolipoprotein B (ApoB) Measures the total count of atherogenic (plaque-forming) particles in the blood. Lipoprotein(a) [Lp(a)] Evaluates a genetically determined type of cholesterol linked to a higher risk of early heart disease. Inflammatory Biomarkers Detects proteins and enzymes like high-sensitivity C-reactive protein (hs-CRP), Lp-PLA2, and myeloperoxidase (MPO) that signal inflammation in blood vessels. What is Advanced Cardiac Lab Testing For? Uncovering Hidden Risks Identifies high cardiovascular risk even when standard routine lipid panels return normal results. Personalizing Prevention Helps doctors tailor specific treatment and lifestyle plans for patients with a family history of heart disease or diabetes. What are the Benefits of Advanced Cardiac Lab Testing? Clinical benefits Earlier detection : Advanced cardiac testing enables early detection of heart conditions, leading to timely intervention. Cardiac Care Associates More accurate diagnosis : It provides accurate diagnosis, reducing uncertainty and unnecessary treatments. Cardiac Care Associates Personalized care : Results enable tailored prevention and treatment strategies and personalized treatment plans suited to individual patient needs. Rupa Health Cardiac Care Associates Guides lifestyle and medication decisions : Results can guide a doctor to suggest lifestyle changes, medication management, and other interventions to reduce heart disease risk. 1mg Ongoing monitoring : It supports monitoring of existing heart disease, ensuring effective management over time. Cardiac Care Associates Are You a Candidate for Advanced Cardiac Lab Testing? Unclear Risk Your standard cholesterol or blood pressure results fall in a gray zone, and your doctor needs more data to decide on starting preventive medicine like statins. Family History You have close relatives who suffered a heart attack or stroke at a young age. Residual Risk You already manage standard risk factors or normal cholesterol, but still face high clinical concern or recurrent events. Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100

An atherectomy is a minimally invasive medical procedure used to remove fatty plaque buildup from inside narrowed or blocked arteries. Unlike an angioplasty which presses plaque against the artery wall, an atherectomy physically cuts, shaves, grinds, or vaporizes the blockage away to restore healthy blood flow.  Atherectomy An atherectomy is a minimally invasive medical procedure used to remove fatty plaque buildup from inside narrowed or blocked arteries. Unlike an angioplasty which presses plaque against the artery wall, an atherectomy physically cuts, shaves, grinds, or vaporizes the blockage away to restore healthy blood flow. Back to All Services & Procedures What Types of of Atherectomies Are There? Directional Atherectomy Shaves and collects plaque using a tiny rotating side-cutter blade. Rotational Atherectomy Grinds hard, calcified plaque away using a high-speed rotating burr. Orbital Atherectomy Sands down calcium deposits using an orbiting diamond-coated crown. Laser Atherectomy Vaporizes soft and fibrous blockages using light energy. What are Atherectomy Procedures For? Clear Tough Hardened or Calcified Plague Clear hardened or calcified plaque that is too tough for standard angioplasty. Treating PAD Treat peripheral artery disease (PAD) to stop painful leg cramps and poor circulation. Clearing Blockage Clear blockages in coronary arteries that supply blood to the heart muscle. Opening Complex Vessels Open complex vessel blockages where a stent alone might fail or close back up What are the Benefits of Atherectomy Procedures How it differs from angioplasty/stenting Removes plaque instead of compressing it : Uses a rotating blade, laser, or grinding device to shave away or vaporize plaque and extract it from the artery, rather than pushing it against the vessel wall Useful for heavily calcified or hardened plaque : Particularly effective in arteries where plaque is too hard or dense for a balloon to compress effectively Clinical benefits Restores blood flow : Clears the artery to improve circulation, similar goal to angioplasty but through a different mechanism Prepares the vessel for other treatments : Often used before angioplasty or stent placement to debulk plaque first, making those subsequent treatments more effective May reduce need for stents : In some cases, particularly in peripheral arteries (like the legs), removing plaque can restore adequate flow without requiring a permanent stent — useful in areas where stents don't perform as well (e.g., joints that flex, like behind the knee) Effective for peripheral artery disease (PAD) : Frequently used in leg arteries where calcified, long, or complex blockages are common Can treat lesions that are difficult for other methods : Particularly useful for heavily calcified lesions, in-stent restenosis (blockage that forms inside a previous stent), or areas where stents are less ideal Procedural advantages Minimally invasive : Performed via catheter, typically through the wrist or groin — no open surgery Often combined with imaging guidance : Some atherectomy systems include imaging capability (like optical coherence tomography) to help the physician see plaque characteristics in real time and guide precise removal Same-day or short hospital stay : Recovery is generally faster than surgical alternatives Local anesthesia : General anesthesia is usually not required Are You a Candidate for Atherectomy Procedures? Diagnosed Disease Confirmed atherosclerosis, PAD in the legs/arms, or CAD affecting blood flow to the heart. Unrelenting Symptoms Leg cramping or pain while walking (claudication), chest pain (angina), or shortness of breath that limits daily life. Critical Issues Non-healing foot or leg wounds, ulcers, or pain even while resting Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100

Angioplasty is a minimally invasive medical procedure used to open narrowed or blocked arteries and restore healthy blood flow. It involves a tiny balloon and often a mesh tube called a stent. Angioplasty Angioplasty is a minimally invasive medical procedure used to open narrowed or blocked arteries and restore healthy blood flow. It involves a tiny balloon and often a mesh tube called a stent. Back to All Services & Procedures How Do Angioplasty Procedures Work? Dye injection A doctor puts a safe contrast liquid into a vein (usually in your foot, leg, or arm). X-ray pictures As the dye moves through your blood vessels, live X-rays (fluoroscopy) take clear pictures of the inside of your veins. Treatment option Sometimes, doctors can fix a blocked vein right away using a small balloon or mesh tube called a stent during the same test. What are Angioplasty Procedures For? Heart Attack Doctors perform it right away as an emergency treatment to open a completely blocked artery and save heart tissue. Severe Chest Pain It helps patients with worsening chest pain (angina) that does not improve with lifestyle changes or prescription drugs. Significant Blockages Tests like an angiogram or stress test show a heavy buildup of plaque that dangerously slows down blood flow to the heart muscle What are the Benefits of Angioplasty Procedures Immediate physical benefits Restores blood flow : Compresses plaque against the vessel wall, widening the passage and improving circulation Relieves symptoms : Can quickly ease chest pain (angina), leg pain from poor circulation, or other symptoms of restricted blood flow Can be combined with stenting : Often paired with stent placement to help keep the vessel open long-term after the balloon is deflated and removed Procedural advantages Minimally invasive : Performed via catheter through a small incision, usually in the wrist or groin — no open surgery needed Often done during diagnosis : If a blockage is found during an angiogram, angioplasty can typically be performed in the same session Short recovery time : Most patients go home the same day or within 24 hours, compared to weeks of recovery from bypass surgery Local anesthesia : General anesthesia usually isn't required, which lowers surgical risk, especially for older or higher-risk patients Repeatable : Can be performed again if needed, unlike some surgical interventions Clinical impact Reduces heart attack and stroke risk : By opening narrowed coronary or carotid arteries before they fully block Emergency treatment : During an active heart attack, rapid angioplasty (sometimes called "primary angioplasty") is one of the most effective ways to restore blood flow and limit heart muscle damage Improves exercise tolerance and quality of life : Reduces symptoms that limit physical activity Alternative to more invasive surgery : For many patients, angioplasty achieves comparable results to bypass surgery with lower risk, shorter hospital stay, and faster recovery Are You a Candidate for an Angioplasty Procedure? Severe Blockages A coronary angiogram shows significant narrowing (often 70% or more) in one or two arteries. Unrelieved Chest Pain Frequent angina or shortness of breath that continues despite using heart medications. Heart Attacks Emergency treatment is needed to quickly open a blocked vessel and save heart muscle Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100

Genicular artery embolization (GAE) is a minimally invasive outpatient treatment that relieves chronic knee pain from osteoarthritis by reducing abnormal blood flow and inflammation. It uses tiny particles to block overgrowth of blood vessels near the joint without major surgery. Genicular Artery Embolization Genicular artery embolization (GAE) is a minimally invasive outpatient treatment that relieves chronic knee pain from osteoarthritis by reducing abnormal blood flow and inflammation. It uses tiny particles to block overgrowth of blood vessels near the joint without major surgery. Back to All Services & Procedures How Do Genicular Artery Embolization Treatments Work? Catheter placement A doctor guides a tiny tube through a blood vessel from the groin or wrist to the knee. Targeted blocking Special tiny beads or particles are injected to block abnormal, inflamed micro-vessels. Relief Cutting extra blood flow lowers swelling and stops pain signals. What are Genicular Artery Embolization Treatments For? Failed Conservative Care When standard options like physical therapy, NSAIDs, and steroid or hyaluronic acid injections have failed for 3 to 6 months. Not Ready for Surgery When patients want a minimally invasive, non-surgical alternative or are not yet ideal candidates for a total knee replacement. Post-Surgical Pain When individuals experience lingering chronic pain and stiffness even after a previous knee replacement procedure. What are the Benefits of Genicular Artery Embolization Treatments? Pain and function benefits Meaningful pain relief : At 12 months, 78% of patients met the minimal clinically important difference for pain, and 92% for function, in one study. InventUM Rapid and sustained relief : Earlier pilot studies reported a dramatic and rapid reduction in symptom and pain scores after the procedure. clinicaltrials Reduces inflammation : By blocking inflamed arteries feeding the synovium, GAE reduces inflammation associated with osteoarthritis, which can help or eliminate knee pain. UCLA Health Improves physical function : In one study, all pain and function scores, as well as physical performance tests, improved significantly after treatment. nih Durability Long-lasting results for many patients : Only 5.2% of patients needed knee replacement and 8.3% needed repeat GAE over two years in one study. InventUM Possible disease-modifying effect : Continued follow-up using MRI showed a significant reduction in synovitis, suggesting embolization may not only alleviate pain but also potentially alter the course of the disease — meaning patients might be able to delay knee joint replacement, though this needs more long-term study to confirm Are You a Candidate for a Genicular Artery Embolization Treatments? Age and Health Typically aged 40 to 80 with chronic knee pain and inflammation (synovitis). Failed Treatments Tried physical therapy, pain meds, or steroid/hyaluronic acid injections without lasting relief. Surgery Goals Want to delay or avoid a knee replacement, or are not a good fit for major surgery Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100

Vascular Institute of Northern California is hosting an evening sponsored by Tactile Medical. The topics evening are "Updated Guidelines for 2024" presented by Inder Singh MD, MS and "Lymphedema Secondary to Venous Insufficiency: Phlebolymphedema" presented by Jennifer Heit PT, DPT. UPCOMING EVENTS No events at the moment Delivering excellence. Every patient. Every time.

Here you can find articles, interviews, podcast and other forms of media that TLC Vascular has appeared in. IN THE MEDIA Fox News 40 Sacramento A New Lease on Life - FDA Approved Removable Stents June 12, 2025 Sacramento surgeon Dr. Inder Singh is helping treat peripheral artery disease with newly FDA-approved removable stents. READ ARTICLE LinkedIn NATIONAL PAD Awareness Day February 5, 2025 At TLC Vascular, we SOCK IT to PAD (Peripheral Arterial Disease)! READ ARTICLE LinkedIn Number 1 Office-based Lab in Sacramento, CA January 14, 2025 Congratulations to Inder Singh, MD, and the staff at TLC Vascular. They are the 1st Vascular practice in the Greater Sacramento area to place Abbott’s revolutionary Esprit BTK Everolimus Eluting Resorbable Scaffold System. READ ARTICLE Good Day Sacramento National Red Sock Day June 28, 2022 Learn the signs and symptoms of leg health before it's too late. We're joined by interventional cardiologist, Doctor Inder Singh, with more on National Red Sock Day. READ ARTICLE Delivering excellence. Every patient. Every time.

A leg ultrasound is a safe, painless imaging test that uses high-frequency sound waves to see blood flow and check the large arteries and veins in your legs. It helps doctors find blood clots, poor circulation, and blocked blood vessels. Ultrasound A leg ultrasound is a safe, painless imaging test that uses high-frequency sound waves to see blood flow and check the large arteries and veins in your legs. It helps doctors find blood clots, poor circulation, and blocked blood vessels. Back to All Services & Procedures How Do Ultrasound sWork? Venous Ultrasound Looks for deep vein thrombosis (DVT), which is a dangerous blood clot inside a deep vein. It also checks for weak vein valves that cause varicose veins. Arterial ultrasound Looks for narrowed or blocked arteries caused by plaque buildup, known as peripheral artery disease (PAD). What are Ultrasounds For? Blood Flow Use Doppler sound waves to check how blood moves through vessels and the heart. Procedure Help Guide needles safely during biopsies or fluid drains. What are the Benefits of Ultrasounds Safety advantages No radiation : Unlike X-rays, CT scans, or angiograms, ultrasound uses sound waves, not ionizing radiation, making it safe for repeated use Safe during pregnancy : This is why it's the primary imaging tool for monitoring fetal development Minimal to no risks : Non-invasive with essentially no known harmful side effects when used appropriately Practical advantages Real-time imaging : Shows live movement — useful for watching heart valves function, blood flow direction, or a fetus moving No preparation for many exams : Many ultrasounds require little to no prep, unlike some CT or MRI scans Widely accessible : Machines are portable, relatively affordable, and available in many clinical settings, including bedside/point-of-care use in emergency rooms Fast : Most exams take 15–45 minutes and results are often available quickly No sedation needed : Patients remain fully awake and comfortable throughout Can be done repeatedly : Useful for monitoring conditions over time (e.g., tracking a tumor, following pregnancy progress, monitoring blood flow after a procedure) Diagnostic capabilities Organ evaluation : Visualizes soft tissues and organs like the liver, kidneys, gallbladder, thyroid, and pancreas Blood flow assessment (Doppler ultrasound) : Measures blood flow speed and direction — useful for detecting blood clots, blockages, or venous insufficiency Cardiac function (echocardiogram) : Evaluates heart structure, valve function, and pumping efficiency Pregnancy monitoring : Tracks fetal growth, position, heartbeat, and detects potential complications Guides procedures : Used in real-time to guide needle biopsies, injections, or catheter placements with precision Detects masses/cysts : Can distinguish between solid masses, fluid-filled cysts, and other abnormalities Musculoskeletal imaging : Evaluates tendons, ligaments, and muscles for tears or inflammation Clinical impact First-line screening tool : Often used before more invasive or expensive tests like CT, MRI, or angiography Helps avoid unnecessary invasive procedures : Can rule out certain conditions non-invasively Emergency assessment : Quick bedside ultrasounds (like FAST exams) help detect internal bleeding or organ damage in trauma situations Are You a Candidate for Ultrasounds? Vascular checks Evaluating blood flow or blockages in the veins and arteries. Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100

Congratulations to Inder Singh, MD, and the staff at TLC Vascular. They are the 1st Vascular practice in the Greater Sacramento area to place Abbott’s revolutionary Esprit BTK Everolimus Eluting Resorbable Scaffold System. IN THE MEDIA LinkedIn Number 1 Office-based Lab in Sacramento, CA January 14, 2025 Congratulations to Inder Singh, MD, and the staff at TLC Vascular. They are the 1st Vascular practice in the Greater Sacramento area to place Abbott’s revolutionary Esprit BTK Everolimus Eluting Resorbable Scaffold System. Patient presented with BTK chronic limb-threatening ischemia (non-healing wound) and single vessel run-off. The Esprit scaffold was placed into the tibial-peroneal trunk, restoring excellent in-line flow to the TPT/peroneal/PT territories and improved collateralization of the AT territory. This will likely deliver great limb-salvage outcomes for the patient & prevent limb-loss. Thank you Dr. Singh for your dedication to improve the continuum of care for CLTI patients! READ POST AT LINKEDIN Back to All Media PATIENT TESTIMONIAL "I've been a patient with Dr Singh for many years. He's a very compassionate and caring person. I've had many procedures done. I've had over 8 arteries blocked on both of my lower legs 2- 3 years ago. And I thought I was so done, but the doctor went out of his way and listened to me about my pain and found more arteries blocks, and crushed vines or blood vessel? I'm so very blessed that Jesus Christ put Dr Singh in my life. Because I'm afraid to say that I might not have been walking around and doing anything with my legs. All I can say is thank you Dr Singh and of course all the staff for being there with me and giving me support. Thanks for all your concern and support you have been to me. My legs feel wonderful again and not so heavy. May God bless you and your staff and may you prosper in all you guys do. " — Debra Trujillo "I want to express my deepest gratitude to Shelby Adney, MSN, NP-C, the wonderful Vascular Sonographer, and the medical assistants/nurses at TLC Vascular! I had my vein procedures done in two stages—first in January, and then in June. Throughout this entire journey, they have been an amazing team. The nurses and staff are incredibly friendly, supportive, and deeply caring. Shelby and her team explained every step of the process and created a very warm atmosphere where I felt completely safe and looked after. Thank you all so much for your outstanding care and dedication over these months!" — Veronika Shel "Great, as always!" — Lester E. Brakowiecki "Caring, knowledgeable, and thoughtful." — Joel Fisher "Great center for vascular evaluation/intervention." — Eunice Cho "The examination was performed efficiently and quickly without intrusion.' — Walter Tweedie III "Thorough exam! Thorough follow up with Doctor with great explanation of exam and treatment!" — Peter Stack "Great staff and the Dr. Is awesome, explained everything, GREAT DR. !!" — Pamela Alari "I was very pleased with everyone the staff was professional explained everything made me feel comfortable." — Desiree Benedetti "Very nice staff and make you feel good will you recover from the surgery." — Mark Stephens "Extreme politeness with a smile that was comforting, deferent upgrade from my experiences from early years of services;" — Daniel Bejarano "Excellent care and follow-up visits. Couldn't ask for better! Very caring staff." — Marcia Hutchison "Fantastic doctor! They take time to really take care of you!!!!" — Brent Bullard "They has been very helpful, is very efficient and our patients are seen quickly for consult. Thank you!" — Jennifer Valcazar "Working with them has been Great. Everyone that we have met and worked with. I would recommend them to everyone." — JoJo Napper "My experience was very good. The People who work there are very qualified and nice too. So if you need to go there it's a nice place to be and get your medical care." — Christina Jacob "Very friendly and professional staff, the doctor is very thorough and leaves no questions unanswered. Aliyah at the front desk is very nice. Would recommend treatment here!" — Monica Lee "An excellent experience from the scheduling through the surgery and the follow up. Andy in scheduling has been particulary helpful and responsive." — Antonio Barinaga "We recieved very courteous and comprehensive care at this facility. They were so kind and personable. Aside from clearly answering our questions they offered us bottled water." — Cheryl Ashley "We are very pleased with Dr. Singh and his staff. Dr. Singh’s incredible knowledge is off the charts. We have finally gotten answers to our haunting questions! Thank you Dr. Singh and staff." — Darlene Hibbard "Very Profesional yet relaxed medical specialty practice. They did in house testing then went over the results in a way I clearly understood what my current condition was. Next Doctor Singh explained treatment both what he had started and what I could expect in the future. I Highly recommend them. — Mavis Chalenor "Hi ..I Just Wanted To Say ..Thank You To Dr Singh and His Staff.. What a Great Group To Be Around..For Years I Have Suffered With My Legs They Were Always Hurting and In Alot Of Pain When I Walked...I Have Seen Other Vein Doctor's But To No Success...Then I Was Referred To Doctor Singh...I Remember The First Time I Had a Procedure Done And Doctor Singh and Another Notice This Buldge On My Left Inner Knee...Next Thing I Knew a Few Days Later I Was Having Stents Put In My Veins...Doctor Singh Has Been Taking Care Of Me Ever Since... After About 2 Yrs My Legs Began To Hurt Again..My Legs Were Looking So Bad I Would Never Wear Shorts...So I Went Back To Doctor Singh and His Staff Had an Ultrasound And Back In For Another Procedure...OMG...My Leg Is Beautiful...It Is Not Prefect By Far But After All I Will Be 71....But Guess What I Will Be Wearing Shorts This Coming In Year...I Am So Tickled...To Doctor Singh and His Staff I Will Always Be So Grateful For The Kindness and Care I Received...Thank You So Much Dolly" — Dolly Craighton "Since 2013 I have lived with severe edema and lymphadema and cellulitus in my legs. This latest episode was by far the worst yet. Many stays in hospitals, too many rounds of antibiotics to many Er visits. Until I met a wonderful woman named Britta. Through her I was referred to the vascular institute. She healed my open wounds. One appt at the institute. Only one. And the surgeon gave me the news that nearly made me cry. He said we can fix your legs simple procedure. So between Britta at active life wound care clinic and Dr. Surgeon ( cant recall his name) they gave me hope and my life back. They are my angels." — RMC "The receptionists were pleasant and very helpful, medical assistant was kind and prepared me for the Doctor’s arrival. Doctor was to the point and we were able to agree on next step to take. Visit was upbeat and friendly." — Michael Campbell "The Dr. is articulate AND empathetic. He listens carefully and respectfully. I feel confident that I am in good hands and that he appreciates me as a patient. I trust him to guide me through my health problems. I would recommend him highly to my loved ones." — Judy MC "Although I have yet to meet the team, I’d like to thank them for always handling our referrals in a timely manner and always being professional and kind to our patients. We appreciate the open communication when our office needs notes or if they need patient info from us. Thank you! — Shaylani Iosefa "The staff at the Vascular Institute were very friendly and professional. They saw to my needs and the place was very clean. I had some ultrasound done to follow up on some recent surgery that was done. All was well and I will follow this up in the future to be sure that everything is progressing as it should." — Jeff Matulich "I went to vascular institute to have them look at some swelling in my legs. All staff members were courteous, discrete, and professional, and I appreciated how they took the time to explain the procedures and results to me. It was a better and expected experience overall." — Jason Todd "The doctor and the staff removed all fears and mysteries concerning my upcoming angioplasty procedure. My appointment for the procedure is only one week from my initial visit. I left the office with feelings of confidence and trust. Thank you Dr. and staff at the Vascular Institute." — Ric Heilner "They treated me with respect and kindness the time I was there. The doctor was nice and listened to me and answered my questions, and I loved the fact that the nurses was polite and friendly and made my time there more pleasant and peaceful. Thank you all for your help. 🙏" — Debra Trujillo "My husband was seen at this location. Getting the appt was very timely from the referral. Had early appt w no wait wait. The staff was very nice n friendly. The tech was very knowledgeable and engaging and professional not to overstep his position. The Dr. visit was quick n informative. First time with this department for my husband.could have used a little more time with the Dr." — Deborah Eaglin "I would like to thank the Vascular Institute of Northern California for the care I received. From the moment I arrived, I was treated with warmth, respect and complete professionalism. I was continually kept informed of the process. The doctors were were highly skilled, and were happy to answer all my questions. Thanks to this procedure, I have regained my ability to perform my daily activities, and remain pain-free. I highly recommend their services." — Elaine Kersels "I just want to say that Annabelle Lara went over and beyond for me and my brother Rodney Starks ...he is having a problem with his leg and Rodney is a diabetic and she brought him snacks while we wait.. she has very very good patience and a very good customer service rating if I can rate her I would give her a thousand points thank you so much Annabelle God bless you." — Ms. Wonderful "On September5th, I took my 95-year-old mother to the Vascular Institute of Northern California, Carmichael, for an ultrasound. Of course, the facility was very clean. Most importantly, though, the attitude of the staff was impressive. The technician, Alan Cedeno, was punctual ( per our appointment time). His interactions with my mother and me were respectful. During the entire scan, he was extremely gentle, considerate and soft-spoken. At the reception desk, Anabel and Omar were eager to help; they were friendly within the boundaries of professional communication. A happy team is a reflection on competent, caring management. — SC "I want to express my heartfelt appreciation for Dr. Singh from the Vascular Institute of Northern California. My husband has been facing significant vascular issues, and after consulting with another doctor who offered no hope for improvement, we were fortunate to find Dr. Singh. Dr. Singh possesses tremendous skills and unmatched technique in his field. His innovative approach and dedicated care have made a remarkable difference in my husband's condition. The results we have seen under his treatment are nothing short of amazing. In addition to Dr. Singh's expertise, his staff is exceptionally professional and supportive, making each visit a positive experience. His remarkable commitment to his patients sets him apart from other doctors, and I cannot thank him enough for the incredible care he has provided." — Leona Bettencourt "I would like to share my experience at TLC Vascular Northern California Clinic. My mother had angiogram procedures on both of her legs in April of this year due to severe circulation issues that was compromising blood. We came in for a consultation with Shelby to discuss the best course of action. Shelby did a great job of explaining the procedure and treatment plan with us. She was thorough and knowledgeable, and she answered all our questions. Upon the morning of the procedure, we were greeted by front desk staff, whom were warm and friendly, and offered us water and asked us if we needed anything. The office was clean and inviting, and there was fresh self-serve coffee available to brew. After a short wait, we were greeted by a very friendly technician with a big smile on his face named Omar. Omar took us to the treatment room where my mother would get prepped for surgery. His warm, positive demeanor and great sense of humor immediately put us at ease. He was very patient with my mother and very respectful, while also being very competent and efficient at his job, which he really seemed to enjoy. There was also a young pleasant young lady that assisted my mother that day named whom I believe is named Daisy. Again, she was so kind with a very upbeat and bubbly demeanor. Just what we needed to take ease our minds and help us not be so nervous about the medical procedures that were about to take place. Also, Edgar, whom I believe is an anesthesiologist, also assisted us. And he was stellar, showing great concern for my mother's comfort and well-being. The surgeon that did the procedure, Dr. Singh, was top notch is so much as he explained in detail what he was going to do, answered our questions thoroughly, and listened to our concerns patiently. And his bedside manner outstanding. I must say, all the staff were just wonderful. Follow up care has also been satisfactory so far. My mother is still healing, so time will tell if the procedures she had will have the full desired outcome, however, I will say that the stubborn ulcer she had on her toe that wouldn't heal due to poor blood flow had now healed. I believe that is, at least in part, due to the procedure she had done, so that's definitely a win in my book! Overall, my mother and I have thus far had a very positive experience at TLC Vascular. — RiseAbove All "Was treated with much cocern and consideration, and knowledge of what they were doing and talking about." — Cecil Forte "Felt comfortable and explained the procedure and answered all my questions. Although l will contact them with selected questions regarding some of the pre-op medications." — Robert Lewis "These guys are great! They're friendly, professional and efficient. The appointments are always on time." — Richard Solberg "I had a consultation here a while ago and I owed you this review! Thank you for your attention and professionalism. The entire staff is incredibly friendly." — Anita Pérez "Staff was very friendly and professional. The service was great and straightforward." — Julio Bush "Dr Singh and all the Staff are super friendly and professional. — Veronica Anaya "I’m so happy that this caring and wonderful people are taking care of me , the doctor and everyone else . I wouldn’t go anywhere else ." — Antonio Orellana "Excellent attention, the doctor and all the staff attend you quickly, they examine you and advise you on what your best options are according to your symptoms, they do the corresponding tests right there and answer all your questions about which treatment you should use, grateful, Thank you!" — Adela Brustmeyer "Very family oriented..Makes all information clear to understand.. I couldn't ask for better service... My wife and I are very satisfied. Many Blessings to a great team." — Ariselmo Padilla "Very friendly and knowledgeable staff. Procedure was easy and revealed some blockage to calves. Next steps are more walking daily!!" — Phyllis Thomason "I am doing this for my husband Kenneth Cashiola . My. husband was very satisfied with the doctor. He liked the Doctor who he saw very much. Everyone was so nice and careing !!!" — Cindy Cashiola "Staff are very professional and quite friendly. Doctor is very knowledgable and reassuringly puts one at ease. Demonstrates good medical leadership." — Dr. Adetunji Obawole "The staff and all involved were an outstanding crew. All were very friendly, and kept me informed through my uncle's procedure. I highly recommend them! — Frances Roper "The doctor and his staff were very professional and caring. I have some health goals to achieve. He was thorough in his explanation of my conditions and what is needed to help lessen some of the pains. — Felicia Allen "My office visit was just awesome very professional and transparent. Had a great experience with all staff especially with the Clinic Administrator Nadia she was very helpful. I definitely recommend them for your health needs." — Dalia Villegas-Cardenas "God place such a (GREAT) team of surgeon & staff to perform a successful in my husband Robert Walker Sr. & they neva gave any negative energy towards my family theyvvare, they very 💕'n people & I will give a request to anyone in need of same procedure, God bless & stay safe to the entire Vascular Institute* Staff." — Tonya Walker "Dr.Singh and nurses are professional and both made me very comfortable. I had a perfect experience 😌. Thanks you Dr.Singh and the nurses." — Tommy Armstrong "Dr Singh and his staff are amazing! Wonderful attention to the patients by all concerned. Shout out especially to Illiana and Katrina!" — John Darnold "Our experience was excellent. The Doctor and staff are incredible. When we were there it felt like family. We thank God for this place." — Carie Gonzo "Dr. Inder M. Singh & lliana his righthand assistant, are one outstanding and professional doctor and righthand assistant with an awesome team staff (Mario, Ralph, Alex, Eric, Jose, and #1 Katrina Nurse Practitioner) . Dr. Singh, is one passionate, caring doctor for is patients like family. Which will do whatever it takes to make us comfortable and with no pain or minimum pain. Also, the service is outstand. I, wouldn't trade them for any other doctor and team staff. I, would recommend Vascular Institute of Houston to anyone that need help with vascular issues. Thanks Again for all y'all's hard work for helping me with all my vascular issues on both of my legs. Love Y'all" — Ray Alvarez "I'm very Impressed with service and treatment I've received at the Vascular Institute of Houston. Dr. Singh, Katrina, Iliana, Mario, Tolkun, Jose and Eric have given me the most upstanding care possible going above and beyond. I would most definitely continue care and recommend others." — Ashli Jacobs "At TLC Vascular of Houston, the staff is very professional. They are friendly and welcoming. I highly recommend this place. They treated my brother like a king. They served him us lobster sub from Quiznos while in recovery. Dr. Singh's clinical diagnosis was very sharp. He listens to you very patiently & gives you sufficient time to state your problems. He meet with the family and gave a detailed report of his diagnosis and action plan. Thanks again to the staff for all that you do." — Claudia Taylor "Wow, Houston Vascular Institute and the style is very incredible. I came in with blisters on my toes. Pull circulation in my legs got a consultation from Nana Katrina and token inform me of the certain risk and improvements since I had my procedures, my legs and the flow have improved incredibly I would like to say thank you to Dr Singh and his staff for a wonderful job." — Michael Williams "This was my first time when I felt I am in a caring and healing environment that concerns about my health and comfort. All staff were very friendly, professional and made me feel comfortable and strong to go thru the whole procedure. Dr. Singh was caringly guiding me to go thru the whole process and so did Nurse Practitioner Katrina by explaining everything in detail. I recommend this practice very highly." — Behrokh Vossough "Dr.Singh, and his staff is the most caring capable medical professionals. He always greet me before surgery to put me at ease. Katrina is compassionate about the patients. Love my care team." — Zorado Sanders "Excellent service! I cannot express the gratitude I have towards Dr. Singh and his team. He takes the time to give his patients individual attention and meets their needs. Tolkun, Mario, and Shelitra are our trusted care team. And Iliana and Eric have made us feel comfortable and are detailed in their communication. Thank you TLC Vascular of Houston!" — Janet Molina "My mother's experience with the TLC Vascular Institute of Houston was exceptional. The staff demonstrated remarkable care and compassion throughout my mother's procedure. Their patience and detailed explanation of her condition were greatly appreciated. The entire team, especially Dr. Singh and Nurse Practitioner King, exhibited professionalism and attentiveness. They made us feel welcomed and created a positive experience. The nurses and other support staff at the TLC Vascular Institute of Houston were exceptional at their jobs, further enhancing the overall quality of care provided. I highly recommend this institute for their outstanding service, patient care, and expertise." — Christine Bassaw "I have never come across a team of professionals who genuinely love the patients they care for just as much as they love the work they do. Every time I’ve brought my mom here for treatment the nursing staff take such amazingly good care of us. Katrina is so caring and we’re so lucky to have here as our provider! Dr Singh does amazing work and Ilyana has a heart full of joy and laughter! A special thank you to all of the staff we’re truly grateful." — Nancia Lewis "I want to express my heartfelt appreciation for Dr. Singh from the Vascular Institute of Northern California. My husband has been facing significant vascular issues, and after consulting with another doctor who offered no hope for improvement, we were fortunate to find Dr. Singh. Dr. Singh possesses tremendous skills and unmatched technique in his field. His innovative approach and dedicated care have made a remarkable difference in my husband's condition. The results we have seen under his treatment are nothing short of amazing. In addition to Dr. Singh's expertise, his staff is exceptionally professional and supportive, making each visit a positive experience. His remarkable commitment to his patients sets him apart from other doctors, and I cannot thank him enough for the incredible care he has provided." Sincerely, — Leona B. Delivering excellence. Every patient. Every time.