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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. IN THE MEDIA 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. WATCH AT YOUTUBE Back to All Media PATIENT TESTIMONIAL "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.

Comprehensive Vascular Care | Lower Extremity Specialists HOUSTON T O P A B O U T S E R V I C E S P R O V I D E R S I N S U R A N C E Contact Main: (832) 777-7570 Fax: (281) 709-2575 Locations 7515 Main St. Suite 100 Houston, TX 77030 17215 Red Oak Drive, Suite 110 Houston, TX 77090 32731 Egypt Lane, #502 Magnolia, TX 77354 Send Us a Message First name* Last name* Email* Phone* Comments, Concerns, and Questions* By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications, among others. Message frequency may vary. Message & Data rates may apply. Reply HELP or STOP to opt out. By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, and new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP or STOP to opt out. SUBMIT TLC Vascular offers the tender loving medical care your legs need and deserve! TLC Vascular performs all diagnostic testing, consultations with our doctor and any necessary procedures to restore and preserve the health of your legs. You don’t have to go to multiple places, we handle everything from A-Z in one facility. Our treatments are minimally invasive and performed in an out-patient setting. Our doctor will continuously monitor your vascular health until you have reached your highest quality of life. Our Services Angiogram Venogram Stent Placement Angioplasty Radiofrequency Ablation Varithena Ultrasound Atherectomy Venous Sclerotherapy Genicular Artery Embolization Advanced Lab Testing Our Providers Accepted Insurances *This is not a complete list. Please call our office to inquire about additional insurance carriers. Aetna AmeriGroup Medicaid Blue Cross and Blue Shield of Texas Care N Care Care Works (aka Rockport Community Care) Cigna CorVel Corporation EVRY Healthcare (employer broker admin) First Health/Coventry Friday Health Plan Medical Group Galaxy HealthCare HealthSmart Preferred Care Healthcare Highways Humana (includes Choice Care) Imagine Health Imperial Medicare Adv TX Independent Medical Systems Lonestar (Athletic Injury Network) Medicare Molina Healthcare Multiplan/PHCS National Preferred Provider Network NexcaliberOscar Health Oscar Health Prime Health Services, Inc. Private Health Care Systems ProCare Advantage Provider Partners Health Plans Provider Select Superior Ambetter Medicaid The Reny Company Three Rivers Provider Network Tower Extrusions Tricare (Humana Military) TX-only USA (Managed Care Organization) United Healthcare (Commercial and Medicare Advantage PPO) Wellcare / TexanPlus Health Plan NEW! Back to All Locations PATIENT TESTIMONIALS "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 "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 "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 "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 "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 "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 "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 "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 "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 "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 Singh and his staff are amazing! Wonderful attention to the patients by all concerned. Shout out especially to Illiana and Katrina!" — John Darnold "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 "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 "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 "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 "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 "Staff are very professional and quite friendly. Doctor is very knowledgable and reassuringly puts one at ease. Demonstrates good medical leadership." — Dr. Adetunji Obawole "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 "Very friendly and knowledgeable staff. Procedure was easy and revealed some blockage to calves. Next steps are more walking daily!!" — Phyllis Thomason "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 "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 "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 "Dr Singh and all the Staff are super friendly and professional. — Veronica Anaya "Staff was very friendly and professional. The service was great and straightforward." — Julio Bush "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 "These guys are great! They're friendly, professional and efficient. The appointments are always on time." — Richard Solberg "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 "Was treated with much cocern and consideration, and knowledge of what they were doing and talking about." — Cecil Forte 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

Radiofrequency ablation (RFA) 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. Radiofrequency Ablation Radiofrequency ablation (RFA) 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 Radiofrequency 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 Radio Frequency Ablations 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 Radio Frequency Ablations 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 Radio Frequency Ablations? 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

Varithena is an FDA-approved prescription microfoam used in a non-surgical procedure to treat varicose veins and related venous problems. It works by damaging the inner lining of a damaged vein, causing the vein to collapse so blood flows through healthier veins instead. Varithena Varithena is an FDA-approved prescription microfoam used in a non-surgical procedure to treat varicose veins and related venous problems. It works by damaging the inner lining of a damaged vein, causing the vein to collapse so blood flows through healthier veins instead. Back to All Services & Procedures How Do Varithena Treatments Work? Micro-foam injection A doctor injects up to 5 mL per injection (max 15 mL per session) of polidocanol 1% foam into the targeted vein using ultrasound guidance. Vein collapse The foam fills the faulty vein, causing it to close and seal shut. Blood rerouting Blood naturally redirects to normal, healthy surrounding What are Varithena Treatments For? Pain relief Aches, throbbing, or heaviness in the legs. Physical symptoms Leg swelling, cramping, or itching caused by bad blood flow. Vein damage Problems with the great saphenous vein (GSV) system and twisted or tortuous veins above and below the knee. What are the Benefits of Varithena Treatments Key benefits Minimally invasive, no surgery : It's effective on veins of different sizes without requiring incisions, sedation, or general anesthesia. Treatment usually requires just one or two needles. Nearly painless : Only about 4% of patients in clinical trials reported pain at the injection site. Quick procedure : It typically takes less than an hour to complete. Delaware Vein Center Fast recovery : The procedure typically takes less than 30 minutes, and patients are able to walk immediately afterward. Walking and light activity are encouraged following the procedure to promote circulation and support healing. No scarring : Unlike surgical procedures, it leaves no visible marks on the skin. Symptom relief : Patients reported decreased leg heaviness, swelling, burning sensation, and itching in just one treatment. Many patients notice fast relief from symptoms such as pain, swelling, and fatigue. Cosmetic improvement : As the treated veins are absorbed by the body over time, the appearance of the legs gradually improves. Versatile : It can treat both legs simultaneously. In-office procedure : Performed in-office, with no anesthesia required, typically guided by a brief ultrasound to locate the diseased vein. Are You a Candidate for a Varithena Treatment? Visible veins Bulging varicose veins in the lower legs. Pain and swelling Leg heaviness, cramping at night, or aching. Preference for minimal downtime Desire for a non-surgical, in-office procedure without general anesthesia Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100

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

PAD occurs when narrowed arteries reduce blood flow to the legs. It may cause pain with walking, poor circulation, and delayed wound healing. Early treatment is important to help prevent progression.  Peripheral Arterial Disease (PAD) PAD occurs when narrowed arteries reduce blood flow to the legs. It may cause pain with walking, poor circulation, and delayed wound healing. Early treatment is important to help prevent progression. Back to All Conditions What Causes Peripheral Arterial Disease (PAD)? PAD occurs when arteries supplying blood to the limbs (usually the legs) become narrowed or blocked, most often due to atherosclerosis — the buildup of fatty plaque deposits along artery walls. This is the primary underlying cause in the vast majority of cases. Modifiable (lifestyle/medical) factors: Smoking — one of the strongest risk factors; smokers have significantly higher PAD risk and worse disease progression Diabetes mellitus — high blood sugar damages blood vessels and accelerates plaque formation High blood pressure (hypertension) — damages artery walls over time High cholesterol (dyslipidemia) — especially elevated LDL, contributes directly to plaque buildup Obesity — associated with metabolic factors that worsen vascular health Sedentary lifestyle — lack of physical activity Metabolic syndrome — cluster of conditions (high blood pressure, blood sugar, cholesterol, abdominal fat) that compound risk Non-modifiable factors: Age — risk increases significantly after age 50, and especially after 65 Family history/genetics — having relatives with PAD, heart disease, or stroke Personal history of cardiovascular disease — prior heart attack, stroke, or coronary artery disease raises risk substantially, since atherosclerosis often affects multiple vascular beds at once Race/ethnicity — some studies show higher prevalence in certain populations, though this may partly reflect differences in access to care and rates of other risk factors like diabetes and hypertension Less Common Causes Beyond atherosclerosis, PAD can occasionally result from: Blood clots (thromboembolism) Inflammatory conditions affecting blood vessels (vasculitis), such as Buerger's disease (thromboangiitis obliterans, strongly linked to tobacco use) Radiation exposure damaging vessel walls Anatomical abnormalities , like popliteal artery entrapment syndrome Injury or trauma to a limb What are the Signs & Symptoms Peripheral Arterial Disease (PAD)? PAD symptoms range from none at all to severe, limb-threatening complications. Roughly half of people with PAD have no noticeable symptoms, which is part of why it often goes undiagnosed. Classic Symptom: Claudication Intermittent claudication is the hallmark symptom: Muscle pain, cramping, or fatigue in the legs (calf, thigh, or buttock) that occurs during walking or exercise Pain reliably resolves with rest , typically within minutes Often described as aching, tightness, heaviness, or burning Location depends on which artery is affected — calf pain is most common (linked to blockages in the femoral/popliteal arteries), while buttock or hip pain suggests higher blockages (aortoiliac disease) Other Common Symptoms Leg or foot numbness/weakness Coldness in the lower leg or foot, especially compared to the other side or to the rest of the body Skin changes — shiny skin, hair loss on the legs/feet, or slower toenail growth Skin color changes — pale, bluish, or reddish discoloration Weak or absent pulses in the feet or legs (found on exam) Slow-healing or non-healing wounds/sores on toes, feet, or legs Erectile dysfunction , particularly in men with aortoiliac disease Signs of Advanced/Severe PAD (Critical Limb Ischemia) When blood flow becomes severely restricted, more serious signs can develop: Rest pain — pain in the foot/toes even without activity, often worse at night or when lying flat, sometimes relieved by dangling the leg over the side of the bed Non-healing ulcers or sores , particularly on the toes, heels, or pressure points Gangrene (tissue death) — a medical emergency Significant color changes — the limb may appear dark, discolored, or mottled Important Notes Symptoms can be subtle or absent even with significant arterial blockage, especially in people who are less physically active (since claudication only shows up with exertion) Symptoms tend to worsen gradually over time if risk factors aren't addressed, though they can also progress suddenly if a clot forms Since PAD often coexists with coronary artery disease, someone with these leg symptoms should also be evaluated for heart disease risk What are the Risk Factors of Peripheral Arterial Disease (PAD)? Non-Modifiable Risk Factors Age — risk rises sharply after 50, and especially after 65 Sex — some studies show slightly higher rates in men, though risk in women is significant and often underdiagnosed Family history — having a close relative with PAD, heart disease, or stroke Personal history of cardiovascular disease — prior heart attack, stroke, or coronary artery disease Race/ethnicity — certain populations show higher prevalence, though this is intertwined with disparities in rates of diabetes, hypertension, and access to care Modifiable Risk Factors Smoking (including past smoking) — the single strongest modifiable risk factor; also linked to earlier onset and faster progression Diabetes mellitus — dramatically increases risk and is associated with more severe, harder-to-treat disease Hypertension (high blood pressure) Dyslipidemia (high LDL cholesterol, low HDL) Obesity Physical inactivity Chronic kidney disease — increasingly recognized as an independent risk factor Elevated homocysteine levels Chronic inflammation — including from conditions like rheumatoid arthritis or other inflammatory diseases Compounding Effect These risk factors rarely act alone — they cluster and multiply risk when combined. For example, a person with diabetes and a smoking history and hypertension faces much higher risk than someone with just one of these factors. This clustering is often referred to as metabolic syndrome when several factors (abdominal obesity, high blood pressure, high blood sugar, abnormal cholesterol) occur together. How is Peripheral Arterial Disease (PAD) Diagnosed? 1. Medical History & Physical Exam Review of symptoms (claudication pattern, rest pain, wound healing) Assessment of risk factors (smoking, diabetes, family history, etc.) Pulse examination — checking femoral, popliteal, posterior tibial, and dorsalis pedis pulses (weak or absent pulses suggest blockage) Inspection for skin changes, hair loss, color changes, temperature differences between limbs, and any wounds or ulcers Listening for bruits (abnormal whooshing sounds) over arteries with a stethoscope, which can indicate turbulent blood flow through a narrowed vessel 2. Ankle-Brachial Index (ABI) — The First-Line Test This is the primary, non-invasive screening tool: Blood pressure is measured at the ankle and the arm using a standard cuff and Doppler device The ratio (ankle systolic pressure ÷ arm systolic pressure) is calculated Interpretation:1.0–1.4 : Normal 0.91–0.99 : Borderline ≤0.90 : PAD present ≤0.40 : Severe disease >1.40 : May indicate non-compressible, calcified arteries (common in diabetes) — requires further testing since it can mask true PAD Quick, inexpensive, and can be done in a primary care office 3. Additional/Confirmatory Testing If ABI is abnormal, borderline, or unreliable, or if more detail is needed: Toe-brachial index (TBI) — used when ankle arteries are calcified and ABI is unreliable Exercise (treadmill) ABI testing — measures ABI before and after walking; useful when symptoms suggest PAD but resting ABI is normal Duplex ultrasound — uses sound waves to visualize blood flow and locate blockages; widely used, non-invasive Segmental pressure measurements — blood pressure cuffs at multiple leg levels to pinpoint the location of blockages Pulse volume recordings (PVR) — measure blood volume changes to assess flow at different segments 4. Advanced Imaging (Usually Before Intervention/Surgery) Used when planning treatment or surgery, or when non-invasive tests need more detail: CT angiography (CTA) — detailed 3D imaging of arteries using contrast dye Magnetic resonance angiography (MRA) — similar imaging using MRI technology, avoids radiation but not suitable with certain metal implants Catheter-based (invasive) angiography — considered the "gold standard" for detailed vessel mapping; typically done when an intervention (angioplasty, stenting) is being performed at the same time, since it's invasive 5. Additional Workup Since PAD signals systemic atherosclerosis, doctors often also check: Lipid panel (cholesterol levels) Blood glucose/HbA1c (diabetes screening) Cardiac evaluation — given the strong overlap with coronary artery disease, some patients are screened for heart disease as well Bottom Line The ABI is typically the starting point for diagnosis due to its simplicity and accuracy, with more advanced imaging reserved for confirming diagnosis details or planning treatment. If you're experiencing symptoms, an ABI test is often quick and available through a primary care visit as a first step. Treatment Options 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. LEARN MORE 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. LEARN MORE Stent Placement A stent placement is a medical procedure to put a tiny metal mesh tube into a blocked or narrowed blood vessel or tube. It holds the pathway open so blood or other fluids can flow well. LEARN MORE 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.

A stent placement is a medical procedure to put a tiny metal mesh tube into a blocked or narrowed blood vessel or tube. It holds the pathway open so blood or other fluids can flow well. Stent Placement A stent placement is a medical procedure to put a tiny metal mesh tube into a blocked or narrowed blood vessel or tube. It holds the pathway open so blood or other fluids can flow well. Back to All Services & Procedures How Do Stent Placements Work? Access the vessel A doctor numbs a small area (usually the wrist or groin) and makes a tiny cut to insert a thin, flexible tube called a catheter into an artery. Locate the blockage Guided by live X-ray imaging (fluoroscopy), the doctor threads the catheter to the narrowed site and injects a special contrast dye to clearly view the blockage. Expand and deploy A tiny deflated balloon carrying the collapsed metal mesh stent is pushed through the catheter to the blockage; inflating the balloon widens the artery and locks the stent permanently against the wall. Complete the process The balloon and catheter are removed from the body, leaving the open stent behind to act as a permanent structural prop for the vessel. What are Stent Placements For? Restoring Blood Flow Holds open arteries or veins compressed by fatty plaque buildup (atherosclerosis). Peripheral Artery Disease (PAD): Treats blockages in the legs, arms, or pelvis to stop pain and cramping. Coronary Artery Disease (CAD) Opens heart arteries to relieve chest pain and lower heart attack risks. Carotid and Renal Stenting: Keeps neck arteries open to reduce stroke risks, or kidney arteries open to control high blood pressure. Aneurysm Repair Uses covered stent-grafts to reinforce weak, bulging blood vessel walls What are the Benefits of Stent Placements Immediate physical benefits Restores blood flow : Opens up narrowed or blocked arteries/veins, improving circulation to the heart, brain, limbs, or other organs Relieves symptoms quickly : Can rapidly reduce chest pain (angina), leg pain from poor circulation (claudication), or other symptoms caused by restricted blood flow Keeps vessels open long-term : Unlike balloon angioplasty alone, a stent acts as a scaffold that helps prevent the vessel from re-narrowing (restenosis) after the procedure Procedural advantages Minimally invasive : Typically placed via catheter through a small incision in the wrist or groin — no open surgery required Often done during diagnosis : If a blockage is found during an angiogram, a stent can frequently be placed in the same procedure Short recovery time : Most patients go home the same day or next day, compared to weeks of recovery from open surgery Local anesthesia : Usually doesn't require general anesthesia, reducing surgical risk Clinical impact Reduces heart attack risk : In coronary arteries, stents can prevent heart attacks by keeping critical blood flow open Improves quality of life : Reduces symptoms like chest pain, shortness of breath, or leg pain, allowing more normal activity levels Emergency treatment : During an active heart attack or stroke, rapid stent placement can restore blood flow and limit tissue damage Alternative to bypass surgery : For many patients, stenting achieves similar results to more invasive bypass surgery with lower risk and faster recovery Are You a Candidate for Stent Placements? Blocked or narrowed vessels Having a blockage of 70% or more in a major artery or vein. Unmanaged symptoms Experiencing frequent chest pain (angina) or leg cramps from poor blood flow that medicine cannot fix. Emergency events Suffering an active heart attack or acute stroke risk due to a sudden vessel closure.Narrowed arteries that limit blood flow to the heart Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100

TLC Vascular of Sacramento, California, and Houston, Texas, is an independent, physician-led vascular practice, offer advanced, comprehensive, minimally invasive, vascular care. CONTACT US Houston Main: (832) 777-7570 Fax: (281) 709-2575 7515 Main St. Suite 100 Houston, TX 77030 17215 Red Oak Drive, Suite 110 Houston, TX 77090 32731 Egypt Lane, #502 Magnolia, TX 77354 LEARN MORE Northern California Main: (916) 235-9100 Fax: (916) 680-9550 500 University Ave, Suite 250 Sacramento, CA 95825 6500 Coyle Ave, Suite 5 Carmichael, CA 95608 406 Sunrise, Suite 250 Roseville, CA 95661 LEARN MORE Delivering excellence. Every patient. Every time.

The TLC Vascular team takes time to educate patients, answer questions, ease anxiety, and support families throughout every step of treatment. We celebrate every healed wound. Every successful procedure. Every patient who returns to walking farther, living better, and getting back to the activities they love. Those victories never become routine to us. Why TLC? Hope When Others Have Lost It Some of our greatest successes come from patients who believed they had run out of options. Many arrive after being told nothing more can be done for their circulation, chronic wounds, or limb-threatening vascular disease. We believe every patient deserves another look. Through advanced imaging, thoughtful evaluation, and state-of-the-art endovascular solutions, we've helped many patients restore blood flow, heal wounds, relieve pain, and, in many cases, avoid amputation. Every patient deserves hope. Small Practice. Personalized Care. Independent, Private Practice Being an independent private practice allows us to do something large hospital systems often struggle to provide: Personalized care. We're nimble enough to move quickly when patients need us. Appointments are easier to schedule. Communication is direct. Questions are answered. Treatment plans are individualized. Every decision is made with one goal in mind: What's best for this patient? Healthcare should never feel transactional. It should feel personal. More Than Procedures We don't simply perform procedures. We build relationships. Our team takes time to educate patients, answer questions, ease anxiety, and support families throughout every step of treatment. We celebrate every healed wound. Every successful procedure. Every patient who returns to walking farther, living better, and getting back to the activities they love. Those victories never become routine to us. Why Patients Choose TLC Vascular Advanced minimally invasive vascular procedures Expertise in complex peripheral arterial and venous disease Innovative treatments often unavailable elsewhere Limb preservation specialists dedicated to saving legs and improving circulation Compassionate concierge-style patient experience Warm, highly responsive clinical and administrative team Personalized treatment plans Convenient outpatient care Faster access to appointments and procedures A commitment to treating every patient with dignity, empathy, and respect Meet Inder M. Singh (Bhatia), M.D, M.S. Board Certified in Cardio-Vascular Medicine Board Certified in Interventional Cardiology Specialized in Vascular Diagnostic/Interventional Services Dr. Inder Singh is an award-winning and nationally recognized ‘Vascular & Cardiac Interventional Specialist ’ who proudly leads the distinguished team at TLC Vascular. Dr. Singh has been providing the highest level of cardiovascular care to patients since completing his training in 2010 and has had the privilege of being trusted by his patients and their families to perform over 10,000 invasive procedures. Dr. Singh’s philosophy of care includes treating the individual, not just the disease. With every patient, he takes a holistic approach and connects with them on a personal level. He strives to empower his patients with knowledge so they can partner with him in making decisions to improve their heart and vascular health LEARN MORE ABOUT DR. SINGH PATIENT TESTIMONIAL "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. "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 "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 "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 Restoring Circulation. Improving Lives. Whether you're seeking a second opinion, struggling with leg pain, non-healing wounds, varicose veins, or complex vascular disease, we're here to help. Because to us... you're never just another patient. You're a person who deserves every opportunity to heal. Delivering excellence. Every patient. Every time.

Venous sclerotherapy is a safe, minimally invasive medical procedure used to treat spider veins and small varicose veins by injecting a special chemical solution into the affected blood vessel to close it off. Venous Sclerotherapy Venous sclerotherapy is a safe, minimally invasive medical procedure used to treat spider veins and small varicose veins by injecting a special chemical solution into the affected blood vessel to close it off. Back to All Services & Procedures How Do Venous Sclerotherapy Procedures Work? Sclerosant Injection A doctor uses a tiny needle to inject a liquid or foam medicine (called a sclerosant) right into the bad vein. Veinous Irritation This medicine irritates the inside lining of the vein and makes it swell shut. Blood Flow Redirection Blood stops flowing through that useless vein and moves to healthier veins nearby. Absorbtion Over a few weeks or months, your body safely absorbs the closed vein and it fades away. What are Venous Sclerotherapy Procedures For? Spider Veins Fades tiny, visible red, blue, or purple sunburst patterns on the surface of the skin (most commonly on the legs) for cosmetic improvement. Varicose Veins Collapses enlarged, twisted superficial veins to relieve physical discomfort like aching, swelling, burning, cramping, and heaviness in the legs. Blood Flow Improvement Redirects blood circulation from damaged, pooling vessels into healthier, deep-pathway veins What are the Benefits of Venous Sclerotherapy Procedures Procedural advantages Minimally invasive : It's an in-office procedure with no need for anesthesia. Vein Heart and Vascular No pain during the procedure : You shouldn't feel any pain during the procedure, though you may notice a burning sensation or mild itching for a few minutes afterward. Vein Heart and Vascular No surgical removal needed : This procedure can effectively get rid of most varicose veins and nearly all spider veins without surgically removing the veins. Mass General Brigham Quick recovery : You can resume regular activities soon after the procedure. Mass General Brigham Office-based setting : Sclerotherapy offers substantial therapeutic benefits with a low complication rate and can frequently be performed in an office-based setting. NCBI Cosmetic benefits Reduces vein appearance : It's used to improve the cosmetic appearance of spider veins and treat small varicose veins in the legs. RadiologyInfo High success rate : Each treatment session typically results in elimination of 50 to 80 percent of the injected veins. RadiologyInfo Improves confidence and quality of life : Injection sclerotherapy provides notable cosmetic improvement by reducing the appearance of unsightly veins, enhancing patients' confidence and quality of life. NCBI Symptom relief Eases discomfort : It relieves symptoms associated with spider and varicose veins, including aching, burning, swelling, and night cramps. RadiologyInfo Improves vascular health : It alleviates symptoms associated with venous insufficiency, such as pain, swelling, and discomfort, leading to improved overall vascular health. NCBI Reroutes blood flow : It shrinks varicose veins until they disappear, and blood reroutes to healthier veins. Medical News Today Clinical standing First-line treatment : Sclerotherapy is a first-line treatment for varicose veins, which can be a sign of chronic venous insufficiency. It's the primary treatment for small varicose veins in the legs. Medical News Today RadiologyInfo Best for smaller veins : Sclerotherapy may be less effective on larger, bulging varicose veins, in which case a doctor might recommend an alternative like endovenous laser therapy. Mass General Brigham Improved outcomes with foam : Foam sclerotherapy, in particular, is recognized for its improved outcomes compared to liquid sclerotherapy, though it may not match the long-term success rates of thermal ablation methods for thicker-walled veins. nih Aftercare Compression support : You'll typically leave with a compression bandage or compression sock, which helps promote blood flow and reduces swelling and pain, often worn for up to a week. Mass General Brigham Are you a Candidate to Have a Venous Sclerotherapy Procedure? Small Veins You have spider veins or small, surface-level varicose veins (usually under 3mm in size). Physical Symptoms You feel aching, swelling, burning, or night cramps in your legs. Cosmetic Goals You want to improve how your skin looks and have realistic goals for the outcome. Good Mobility You are able to walk and move around normally right after the session. Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100