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.

omprehensive Vascular Care and Surgery Lower Extremity Specialists LOCATIONS 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.

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 Venous Ablation 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.

TLC Vascular of Sacramento, California, and Houston, Texas, is an independent, physician-led vascular practice, offer advanced, comprehensive, minimally invasive, vascular care. Exceptional Vascular Care. Extraordinary Human Care. At TLC Vascular, we believe patients deserve more than excellent medical treatment—they deserve to be seen, heard, and genuinely cared for. As an independent, physician-led vascular practice, we've built our reputation on combining world-class endovascular expertise with a concierge-style philosophy that puts the patient experience at the center of everything we do. From the moment you contact our office, you'll notice the difference. You'll find a warm, compassionate team that answers the phone, returns calls promptly, and treats every patient like family—not a number. Our mission is simple: Restore health. Preserve limbs. Improve lives. PATIENT TESTIMONIAL Advanced Expertise. Innovative Treatment. Medicine is constantly evolving—and so are we. Our physician is committed to remaining at the forefront of vascular medicine, continually adopting the latest evidence-based, minimally invasive technologies that help patients recover faster, experience less pain, and often avoid major surgery. We proudly offer advanced endovascular procedures that many practices simply don't provide, allowing patients access to innovative treatments close to home. Innovation isn't something we wait for. It's something we pursue. SCHEDULE AN APPOINTMENT TODAY "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 LOCATIONS Houston 7515 Main St. Suite 100 Houston, TX 77030 17215 Red Oak Drive, Suite 110 Houston, TX 77090 32731 Egypt Lane, #502 Magnolia, TX 77354 Main: (832) 777-7570 Fax: (281) 709-2575 LEARN MORE Northern California 500 University Ave, Suite 250 Sacramento, CA 95825 6500 Coyle Ave, Suite 5 Carmichael, CA 95608 406 Sunrise, Suite 250 Roseville, CA 95661 Main: (916) 235-9100 Fax: (916) 680-9550 LEARN MORE Delivering excellence. Every patient. Every time.

TLC Vascular is committed to remaining at the forefront of vascular medicine, continually adopting the latest evidence-based, minimally invasive technologies that help patients recover faster, experience less pain, and often avoid major surgery. OUR PROVIDERS 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 Nurse Practitioner Shelby Adney, MSN, NP-C LEARN MORE Family Nurse Practitioner Kierra Bell, MSN, APRN, FNP-BC LEARN MORE Delivering excellence. Every patient. Every time.

TLC Vascular proudly offer advanced endovascular procedures that many practices simply don't provide, allowing patients access to innovative treatments close to home. Conditions We Treat Renew Mobility 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. LEARN MORE Restore Comfort Chronic Venous Insufficiency (CVI) CVI occurs when leg veins cannot efficiently return blood to the heart. Blood may pool in the legs, causing swelling, aching, heaviness, skin changes, and in some cases venous ulcers. LEARN MORE Reclaim Life Today!

Discover comprehensive services & procedures at TLC Vascular medical group. Explore our range of services & procedures tailored to your needs. Services & Procedures Angiogram An angiogram is an X-ray test that uses a special contrast dye to show how blood flows through the arteries or veins in your body. Doctors use it to find narrow spots, blockages, or bulges (aneurysms) in blood vessels. LEARN MORE Start Now 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. LEARN MORE Start Now 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 Start Now 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 Start Now 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. LEARN MORE Start Now 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. LEARN MORE Start Now 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 Start Now 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. LEARN MORE Start Now 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. LEARN MORE Start Now 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. LEARN MORE Start Now Angiogram An angiogram is an X-ray test that uses a special contrast dye to show how blood flows through the arteries or veins in your body. Doctors use it to find narrow spots, blockages, or bulges (aneurysms) in blood vessels. LEARN MORE 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. 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 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 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. LEARN MORE 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. LEARN MORE 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 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. LEARN MORE 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. LEARN MORE 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. LEARN MORE Delivering excellence. Every patient. Every time.

CVI occurs when leg veins cannot efficiently return blood to the heart. Blood may pool in the legs, causing swelling, aching, heaviness, skin changes, and in some cases venous ulcers.  Chronic Venous Insufficiency (CVI) CVI occurs when leg veins cannot efficiently return blood to the heart. Blood may pool in the legs, causing swelling, aching, heaviness, skin changes, and in some cases venous ulcers. Back to All Conditions What Causes Chronic Venous Insufficiency (CVI)? Weak or damaged vein valves Vein wall weakness Increased pressure in the leg veins Prolonged sitting or standing Obesity, pregnancy, or aging Family history of vein disease What are the Signs & Symptoms of Chronic Venous Insufficiency (CVI)? CVI occurs when leg veins can't efficiently return blood to the heart, causing blood to pool in the lower legs. Symptoms typically worsen throughout the day (especially with prolonged standing/sitting) and improve with leg elevation — a key feature that helps distinguish it from PAD. Early/Common Symptoms Leg swelling (edema) — especially around the ankles, typically worse by evening and improves overnight or with elevation Aching, heaviness, or fatigue in the legs — often described as "tired legs" Leg pain or cramping , sometimes worse after standing for long periods Itching in the lower leg or ankle area Throbbing or tingling sensations Restless legs , particularly at night Visible Changes Varicose veins — enlarged, twisted, bulging veins visible under the skin Spider veins (telangiectasias) — smaller, thread-like visible veins Skin discoloration — reddish-brown or dark staining, particularly around the ankles (from blood breakdown products depositing in tissue over time — called hemosiderin staining ) Skin changes/texture — dry, thickened, or hardened skin (a condition called lipodermatosclerosis in advanced cases) Shiny or leathery-looking skin Advanced/Severe Symptoms Venous stasis ulcers — open sores, typically around the inner ankle (medial malleolus); these are:Usually shallow with irregular borders Often surrounded by discolored, hardened skin Slow to heal and prone to recurrence Weeping or oozing from swollen skin (venous eczema/stasis dermatitis) Cellulitis (skin infection) — can occur if skin breaks down or ulcers become infected Atrophie blanche — smooth, ivory-white scarred patches, sometimes surrounded by dilated small blood vessels What are the Risk Factors of Chronic Venous Insufficiency (CVI)? Age 50 or older Family history Prolonged sitting or standing Obesity Pregnancy and multiple pregnancies Hormone therapy Previous blood clots (DVT) How is Chronic Venous Insufficiency (CVI) Diagnosed? Physical exam and review of symptoms Duplex ultrasound to evaluate vein function Additional imaging needed Treatment Options 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. LEARN MORE 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. LEARN MORE 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. LEARN MORE Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100

Adult and Geriatric care OUR PROVIDER Kierra Bell, MSN, APRN, FNP-BC Family Nurse Practitioner Adult and Geriatric care Kierra Bell, MSN, APRN, FNP-BC is a board-certified Family Nurse Practitioner with a strong clinical background in adult and geriatric care. She earned her Bachelor of Science in Nursing from Prairie View A&M University in 2020 and her Master of Science in Nursing with a Family Nurse Practitioner concentration from Texas Woman’s University in 2025. Kierra brings extensive experience caring for patients with complex and acute medical needs across a range of settings, including IMU and step-down ICU units, managing patients with varying diagnoses. Her clinical expertise includes neurology, with specialized training in stroke care as an NIHSS Stroke–Certified Nurse, as well as both cardiovascular and neurological cases in interventional radiology. She has a focused interest in supporting patients with vascular and neurological conditions across the continuum of care and is actively working toward board certification in wound care. Her approach to care centers on integrating patients into their evolving health journeys through education, collaboration, and individualized treatment planning. Kierra is passionate about building patient confidence, empowering individuals through knowledge, and promoting treatment adherence by developing patient-centered care plans that align with each patient’s lifestyle, values, and long-term goals. Outside of clinical practice, Kierra enjoys strength-training workouts, spending quality time with her family, cooking, and traveling. She is naturally energetic and curious, often eager to explore new places. Kierra looks forward to becoming a valued member of the care team and community, serving as a dedicated patient advocate who helps guide individuals toward achieving their health goals while supporting their vascular health and overall wellness. Providing TLC at TLC Vascular Houston (832) 777-7570 (Office) Back to All Providers PATIENT TESTIMONIALS 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

An angiogram is an X-ray test that uses a special contrast dye to show how blood flows through the arteries or veins in your body. Doctors use it to find narrow spots, blockages, or bulges (aneurysms) in blood vessels. Angiogram An angiogram is an X-ray test that uses a special contrast dye to show how blood flows through the arteries or veins in your body. Doctors use it to find narrow spots, blockages, or bulges (aneurysms) in blood vessels. Back to All Services & Procedures How Do Angiograms Work? Numbing and Access The doctor cleans and numbs a small area on your wrist or groin, then makes a tiny cut to reach the blood vessel. Inserting the Tube A thin, flexible plastic tube called a catheter is gently guided through the blood vessel up to the target area, such as the heart. Injecting the Dye The special contrast dye flows through the tube into the blood vessels. You might feel a brief warm or flushing sensation. Taking X-rays As the dye moves through the arteries or veins, an X-ray machine takes rapid pictures. Finding the Problem Areas where the dye cannot flow freely show blockages, narrow spots, or bulges (aneurysms). What Do Angiograms Do? Catheter insertion A thin, flexible tube is placed into a blood vessel through a small cut in your arm or leg. Dye injection Special contrast dye flows through the tube into your blood vessels. X-ray imaging X-rays take pictures in real-time as the dye moves, showing where blood flow is slowed or stopped What are the Benefits of Angiograms Diagnostic advantages Precise visualization : Shows the exact location, severity, and extent of blockages, narrowing (stenosis), or abnormalities in blood vessels Identifies blockages before symptoms worsen : Can detect coronary artery disease, peripheral artery disease, aneurysms, or blood clots often before they cause a major event Guides treatment decisions : Helps doctors decide whether a patient needs medication, angioplasty/stenting, or bypass surgery High accuracy : Considered a "gold standard" for evaluating blood vessel disease, often more detailed than non-invasive imaging like CT or MRI angiography Procedural benefits Minimally invasive : Typically done through a small catheter inserted in the wrist or groin, rather than open surgery Same-visit intervention : If a blockage is found, doctors can often treat it immediately in the same procedure (e.g., balloon angioplasty or stent placement) — this is called a "diagnostic and therapeutic" procedure Quick recovery : Compared to surgical alternatives, recovery time is generally short — often same-day or next-day discharge Real-time imaging : Provides live, moving images of blood flow, which is useful for assessing how well vessels are functioning, not just their structure Clinical impact Helps prevent heart attacks and strokes : By catching arterial blockages early, especially in the coronary or carotid arteries Assesses damage after an event : Useful after a heart attack or stroke to understand what happened and plan further treatment Evaluates other vascular conditions : Used for kidney artery issues, aneurysms, blood clots, and vascular malformations throughout the body Are You a Candidate for an Angiogram? Leg Problems Leg pain, cramping, or tiredness when walking (claudication) Angina Unexplained chest pain or pressure (angina) Inability for Limbs Heal from Injury Non-healing sores or low blood flow in your limbs Dizziness & Vision Changes Dizziness, vision changes, or signs pointing to blood vessel issues in the brain or kidneys Schedule Your Appointment Today! TLC Vascular Houston (832) 777-7570 Schedule Your Appointment Today! TLC Vascular Northern California (916) 235-9100

At TLC Vascular, we SOCK IT to PAD (Peripheral Arterial Disease)! IN THE MEDIA LinkedIn NATIONAL PAD Awareness Day February 5, 2025 At TLC Vascular, we SOCK IT to PAD (Peripheral Arterial Disease)! Tomorrow, February 15, is NATIONAL PAD Awareness Day and our clinics aren't tip toeing around the PAD crises in our communities. We are proud to walk the extra mile for our patients by being the first vascular practice in our community to implement the Global PAD Association's recommended Patient Walking Program into our treatment plan. A structured walking program provides patients with lifestyle tools clinically proven to optimize recovery by triggering the body’s amazing ability to grow new blood vessels. Walking is medicine! So go ahead, ROCK YOUR WALK! VISIT US 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.