After completing his General Surgery Residency here at the University of
Tennessee- Knoxville in 2010, Dr Milligan received additional vein training
from Dr. Frederick Elmore in Fresno, California. He then worked as a general
surgeon in Crossville, TN and started his first vein clinic. In 2013,
he switched to solely focus on venous disease and joined Dr. Steven Roth,
a vascular surgeon and founder of
The Vein Guys in Nashville, TN. Since starting vein treatments, he has performed over
8000 procedures for venous reflux disease, with a DVT rate of 1/1400 cases
vs. a national average 7/1000.
It is estimated that over 30 million Americans suffer from vein disease.
Whether the initial cause of venous insufficiency is genetics, pregnancy,
a previous DVT, prolonged standing or obesity; the physiology is nearly
always the same. The valves in the saphenous vein are damaged and the
veins near the skin surface are stretched and distorted from the increased
pressure caused by blood flowing in the wrong direction. Although the
condition is rarely life-threatening, it is often unattractive, painful
and can cause patients to curtail normal activities.