John L. Milligan, MD
We welcome Dr. John L. Milligan back to Knoxville!
John Milligan, M.D. offers a new minimally Invasive Treatment for Venous
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, Tennessee. 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.
Symptoms of Venous Reflux Disease:
- Varicose veins
- Burning / Itching in the legs
- Leg / Ankle swelling
- Leg cramps
- Aching / throbbing in the legs
- Restless legs
- Leg skin color changes
- Venous ulcers
Venous Insufficiency by the numbers:
- 72% of women and 42% of men will experience symptoms of venous insufficiency
by the time they are in their 60s.
- 2.5 million Americans suffer from venous stasis ulcers.
- 500,000 new patients are diagnosed with venous stasis ulcers yearly.
- Over 2 million workdays each year are lost due to symptoms and complications
associated with venous stasis ulcers.
- Each year U.S. payers spend a combined $14.9 billion on managing venous
Historically, patients have had several choices for treating varicose veins,
depending on the severity of their condition. They could make lifestyle
changes, such as eating less, exercising more and wearing support hose;
this regimen has proven helpful in mild cases, but relief is usually short
term. Historically physicians advocated the removal or stripping of the
saphenous vein which is a more invasive surgical procedure performed in
the hospital setting. Recovery after stripping surgery typically took
several weeks and the patients had significant bruising, post-operative
pain, nerve damage and poor short-term cosmetic outcomes. Dr. Milligan
encourages patients who suffer from varicose veins to choose less invasive
office based procedures.
Offering differing modalities has the advantage of letting Dr. Milligan
choose the right treatment for each patient. He is currently the only
physician in the state trained in the Venaseal procedure used to treat
venous insufficiency. All of these procedures are performed in his offices
in Knoxville and Crossville. Patients return home after the procedure
and usually return to their normal activities the next day.
Following procedures, patients generally experience significant improvements
in their leg symptoms. The legs will feel lighter and have more energy.
The patient will be able to sleep thru the night without restless legs
or leg cramps. Leg swelling will improve. Varicose veins will shrink;
giving the patient better cosmetic results and pain free veins. Leg ulcers
will heal faster and have a lower reoccurrence rate.
Knoxville Location: 1919 Pinnacle Pointe Way
Contact Us at 865.347.2960
Over 8000 Procedures
Dr. John L. Milligan has successfully performed over 8000 vein procedures
in the greater Tennessee area. As an accomplished surgeon each and every
procedure is performed with the best possible care and attention to detail.
View our Milligan Vein Blog at: