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PAUL S. Davis, M.D., FASA Interventional Radiologist located in Milford, CT. Paul Davis, M.D., FASA is a leading Interventional Radiologist in the Connecticut area. Dr. Davis graduated Phi Beta Kappa, one of America's most prestigious honors societies, from the University of Colorado where he received his Bachelors of Arts degree. He then went on to complete his medical training at SUNY Medical University in Syracuse, New York in 1984. He completed his general surgery residency at The George Washington University Medical Center in 1985. Dr. Davis then completed a residency in Diagnostic Radiology at Thomas Jefferson University Hospital where he served as Chief Resident from 1987-1988. Dr. Davis completed a fellowship at Yale University in Vascular and Interventional Radiology. He is board certified in Diagnostic Radiology and Vascular and Interventional Radiology. He is a fellow of the American Board of Angiology. In 2006, Dr. Davis joined with Dr. Esposito in founding the Milford Vascular Institute, dedicated to providing state-of-the-art, multidisciplinary care to all patients. He also serves on many medical committees and is a member of our medical executive board. His dedication to high-quality patient care is second to none and he works to provide customized care to meet each individual’s needs. ​ Dr. Davis lives locally in Milford with his wife and King Charles Cavalier, Chewy CALL NOW

The Leg Swelling & Lymphedema Center The Leg Swelling & Lymphedema Center at Milford Vascular Institute is a state-of-the-art treatment clinic for patients suffering from extremity swelling and lymphedema. The Leg Swelling & Lymphedema Center at Milford Vascular Institute was founded to aid an under served community of people suffering from leg swelling and lymphedema. The Center uses a holistic approach to treating and healing edema. Complete Decongestive Therapy (CDT) is the standard of care for the treatment of lymphedema. CDT is performed by a Certified Lymphedema Therapist (CLT). What Causes Leg Swelling? There are many different potential culprits for swelling in a person's extremities. To achieve an accurate diagnosis, our experts at Milford Vascular Institute use a variety of diagnostic tests. The most common causes for lower extremity (leg) swelling are: Lymphedema NIVL/May Thurner Syndrome Congestive Heart Failure (CHF) Venous Insufficiency Infection Liver Disease DVT Renal Disease Medications Meet Jen MEET JEN JENNIFER PASSONI, DPT, CLT Jen is the Center's Certified Lymphedema Therapist. She is dedicated to helping patients improve their quality of life. Through counseling, Jen and our patients at the Leg Swelling & Lymphedema Center build individualized programs to work for their personal needs and goals. Read More MEET SARAH SARAH OKAMOTO, PTA Sarah is a physical therapy assistant for the Center. She works along side Jen to help improve the quality of life for patients suffering from leg swelling and lymphedema. Read More What to expect There are 6 key components to complete decongestive therapy (CDT); the gold standard of treatment for patients with leg swelling & lymphedema. Manual Lymph Drainage Skin & Nail Care Education Compression Bandaging Self-Care Training Exercise Therapy Compression Garments & Devices Manual Lymph Drainage Manual Lymph Drainage (MLD) MLD is a light massage that focuses on skin-stretching to help promote the movement of lymphatic fluid out of the swollen extremity. For optimal benefits, patients should be scheduled for this therapy 3 to 5 times a week for 4 to 6 weeks. Compression Bandaging Compression Bandaging Bandaging is an important part of lymphedema therapy. A variety of bandages and wrapping techniques are used during therapy to help move the fluid out of the tissues. This technique is used during appointments with the our lymphedema specialist and as part of the maintaince care program. Exercise Therapy Exercise Therapy Exercise therapy is an important aspect of lymphedema rehabilitation. Some studies have even shown that patients who incorporate exercise into their therapy for lymphedema have a reduced incidence for lymphedema flare-ups. This is why we incorporate exercise therapy in our treatment protocol for lymphedema patients. Therapy includes in-office, lymphedema therapist monitored exercises, like walking on a treadmill and pedaling a stationary bike, and an at home exercise regime. For optimal benefits, patients should perform at home exercises daily. Monitored exercise therapy should be scheduled 3 to 5 times a week. Skin & Nail Care Education Skin & Nail Care Educaton Proper skin care education is incredibly important for lymphedema patients. During their initial meeting with our lymphedema therapist, patients will be instructed to keep their skin clean and to moisturize daily with a gentle moisturizer (such as Eucerin). Additionally, since lymphedema patients are at high risk for developing infections, patients are instructed to check their skin daily for cuts, scratches, irritation, or sign of infection. Self-Care Education Self-Care Education Every patient has a different cause for their lymphedema and different factors which contribute to the worsening of their disease. Self-care training is a very important aspect of our lymphedema program to the team at Milford Vascular Institute. We pride ourselves on having created a practice that is able to care for each patient as a whole person, not just the ailment that brought them to our clinic. Our goal with self-care counseling is to help patients learn how to deal with stress, work toward any necessary weight-loss goals, and build healthy habits they can take with them for the rest of their lives. Compression Garments Compression Garments Compression garments may be prescribed to patients for daily wear and use while not at therapy or using their pneumatic compression device. These garments use gradient compression to prevent and reduce swelling. They are very beneficial for helping fluid move to an area that is draining well. Pneumatic Compression Devices Pneumatic Compression Devices Pneumatic compression pumps are prescribed to patients suffering from leg swelling or lymphedema who have failed perviously prescribed conservative therapies. They are also proposed to supplement standard of care for patients with venous ulcers. A variety of pumps are available; they can be single chamber (non-segmented) or multi-chamber (segmented) and have varying design and complexity. ​ Pneumatic compression devices consist of an inflatable garment for the arm, leg, trunk, chest, or a combination of these pieces, and an electrical pneumatic pump that fills the garment with compressed air. The garment is intermittently inflated and deflated with cycle times and pressures that vary between devices. As the compartments fill with air and the device squeezes the affected area. This increases blood flow through the veins and flushes excess fluid and blood built up in the extremities. Most patients notice a significant decrease in swelling when they couple in-office CDT with at-home pneumatic compression device treatments. Call Now Questions about lymphedema or interested in scheduling an appointment? Call (203)882-VEIN(8346) to schedule a new patient consultation.

Vascular Screening For people at risk for vascular disease, vascular screenings are an easy, non-invasive way to monitor your symptoms. Aortic Ultrasound: This exam is used to monitor and diagnose abdominal aortic aneurysms. The procedure is non-invasive. You will be asked to fast for 4 hours prior to your appointment. When you come in, you will be asked to lie on your back. One of our skilled vascular technologists will ask you to lift up or remove your shirt. She will apply a warm ultrasound gel to the probe. The whole exam should not last more than 30 minutes. Arterial Ultrasound: This exam is used to monitor and diagnose peripheral artery disease in the lower extremities. The procedure is non-invasive. When you come in, you will be asked to change into a pair of blue shorts and to lie on your back. One of our registered vascular technologists will then maneuver your legs as needed to view your arterial system. She will apply a warm ultrasound gel to the probe. The whole exam should not last more than 30 minutes. CAROTID ULTRASOUND Carotid Ultrasound: This exam is used to monitor and diagnose carotid artery disease, plaque build up in the arteries in your neck. The procedure is non-invasive. When you come in, you will be asked to lie on your back. One of our skilled vascular technologists will apply a warm ultrasound gel to the probe. The whole exam should not last more than 30 minutes. Venous Ultrasounds: This exam is used to monitor and diagnose venous insufficiency and blood clots. The procedure is non-invasive. When you come in, you will be asked to change into a pair of blue shorts and to lie on your back. One of our skilled vascular technologists will then maneuver your legs as needed to view your venous system. She will apply a warm ultrasound gel to the probe. The whole exam should not last more than 20 minutes. ​ Call (203)882-VEIN

Karin Augur, PA-C Physician Assistant specializing in Vascular Surgery located in Milford, CT. Karin Augur is a physician assistant practicing at Milford Vascular Institute in Milford, Connecticut. She is board-certified with twenty-five years of clinical experience including cardiothoracic surgery, emergency medicine, cardiology, and vascular surgery. She has devoted her career to the diagnosis and treatment of vein disease. ​ Karin graduated from Columbia University in New York City where she majored in Biology. She returned back to her home state of Connecticut and completed her Physician Assistant training from the Yale School of Medicine in 1995, ranking first in her class. ​ Karin is involved with many professional organizations, both locally and nationally. She is one of the founding members of the PA/APRN section of the American College of Phlebology. She has lectured at national conferences, including The American College of Phlebology Annual Congress and has served as Program Chair as well as participating on an Expert Sclerotherapy Panel. Karin is a lifelong resident of Connecticut and is very active in the medical community educating her peers about the diagnosis and treatment of venous disease. She lives with her husband and two boys and enjoys spending her free time watching her sons participate in their sporting events. CALL NOW