expert type icon EXPERT

Dr. Joseph L. Vanderlinden, M.D.

Vascular Surgeon

Dr. Joseph VanderLinden is a general surgeon practicing in San Bernardino, CA. Dr. VanderLinden specializes in abdominal contents including the esophagus, stomach, liver, gallbladder, pancreas and often thyroid glands. General surgeons are able to deal with almost any surgical or critical care emergency, also involving the skin or soft tissue trauma. Dr. VanderLinden provides quality surgical service for gravely ill or injured patients and is able to respond quickly due to knowledge of various surgical procedures.
32 years Experience
Dr. Joseph L. VanderLinden, M.D.
  • San Bernardino, CA
  • Univ of Co Sch of Med, Denver Co
  • Accepting new patients

I notice that I have spider veins on my legs. How is this treated?

Injection scerotherapy or laser treatment are the usual treatments. Laser is best used in patients with fair skin. Sclerotherapy is better in my opinion.

What is the treatment for peripheral arterial disease?

PAD is a very broad diagnosis. Asymptomatic patients typically do not require treatment. Aneurysms are best treated without symptoms.

Do medicines help in treating varicose veins?

Pycnogenol has been implicated in improving vein health. But studies don’t necessarily prove it. Surgery is really the only way to effectively treat varicose veins. Your sister READ MORE
Pycnogenol has been implicated in improving vein health. But studies don’t necessarily prove it. Surgery is really the only way to effectively treat varicose veins. Your sister should be wearing compression hosiery daily, while upright to reduce the pressure in her veins to lessen their discomfort and to prevent them getting worse.

What are the risks involved in vascular surgery?

It all depends on her heart and lungs. The risks of vascular surgery are primarily heart attack. Bad lung disease is difficult to manage. Most patients getting vascular surgery READ MORE
It all depends on her heart and lungs. The risks of vascular surgery are primarily heart attack. Bad lung disease is difficult to manage. Most patients getting vascular surgery have diabetes. The risks are real, so just make sure she really needs the operation.

My father has blood clots in his legs. What should be the course of treatment?

Hypertension does not by itself cause blood clots in the legs. Are they arterial clots or venous clots? Venous clots are caused by blood stasis, hypercoagulable state, or epithelial READ MORE
Hypertension does not by itself cause blood clots in the legs. Are they arterial clots or venous clots? Venous clots are caused by blood stasis, hypercoagulable state, or epithelial cancer (Virchow’s triad). Blood thinners are the recommended therapy. Three to six months duration.

What is the recovery period after a vascular surgery?

Endovascular repair of an aortic aneurysm should allow him to leave the hospital after 1 day. He can resume normal activities after a week, in my opinion.

I have been diagnosed with Raynaud's disease. Can it be treated with surgery?

Raynaud’s disease is small vessel occlusive disease of the upper extremity that can cause loss of the fingers. Raynaud's syndrome is similar, but very different in terms of tissue READ MORE
Raynaud’s disease is small vessel occlusive disease of the upper extremity that can cause loss of the fingers. Raynaud's syndrome is similar, but very different in terms of tissue loss. It’s important to distinguish between the two. Vascular surgery may help Raynauds disease, but not raynauds syndrome.

How are blood clots in the veins diagnosed?

Ultrasound is the manner to diagnose DVT. But it is only used in symptomatic patients.

Can bypass surgery work for someone with diabetes and BP?

Depends on the indication for surgery.

Can a bypass surgery cause kidney problems?

Generally not. Renal revascularization may affect kidney function.

What does an angioplasty procedure involve?

Depends on which artery is being angioplastied. Different for the heart of mesenteric circulation or the legs

Does vascular surgery have an effect on blood pressure?

Not really. Occasionally a renal artery angioplasty affects the blood pressure

My mother has been diagnosed with atherosclerosis. What does treatment involve?

Medication is used to treat high cholesterol, which is the biggest part of atherosclerosis. Surgery is isually indicated for symptomatic atherosclerosis. See a vascular surgeon. READ MORE
Medication is used to treat high cholesterol, which is the biggest part of atherosclerosis. Surgery is isually indicated for symptomatic atherosclerosis. See a vascular surgeon.

Is there a possibility of a patient suffering a heart attack during a vascular surgery?

I’m general, the risk of death is around 2-3%. Much more risk for open thoracic aortic surgery. Less for dialysis access surgery. The age of the patient and their medical history READ MORE
I’m general, the risk of death is around 2-3%. Much more risk for open thoracic aortic surgery. Less for dialysis access surgery. The age of the patient and their medical history are most important. Current heart failure or angina are the greatest risks.

Can PAD be treated with a surgery?

Sure it can. Speak with a vascular surgeon. The indications are clear if surgery is needed. In general, asymptomatic PAD doesn’t need treatment. Aneurysms need to be managed, READ MORE
Sure it can. Speak with a vascular surgeon. The indications are clear if surgery is needed. In general, asymptomatic PAD doesn’t need treatment. Aneurysms need to be managed, though.

What are the factors causing venous insufficiency?

Blood clots and venous disease are generally unrelated. Blood clots can occur due to cancer. Venous disease usually involves the legs.

What are the main causes of an arterial blockage?

All arteries get diseased. Cholesterol is the causative agent. How quickly your arteries get blocked depends upon a number of factors. Inherited hypercholesterolemia is a significant READ MORE
All arteries get diseased. Cholesterol is the causative agent. How quickly your arteries get blocked depends upon a number of factors. Inherited hypercholesterolemia is a significant cause. Diet is secondary. Managing cholesterol is important, but anti hypercholesterol drugs have side effects in some patients. Speak to your PCP about your cholesterol. Exercise regularly, and read about a vegan diet. This is the way to control the risk of significant arterial blockages.

What are the risks involved in a vascular surgery?

Vascular surgery has no primary role in treating diabetic neuropathy. What risks are involved in any operation to treat vascular disease depends on which operation the patient READ MORE
Vascular surgery has no primary role in treating diabetic neuropathy. What risks are involved in any operation to treat vascular disease depends on which operation the patient is having. Most patients with vascular disease are older(60+) and most have heart disease. The most common complication from surgery in a diabetic patient is heart attack in the perioperarive period. Pneumonia and wound infection are also risks. See a cardiologist for preoperative cardiac assessment. Get out of the hospital as soon as possible.