04/07/2026
Is your "back pain" actually a vascular issue? 🩺
A recent feature in The New York Times (is finally shedding light on a condition I have treated for over 20 years here in Fredericksburg: Pelvic Congestion Syndrome (PCS) and Nutcracker Syndrome.
Too often, patients are told their chronic pelvic or lower back pain is "normal" or musculoskeletal, simply because standard MRIs and CTs don't always show the full picture. At Virginia Interventional & Vascular Associates (VIVA), we specialize in seeing what others miss.
If you have been searching for answers to "unexplained" pain, check your symptoms below:
Could your pain be vascular?
• 🕓 The "End-of-Day" Ache: Pain that worsens the longer you are on your feet.
• 🛋️ Postural Relief: Discomfort that improves significantly when lying down.
• 👣 Mystery Back Pain: Deep lower back or sacral pain that hasn't responded to PT or chiropractic care.
• ⚓ Pelvic Heaviness: A constant sensation of pressure in the lower abdomen or pelvic floor.
• 🩸 Cycle Sensitivity: Pain that intensifies during or just before your period.
• 🩹 Visible Clues: Varicose veins in the pelvic area, buttocks, or upper thighs.
Why VIVA?
With over two decades of experience serving the Fredericksburg community, our team provides minimally invasive, outpatient treatments that fix the root cause—no hospital stay required.
Don’t live with the "mystery" any longer.
Read the full NYT article here: https://www.nytimes.com/2026/01/30/well/back-pain-pelvic-congestion-syndrome-nutcracker.html
Ready for a consultation?
📍 Practice: Virginia Interventional & Vascular Associates (VIVA)
📞 Call us: 540-654-9118
For a doctor and a mother of four, there was almost no relief to be found.
