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Invasive Treatments
Serving Kern County patients since 1992 with advanced cardiovascular and vascular care.
With early vascular treatment, the vast majority of amputations caused by PAD can be prevented.
With early vascular treatment, the vast majority of amputations caused by PAD can be prevented.
Most go undiagnosed. Early detection and minimally invasive treatment changes outcomes.
Dr. Kumar has spent over 30 years building Central California's most trusted vascular practice.
Most treatments at HVLC are minimally invasive, catheter-based procedures rather than open surgery. They are typically performed using local anesthesia with moderate sedation to keep you comfortable. General anesthesia is usually not required, although your care team will confirm the plan for your specific procedure. HVLC’s current angioplasty and atherectomy information also describes local anesthesia with sedation.
Medicare and many major insurance plans may cover treatment when it is medically necessary. Coverage depends on your diagnosis, procedure, and individual plan. Our team can verify your benefits and any authorization requirements before your appointment. HVLC currently lists Medicare and several major insurers among accepted plans.
Your total visit time depends on the evaluation or procedure being performed. For many outpatient procedures, plan to be at the clinic for several hours, including preparation and recovery. If you receive moderate sedation, you should arrange for someone to drive you home.
The treatment area is numbed with local anesthesia, and moderate sedation is used to help keep you comfortable. Mild soreness, bruising, or tenderness at the access site may occur afterward. Recovery varies by procedure, but many patients return to light daily activities within a few days.
HVLC treats a range of vascular and minimally invasive pain conditions, including PAD and poor circulation, varicose veins and CVI, leg swelling, nonhealing wounds and ulcers, chronic knee pain and osteoarthritis, chronic hip and shoulder pain, heel and foot pain, and internal hemorrhoidal disease.
Your treatment depends on your symptoms, diagnosis, imaging, and overall health. Our specialists first identify the underlying cause, then recommend the most appropriate option, which may include lifestyle changes, medication, diagnostic testing, or a minimally invasive procedure. HVLC’s current treatment pages follow this evaluation-first approach.
Many HVLC procedures are performed on an outpatient basis, and patients often return home the same day. Recovery time depends on the specific treatment. For example, HVLC describes same-day discharge for angiograms and several vein procedures.
Imagine Life Without The Pain.
Walking your dog. Playing with your grandkids. Getting through the day without aching knees, heavy legs or constant discomfort.
Knee Pain & GAE
Most people with chronic knee or joint pain have quietly learned to live with it. A vascular specialist in Bakersfield explains why that is worth reconsidering this Pain Awareness Month.
Heart & Vascular Health
Tests & Treatments
Bone and Joint Action Week runs from October 12 to 20 each year - a reminder that musculoskeletal health affects nearly every aspect of daily life. For millions of Americans, chronic shoulder pain is a daily reality that limits sleep, work, and the ability to do ordinary things.
Heart & Vascular Health
Understanding chronic venous insufficiency and what Heart Vascular and Leg Center can do about it.
Knee Pain & GAE
PAD, AFib, and heart disease share the same risk factors and significantly raise each other's risk. A vascular specialist in Bakersfield explains the connection and what it means for your care.
Knee Pain & GAE
Most people with chronic knee or joint pain have quietly learned to live with it. A vascular specialist in Bakersfield explains why that is worth reconsidering this Pain Awareness Month.
Heart & Vascular Health, PAD & Circulation
When someone gets a high cholesterol result, the conversation almost always goes the same direction: heart disease risk, statins, diet changes, and keeping an eye on blood pressure. All of that is appropriate. But there is something consistently missing from that conversation. The same cholesterol buildup that narrows the arteries near your heart does the exact same thing to the arteries supplying your legs. And for a lot of patients managing high cholesterol, nobody has told them that.
Heart & Vascular Health, PAD & Circulation
September is Vascular Disease Awareness Month and PAD Awareness Month. Here is why that matters specifically for patients in Bakersfield and Kern County, and what a free vascular screening can tell you.
Knee Pain & GAE
Knee Pain at Night: Why It Gets Worse When You Stop Moving and What It Could Mean Most people expect joint pain to get worse during activity. Push it too hard, feel it afterward. That logic makes sense. So when knee pain is worst at night, when you are lying still, not putting any weight on it, not doing anything at all, it catches people off guard. Some assume they slept in a bad position. Others take a painkiller and try to push through. What fewer people know is that nighttime knee pain has a specific meaning. It is not random. It is telling you something about what is driving the pain, and it points directly toward a mechanism that standard treatments often miss.
PAD & Circulation
Your Heart Gets a Lot of Attention. Your Leg Arteries Deserve the Same
chronic knee pain management vs treatment what actually helps HVLC Bakersfield
Every February, American Heart Month reminds people to take care of their arteries, watch their cholesterol, check their blood pressure, and protect their cardiovascular health.
Heart & Vascular Health, PAD & Circulation
When someone gets a high cholesterol result, the conversation almost always goes the same direction: heart disease risk, statins, diet changes, and keeping an eye on blood pressure. All of that is appropriate. But there is something consistently missing from that conversation. The same cholesterol buildup that narrows the arteries near your heart does the exact same thing to the arteries supplying your legs. And for a lot of patients managing high cholesterol, nobody has told them that.
Heart & Vascular Health, PAD & Circulation
September is Vascular Disease Awareness Month and PAD Awareness Month. Here is why that matters specifically for patients in Bakersfield and Kern County, and what a free vascular screening can tell you.
Heart & Vascular Health, PAD & Circulation
What Happens to Your Legs When You Sit All Day. And Why It Matters More Than You Think sitting all day effects on leg circulation poor circulation vascular health Bakersfield Most people know that sitting too much is not great for them. They have heard it enough times. But the conversation usually stays vague, centered around back pain, posture, or burning calories. What gets far less attention is what prolonged sitting does specifically to the blood flow in your legs. And for a significant number of people, particularly those with diabetes, high blood pressure, or a family history of heart disease, the effects are not just discomfort. They are the early stages of a real vascular problem.
PAD & Circulation
Your Heart Gets a Lot of Attention. Your Leg Arteries Deserve the Same
chronic knee pain management vs treatment what actually helps HVLC Bakersfield
Every February, American Heart Month reminds people to take care of their arteries, watch their cholesterol, check their blood pressure, and protect their cardiovascular health.
PAD & Circulation
If your days involve long hours of sitting at a desk or standing on your feet, your legs may be working overtime to keep blood moving. The good news? You don’t need a gym session—or much time—to support healthy circulation. A few simple stretches, like calf raises and ankle circles, can make a noticeable difference in just minutes.
PAD & Circulation
Deep vein thrombosis (DVT) is a circulatory system problem that occurs in the deep veins of your legs. Anyone who’s developed any stage of vein disease is at risk for developing this potentially life-threatening condition, but knowing your risks will help you get medical treatment at the first sign of trouble.
PAD & Circulation
Leg heaviness, cold feet, slow-healing wounds. These are not just signs of aging. A vascular specialist in Bakersfield explains what declining circulation looks like and when to act.
PAD & Circulation
If you've been told surgery is your only option for knee pain, there may be a step worth exploring first. A minimally invasive procedure targeting inflammation is now available in Bakersfield.
Knee Pain & GAE
Arthritis Is Not Just About Your Joints. Here Is Why Your Blood Vessels Matter Too And most of the conversation this month follows the same familiar path: cartilage breakdown, joint wear, inflammation, medication, physiotherapy, and eventually surgery.
Knee Pain & GAE
Most people with chronic knee or joint pain have quietly learned to live with it. A vascular specialist in Bakersfield explains why that is worth reconsidering this Pain Awareness Month.
Knee Pain & GAE
PAD, AFib, and heart disease share the same risk factors and significantly raise each other's risk. A vascular specialist in Bakersfield explains the connection and what it means for your care.
Knee Pain & GAE
Knee Pain at Night: Why It Gets Worse When You Stop Moving and What It Could Mean Most people expect joint pain to get worse during activity. Push it too hard, feel it afterward. That logic makes sense. So when knee pain is worst at night, when you are lying still, not putting any weight on it, not doing anything at all, it catches people off guard. Some assume they slept in a bad position. Others take a painkiller and try to push through. What fewer people know is that nighttime knee pain has a specific meaning. It is not random. It is telling you something about what is driving the pain, and it points directly toward a mechanism that standard treatments often miss.
Knee Pain & GAE
Pain management and pain treatment are not the same thing. If your knee still hurts after months of coping, here is what a vascular specialist in Bakersfield thinks you should know.
Knee Pain & GAE
GAE vs. Knee Replacement: Understanding Where Genicular Artery Embolization Fits
Not Every Patient With Knee Arthritis Is Ready for Surgery Knee osteoarthritis can progress slowly over years. Some patients manage symptoms with exercise, medication, injections, weight loss, bracing, or physical therapy. Others eventually reach a point where knee replacement becomes the best option.
Knee Pain & GAE
Arthritis Is Not Just About Your Joints. Here Is Why Your Blood Vessels Matter Too And most of the conversation this month follows the same familiar path: cartilage breakdown, joint wear, inflammation, medication, physiotherapy, and eventually surgery.
Knee Pain & GAE
Knee replacement surgery is a big decision. Before you commit, here is what most surgeons do not tell you upfront, and what else may be worth trying first in Bakersfield.
Knee Pain & GAE
Being told your knee is bone on bone does not automatically mean surgery is your only option. A vascular specialist in Bakersfield explains what it really means and what else may help.
Vein Disease & DVT
Deep vein thrombosis (DVT) is a circulatory system problem that occurs in the deep veins of your legs. Anyone who’s developed any stage of vein disease is at risk for developing this potentially life-threatening condition, but knowing your risks will help you get medical treatment at the first sign of trouble.
Vein Disease & DVT
Deep vein thrombosis (DVT) is a circulatory system problem that occurs in the deep veins of your legs. Anyone who’s developed any stage of vein disease is at risk for developing this potentially life-threatening condition, but knowing your risks will help you get medical treatment at the first sign of trouble.
Knee Pain & GAE
Arthritis Is Not Just About Your Joints. Here Is Why Your Blood Vessels Matter Too And most of the conversation this month follows the same familiar path: cartilage breakdown, joint wear, inflammation, medication, physiotherapy, and eventually surgery.
Heart & Vascular Health
Heart & Vascular Health
Understanding chronic venous insufficiency and what Heart Vascular and Leg Center can do about it.
Heart & Vascular Health, PAD & Circulation
When someone gets a high cholesterol result, the conversation almost always goes the same direction: heart disease risk, statins, diet changes, and keeping an eye on blood pressure. All of that is appropriate. But there is something consistently missing from that conversation. The same cholesterol buildup that narrows the arteries near your heart does the exact same thing to the arteries supplying your legs. And for a lot of patients managing high cholesterol, nobody has told them that.
Heart & Vascular Health, PAD & Circulation
September is Vascular Disease Awareness Month and PAD Awareness Month. Here is why that matters specifically for patients in Bakersfield and Kern County, and what a free vascular screening can tell you.
Heart & Vascular Health, PAD & Circulation
What Happens to Your Legs When You Sit All Day. And Why It Matters More Than You Think sitting all day effects on leg circulation poor circulation vascular health Bakersfield Most people know that sitting too much is not great for them. They have heard it enough times. But the conversation usually stays vague, centered around back pain, posture, or burning calories. What gets far less attention is what prolonged sitting does specifically to the blood flow in your legs. And for a significant number of people, particularly those with diabetes, high blood pressure, or a family history of heart disease, the effects are not just discomfort. They are the early stages of a real vascular problem.
Mon - Thu
8am - 6pm
Fri
8am - 5pm
Sat - Sun
Closed
Medicare
Medicare
Most PPOs
Same-day appointments often available
5020 Commerce Dr, Bakersfield, CA 93309
California has many vascular clinics. But no other clinic in Kern County brings together 30 years of experience, a UCLA- and Baylor-trained physician with six board certifications, and a 98% technical success rate in minimally invasive procedures.
We may not be the closest option for every patient. We are the one they are willing to travel for, and the one they trust.
Every procedure at HVLC is performed at our Bakersfield clinic. Evaluation, imaging, and treatment are all provided in one location, without navigating a hospital system, coordinating with an outside specialist, or worrying about a separate hospital facility bill arriving weeks later.
For patients, that also means no overnight stay, no general anesthesia, and a less complicated recovery. It is a same-day procedure completed in just a few hours. You arrive, receive treatment from the team you know, and return home shortly afterward.
Advanced minimally invasive treatments for knee pain, joint pain poor circulation, vein disease and chronic pain.
Helping patients find relief without major surgery.
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