Varicose Vein Treatments
Our physicians have been helping patients get relief from unsightly varicose veins for many years. Our physicians are experts at Varicose Vein Treatments; relieving the discomfort and reducing the visibility of varicose vein through state-of-the art treatments which are non-invasive and highly effective.
What To Expect During Your Initial Consultation
When meeting in private with one of our physicians, you will be asked in-depth questions regarding your medical history. After carefully examining your legs, your physician may decide that further testing is in order. These tests often include a duplex ultrasound exam of the legs. These non-invasive procedures use sound waves to evaluate the function of the valves in the veins of the leg. These tests are very important in diagnosis and can improve the effectiveness of any treatment. At this point, your physician will discuss treatment options with you. You should feel free to ask any questions about costs, complications, and potential benefits, as well as side effects of treatment. You should also feel free to question your physician about their qualifications, training and background.
The most commonly asked questions are: “Do veins require treatment?” and “What treatment is best?” Veins that are cosmetically unappealing or cause pain or other symptoms are prime candidates for treatment. There are two general treatment options: conservative measures, such as compression stockings, and corrective measures, such as laser treatment and sclerotherapy. In many cases, a combination of treatment methods works best.
Duplex Ultrasound Examination
The duplex ultrasound examination enables the physician to check the flow characteristics of the veins beneath your skin. Useful information is gathered that your physician can use to adequately diagnose your specific vein problem and to plan and guide treatment.
Properly fitted gradient compression stocking can temporarily reverse the effects of vein disease and lessen the discomfort, as well as skin damage. Many insurance companies require a trial of compression stocking use before approving definitive therapy.
Endovenous Laser Ablation (EVLA)
Endovenous Laser Ablation is a very effective outpatient treatment for varicose veins. Using ultrasound technology, a thin laser fiber is guided into the diseased vein through a very small opening to deliver pulsed laser heat to the diseased vein wall. This causes the vein to collapse and seal shut and the blood is diverted to healthy veins. It’s that easy.
This procedure is done in-office under local anesthesia. Following the procedure a bandage or compression hose is placed on the treated leg. Patients are able to walk immediately after the procedure and most individuals are able to return to work the next day. Endovenous Laser Ablation treatment for varicose veins is FDA approved.
Ultrasound Guided Sclerotherapy
Ultrasound Guided Sclerotherapy is an in-office treatment that enables treatment of veins that can’t be seen because they are below the surface of the skin and would otherwise require surgical removal. Ultrasound imaging is used to guide a needle into the abnormal vein and deliver medication to destroy the lining of the blood vessel and seal it shut. Ultrasound guided sclerotherapy is primarily used to treat large veins beneath the surface of the skin.
What Can Happen If I Don’t Treat My Varicose Veins?
There are several adverse consequences of untreated varicose veins, and their severity will vary from person to person depending on the circumstances. Many people who don’t treat their varicose veins will experience continued symptoms of pain, fatigue and swelling of the legs or ankles. More advanced medical problems may include hyperpigmentation, venous leg ulcers, spontaneous bleeding and a potentially life-threatening condition called Deep Vein Thrombosis (DVT).
DVT can be associated with significant and serious medical problems. DVT is often first noticed as a “pulling” sensation in the calf of the lower leg, and it can be quite painful. Symptoms also include associated warmth, redness and swelling. The swelling often extends to above the knee.
A condition that may occur over time, when there is chronic venous insufficiency, is a venous leg ulcer. The ulcers due to varicose veins are painful and difficult to heal. Sometimes the ulcers cannot be healed until the backward blood flow in the veins is corrected.
Another possible consequence of untreated varicose veins is spontaneous bleeding from the varicose veins. As the skin over the veins becomes thin, eventually the vein can be exposed to the outside world and be easily injured by clothing, bedding, etc.