Varicose veins are enlarged, twisted veins visible just beneath the skin's surface. They most commonly appear on the legs and can be blue or dark purple. They occur when the valves within the veins become weak or damaged, leading to blood pooling and vein enlargement.
Several factors contribute to the development of varicose veins, including genetic predisposition, aging, hormonal changes, pregnancy, and prolonged periods of standing or sitting. Obesity and a sedentary lifestyle can also increase the risk.
The actual procedure typically takes about 15 to 20 minutes. Your appointment is scheduled for one hour to allow time for preparation, positioning, and sterile draping.
No, you do not need a driver for the procedure. You will be able to walk immediately afterward, and we encourage walking for 10-15 minutes every hour. You can resume your normal activities the same day.
You may experience mild discomfort, bruising, or tenderness for a few days to a few weeks. For relief, we recommend:
- Tylenol (Acetaminophen): 2 tablets twice daily as needed
- Ibuprofen 800 mg (4 tablets of 200 mg): twice daily with food, if you do not have any allergies or stomach sensitivities.
The procedure involves minimal discomfort, similar to starting an IV and the local numbing process. Most patients tolerate it very well. Your physician will walk you through the steps and ensure your comfort throughout.
You will need to wear compression stockings for two weeks:
- Week 1: Day and night
- Week 2: Daytime only
No other activity restrictions apply.
We obtain prior authorization for all procedures. While this confirms medical necessity, it is not a guarantee of payment. We recommend contacting your insurance provider for specific coverage details.
Most patients do well without medication for relaxation. However, if you experience anxiety, the doctor may prescribe a mild anti-anxiety medication upon request.
Important: If you take any sedative or anxiety medication, you must have someone drive you home. Please let us know in advance if you would like to explore this option.
People most at risk for varicose veins include those who are aging, female, have a family history, sit or stand for long periods, use tobacco, are overweight, or have certain health conditions that increase vein pressure.
Symptoms of varicose veins include bulging, twisted veins often visible under the skin, heavy or tired legs, itching around the veins, pain or muscle cramps, swelling in the legs and feet, and potential skin discoloration or ulcers.
Venous leg ulcers are open sores caused by poor circulation in the legs' veins. They typically develop in areas with varicose veins and are often painful and slow to heal.
Several short-term treatments for varicose veins exist, including wearing compression stockings, elevating your legs, and avoiding long periods of standing or sitting. These measures can help reduce symptoms and slow the progression of the condition.
Sclerotherapy is a minimally invasive treatment for varicose and spider veins. It involves injecting a solution into the affected vein, causing it to collapse and gradually disappear. The procedure is effective and typically requires minimal downtime.
Ambulatory phlebectomy is a procedure that removes superficial varicose veins through tiny incisions in the skin. This outpatient procedure is performed under local anesthesia, allowing patients to return to normal activities shortly after treatment.
The closure procedure, known as radiofrequency ablation (RFA), treats larger varicose veins. It involves inserting a catheter into the vein and using radiofrequency energy to heat and close it. The body then reabsorbs the treated vein, and blood is redirected to healthy veins.
Arteries carry oxygen-rich blood from the heart to the rest of the body, while veins return oxygen-depleted blood to the heart. Veins have valves that prevent blood from flowing backward, which is a key difference from arteries.
Veins are classified into three main types:
While spider veins are often considered a cosmetic concern, they can also indicate underlying vein problems. It’s important to have them evaluated by a vein specialist to determine if further treatment is needed.
Venous reflux disease, also known as chronic venous insufficiency, occurs when the valves in the veins do not function properly. This leads to blood pooling and increased pressure in the veins, which can cause varicose veins, swelling, and other symptoms.
Vein & Vascular Medicine Clinic treats varicose veins, chronic venous insufficiency, spider veins, and more using advanced techniques like laser therapy and sclerotherapy. Our services also include ultrasound imaging and peripheral vascular and arterial disease management.
A vascular specialist or a phlebologist is the most qualified to evaluate and treat vein problems. These professionals have specialized training in diagnosing and treating vein-related conditions.
When choosing a vein care center, evaluate the doctors' qualifications, available treatments, quality of care, and patient reviews. Vein & Vascular Medicine Clinic offers expert care, advanced treatments, and a patient-centered approach.
Varicose vein treatments can have side effects such as infection, pain, bleeding, bruising, nerve damage, redness or swelling, blood clots, and changes in skin color.