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Treatment options

Diagnosis

To present you with the best treatment options, it is important for us to discuss the symptoms you are experiencing, other treatments you may have had in the past, and any other medical problems you may have. Continue reading…

The most conservative treatment is wearing graduated, medical-grade compression stockings (tighter at the ankle than the thigh). Although such measures may not rid your legs of existing varicose and spider veins, the symptoms associated with vein problems may improve. Conservative treatments are well-suited for women who are pregnant or for those who are unwilling to undergo other therapy.

In some cases, additional intervention such as surgery, duplex ultrasound-guided sclerotherapy, or endovenous laser treatment will be necessary. Often, a combination of treatments will be most beneficial.

Medical treatment

After a through evaluation by the vein center physician’s team to determine the cause and severity of your leg vein problems, one or more of the following treatment options may be discussed with you:

Endovenous laser vein ablation

Endovenous laser vein ablation is an outpatient procedure and a good alternative to surgical ligation and stripping for varicose veins. A laser is used to heat and seal off problem veins. More…

Microphlebectomy

Microphlebectomy is an outpatient procedure used to remove some large vericose veins. It is sometimes performed alone or with endovenous laser vein ablation. More…

Sclerotherapy

Sclerotherapy is the treatment of choice for most unwanted leg vericose and spider veins. During this outpatient procedure, a medicine is injected into the veins, which makes them shrink. More…

Superficial laser therapy

Superficial laser therapy is a procedure used to treat small spider veins with special lasers directing energy below the skin. A variety of laser and light source therapies are currently available. Although many lasers have been highly effective in the treatment of facial spider veins, laser treatment of the veins on the legs has proven to be less successful. Superficial lasers offer a complementary treatment to only a select group of people.

Surgical ligation and stripping

This is the surgical removal of the great saphenous vein from the groin to the knee or ankle and is usually performed in the operating room under general anesthesia. This procedure may be necessary and is a good treatment option for some people with very large varicose veins.