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Conservative Treatment

Your doctor may recommend you start with conservative treatment for your varicose vein symptoms. This includes wearing compression stockings, elevating the legs, exercising, and taking over the counter analgesics, such as Tylenol or Ibuprofen. However, this does not eliminate the actual vein problem, and many people find the conservative treatment only helps minimally with their symptoms. Eventually surgical treatment is recommended.
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Surgical Procedures

Endovenous Laser Ablation

This is a minimally invasive procedure that uses heat to treat the problematic saphenous veins. The laser is positioned in the vein through a catheter (thin tube), which is placed in the vein using a needle puncture technique. This is all done using ultrasound guidance. Local anesthetic is used to numb the area of the leg being treated, and patients are offered medications to take prior to the procedure to help relax them and make the procedure more comfortable. You may also use nitrous gas during the procedure. This is tolerated very well and is performed in the comfort of our office’s ultrasound suite.

Clarivein Ablation

Clarivein ablation is the newest, most noninvasive way to treat venous insufficiency. It uses a mechanical-chemical ablation technique. This is a virtually painless, yet very efficient way to close off those leaking veins. A wire is placed through a catheter into the saphenous vein. The wire rotates at a high speed, damaging the inner lining of the vein. At the same time, a liquid solution is being injected into the vein, which chemically damages the vein. This is also performed using ultrasound guidance with a single needle puncture, and done right in our office.

Microphlebectomy

Once the leaking saphenous veins are closed down, you may still be left with your unsightly bulging varicose veins. These are treated using a simple removal technique. After numbing the area with a local anesthetic, very small incisions are made along the course of the vein. Tiny hooks are then used to remove the vein through these incisions. Depending on the extent of your bulging varicosities, this can be done in our office, or if you have many veins, as an outpatient surgery at the hospital using light sedation to make you more comfortable. Afterwards, your leg is wrapped in a bulky dressing which stays on for two to three days. There is minimal discomfort afterwards, and really no restrictions to your activities.

Sclerotherapy

This is the final step in your vein treatment. By this point, your legs should be feeling much better, but you will still be left with those unsightly red and/or purple spider veins. Sclerotherapy is a technique which uses very tiny needles to inject a liquid detergent solution (most commonly Sotradecol or Asclera) into the veins which causes it to harden and close up. Over the course of 6-8 weeks, your body will slowly absorb the treated veins. Most people require multiple treatment sessions to get rid of all their spider veins.
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VENASEAL™ CLOSURE SYSTEM

The VenaSeal system improves blood flow by sealing—or closing—the diseased vein. The system delivers a small amount of specially formulated medical adhesive to the diseased vein. The adhesive seals the vein and blood is rerouted through nearby healthy veins.

VenaSeal Closure System Advantages:
· Improved patient comfort
· Rapid return to normal activities
· No multiple needle sticks
· Minimal to no bruising
· No post-procedure compression stockings

Before VENASEAL™ CLOSURE SYSTEM

Before VENASEAL™ CLOSURE SYSTEM

After VENASEAL™ CLOSURE SYSTEM

After VENASEAL™ CLOSURE SYSTEM