When blood "backs up" in veins due to a failure in the one way valves in these vessels which return blood to the heart, the resultant congestion in the veins below creates abnormal and dilated veins we refer to as Varicose Veins. The mildest form is "spider veins" and the more significant and larger dilated veins are called "varicose veins." Varicose veins can actually be part of a disease state referred to as venous insufficiency and can cause pain , burning, throbbing, leg restlessness and skin changes such as eczema and ulcers. These can at times create a life-threatening condition with bleeding and non-healing sores. It is estimated that over 80 million Americans suffer from Varicose veins.
The causes of Varicose Veins are multiple and at times poorly understood but heredity seems to play a large role. Injury may also be involved as a contributing event and certain hormones such as those produced in pregnancy and in certain medications may also contribute.
TREATMENT OF VARICOSE VEINS
Varicose vein treatment is often a medical procedure and requires some diagnostic investigation prior to therapy. At the VTC we perform a thorough evaluation both by physical examination and additionally by utilizing Ultrasound and Doppler studies. Our physicians have over 20 years of experience with Ultrasound use and these evaluation techniques are important in establishing the site of the abnormality thus allowing us to arrive at the best and safest recommendation for treatment.
The once used Stripping Procedure is rarely if ever needed in today's treatment armamentarium. Instead of lengthy and painful hospatilization and recovery, our treatment options are essentially pain free, performed in the office and require little or no patient "down time". The EVLT or endovascular LASER closure procedure is often utilized in place of the antiquated "stripping procedure". A small fiber is introduced into the offending vein with Ultrasound guidance. Once the fiber is in the correct position, pulses of laser light are delivered to the inside of the vessel to cause the vein to collapse and seal shut. This procedure is FDA approved and often covered by Medicare and many insurance companies.
Ambulatory Phlebectomy is also used as a treatment modality for bulging varicose veins. With this procedure, very tiny "stab" incisions are made and the varicose veins are either ligated (tied off) or disrupted or removed. This procedure can be used in conjunction with the EVLT or at times is the sole method of treatment. Again, this procedure is virtually painless, requires no stitches and does not usually require patient "down time".
Sclerotherapy can be used to treat both varicose and spider veins. A tiny needle is used to inject the veins with a medication that irritates the lining of the vein. In response, the veins collapse and are reabsorbed. The surface veins are no longer visible. Sclerotherapy relieves symptoms due to varicose and spider veins in most patients. With this procedure, veins can be dealt with at an early stage, helping to prevent further complications. You may need anywhere from one to several sclerotherapy sessions for any vein region. Generally, normal activities can be resumed after sclerotherapy. Medically prescribed support hose and/or bandages may need to be worn for several days to several weeks to assist in resolution of the veins. The procedure, performed in the office, usually causes only minimal, if any, discomfort. Bruising and pigmentation may occur after sclerotherapy. Bruising typically disappears within 1-2 weeks. Although pigmentation almost always fades, it can last for several months. Scarring and other complications are rare.
Areas Most Experienced Vein Care Specialists
Newest Laser Technology
Intravascular Laser Without Surgical Stripping
No Stitches, No Sedation or General Anesthesia
Medicare and Most Private Insurance Approved Procedures
Virtually Painless and With No Downtime; Can Return To Work the Next Day