An estimated 40 percent of people in the United States have chronic venous insufficiency. Venous insufficiency can present itself as spider or varicose veins and may be a sign of significant underlying venous disease. Venous insufficiency can be the result of heredity, age, gender, weight, history of deep vein thrombosis (blood clots), multiple pregnancies, inactivity and occupations that require prolonged sitting or standing. In addition to visual signs, the symptoms of vein disease include: leg pain/aching/cramps, tiredness/fatigue, itching/burning, swollen ankles, restless legs, ulcers and throbbing.
Not all situations need to be treated with an endovascular procedure.
Sometimes patients can be fitted for compression stockings and followed up with subsequent ultrasound examinations. Patients can be fitted for and purchase compression stockings in our office.
Sclerotherapy is a minimally invasive procedure that eliminates the patient’s spider veins. Spider veins are tangled groups of tiny blood vessels just under the skins surface that resemble spider webs or tree branches. Typically, they are red, blue or purple and are clearly visible on the thighs, lower legs and face.
Endovenous Laser Therapy
Endovenous Laser Therapy (EVLT) or Venous Ablation is a technique that uses a laser fiber to close down the enlarged varicose veins. The procedure is performed in our office and takes about 30-45 minutes. A small laser catheter is passed into the affected vein with guidance from the ultrasound machine. The laser is then turned on and the entire vein is fibrosed, or closed down. The laser is fired at multiple locations and the entire procedure is performed with some local anesthesia. The closed vein is reabsorbed into the body and the blood supply in that area is naturally rerouted to other veins. Recovery is rapid and involves minimal pain. Except for some mild bruising and a numbing sensation, no other effects have been seen in the short term.