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When and how are veins treated?

The most commonly asked questions are: “Do veins require treatment?” and “What treatment is best?”

Veins that affect your activities of daily living or cause leg pain, swelling (edema), recurrent superficial blood clots, bulging or protruding varicosities, lipodermatosclerosis (skin discoloration), bleeding, or ulceration are prime candidates for treatment. Veins that cause other symptoms, such as aching, heaviness, cramping, restlessness, itching, and fatigue, or that are cosmetically unappealing (spider veins), may also benefit from treatment. There are two general treatment options: conservative measures, such as compression stockings and leg elevation; and corrective measures, such as endovenous thermal ablation, endovenous chemical ablation, and visual sclerotherapy treatment. In most cases, a combination of treatment methods works best.


Whether referred by your doctor, other medical provider, family, friend, neighbor or just inquiring for more information, let us evaluate your concerns, signs, and symptoms. We will consult with you and advise you of our recommendations and determine if you are a candidate for a more elaborate and detailed ultrasound evaluation. We will educate you on veins and venous disease and answer any of your questions. We will work as a team along side with you, to give you the best positive results.


A precise and detailed venous ultrasound exam is performed by our skilled in-house expert ultrasound staff with over 10 years of experience in venous disease. This exam is crucial in helping us determine the extent of your venous disease and direct us towards the proper treatments. Medicare and insurance companies also use this ultrasound evaluation to determine if the disease and treatments meet medical necessity.

Endovenous Thermal Ablation

EndoVenous Thermal Ablation (EVTA) is a state-of-the-art treatment that has replaced the surgical stripping of varicose veins. With ultrasound visualization and guidance, a small catheter or tube is inserted into the damaged vein using only a needle. Local anesthetic is administered to surround the vein and also cushion and protect surrounding tissue. Thermal energy, or heat, is then delivered inside the vein, which causes the vein to collapse and seal shut. The procedure is done in our office or outpatient surgical center/cath lab. Afterwards, a leg wrap or prescription compression stocking is usually placed on the treated leg. This leg wrap or compression stocking is worn continuously for only 48 hours. Compression stockings are recommended for 1-2 weeks following the procedure. Patients are able to walk immediately after the procedure and most individuals are able to return to light normal activities the same day, with full normal activities within five days.

Treatments are covered by Medicare and most insurance, when determined to be medically necessary. Please call to see if we work with your insurance company or see the list of insurance companies we accept.


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