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Central Venous Clinical Services

Varicose and spider vein Care & Treatment

What Are Varicose Veins and Spider Veins?

The veins throughout your body carry blood from the capillaries in your body to your heart. In your legs, this means the blood has to flow upward against gravity. These leg veins have one-way valves to prevent blood from back flowing but sometimes time these valves can fail and close too tightly.

This results in what is known as "reflux," a process that allows blood to pool and congests the leg veins with blood. These bulging and twisting veins are called varicose veins. Spider veins also result from a pooling of blood but they are red, blue or purple small and thin veins on the surface of the skin.

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What Problems Do Varicose & Spider Veins Cause?

When you are affected by varicose or spider veins, you can experience any of the following problems:

  • Pain in your legs
  • Fatigue, heaviness,aching, throbbing
  • Burning, itching, cramping, restlessness
  • Possible Leg swelling
  • Eczema and inflammation
  • Severe varicose veins can lead to ulcers
  • Skin discoloration
  • Cosmetically unappealing

When And How Are Varicose Veins Treated?

Two of the most commonly asked questions about varicose and spider veins are: "Do veins require treatment?" and "What vein treatment is best?"

At Vascular Access, we offer solutions to your vein treatment or vein removal. Veins are treated for one of two reasons: for symptoms such as pain or for those that are cosmetically unappealing. There are generally two vein treatment options:

Conservative measures such as compression stockings, or corrective vein treatment can occur. Corrective vein care includes: Endovenous Ablation Treatment, Sclerotherapy, and Ambulatory Phlebectomy.

In most cases a combination of these treatments will be utilized:

Endovenous Ablation Treatment

How is an endovenous ablation procedure different from surgery?

Traditional surgery involves general anesthesia, pain in the affected areas, and a lengthy recovery period. The medical ablation (laser or radiofrequency) technology eliminates all of that.

1st: it’s "minimally invasive." This means a small catheter or fiber is inserted through a needle stuck into the vein. The entry point is extremely small, and does not even requiring stitches.

2nd: there is little "recovery" to speak of. In fact, you’ll be up and walking as soon as it’s over, able to return to full normal activity by the next day.

3rd: the risk for infection and other complications is extremely low. And there is minimal discomfort.

Schematic of Radiofrequency Procedure

Schematic of Radiofrequency Procedure

How do these vein treatment procedures work?

Endovenous Laser Treatment

The Endoveous laser delivers just the right wavelength of laser energy inside the vein to cause the incompetent vein to collapse and seal shut while your body automatically routes the blood to other healthy veins.

Both Endovenous laser and radiofrequency occlusion ablation procedures usually take less than an hour to complete in an office setting with local anesthetic. Following the procedure a bandage and compression hose is placed on the treated leg prior to going home. Both ablation procedures are FDA-approved.

Radiofrequency Occlusion (Closure-Fast Procedure)

The radiofrequency occlusion is a non-surgical treatment of the refluxing vein. A small catheter is inserted, through a needle stick in the skin, into the vein. The catheter delivers radiofrequency energy to the vein wall, causing heat. The vein then collapses and shuts.

Schematic of Endovenous Laser Treatment

Schematic of Endovenous Laser Treatment

Ambulatory Phlebectomy

Ambulatory phlebectomy is a technique used to remove surface varicose veins under local anesthesia on an outpatient basis in the office. Tiny incisions (stitches are generally not needed) are made in the skin and typically leave nearly imperceptible puncture mark scars. After the vein has been removed by phlebectomy, a bandage or compression stocking is worn for a short period.

Varicose veins before & after an
Ambulatory Phlebectomy
(Individual results can vary)


Sclerotherapy can be used to treat varicose veins but is mainly used for treating spider veins. A tiny needle is used to inject the veins with a medication that irritates the lining of the vein. The veins then collapse and are reabsorbed. The surface ("spider") veins are no longer visible. You may need anywhere from one to several sclerotherapy sessions for any vein region. Depending on the type and number of veins being treated you may have one to many injections per session. Compression stockings are usually worn for several weeks after the procedure.

The Sclerotherapy procedure is done in an office with minimal discomfort. Bruising and pigmentation may occur after the treatment. This typically disappears within 1-2 weeks. Although pigmentation almost always fades, it can last for several months.

Spider veins before & after Sclerotherapy

Spider veins before & after Sclerotherapy
(Individual results can vary)

What Results Can You Expect from Vein Care and Vein Treatment?

With the evaluation and treatment methods available today, spider and varicose veins can be treated at a level of effectiveness and safety previously unattainable. There are many underlying causes of varicose veins, so successful treatment of a particular vein problem does not necessarily prevent vein problems from recurring in the future.

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