Treatments

 
 
Compression Stockings
These are typically the first recommended option when treating varicose veins. In terms of cost, this option is less expensive than most treatments, in addition to being non-invasive. Often times, compression stockings are recommended for patients who have just undergone a vein treatment at clinics across the country. Compression stockings promote healthy blood flow in addition to healing after a vein procedure. Pressure is applied the tightest around the lower leg with less pressure applied as the stockings go up the leg. Stockings will not cure varicose veins, but are effective in relieving symptoms caused by the condition and may reduce blood clots.
 
EVLT (Endovenous laser treatment)
A common tool available to vein specialists when treating spider and large varicose veins is a laser that uses an intensely focused beam of light to heat up and get rid of problematic vein. When sclerotherapy is not an appropriate form of treatment EVLT this is an excellent alternative. For larger veins, laser therapy offers an alternative to traditional surgery. In comparison to surgical procedures this produces optimal results but is less invasive.
 
This treatment works to eliminate larger veins with the use of an ultrasound guided imaging fiberoptic probe inserted into the vein. The laser light transmits through the fiberoptic probe to produce extremely high heat;  this in turn cauterizes the inside of the vein, causing it to collapse. Effectiveness is high, with fewer complications and side effects compared to the traditional surgical approaches to treating large veins
 
Microphlebectomy
This procedure, commonly referred to also as ambulatory phlebectomy, is both safe and effective for removal of small to medium varicose veins  (swollen, twisted veins at the surface of the skin). This treatment involves the use of tiny incisions between 1- 3 mm in length to remove portions of the problem vein in succession. Microphlebectomy may also be used in conjuction with common vein removal procedures such as EVLT and Sclerotherapy in order to address different sized vein problems and yield the best cosmetic results.
 
 
Non-Surgical Treatment of PAD
Peripheral Arterial Disease (PAD) is a common circulatory problem in which narrowed arteries reduce blood flow to your limbs. PAD develops when your extremities--most commonly your legs don't receive enough blood flow to keep up with the needs of your body. This disease is likely to be a sign of a widespread accumulation of fat deposits in your arteries.
 
Anticoagulant medication is one form of treatment commonly used to treat PAD. These help to prevent blood from coagulating and preventing blood from coagulating and prevent blood clots from forming.
 
Thrombolytic therapy is a PAD therapy that dissolves dangerous clots and is commonly used on patients that are currently suffering from a stroke. Clot-dissolving medications are applied directly to the blood clot by way of an injection or catheter.
 
Radiofrequency Occlusion
This process involves the use of focusing radiofrequency waves to remove living tissue by heating and killing problematic cells. 
Radiofrequency ablation for varicose vein removal typically takes between 45 minutes to an hour to perform and your doctor can perform it in the office or an ambulatory surgery setting using localized anesthesia.
 
 
Traditional sclerotherapy
This procedure is used to treat spider veins by way of a microinjection procedure. A sterile solution called sclerosing solution into the small veins using a very thin, fine needle. The solution serves as an irritant to the vein lining causing it to undergo fibrosis and eventually disappear over time. More than one vein may be injected at each session. This procedure typically takes place in a doctor's clinic, usually without any type of anesthesia required, and there is minimal pain involved. For patients with a low pain tolerance a topical anesthetic can be pasted on the skin about 30 minutes prior to the procedures.
 
Ultrasound guided sclerotherapy
Sclerotherapy can also be performed using microfoam sclerosants under ultrasound guidance to treat larger varicose veins including the great and small saphenous veins. After a map of the patient's varicose veins is created with the ultrasound, the veins are injected with real-time monitoring-(via ultrasound) Follow-up ultrasound scans are used to confirm closure of the treated veins, following this residual veins can be identified and treated.
 
 
Venous Reflux Exams
This is a non-invasive, diagnostic tool that's used to evaluate vein function, check for venous reflux and confirm or exclude a clinical diagnosis of venous valvular insufficiency. The exams are performed with an ultrasound or sensors that are less invasive that venography, arteriography and other diagnostic tools.