Varicose veins are usually a symptom of chronic venous insufficiency, a disease that causes blood to flow backward in the veins, making them bulge and twist down the leg. Venous insufficiency (also called venous reflux) can occur throughout the venous system, but occurs most frequently in the great saphenous vein, small saphenous vein, and other veins of the superficial venous system in the lower legs. Primary risk factors include heredity, gender, pregnancy, and age. Most patients have long-standing leg symptoms which compromise their daily routines, with symptoms worsening during the day while they are on the job or simply living their lives.

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Endovenous Laser Treatment otherwise known as EVLT, provides a proven, minimally invasive alternative that allows patients to return to their everyday lives immediately after having the procedure done. The procedure involves introducing a laser under ultrasound guidance that is activated inside and along the length of the faulty, varicose vein. The laser energy transmits heat to the vein walls, shrinking them closed so that blood can no longer flow through. There are many veins in the leg and after treatment the blood in the faulty veins will be diverted to normal or healthy veins with functional valves. The resulting increase in circulation will significantly relieve symptoms and improve appearance. EVLT, like all minimally invasive procedures, can potentially have some slight bruising, which commonly disappears within the first few weeks. Clinical data with up to 5 years of follow-up show success rates of 93-98%. This is much higher than surgical ligation and stripping. Based on its superior efficacy and lower morbidity, endovenous laser treatment is becoming the new “gold standard” for varicose vein management of lower extremities. For more information visit

Ask a physician if EVLT is the right procedure for you.




Ultrasound Guided Sclerotherapy


          Ultrasound Guided Sclerotherpy is a fast, relatively painless method for the treatment of varicose veins. This procedure involves using an ultrasound machine to visualize the deeper vein that causes the problems with the veins seen near the surface of the skin. During a treatment  a liquid agent ( such as Sotordectol) is injected  through a tiny needle directly into the veins causing them to contract and collapse.With ultrasound guided sclerotherapy we can see the needle and the vein deep under the skin and visualize that we are directly injecting the problem vein. Large varicose veins can go away quickly without the need for surgery. Spider veins often fade with fewer treatments and longer lasting results.

          Treatments with ultrasound guided sclerotherapy usually last between 15mins-1 hour depending on how extensive the varicose vein treatment is. Often a single treatment with ultrasound guided sclerotherapy will also remove a cluster spider veins especially if they are networked with large varicose veins. Following treatment the veins may appear worse than before but this effect will usually disappear within a week. Compression stockings are required following the procedure. Ask your physician if Ultrasound Guided Sclerotherapy is right for you.

Ask a physician if Sclerotherapy is the right procedure for you.




         Ambulatory Micro-Phlebectomy is a method of removing varicose veins on the surface of the legs. It is done in the office under local anesthesia. This procedure involves making tiny punctures or incisions through which the varicose veins are removed. The incisions are so small no stitches are required. Veins are very collapsible such that even large veins may be removed through the tiny incisions used in this technique.

        After treatment, a compression bandage or stocking is applied. This reduces pressure in the veins, increases the flow in the veins and reduces the risk of forming a blood clot. The patient is asked to walk in the office for 15-20 minutes following the procedure. Ask your physician if Ambulatory Phlebectomy is the right procedure for you.

Ask a physician if Micro-phlebectomy is the right procedure for you.