Varicose Veins

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Varicose Veins

What Are Varicose Veins?

Varicose veins are enlarged, twisted veins that most often appear in the legs. They develop when vein valves weaken and blood has a harder time flowing upward toward the heart. As pressure builds, veins stretch and become visible at the surface.

Many people seek care because of discomfort, swelling, or heaviness—but treatment can also help reduce the risk of complications related to poor circulation.

Common Symptoms

You may notice one or more of the following:

Call promptly if you have sudden, painful swelling, redness/warmth in one leg, a new hard tender cord-like vein, or any chest pain/shortness of breath.

Why Varicose Veins Happen

Varicose veins often develop from a combination of factors, including:

Are Varicose Veins Serious?

Varicose veins can range from mild to medically significant. Beyond appearance and discomfort, untreated vein disease may lead to:

A professional evaluation helps determine whether the issue is superficial, deeper valve reflux, or another circulation concern.

How We Diagnose Varicose Veins

Accurate diagnosis starts with understanding how your veins work.

Varicose veins often reflect an underlying valve problem, not just what you see on the surface. Our evaluation is designed to identify the cause and guide the right treatment plan.

1

Symptom & history review

We discuss your symptoms, when they occur, what worsens them, and any family history or prior vein treatments you have had.

2

Physical leg exam

We examine your legs for visible vein patterns, swelling, tenderness, and skin changes that may suggest underlying valve problems.

3

Duplex ultrasound scan

If needed, we perform an ultrasound to measure blood flow, identify reflux, and map which veins are contributing to symptoms.

4

Results & care plan

We review your findings in clear terms, answer questions, and recommend next steps based on your goals and clinical needs.

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Options based on your diagnosis

Varicose Vein Treatment Options

Below are six common options we may recommend, depending on your symptoms, vein size, and ultrasound findings:

Endovenous Laser Treatment (EVLT)

A minimally invasive procedure that uses laser energy to close a refluxing vein from the inside, redirecting blood flow to healthier veins.

Radiofrequency Ablation (RFA)

Similar to EVLT, this in-office treatment uses radiofrequency energy to gently seal the problem vein with local anesthesia.

Ultrasound-Guided Foam Sclerotherapy

A specialized foam solution is injected into targeted veins under ultrasound guidance to help close larger or deeper varicose branches.

Ambulatory Phlebectomy

Bulging surface veins are removed through tiny openings to reduce symptoms and improve appearance, typically with quick recovery.

Medical-Grade Compression Stockings

Compression supports circulation, reduces swelling and heaviness, and is often used before and after procedures or for ongoing maintenance.

Lifestyle & Prevention Plan

We recommend walking, leg elevation, movement breaks, and weight management strategies to reduce symptoms and help slow progression.