Varicose veins are a progressively deteriorating condition. If you notice visible varicose veins or experience symptoms such as leg heaviness, nighttime cramping, swelling, achiness or tenderness, it is time to be evaluated by a physician.
Contemporary management of varicose veins and venous insufficiency involves obtaining a comprehensive history, performing a physical examination and evaluating the legs with ultrasound. This is a non-invasive, painless test that will determine if the symptoms are related to underlying venous problems.
Once a thorough evaluation has been performed, a detailed treatment plan can be developed. Often, a physician begins with conservative measures, including compression (using stockings, bandages or specialty boots) or anti-inflammatory medications and supplements. In cases where venous insufficiency is identified in the larger veins (saphenous veins), a minimally invasive laser procedure may be considered.
For varicose veins not associated with underlying saphenous insufficiency, sclerotherapy is often recommended. Sclerotherapy involves injecting a medication into the varicose vein to assist the body in closing the vein.
With the evaluation and treatment methods available today, spider veins, varicose veins and venous insufficiency can be treated at a level of effectiveness and safety previously unattainable and frankly unimaginable. Success depends on careful assessment of the problem by a knowledgeable phlebologist, a physician who specializes in varicose vein treatment. Our physicians are all board certified and experienced in evaluation and treatment of varicose veins.