Endovenous Ablation Endovenous ablation has been performed in the United States for more than nine years with more than one hundred thousand successful outcomes. This minimally-invasive treatment is an procedure performed in our office using sonography for guidance. A very small catheter is inserted into the vein being treated. A tumescent anesthetic is then administered to isolate the vein. Next, using an energy source is then applied to the inside of the vein through the catheter. The vein is heated and destroyed. Blood immediately finds an alternative path.

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In most cases, this procedure is completed in our office in less than one hour. Patients are able to walk out of the office and resume normal activity within 48 hours of the procedure.

Sclerotherapy Sclerotherapy is a medical procedure used to eliminate varicose veins and spider veins by injecting a solution directly into the vein. The solution irritates the lining of the blood vessel, causing it to swell and stick together. Within a few days, the vessel turns into scar tissue that fades from view and is dissolved naturally within the body.

Schlerotharapy treatment is completed in our office, is nearly pain free and usually takes less than one half hour per schlerotherapy session.

Ambulatory Phlebectomy Ambulatory phlebectomy is a method of removing varicose veins without surgery. Generally this procedure is used to treat large, bothersome and painful varicose veins that cannot be treated with endovenous ablation techniques.

The procedure is performed in our clinic using local anesthesia. Diseased veins are removed through extremely small micro incisions. Because veins are collapsible, even very large veins may be removed through the smallest incisions. After the procedure, steri-strips are applied and the leg covered with a compression dressing.

Typically, the incisions require no stitches and leave nearly imperceptible puncture mark scars. Long-term results from this procedure are excellent.

Conservative Management The goal of conservative management is to alleviate symptoms and slow the progression of disease.

Exercising is an excellent way to maintain vein health. Simply walking 30 minutes a day will improve venous circulation. Compression of the muscles during exercise help pump the blood back to the heart.

The avoidance of prolonged sitting and standing helps decrease the pooling of venous blood in the legs. Flexing your ankles or getting up from your desk for brief walks during the day may help diminish swelling of the ankles and legs.

Elevation of the legs above the level of the heart is an excellent way to help diminish swelling and reduce achiness. This simply allows gravity to help return the venous blood to the heart. Weight maintenance is also important in reducing the stress and pressure on the legs.

Graduated support compression stockings constitute the major conservative tool used to control venous disease in the leg. These decrease venous pressure and reduce swelling. As a result your legs will feel less tired and achy at the end of the day.