What is the Best Vein Treatment Now?

Some of the techniques mentioned above are for varicose veins and others are to treat venous reflux disease and should be discriminated. There is no best treatment and for a physician who deals with these things on a daily basis, all are used in the armamentarium and their indication depends on what is being treated, whether there is associated venous reflux disease and what size the vein is, how deep it is from the skin and if there is associated skin chages - dermatosclerosis, venous... more

It is hard to say that a single type of treatment is the "best," but there is no doubt that of the current treatment modalities to address varicose veins, endovenous techniques are high tech and elegant solutions to a common condition. The crux of the problem with varicose veins usually lies in the major branch (the greater saphenous or lesser saphenous vein) becoming incompetent. This means the "one way" valves of the veins are no longer working properly and allow... more

This sounds like you may have varicose veins. Varicose veins can be treated with sclerotherapy (injections) or even better with an EVLT laser, which our practice is obtaining next week. Most patients have had success getting their insurance to cover treating varicose veins with the EVLT.

The condition of varicose veins is the visible evidence of deeper problem within the venous system of the legs. The dilated, ropey veins one develops is generally caused by the back pressure of blood from the deep veins into the surface veins of the legs. The pressure usually originates from a defect or incompetence of the valves in the deep veins of the leg. The most common vein where this occurs is in the greater saphenous vein which runs from the inner aspect of the ankle up the groin... more

For the large, bulging varicose veins, there are several options: 1. Ultrasound guided sclerotherapy (injection of a sclerosant solution) 2. Ultrasound guided endovenous laser treatment 3. Radiofrequency ablation of varicose veins 4. Surgical Vein Stripping Among these three, the first three are considered to be minimally invasive, have fewer complications and a faster recovery time. Ultrasound guided sclerotherapy is a faster outpatient procedure and can actually be done without... more