A medical spa with a physician overseeing the treatments is well suited to take care of these. Watch a video on my website from The Doctors showing foam sclerotherapy. However, if you have symptoms (aching, pain, heaviness, tiredness, fatigue in the legs, itching, cramping, throbbing of the legs, swelling of the ankles or legs), have the vein specialist do a venous Doppler study to determine if you have venous insufficiency. Treatments will be more successful if venous insufficiency is treated prior to getting sclerotherapy. You can also read my vein ebooks for free on my website to educate yourself about vein disease, venous insufficiency, etc.