Absolutely. A patient should be comfortable with the level of care and outcome and a switch to another provider is perfectly acceptable. A new doctor should be able to retrieve your records and start new by performing an ultrasound of your legs to look at your unique anatomy, sign of vein leak or vein clots. Good luck in your search. A good starting point is to look for one who is board certified.
EVLT of the great saphenous vein has a 98% closure (success) rate at one year. Depending on the extent of closure, it can be paired with sclerotherapy of the below knee portion of the great saphenous vein or other varicose veins. Spider veins will not resolve following EVLT.
Ohmic thermolysis (VeinGogh) under local numbing cream is a great option. Short session of treatment with a followup in 6-8 weeks.
This is a normal finding in view of your workout sessions. If it is not painful, reddish or warm to the touch along with swelling of the arm, I would not worry about it nor treat it. If symptoms of arm pain, swelling, or fatigue are present, a visit to your vascular surgeon would be advised. Arm veins without symptoms do not require any treatment.
EVLT is a very safe procedure. 98% closure of the great saphenous vein is achieved at one year as confirmed by an ultrasound. Small risk of a deep venous thrombosis (DVT) needing a blood thinner. The deep system of veins is responsible for taking the majority of blood back up to the heart. EVLT should treat a diseased vein, one that does not efficiently return blood back up to the groin area so occluding or closing the vein should improve your venous return and not impede it. EVLT should be offered for symptomatic patients and not varicose veins without symptoms.