Your On-line Resource for Vein Treatment Information

Vein Treatments

A variety of spider vein treatments, varicose vein treatments and venous leg ulcer treatments are available to manage each vein condition. Determination of the appropriate treatment for your vein condition is best achieved by a trained vein specialist.

In the past decade, varicose vein treatment has been revolutionized with the introduction of the minimally-invasive VNUS Closure procedure and subsequently the EVLT procedure. These procedures have largely replaced classic vein stripping and are mostly responsible for the huge growth in phlebology (vein treatment).


Vein treatments that are discussed on this website include:

Compression Stockings Medical compression stockings provide graduated compression to the leg (meaning it is highest at the ankle and gradually decreases going up the leg), helping to decrease swelling and pooling of fluids. Compression stockings are generally worn daily.

Sclerotherapy The gold standard for spider vein treatment is sclerotherapy, where a chemical solution is injected directly into the vein to close it down. Visual sclerotherapy is used to treat surface spider veins and ultrasound-guided sclerotherapy can be used to treat veins below the surface.

Endovenous Laser Treatment EVLT (also known as laser vein ablation) is a minimally-invasive procedure for treatment of saphenous and other superficial veins, which can ultimately help with varicose vein treatment. It uses targeted laser energy applied within the vein to seal it shut. Treatment is commonly performed in an office under local anesthesia in less than an hour.

Endovenous Radiofrequency Ablation (VNUS Closure®) procedure - The Closure procedure is also a minimally-invasive procedure for saphenous, superficial and varicose vein treatment. A patented radiofrequency catheter is inserted into the vein, and applies gentle RF energy to heat the vein and close it down. The Closure procedure may also be performed in an office under local anesthesia.

Ambulatory Phlebectomy / TRIVEX Powered Phlebectomy - Ambulatory phlebectomy (or microphlebectomy) involves direct removal of surface varicose veins via tiny incisions and the use of a very small hook. TRIVEX is a variation of phlebectomy that provides transillumination of the target veins and powered resection for more targeted and rapid vein removal. Both procedures may be done alone or in combination with an endovenous technique or vein stripping.

Varicose Vein Surgery / Vein Stripping - Ligation and stripping was historically the primary varicose vein treatment, but has been largely supplanted by endovenous ablation procedures in recent years. In certain circumstances (e.g. large veins) it is still appropriate and indicated.

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