Venous Disorders and Treatments

Venous disorders include varicose veins, spider veins, venous ulcers, and other complications such as edema, ankle inflammatory disoders and thrombosis (vein clots). We specialize in state-of-the-art ultrasound evaluation of the deep and superficial veins. In conjunction with a full history and physical examination, we customize treatment for the individual patient.

Treatment options include sclerotherapy for the treatment of spider veins and small and medium size varicosities. Larger varicosities are best treated by a combination of stab avulsion phlebectomy, invaginated saphenectomy and now radiofrequency (RF) ablation (Closure) and Laser ablation. These procedures are specialized microsurgical techniques that result in complete elimination of the varicosities with excellent cosmetic results and little or no scarring. All these procedures are be performed in the office under local anesthetics on a walk-in/walk-out basis. Advanced disease is often complicated by stasis dermatitis of the ankles, celluitis, ulcerations, and thrombosis (clots). These may require the use of all surgical techniques along with medical management. Medical management options include anti-coagulant, anti-inflamatory, and analgesic drugs as well as specialized compression bandages and stockings.

The new endolumnal treatment options (Closure and Laser ablation) are highly effective and compare favorably to invaginated stripping. These procedures are used on the larger varicose veins, in particular the saphenous veins and tributaries.

Insurance coverage is based on documentation of medical necessity recorded on the history and physical examination and ultrasound findings. Our staff will communicate with your insurance and provide them with all documentation necessary in order to facilitate determination of benefits and coverage.