Woman Doc
"There is absolutely no reason you should live with varicose or spider veins."

What causes varicose veins?
The basic cause of varicose veins is gravity. Non-varicose veins fight gravity by having valves that prevent blood from flowing backwards.
What causes spider veins?
Spider veins are small, surface veins that are red or blue and shaped like a spider web or tree branch.
How do I prevent varicose and spider veins?
Nothing can prevent varicose and spider veins for sure, but the following can improve your chances and reduce the symptoms caused by your existing varicose or spider veins
Compression Stockings
Compression stockings, along with lifestyle changes, are part of conservative therapy for varicose veins which many doctors will try first.
Sclerotherapy is the time-tested "gold standard" treatment for varicose and spider veins. It is a non-surgical procedure that can be performed in-office, in under an hour, and without anesthesia.
Ultrasound Guided Sclerotherapy
Ultrasound Guided Sclerotherapy is an advancement of sclerotherapy developed to treat varicose veins that are too large for traditional sclerotherapy or are hidden.
Microsclerotherapy is used for the smallest veins, such as spider veins.
Endovenous Laser Ablation
Endovenous Laser Ablation is a non-surgical method of treating varicose veins.
Endovenous Radiofrequency Ablation
Endovenous Radiofrequency Ablation is a non-surgical method of treating varicose veins.  A catheter is inserted into the vein and pulled along its route to seal it with heat. It treats the underlying veins that cause varicose veins without the side-effects of traditional surgery. VNUS Closure™ and VNUS ClosureFAST™ are two methods commonly in use.
Intense Pulsed Light
Intense Pulsed Light is a method for treating spider veins.  Light is directed on to the vein which causes it to heat up and collapse.  The vein turns into invisible scar tissue.
Laser Therapy
Laser Therapy is a method for treating spider veins and small varicose veins.  A laser is pulsed on to the targeted vein.  The laser heats the vein causing it to swell shut.  It then clots and eventually turns into invisible scar tissue.
Vein Stripping & Ligation
Surgical Stripping is a surgical procedure used to treat varicose veins.  It is performed under general anesthesia. Two incisions are made.  The vein is then tied off and removed.

Intense Pulsed Light

Overview: Intense Pulsed Light is a method for treating spider veins.  Light is directed on to the vein which causes it to heat up and collapse.  The vein turns into invisible scar tissue.

What it treats: Spider Veins

Pros: Non-surgical. Convenient. No downtime.

Cons: Usually requires multiple treatments.  Can cause skin irritation.

Alternatives: Sclerotherapy, Laser Therapy

How it works: The light is of a frequency that won't be absorbed by your skin, but will be by the veins.  This causes them to heat up.  When the sides of the vein stick together, the vein seals up.  It then turns into scar tissue.

Consulting your doctor: You should bring any documents necessary to give your doctor an accurate medical history, including recent illnesses and any allergies that you have.  Make a list of the medications and supplements that you are currently taking as well as the symptoms that you are feeling.  Write down any questions that you have ahead of time and bring them with you.  Make sure you understand your doctor's answers. Write down any instructions your doctor gives you regarding restrictions before the procedure.

Procedure:  The procedure usually takes about half an hour.  Some patients feel mild discomfort.

Recovery: No downtime. Most people are able to return to work and resume activities immediately following treatment. You should be able drive home. 

Results: Following each treatment, skin may appear red and flushed for up to 12 hours, and/or brown spots may become darker. However, redness usually disappears within an hour, and brown spots fade over the course of 1-5 weeks. Up to 5 treatments may be required.

Possible side effects: Rarely burning or scarring may occur.

Cost/Insurance: Not covered by insurance.  Costs can very; please call your provider.