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
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
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.


 

Sclerotherapy

 

Sclerotherapy is a non surgical solution to varicose veins
Overview: 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.


What it treats: Spider veins in the face or legs and small to medium varicose veins in the legs.  Ultrasound-Guided Sclerotherapy can be used to treat larger veins that are hidden. It can also be used in combination with Microphlebectomy to treat larger veins.

Pros: No scarring. Convenient. No downtime. No anesthesia.

Cons: Usually requires multiple treatments. Does not prevent new veins from forming, only treats existing veins.

Alternatives: Laser Therapy and Intense Pulsed Light for Spider Veins.  Endovenous Ablation (Laser and Radiofrequency), Phlebectomy and Laser Therapy for Varicose Veins.

How it works: The goal of Sclerotherapy is to cause the target vein to collapse upon itself.  This is achieved by injecting the vein with a sclerosing solution (generally sodium chloride) that causes the vein's walls to swell and stick together. Over a few weeks the sealed-off vein fades from view as it 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.
Your doctor will examine your legs checking for signs of any underlying conditions.  She may or may not use ultrasound for this.  If there are any underlying conditions, they should be treated before or at the same time as the visible problems.  If not, the problems will recur. Write down any instructions your doctor gives you regarding restrictions before the procedure.

Procedure:  The procedure can usually be performed in your doctor's office.  A very fine needle will be used to inject the sclerosing solution into the target veins.  The procedure should be generally painless.  The injection might sting for a few seconds. You also might feel temporary cramps along the vein.  The treatment should take 15 to 45 minutes.

Recovery: No downtime, No anesthesia. Most people are able to return to work and resume most activities immediately following treatment. You should be able drive home. 
You will be instructed to wear compression stockings or wraps for up to two weeks following the procedure. This is to keep the veins close together and prevent blood from pooling.  This can prevent dark sport from forming and may prevent recurrence.  You should also avoid direct sunlight.

Results: Each sclerotherapy session typically results in elimination of 50 to 80 percent of the injected veins. Large varicose veins do not respond as well as small ones/ A few (less than 10 percent) of people do not respond to the injections at all.  Most people require two to four treatments.

Possible side effects: Risks include the formation of blood clots in the veins, severe inflammation, adverse allergic reactions to the sclerosing solution and skin injury that could leave a small but permanent scar. The brown discoloration following injection of sclerosing solution can persist for a number of months, and occasionally up to a year.

Cost/Insurance: These vary greatly based on provider and geographic region.  Please check with your insurance company and doctor.