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.


Varicose & Spider Vein Treatments...

DIAGNOSIS

The first step in any comprehensive treatment of varicose or spider veins is to perform an adequate diagnosis of the underlying problem. A physical exam of the legs will determine any signs of swelling, bulging veins, and any sign of disease. The appearance of your legs will initially help the doctor assess the causes and appropriate level of disorder to determine a corresponding treatment plan.
If the doctor determines that a problem may lie beneath the skin, he may want to do a painless ultrasound of the area to provide him with a 3D mapping of your veins. This ultrasound allows the doctor to see beneath the skin and can determine valve failures, signs of obstruction, and any other signs or concerns.

EVALUATION

After the consultation, investigation, exam, and possibly an ultrasound mapping, the doctor will determine a treatment plan and review this plan with you. Many times, surgery is not the first choice and several corrective measures can be prescribed on a "wait and see" basis.

TREATMENT

Thankfully, there are many treatment plans today that weren't available just a few years ago giving the patient many options to choose from. Surgical stripping was once the only available vein treatment. Multiple incisions were made and the vein was snipped and pulled out. While this procedure is still used today and is safe and effective, it involves heavy sedation, significant recovery, and scars. Additionally, there is a fair incidence of new vein growth off the left over vein. Luckily, with the advent of science and lasers, newer, non-invasive techniques have emerged.
Many physicians today feel that the best technologies to treat these veins are laser and radiofrequency.

A. Lifestyle Changes – Often, if treated early enough, simple lifestyle changes can result in the prevention of or at least the diminishing of the symptoms of varicose veins. These prescriptions might include exercise, diet changes, looser clothing, weight loss, and a change in your sitting/standing routine at work.

B. 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 the selling or pooling of fluids. These stockings are worn daily and come in a variety of styles and colors.

C. Sclerotherapy –  Sclerotherapy is a medical procedure used to treat varicose veins and "spider veins". Sclerotherapy involves an injection of a solution (generally sodium chloride) directly into the varicose vein. The solution irritates the lining of the vessel, causing it to swell and stick together, and the blood to clot. Over time, the vessel turns into scar tissue that fades from view. Sclerotherapy is a well-proven procedure and is considered to be the "gold standard" for varicose veins. Sclerotherapy has been in use since the 1930s.

D.  Laser - A catheter (like an IV) is placed in the target vein, the vein is surrounded by numbing fluid to make the vein smaller and protect the surrounding skin and tissues, and the device heats up and destroys the vein. A laser fiber is then placed inside the vein through the catheter and destroys the vein from the inside. This is done with local anesthetic, no downtime, and very little discomfort. This procedure is commonly referred to as Endovenous Laser Therapy or EVLT™ by one manufacturer, or CTEV™ by another. There are several manufacturers and wavelengths. Currently, evidence shows that the wavelength of 1320nm (which is CTEV™ by Cool Touch™) is probably the best laser available.