A physical exam with an experienced physician is critical because venous insufficiency can be a complex disease. Symptoms can include lower extremity edema, varicose veins, aching burning, and itching. The physician will address the patients concerns and then perform the physical exam. If clinically indicated further testing will be performed.
A state of the art vein mapping ultrasound will be done to access your entire venous system. The test will be performed by an experienced registered ultrasound technician. The vein mapping will provide the physician with a detailed view of your entire system, which cannot be obtained by just looking at the veins on the surface of the skin. This test is necessary for the physician to provide the patient with the correct treatment.
Endovenous Laser Therapy is a minimally invasive procedure for the treatment of venous disease. It produces superior results and has minimal side effects. This out patient procedure is performed here in our office using only a local anesthetic. Using a thin laser fiber, the laser energy will be delivered to the inside of the faulty vein to seal it permanently. Walking is required immediately following the procedure. There maybe minor bruising and soreness that can be treated with over the counter, non-aspirin pain relievers if necessary.
Sclerotherapy is used for the treatment of spider veins. We use a sclerosing agent that is the safest on the market today, which is called polidocanol. The agent is injected into the vein causing it to collapse and no longer carry blood flow. The vein will eventually be absorbed into the body. Possible side effects include minor itching or stinging at the injection site.
Phelbectomy is the removal of varicose veins through a series of small skin punctures. A local anesthetic is used and there is typically minimal scarring. It is encouraged that you have Endovenous Laser therapy before you have this procedure performed.