Venous insufficiency and varicose vein treatment options

Quality of life is better when you feel comfortable and confident. Let us restore your vein health with long-term results. Following your diagnosis, we’ll discuss treatment options with you. All of our solutions use the latest minimally invasive procedures and technology and require little to no downtime.

Treatment options

Radiofrequency ablation
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A minimally invasive procedure that uses high-frequency radio waves to create heat in the problem vein to seal it shut.

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A minimally invasive surgery in which tiny incisions are made in the skin’s surface to remove bulging varicose veins.

Ultrasound-guided sclerotherapy
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A procedure involving an injection of a material that shuts down the damaged veins using ultrasound guidance. Other veins in the network of blood vessels take over the function of the damaged veins.

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This minimally invasive procedure involves injecting the problem vein with a medical-grade adhesive. Compression stockings are often not required for this procedure. This adhesive closes off the vein and allows blood to route through other healthy veins in your leg. 

Varithena® chemical ablation
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Injection of Varithena® (FDA-approved medication) into problem veins seals them. Varithena fills the vein and causes it to collapse. After the vein collapses, blood flow shifts to healthier veins.

Compression stockings
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Compression stockings can help relieve symptoms associated with venous disease and help decrease the chances of the problem getting worse. Compression stockings also help to prevent blood clots and reduce swelling in the legs. 

Deep venous stenting
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A stent, or woven polyester tube, is placed into deep veins to improve help blood flow by helping to keep the vein open.

Embolization of pelvic varices
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Small coils are inserted into the femoral vein via catheter to clot the blood and close faulty veins in the pelvic area.

Frequently asked questions

Who suffers from vein problems?
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Women have a few more contributing risk factors, but both men and women can develop spider or varicose veins.

Is testing covered by my insurance?
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In the majority of cases, yes. Your health care provider can answer questions specific to your case and insurance provider.

What are the benefits of wearing compression stockings?
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Compression stockings help reduce the symptoms of venous disease and may help prevent blood clots. They apply more pressure at the ankle and less at the top to reduce fluid in the tissues. They can also be used after a procedure to allow the veins to heal and close down properly. Regular use of compression stockings may help prevent worsening of vein disease. Compression stockings need to be properly fitted in order to provide these benefits.

What kind of testing is needed to see if I have varicose veins?
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We typically start with an ultrasound of your leg(s) to determine the extent of your vein disease. The ultrasound is performed in our office and is usually covered by insurance. Your provider will use the results of this ultrasound to create your custom treatment plan.

How do you treat varicose veins?
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A wide variety of treatment options are available depending on your specific case. Faulty veins can be sealed with heat, adhesives and medications, or they can be removed through tiny incisions.

Where will my testing and procedures be performed?
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More than 90 percent of our diagnostic tests and procedures are done in our office. When necessary, procedures are performed at the Fred and Lena Meijer Heart Center or Corewell Health Care Center - 4069 Lake Dr SE.

What can I expect after my procedures?
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Most procedures require very little or no downtime. Our patients routinely return to work the same day. Walking and light exercise are encouraged in the immediate post-procedure period. Air travel and prolonged car rides should be avoided around the time of procedures. Post-procedure compression stockings and light bandages are often required. Discomfort after these procedures is generally mild and controlled with ice and over-the-counter medication when needed.

After getting treated, what can I do to avoid future problems with spider and varicose veins?
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Your best bet is to wear compression stockings. You get improved circulation, relief of symptoms and slower progression of your disease.

Do treatments that seal varicose veins result in less blood circulation in your legs?
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No. The body has a large vascular system. The other veins in your legs will take over to route blood, so you don’t need to worry that your circulation will be compromised.

Can vein disease reappear?
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Yes. Whether you experience spider or varicose veins, treatments to keep pathways sealed are highly successful. Sometimes, a previously injected vessel remains sealed and a new spider or varicose vein is seen in the same area.

What are tips to reduce the chances of developing new spider veins?
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  • Wear sunscreen. 
  • Walk or run regularly to strengthen muscles and circulation. 
  • Maintain a healthy weight to allow optimal blood flow. 
  • Elevate legs when you’re resting. 
  • Wear compression stockings.
What is superficial thrombophlebitis?
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Superficial thrombophlebitis is a blood clot in a superficial vein, which can cause a hard, lumpy, tender vein that can be felt close to the surface of the skin. These blood clots usually do not require patients to take a blood thinner.