Treatment Options

We offer a variety of treatment options to help reduce the presence of spider veins and varicose veins. Here, you will find details regarding the treatment options that we utilize to help cure your venous ailments.



Compression Therapy

Compression therapy stockings, or gradient compression stockings, apply a measured amount of compression to your leg as the basis for management of venous conditions and are the first treatment option that you should consider. Gradient compression stockings apply the highest amount of pressure at the ankle and gradually decreases up the length of the stocking. This helps the blood in your veins to flow in the right direction - back toward your heart - even if your veins and valves are damaged. Different stocking lengths are available, depending on the location of the damage in your veins, and gradient compression therapy helps manage and prevent the progression of various vein-related diseases.


How compression therapy works on your leg The different types of compression stockings

Endovenous Laser Treatment

Endovenous Laser Treatment is quickly becoming the gold-standard in the treatment and elimination of varicose veins. Endovenous Laser Treatment uses laser energy, which is simply a highly concentrated beam of light. Medical lasers work by delivering this light energy to the targeted tissue with extreme precision, so as not to affect the surrounding tissue. Lasers have proven their safety and effectiveness through years of use in all types of medical procedures, from eye surgery to dermatology. In the hands of a skilled physician, lasers offer far less risk for complications than conventional surgery.


In Endovenous Laser Treatment, a thin fiber is inserted into the damaged vein through a very small entry point in the skin. A laser light is emitted through the fiber, as the fiber is pulled back through the vein, it delivers just the right amount of energy. The targeted tissue reacts with the light energy, causing the vein to close and seal shut. The veins that are closed are superficial veins that handle less than five percent of the body's blood flow. The blood is automatically routed to other, healthy veins.


How the endovenous laser treatment works on your veins A chart showing where the endovenous laser affects the leg veins

The procedure is minimally invasive and requires no general anesthesia. Only local anesthetic is used to numb the area where the physician is working. Patients are encouraged to walk immediately after the procedure and can resume normal activities the same day.


The EVLT system uses targeted laser energy to seal the vein shut and help you look and feel better fast. The benefits include:

  • Treatment in less than an hour.
  • Can be performed in the doctor's office.
  • Up to 98% success rate.
  • Immediate relief of symptoms.
  • Return to normal activity immediately - with little or no pain.
  • No general anesthesia or hospitalization.
  • Minimal-to-no scarring.


An animation that shows the endovenous laser at work An informational video that discusses the benefits of endovenous laser leg vein treatment

Foam Sclerotherapy

Traditional sclerotherapy involves the injection of a solution that irritates the vein wall, causing it to close up, and is most often used to treat visible spider veins and small varicose veins near the surface of the skin. The blood from the troubled vein is diverted to other veins in the legs after the troubled vein is shut. This treatment can be effective in treating both varicose veins and spider veins. Ultrasound guided sclerotherapy has been used to help better target the troubled veins. The duplex ultrasound technology locates the troubled veins under the surface that cause the bulging in varicose veins. Follow up ultrasound treatment may be required to determine the success of the treatment and provide further treatment if necessary.


How sclerotherapy affects the vein wall Sclerotherapy at work

Foam sclerotherapy uses a foamed solution common to the solution used in traditional sclerotherapy. By mixing the solution with air or another type of gas using mechanical pumps, the solution is given greater surface area, making it more successful in thickening the blood vessel wall and sealing off blood flow. The foam solution does not mix with the blood, as is the case of the liquid solution. Instead it actually displaces the blood, which prevents the solution from becoming diluted.


Sclerotherapy before picture Results after first sclerotherapy treatment Results after second sclerotherapy treatment Results after third sclerotherapy treatment

Advantages of Sclerotherapy include:

  • No downtime
  • Less likely to stain skin
  • Long-lasting results
  • Fewer allergic reactions
  • No scarring


An informational sclerotherapy video Sclerotherapy in the news

Pulsed Light and Laser Treatment

The Palomar laser vein treatment differs from the EVLT by being completely non-invasive, and it is most effective when used to treat spider veins. The Palomar laser device delivers concentrated light that is specifically calibrated to target your leg veins.


The way this treatment works is very simple. The laser handpiece will be moved over your skin, following the length of the vein, pulsing all the while. Each pulse will send a beam of light through your skin. A flashing light, an audible tone, and a mild sensation on the skin will tell you when the handpiece is being pulsed. The light pulses heat the blood within the leg vein. The heat of the blood affects the vessel lining, which causes the vessel to constrict and eventually fade from view.


A video showing a new pulsed light laser treatment Highslide JS The Palomar pulsed light and laser treatment machine

Palomar leg vein treatments are skin-safe and comfortable. The laser delivers its energy in one smooth, gentle pulse, to protect the skin from a sharp rise in temperature. In addition, a chilled water supply runs through the laser handpiece, down to its tip. Since the handpiece tip is in contact with the skin during treatment, your skin is continually cooled, so that you feel little heat from the laser pulses.


If you are interested in this non-invasive laser treatment, be sure to ask us for more information.


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