If you have varicose veins, there are a number treatment options available, but how do you know which one is right for you? The varicose vein treatment recommended for you will depend on a number of factors like the depth and size of your problem veins, your overall vascular health and the recovery time. Chances are your care plan will include one or more these traditional treatments offered at a vein clinic.

Vein Mapping

The doctor will start by accessing the blood flow pattern in your legs using a duplex ultrasound. The goal is to locate all the problem areas and make a diagnosis. With the ultrasound technology, the vascular surgeons can see all the veins and how the blood flows, plaque formation that may affect your cardiovascular health and other potential problems like blood clots. The ultrasound is a tool that allows the staff to determine which treatment options benefit you the most.


Endovenous laser treatment is a minimally invasive, high-tech procedure to eliminate varicose veins. The surgeon administers a local anesthetic and then makes a tiny incision. Using an ultrasound for guidance, the doctor inserts a catheter into the incision and threads it down to the diseased vein.

The catheter uses a laser to generate heat that causes the vein to collapse. Once closed, the body changes the route for blood flow to utilize healthy veins. The varicose vein is eventually absorbed by the body.

EVLT take less than an hour to complete and the patient is able to return to normal activities right away. The surgeon may prescribe compression stockings to aid in healing and promote good blood flow in the legs.

Transdermal Laser Treatment

The Transdermal laser system works from the outside. Since there is no incision, it is an option when treating problems close to the surface such as spider veins. The surgeon heats the veins using pulsed light therapy, irritating them enough that they close. The procedure takes just a few minutes and there is only minor discomfort. The patient can return to work afterward.


Sclerotherapy is reserved for spider veins and small varicose veins. The doctor injects the vein with a solution that irritates the walls until they fold. For deeper veins, foam blocks the blood flow, making the vein useless. As with other treatments, the body reroutes the blood and the vein disappears.

Ambulatory Phlebectomy

Ambulatory phlebectomy allows the vascular surgeon to remove those ugly, twisted veins that pop up on the legs. Small incisions that follow the vein track provide access. The doctor uses a hook to pull the vein out and ties it off before removing it completely. The surgery is done at the vein clinic with minimal recovery time and no hospitalization.

After evaluating your vascular system and making a diagnosis, the staff will go over the treatment options with you, so you can make an informed decision.