Capitol Vein Blog

Saturday, March 12, 2011

Eliminate the Underlying Case of Abnormal Veins























Before and after pictures of a patient after modern vein care.

No matter where you seek care, the treatment plan for your varicose veins should be designed to eliminate the underlying cause of the abnormal veins, as well as restoring a normal appearance to your leg. The dilated veins in the photograph on the left are unhealthy and carry the risk of blood clots and leg discomfort. Treatment of veins like these usually requires multiple steps.  

The first step is closing down a leaking superficial trunk vein, such as the Great Saphenous Vein, with a vein ablation procedure such as VNUS Closure, ClariVein, or EVLT. These procedures will correct the cause but will not eliminate the bulging veins on the surface of the leg.

The next step is to eliminate the bulging veins by microphlebectomy, removal of the veins through tiny incisions that heal without a trace. Microphlebectomy is performed in the office under local anesthesia. Recovery is brief with return to work and activity promptly.  These veins will not "go away on their own" and they will not be adequately treated with sclerotherapy injections. In one thirty-minute microphlebectomy, the veins are gone forever. With sclerotherapy, multiple visits and many injections are required, there is significant cost that is usually not covered by insurance, and patients often experience unsightly staining of the skin.

The ability to restore the leg to a healthy, normal appearance is well within our ability with modern vein care. Some patients who present late in the course of their venous problems have skin changes that are permanent or veins that are so extensive that improvement, but not vanishing of the veins, is the achievable endpoint. Dr. Garth Rosenberg and I are both board certified in Vascular Surgery and in Phlebology, the specialty of vein care. Check out this video on modern vein care or order a copy of our DVD on total vein care.

Ask your doctor what the treatment plan is for your legs and what you can expect your leg to look like when the treatment is completed. It should be much like the before and after pictures displayed above. Veins gone, leg feeling better. How many steps will it take? What is covered by insurance? The patient above had two procedures, both covered by insurance with a very good outcome. That is what you should expect!

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