varicose vein treatments

Varicose veins can be visible on surface of the legs, or can be hidden beneath. They are almost always related to venous insufficiency a progressive medical condition. Untreated varicosities can lead to complications such as hemorrhages, vein phlebitis, thrombophlebitis, dermatitis, leg ulcers and even deep vein blood clots or DVT.

Despite advances in medicine there are still only two types of varicose veins treatments available today:

Conservative: wearing gradual compression stockings, walking, weight loss, etc.
Corrective Destruction of incompetent vein from circulation by EndoVenous Laser Ablation, Ultrasound Guided Sclerotherapy, VNUS Closure, Ambulatory Phlebectomy, VenaSeal, or other methods approved by FDA

In our clinic we can offer all FDA approved methods of varicose vein treatments. Some methods are less popular with patients, due to very high cost of medical components or unfavorable insurance coverage.

VARICOSE VEINS TREATMENTS:

#1 - Endo Venous Laser Treatment(EVLT) also known as Endo Venous Laser Ablation (EVLA) is one of the most recommended treatments for varicose veins. During this minimally invasive in-office treatment, a thin laser fiber is inserted into the varicose vein via a needle or introducer through the skin. Local anesthetic is injected into saphenous compartment, along the length of the vein. This “liquid padding” around the vein protects nearby nerves and tissue, from heat created by ablation and numbs the entire treated area. Pulses of laser light are delivered to the damaged vein, which causes the vein to seal shut and be cut off from blood circulation.

#2 - Ultrasound Guided Sclerotherapy (Echo-Sclerotherapy)- A technique that utilizes ultrasound imaging to visually guide a needle into the varicose vein (not visible on skin surface) that is later injected with FDA approved, liquid or "foamed" sclerosant. Ultrasound guided sclerotherapy permits treatment of tortuous varicosities and varicose veins below the surface of the skin or in hard-to-reach areas.

#3 - Compression Sclerotherapy - The most common treatment for reticular and spider veins. Injections to small surface veins are done with very thin needles that feel like mosquito bites. The number of treatments needed will vary from patient to patient. Short-term post-procedure bruising is quite common. Pigmentations, if they occur, fade away but might last for several months.

Stab Phlebectomy/ Ambulatory Stab Phlebectomy - A method of surgically removing bulging, ropey varicose veins. Depending upon diameter of the bulging varicosity, tiny incision is made next to the vein with a needle or scalpel, and a small hook is inserted into the opening. The varicose vein is then grasped and removed. Incisions and punctures often do not require stitches and leave only small scars. Once a very popular option among patients due to immediate results, this procedure is being slowly eliminated by foam sclerotherapy.

VNUS Closure - Radiofrequency Endovenous Ablation (RF)
Radiofrequency Endovenous Ablation was first introduced back in 1999 VNUS procedure, EndoVenous Laser Ablation (EVLA) technique was developed few years later.
Vein Closure techniques and equipment have evolved and improved over the past two decades.
VNUS/RF procedure is still being performed by some physicians, however due to bulkiness of the catheter, when compared to thin and flexible laser fiber, VNUS/RF is no longer offered in our clinic.
With the introduction of the 1470nm diode laser for EndoVenous Laser Ablation, as of today EVLA is still the most reliable method of treatment main axial veins.

VenaSeal Procedure – vein closure with medical grade adhesive
Just because procedure has been approved by FDA it is not necessarily the best and safest method on the market. If you have your mind set on VenaSeal please research Article published by Phlebology: The Journal of Venous Disease on October 30, 2023 : "899 serious adverse events including 13 deaths, 7 strokes, 211 thromboembolic events, and 482 immune reactions: The untold story of cyanoacrylate adhesive closure”
Our goal is to offer only safe and reliable methods of treatment - Closure of veins with medical glue is NOT offered in our clinic

All treatments are performed in our clinic with use of local anesthesia
No hospital, no need for general anesthesia

Most patients are able to return to normal daily activities immediately after procedure
Patients whose work involves constant squatting, climbing ladders, scaffolding, roofers etc might need to refrain from certain activities
Our physician Dr Jozef Tryzno, personally performs all venous ultrasound evaluations and all procedures

Dr. Tryzno is a Diplomate of the American Board of Venous and Lymphatic Medicine (formerly known as the American Board of Phlebology) holds a Registered Vascular Technologist credential from the American Registry of Diagnostic Medical Sonographers, and has been recognized for his expertise numerous times.
Dr. Tryzno was one of the first providers in USA to use VNUS closure procedures to treat varicose veins, just after its FDA approval in 1999. Soon after, Dr. Tryzno pioneered the use of endovenous laser ablation (EVLT) in the treatment of varicose veins.

We are confident that you will not be disappointed if you schedule an appointment with Dr Tryzno. Contact our office today to get started.
Call: (847) 518-9999