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How do you determine whats the right treatment for my veins?

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Video Overview

How do you determine what's the right treatment for my veins? When patients come in with vein problems they can often be broken into two categories: patients with spider veins and patients with varicose veins. Patients with spider veins are typically treated with injections. This treatment is called sclerotherapy. Sclerotherapy involves injecting a sclerosing agent, which is an FDA approved medication, into the vein to cause the blood to be evacuated from the vein and then cause inflammation of the spider vein. The spider vein then swells and goes through a period of healing. After that period of healing, the spider vein is absorbed by the body and the visible veins that were seen previously are gone. With regards to varicose veins, this is often a manifestation of chronic venous insufficiency. Patients with varicose veins require more extensive workup prior to deciding on a treatment plan. These patients will require careful physical exanimation by their doctor, a thorough history of their vein problems and an ultrasound to look at the veins of the leg and assess for any underlying venous problems. Once the venous problems are identified in the leg most patients can be treated with a minimally invasive procedure that is done without the need for general anesthesia on an outpatient basis. This procedure involves sealing off the dysfunctional veins in which the values are no longer working. It is done in about twenty minutes; most patients walk into the office and walk out without much downtime. If they have large veins that do not completely respond to this, some patients require micro stab phlebectomy. This term refers to making tiny incisions, overlying whatever residual veins are left, and pulling them out through the skin using a phlebectomy.This procedure is also done in the office and is very safe and very effective.

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