House Call: Varicose veins treatment options

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Varicose veins are common, affecting twice as many women as men.  In some cases, varicose veins can cause pain, heaviness,and discomfort in the legs, and can also be a sign of underlying health conditions. 

Therefore, it is important to have your varicose veins properly evaluated by a vein specialist.  In some cases, an ultrasound will be administered to examine the cause of leg discomfort. 

In treating varicose veins, the first step is to cut off the pressure source causing the abnormal blood flow.  Two main, office-based treatment options are used to do this:

  1. Endovenous closure - Energy applied by a fiber inside the vein, the lining of the vein is heated causing the abnormal vein to close.
  2. Sclerotherapy - Medicine injected in the abnormal veins to remove the vein lining causing them to close.

Ambulatory phlebectomy is another treatment method used to remove larger, bulging varicose veins through tiny needle punctures. 

Patients no longer have to undergo invasive procedures, such as vein stripping, to get rid of varicose veins. Now, treatment for varicose veins is tailored individually to the patient’s needs. These procedures can be performed in an office setting, while awake, with minimal discomfort, and allow you to return to work and remain active without downtime.  

Recovery is dependent on the ability to walk or exercise immediately after treatment. Our community is fortunate; with an exceptional network of vein specialists and practices dedicated to treating individuals with vein disease on the Cone Health medical staff.

 Spokesperson Background:

Dr. Brent Greenberg is a phlebologist at Carolina Vein & Laser Specialists and a member of the Cone Health Medical Staff. Dr. Greenberg is a 1994 graduate of The Chicago Medical School/University of Health Sciences. He completed his residency in family medicine at Rush University Medical Center.