NCMA Vein Center frequently asked questions
How to know when you need vein treatment
The presence of a few common symptoms in your lower extremities could indicate you should be evaluated for vein treatment. Some of these symptoms include:
- prominent veins or varicose veins
- leg pain or aching
- spontaneous bleeding from veins
- non-healing ulcers
If you have one or more of these symptoms and they do not improve, that’s a good indicator you may benefit from evaluation and testing by a vein specialist for proper treatment. Most venous conditions can now be treated by in-office procedures that are non-surgical.
What are the different types of vein procedures?
There are several different kinds of procedures for venous diseases depending on the underlying condition and severity of your symptoms. Common vein procedures include:
- VNUS Closure (radio frequency vein ablation)
- Venaseal Closure (non-thermal adhesive treatment)
- ambulatory phlebectomy
- endovenous laser therapy (EVLT), and more.
Your physician will discuss the best treatment options for venous diseases and will work with you to create a plan to help you achieve your most successful outcome.
Are varicose veins and spider veins the same?
While varicose veins and spider veins often have the same cause, there are differences between them. Varicose veins are large, raised, swollen blood vessels that twist and turn. They can be seen and felt right under the surface of the skin. Varicose veins usually occur in the legs and feet. They can cause a feeling of heaviness, discomfort, swelling or skin discoloration in affected areas.
Spider veins are smaller, red, purple, and blue vessels that also twist and turn. Like varicose veins, spider veins are easily visible through the skin. Generally, spider veins are smaller and thinner than varicose veins and appear directly under the skin surface. Spider veins are sometimes also referred to as telangiectasias, or sunburst varicosities.
Do you treat spider veins at NCMA Vein Center?
Depending on the underlying condition and your symptoms we may be able to offer medically necessary treatment of spider veins.
What is venous reflux?
Venous reflux develops when the valves that keep blood flowing out of the legs and back to the heart become damaged or diseased. This can cause blood to pool in your legs and lead to symptoms such as:
- leg heaviness and fatigue,
- skin changes and skin ulcers, and
- varicose veins.
How bad can venous reflux get?
Venous reflux can cause a range of symptoms in patients, all the way from no or minimal symptoms to severe problems such as chronic skin changes, thrombophlebitis, spontaneous venous hemorrhage and non-healing leg ulcers. Without proper treatment, venous reflux can become debilitating; however, with proper evaluation and targeted treatment, many patients can experience dramatic symptom relief.
What treatment options are available for venous reflux?
NCMA Vein Center offers several treatment options for venous reflux / insufficiency depending on your disease severity and anatomy. One popular treatment is radiofrequency ablation (also known as Venefit or VNUS Closure). It is a minimally invasive outpatient procedure that leaves minimal scarring at the puncture site. A small tube (less than 2 mm) is inserted into the insufficient vein, which delivers radiofrequency energy to heat the vein from the inside causing your body to form a natural scar reaction to close the vein. Your leg is typically wrapped in a compression dressing for about 48 hours to ensure the scar reaction is complete. Like all procedures we offer at NCMA Vein Center, this is typically done in the office using only local anesthesia, and does not require a hospital stay. Most patients find that the procedure is nearly painless, and the vast majority of patients are back to their usual routine by the next day.
A newer minimally invasive treatment option called Venaseal is also available through NCMA Vein Center. In this procedure an adhesive is delivered through a small tube (less than 2 mm) directly into the insufficient vein to cause immediate closure. The procedure is also done under local anesthesia, typically performed in the office and in most cases takes half an hour or less to complete. Patients can return to work immediately and do not require use of post-procedure compression stockings, unlike radiofrequency ablation.
- Vishal Patel, MD, Director