Vein Treatment Options: Yesterday and Today

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Vein Treatment Options

Humans have suffered from varicose veins and searched for a solution since the dawn of time. Some of the earliest treatments evolved into the sophisticated procedures surgeons now use to eliminate swollen, twisted blood vessels known as varicose veins. Today, there are several safe, minimally invasive vein treatment options to reduce the appearance of varicose veins.

The Ebers papyrus, dating from about 1550 BCE, was the earliest document to discuss varicose vein treatment. Hippocrates once suggested making tiny holes in varicose veins followed by compression. Aulus Cornelius Celsus (25 BCE – 50 AD) removed varicose veins with a tiny hook, which is an extremely early version of a varicose vein treatment performed today.

Your Vein Doctor Offers Advanced Vein Treatment Options

Centuries of discoveries and countless advances in medical technology allows your vein doctor to offer the safest, most effective vein treatment options ever available for both varicose veins and spider veins.

Duplex ultrasound

Treatment often begins with duplex ultrasound, which uses the power of sound waves to create instant images of blood vessels and the blood flowing within them. Duplex ultrasound is a pain-free, non-invasive procedure that helps your vein doctor diagnose vein problems and to check veins after treatment to make sure they have responded to therapy.

Endovenous laser treatment

Endovenous laser treatment (EVLT) harnesses the power of light to treat varicose veins. The laser closes the diseased vein so that the vessel no longer carries blood. The body reroutes blood flow through other veins. In time, the treated vein breaks apart and is absorbed by nearby tissue.

Your vein doctor, also known as a vascular surgeon, will use ultrasound to guide EVLT treatment. This treatment takes only about a half an hour and requires only local anesthesia. Your vascular surgeon can perform EVLT at your local vein clinic; you can go home after the procedure and resume normal activities within about 24 hours. You can expect very little pain, if any.

Ambulatory phlebectomy

Ambulatory phlebectomy is another outpatient procedure for varicose veins. Vein surgeons perform ambulatory phlebectomy by making a series of tiny incisions in the skin just above the diseased vein then pulling small sections of the vein through those incisions. Ambulatory phlebectomy effectively treats larger varicose veins and may be used in conjunction with other varicose vein treatments.


Sclerotherapy is a safe and effective treatment for spider veins, which are similar to varicose veins but smaller. Vein surgeons perform sclerotherapy by using a needle to inject a chemical irritant, known as a sclerosant, into the diseased vein. The sclerosant irritates the inner lining of the vein, which eventually collapses and disintegrates. Sclerotherapy takes only about 10 minutes per session; patients often require multiple sessions for complete relief.

Transdermal laser treatment

Transdermal laser treatment, also known as pulsed light therapy, uses the power of light to treat spider veins.

For more information on modern vein treatment options, make an appointment with your local vein clinic. Your vein doctor can help you decide which varicose vein or spider vein treatment option may be right for you.