Treatment Options

Treatment of spider and varicose veins is determined by the extent and severity of the condition. Most procedures can be performed in our clinic, and you will be able to resume normal activity almost immediately. Large varicose veins may require surgery under local or general anesthesia. In most cases you will be able to return home the same day.

Conservative Treatments

Proper care of your legs can help reduce the symptoms of problem veins. It can also slow down the development of new ones. Prevention may include increasing exercise to improve circulation such as walking more, elevating the feet while sitting. maintaining bowel regularity by increasing fiber and avoiding excess weight. Also to be avoided are constricting clothing and shoes with high heels. Compression hose, which are available at most drug stores, help to support the leg veins and aid in circulation. You should also refrain from crossing your legs while sitting.


Sclerotherapy can be used to treat both varicose and spider veins. A tiny needle is used to inject the veins with a medication that irritates the lining of the vein. In response, the veins collapse and are reabsorbed. The surface veins are no longer visible. Sclerotherapy relieves symptoms due to varicose and spider veins in most patients. With this procedure, veins can be dealt with at an early stage, helping to prevent further complications.

You may need anywhere from one to several sclerotherapy sessions for any vein region. Depending on the type and number of veins being treated you may have one to many injections per session. Generally, normal activities can be resumed after sclerotherapy. Medically prescribed support hose and/or bandages may need to be worn for several days to several weeks to assist in resolution of the veins. The procedure, performed in the doctor's office, usually causes only minimal discomfort. Bruising and pigmentation may occur after sclerotherapy. Bruising typically disappears within 1-2 weeks. Although pigmentation almost always fades, it can last for several months. Scarring and other complications are rare.

Endovenous Laser Treatment

Endovenous Laser Treatment is a treatment alternative to surgical stripping of the greater saphenous vein. A small laser fiber is inserted, usually through a needle stick in the skin, into the damaged vein. Pulses of laser light are delivered inside the vein, which causes the vein to collapse and seal shut. The procedure can usually be done in the office under local anesthetic. This makes the recovery time much shorter with a usual return to work in as little as 1 to 2 days. Following the procedure a compression bandage and hose are applied on the treated leg for 3 days. Endovenous Laser Treatment is FDA-approved for the treatment of the greater saphenous vein. It is covered by most insurance plans. For more information on this procedure go to

Ambulatory Phlebectomy

Ambulatory phlebectomy is a method of surgical removal of surface varicose veins. This is usually done in the office using local anesthesia. Incisions are tiny (stitches are generally not necessary) and typically leave nearly imperceptible puncture mark scars. After the vein has been removed by phlebectomy, a bandage and/or compression stocking is worn for a short period.

Ligation and Stripping

Surgical techniques to treat varicose veins include ligation (tying off of a vein), stripping (removal of a long segment of vein by pulling it out with a special instrument). Ligation and stripping is done under general or spinal anesthetic in a hospital operating room and requires hospitalization for several days. It is done for extremiely large varicose veins and recurrent varicose veins after prevoius ligation and stripping.