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Compression therapy

  • 20-30 mm Hg compression hose (medical grade) are often used

  • Elastic bandages

  • Medicated bandages (varicose vein with ulcers)

Ablation therapy (laser, radiofrequency, cyanoacrylate)

  • A catheter is inserted in a vein, which closes the vein after delivering heat or laser or glue treatment to the vein wall.

  • Treatments are equally effective with differing risks and benefits.

  • Treatments are individualized based upon the patient’s clinical scenario


Sclerotherapy (solution, foam)

  • Foam sclerotherapy is used to treat saphenous, accessory, or branching veins not treated by ablation, ligation and stripping, or phlebectomy

  • Sclerotherapy solution is also used to treat smaller veins (less than 3mm -reticular veins, spider veins).



  • Tiny slits are made in the skin over bulging varicose veins

  • The varicose vein is then pulled through the slit in the skin and divided

  • The disrupted varicose vein inhibits pooling of blood in the legs


Vein Stripping and ligation

  • A historic and less utilized procedure since the development of less invasive and more effective treatments (radiofrequency ablation, laser ablation)

  • Incisions are made in the groin and at the knee or ankle region

  • The varicose vein within each incision site is cut/transected

  • A slender tube is placed in the vein through the lower incision and exits the vein in the upper incision

  • The vein is then pulled from the upper incision, and brought out of the lower incision

  • The disrupted vein decreases pooling of blood in the legs after removal of the vein 

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