Varicose & Spider Veins
You don't have to live with your varicose and spider veins. There are multiple treatment options many of which can be safely performed as in a clinic setting. Insurance coverage is variable for vein treatments, but we can accept self-pay or insurance when appropriate. For self-pay patients, a superbill can be made available upon request.
Venous Duplex Ultrasound
Prior to any vein treatment, we obtain a complete and venous duplex ultrasound study of the affected leg to assess for any old or new clots, determine the degree of valve function, and map the venous anatomy. This exam is essential to planning your treatment.
Compression Stockings
This is usually the first line of defense for preventing and treating varicose veins. These are highly recommended when flying or taking long road trips. They can provide relief for standing professions like nursing. However, the relief lasts only while wearing the stockings. While there are many options out there, we find the best results and adherence with Medi compression stockings.
Sclerotherapy
For spider veins and small varicose veins, treatments with small injections of Asclera® can relieve the discomfort and improve the appearance in your legs. This is considered a cosmetic procedure not covered by insurance.
Minimally Invasive Ablation of the Saphenous Vein
For venous reflux caused by dysfunctional valves in the saphenous vein, treatment with endogenous ablation using ClosureFast® or Venaseal™ offers significant relief in the heaviness and aching in the leg. Patients often notice improvement in the appearance of their varicosities and skin discoloration as well. Coverage of these procedures varies by insurance plan. Self-pay options are available.
Microphlebectomy or Varithena Foam Ablation
For larger varicose veins not treatable with sclerotherapy, there are two options. Microphlebectomy involves small incisions to physically remove the veins under local anesthetic. Varithena™ is a type of foamed sclerosant injection suitable for larger veins. The best option varies by patient. These are most often considered cosmetic treatments not covered by insurance.
Iliac Vein Stenting for Deep Venous Reflux
For patients with significant leg swelling and large varicosities, deep vein obstruction of the iliac vein in the pelvis may be the underlying cause. Although ultrasound is very helpful in the initial diagnosis, a CT scan or MRI typically allow for the best visualization of the obstruction. Iliac vein compression can be treated via venous stenting. This requires an outpatient procedure under moderate sedation. Insurance approval is necessary prior to treatment.
Contact
1733 Woodside Road
Suite 330
Redwood City, CA 94061
650-241-8671
650-942-0737