Varicose Veins Masthead

Tired of feeling like you're looking down at someone else's legs? Say goodbye to the discomfort and embarrassment of varicose veins!

VARICOSE Veins Closeup

Varicose veins are bulgy, swollen, dark blue or green veins that most often appear on legs. They can be caused by factors such as heredity, pregnancy, hormones, trauma, or constant walking and standing. In many instances they can cause great discomfort or could be the sign of a more serious vascular issue.

A varicose vein has a damaged or malfunctioning valve allowing blood to collect in the vein, which causes them to swell and turn darker in color. Often the primary culprit is the Great Saphenous Vein (GSV) that runs from the groin to the foot and/or the Small Saphenous Vein (SSV) that runs from the back of the calf to the lateral ankle. In many cases, varicose veins also cause discomfort, including heaviness, fatigue, restlessness, itching, throbbing, or an aching sensation.


Treatment for varicose veins has become quite common. However, as this is a vascular concern, it is important that varicose veins are treated by a qualified physician. Health First Vascular & Vein Center physicians are highly-trained Vascular Surgeons and Interventional Radiologists who specialize in leg treatments. Treatments provided by Health First Vascular & Vein Center experts include:

Compression Therapy

Compression Therapy utilizes compression stockings that the patient wears for a period of time to alleviate symptoms. While it is the most conservative approach to care, this is only a temporary solution that does not prevent further vein damage.

Thermal Ablation

This treatment is designed to render the vein useless using a heat treatment from a laser or radio-frequency catheter. Working from the inside of the vein, the catheter or laser is used in conjunction with a tumescent solution to apply heat. In time, the vein scars and then disappears providing a long-term solution to the damaged vein. This procedure requires a local anesthetic and ultrasound.

Walking immediately after the procedure is encouraged. Normal daily activity can be resumed quickly (just avoid rigorous activities, such as gym workouts). There may be minor soreness and bruising. Any discomfort can be treated with over-the-counter, non-aspirin pain relievers as needed. Compression stockings should be worn as directed by your physician.


This option uses an injection of a chemical solution, sclerosant, to damage the lining of the vein causing it to close and disappear. This procedure is quite simple and effective. Patients often comment that a slight burning or cramping sensation is felt during the injection but subsides in a few moments. Sclerotherapy generally does not require any recovery time and you should be able to walk immediately after the procedure. Avoiding strenuous exercise for a few days is typical and you may need to wear compression stockings for a period of time as directed by your physician.


A phlebectomy is a long-term cosmetic solution to return legs to their smooth, non-veinous appearance by removing damaged veins through a small incision. This procedure is often done on an outpatient basis. Your physician will numb the area with a local anesthetic and make a very small nick in the skin at the site. After cleansing and anesthetizing the skin, a series of incisions no larger than a pencil eraser are made in the skin next to the enlarged vein. A phlebectomy hook is inserted under the surface of the skin to remove the varicose vein through the tiny incisions. This procedure is usually completed between 30 minutes and one hour. The incisions made during the procedure are so small that no stitches are required.

When the procedure is complete, your leg(s) will be wrapped in a comfortable but snug compression wrap. You'll need to wear compression stockings for approximately two to three weeks following the procedure, and as long as the stockings are worn, you should be able to resume daily activities within 24 hours. Strenuous activities will be limited for approximately two weeks.

"As a 39 year old with painful varicose veins for the past 10 years, Dr. Ramadan made my legs look and feel great. I couldn't be happier with the results."

- Jan M.

Next Steps

Get ready for summer legs year round!

Health First Vascular & Vein physicians are trained to handle any level of care with results that leave you confident and healthy.

Get the Facts

Learn more about Health First Vascular & Vein in this informative brochure.


Quick Quiz

Take this quick quiz to see if you should schedule an appointment with one of our physicians.

Based on your answers, we recommend that you schedule an appointment so we can learn more and recommend treatments that will be right for you.

Based on your answers, you may not show signs of varicose or spider veins but we recommend you schedule an appointment so that we may be certain.


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