All vein centers and vein doctors have different protocols for the treatment of varicose and spider veins. Some vein doctors focus on cosmetic relief — they treat spider veins without addressing the root cause, increasing the risk of vein disease. Some vascular surgeons provide complex vascular surgeries that involve extended downtime, even though minimally invasive procedures are just as effective and more convenient.
The board-certified vascular surgeons at our vein treatment centers in New Jersey follow three principles with vein treatments — comprehensive vein care, personalized vein treatments, and minimally invasive vein treatments. Below, we provide a step-by-step overview of our spider vein and varicose vein diagnosis and treatment process.
Step 1: Diagnose the root cause of varicose and spider veins
Your spider vein and varicose vein treatment starts with a diagnosis and initial consultation. The vein doctor examines your leg veins and asks about your symptoms, such as leg heaviness, frequent leg cramps, restless leg syndrome, and leg swelling. After the initial consultation, the vein doctor administers vascular imaging tests, such as duplex ultrasound, to visualize the blood flow in your leg veins, thus revealing chronic venous insufficiency.
Step 2: Curate a personalized vein treatment plan
We curate a personalized vein treatment plan based on your symptoms, diagnosis, and medical history. The vein doctor will discuss all of your vein treatment options, highlighting the advantages and drawbacks of each treatment. We give you all the information necessary to make an informed decision. Furthermore, you receive a complete overview of your vein treatment cost before the procedure, so there’s complete transparency.
Step 3: Treat chronic venous insufficiency
If you have chronic venous insufficiency, your primary vein treatment may start with the following minimally invasive procedures — radiofrequency ablation, endovenous laser ablation, venaseal. The vein doctor will make a small incision on the skin’s surface to insert a catheter and channel thermal energy, laser energy, or medical adhesives into your diseased vein. The diseased vein will collapse or seal shut, and the accumulated blood will reroute into healthier veins.
Step 4: Treat superficial varicose and spider veins
After the primary vein treatment, the vein doctor will treat superficial varicose and spider veins. Ambulatory phlebectomy is a minimally invasive procedure for superficial varicose veins — the vein doctor extracts the varicose veins through small incisions on the skin’s surface. Sclerotherapy is the ideal treatment for spider veins — the vein doctor injects a medicine called sclerosant into the spider veins to make them shrink and fade away.
Step 5: Discuss your aftercare guidelines
Minimally invasive spider vein and varicose vein treatments conclude within an hour with no downtime. You have to wear compression stockings for a few weeks after the procedure, but there’s no downtime or considerable activity limitations. You can resume your daily activities immediately. Your vein doctor will discuss the aftercare recovery guidelines, following which you can leave the vein clinic.