Painful Legs and Painful Varicose Veins
Over the last decade, there have been major advances in the minimally invasive approach to vein problems. The key to proper treatment is the correct diagnosis of the root cause of the vein problems of the leg. We start with a careful history and physical examination to identify risk factors along with the signs and symptoms of venous disorders. The next step is the use of noninvasive ultrasound diagnostics to create a road-map of the venous system to identify and locate valve dysfunction. Only then can an appropriate treatment plan be developed. If ultrasound evaluation identifies that the valves of the saphenous vein or perforator veins are not functioning normally, a minimally invasive catheter based treatment can be used.
There a number of FDA approved procedures for closing veins with valve dysfunction. These include the Venefit procedure, where the vein is closed using radiofrequency energy, the Clarivein procedure using both chemical and mechanical methods to close the vein and Varithena, a versatile foam injection treatment to close the selected vein. The choice of procedure may depend on the anatomy of your veins and what your insurance company will cover. These treatments are covered by most health insurance plans.