Varicose and Spider Vein Treatments

Varicose and Spider Vein Treatments

Located in the greater metro Denver area, RIA Endovascular offers comprehensive, leading-edge varicose vein and spider vein treatment. Our interventional endovascular physician experts are recognized as top physicians by both physician peers and prestigious best doctor awards. Our physicians and staff perform both cosmetic and medically necessary vein treatments, and are experts in venous reconstruction.

Our diagnostic evaluation helps to determine whether your varicose veins are cosmetic, or a symptom of greater venous disease elsewhere in the body. RIA Endovascular’s experienced physician leaders have performed thousands of venous and arterial procedures — not just on legs — in our office outpatient clinic and in hospital settings. You’ve come to the right place! See before and after photos.

Read the article in MD News — Healthy-looking legs- more than just a cosmetic concern?

What are varicose veins?

Varicose veins are enlarged, abnormal veins close to your skin. Any vein in the body may become varicose, but the most commonly affected areas are in the legs and feet. All people have valves in their veins which route blood towards the heart. If the valves are not functioning properly, blood can pool in the legs. This results in extra pressure in the veins, causing dilation and a bulging, ropey appearance.

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What are spider veins?

Spider veins are often called venular ectasias and are small varicose veins. These are small blood vessels are most often seen on the upper front and lateral thighs,

inner thighs just above the knees and on the feet and ankles. These veins are connected to larger blue veins, called reticular, or ‘feeder’ veins. These veins can put pressure on the smaller veins, causing them to dilate and become increasingly visible. Moms often develop spider and varicose veins as a result of pregnancy. Spider veins are usually treated by sclerotherapy or foam sclerotherapy.Before-After-Female-VV-Spider-Bottom-Heavy-Leg

For many people, varicose and spider veins are simply a cosmetic concern. For other people, varicose veins can cause aching pain and discomfort. Sometimes the condition leads to more serious problems such as leg ulceration and skin discoloration. If this happens, you should seek immediate medical advice.

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What is the incidence of varicose veins?

Varicose veins are a common condition in the United States, affecting up to 60 percent of all Americans.

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What are the symptoms of varicose veins?

Varicose veins may or may not be visible. Such veins may or may not cause any symptoms. Symptoms of varicose veins include:Before-After-Male-VV-Cascading-Ropiness-Left

  • An achy or heavy feeling in the legs
  • Burning, throbbing, or muscle cramping in the legs
  • Swelling in the lower legs
  • Brownish-gray discoloration around the ankle
  • Itching skin over the varicose vein
  • Non-healing skin ulcers around the ankle – This represents a serious form of vascular disease requiring immediate attention.

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What are the risk factors for varicose veins?

The following are risk factors that can increase the chances of developing varicose veins:

  • Female

    Before and after photo

    Even if a condition appears to be in your legs, the interventional radiologists at RIA Endovascular are trained — and will take a holistic look — at whole-body endovascular issues. Perhaps the issue actually originates at a higher point in your body,

  • Over the age of 30
  • Overweight
  • Family history of varicose veins
  • Pregnancy (particularly repeated pregnancies)
  • Prolonged sitting or standing
  • Injury to the veins
  • Blood clots
  • Conditions that increase pressure in the abdomen, such as liver disease, fluid in the abdomen, previous groin surgery or heart failure

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Are there self-help measures for varicose veins?

Yes! The following self-help measures may alleviate the discomfort and slow the progression of existing varicose veins.

  • Do not sit or stand for prolonged periods of time
  • Maintain a healthy weight.
  • Exercise regularly.
  • Wear compression stockings.
  • Regularly elevate legs.
  • Avoid tight clothing and high heels.
  • Don’t sit with your legs crossed.

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How are varicose veins diagnosed?

Non-Invasive Vascular Assessment

An RIA Endovascular sonographer will map your leg veins to determine the source of venous insufficiency, so we can determine optimal vein treatment. This diagnostic test is generally covered by insurance, but check with your insurer to be sure.

To determine if you have varicose veins and  to find out whether they are problematic, you may first undergo a specialized type ultrasound. This procedure, called a noninvasive vascular assessment (NIVA), takes approximately 1/2 – 3/4 hour per leg.

NIVA uses Doppler ultrasound to evaluate the circulatory system.  Ultrasound, also called sonography, is an exam that uses sound waves to obtain images of the inside of the body. These high-frequency sound waves are far above the range of human hearing.

The different body tissues reflect the waves back in varying degrees. The echoed waves are recorded and displayed as a continuous real-time image on a computer monitor. Since the images are real-time, ultrasound has the benefit of allowing the radiologist to see organs in motion.

This specific exam, called Extremity Venous NIVA, helps to evaluate the movement of blood flow and valves in your legs, as well as blockages and blood clots.

The NIVA exam assists in assessing blood flow through the veins to definitively diagnose varicose veins. The information from   to determine and plan optimal vein treatment.

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How can varicose and spider veins treated?

In many cases, we combine some of the therapies below to create the right treatment plan for you. See how great your legs can look…and feel. Procedures to treat spider and varicose veins include:

You can get an overview of veins, procedures and meet our physicians in this video. (Okay, we admit, the video needs some serious revamping, but there is some good information in this video.)

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Compression Hose

For those with painful, heavy legs, we can prescribe compression hose. Often, before a procedure, your insurance provider may want you to try compression hosiery before they will agree to pay for your treatment plan. For cosmetic procedures, you will not need to wear compression hose before treatment; however, afterwards, you will during the healing period.golf scene in mountains

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Cosmetic Sclerotherapy

Sclerotherapy, also known as cosmetic sclerotherapy, is an effective outpatient treatment to quickly and painlessly remove small varicose veins, venular ecatsisas and spider veins. Spider veins and venular ectasias are tiny blue, red or purple blood vessels that most commonly appear on the legs.

While spider veins and venular ectasias are generally just a cosmetic problem, larger varicose veins may be a sign of a more serious underlying problem. During a free screening with a nurse or a medical assistant, RIA Endovascular will determine whether a noninvasive vascular assessment (NIVA) — Doppler ultrasound — is needed to rule out more serious vein issues.

With sclerotherapy, a ‘sclerosant’ solution (sodium tetradecyl sulfate, “STS” or Sotradecol®) is injected into the varicose or spider veins with a very tiny needle, causing the veins to seal itself and eventually be reabsorbed in the body. Healthy veins take over for the former defective veins, improving circulation; this often relieves heaviness, aching and leg fatigue. Learn more about cosmetic sclerotherapy.

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SclerotherapyVaried Women's LegsiStock_000022429191XSmall

Sclerotherapy, also known as cosmetic sclerotherapy, is an effective outpatient treatment to quickly and painlessly remove small varicose veins, venular ecatsisas and spider veins.

Spider veins and venular ectasias are tiny blue, red or purple blood vessels that most commonly appear on the legs. While spider veins and venular ectasias are generally just a cosmetic problem, larger varicose veins may be a sign of a more serious underlying problem. During a free screening for sclerotherapy with a nurse or a medical assistant, RIA Endovascular will determine whether a noninvasive vascular assessment (NIVA) — Doppler ultrasound — is needed to rule out more serious vein issues.

With sclerotherapy, a ‘sclerosant’ solution ( sodium tetradecyl sulfate, “STS” or Sotradecol®) is injected into the varicose or spider veins with a very tiny needle, causing the vein to seal itself and eventually be reabsbed in the body. Healthy veins take over for the former defective veins, improving circulation, often relieving heaviness, aching and leg fatique. Learn more about sclerotherapy.

Elevating your legs always helps those with varicose veins.  Make sure the car isn't moving!

Elevating your legs always helps. Make sure the car isn’t moving!

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Foam Sclerotherapy

Foam sclerotherapy is a technique similar to the sclerotherapy procedure above. The procedure involves injecting foamed sclerosant drugs within a blood vessel in order to eliminate varicose veins. During this outpatient procedure, air is mixed with the sclerosing agent, sodium tetradecyl sulfate, “STS” or Sotradecol®. The solution has the consistency of shaving cream, which improves treatment for larger or longer veins; the foam allows the solution to come into contact with the entire vein wall. This results in injecting less solution while still achieving an optimal result. The foam is visible via ultrasound and can be easily tracked and guided to the source of the venous problem. Learn more about this interventional radiology procedure using foam sclerotherapy.

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Ambulatory Phlebectomy

Ambulatory phlebectomy, also called microphlebectomy, is often performed at the same time as laser treatment of the saphenous vein. During this outpatient procedure, the veins are numbed with a local anesthetic. Tiny, 2-3mm skin punctures are made so that the veins can be removed. Since the punctures are small, there are no stitches. Small steri-strip bandages, which can be removed the following day, are used. The marks left by the punctures usually do not leave a permanent scar and fade away in a few months. Read more about ambulatory phlebectomy at RIA Endovascular.

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Laser Ablation – Endovenous Laser Therapy – EVLTbike couple

Endovenous laser therapy, or EVLT, is an outpatient treatment for varicose veins that uses laser energy to ablate, or eliminate, abnormal veins. Numbing fluid is placed around the vein. Using ultrasound guidance, the RIA Endovascular interventional radiologist threads a thin laser device through the abnormal vein from the calf to the groin, at which time the laser is activated. As the laser is slowly pulled back through the vein, heat from the laser is applied to the vein wall. This causes the vein to permanently close and disappear. The body then reroutes the blood to healthier veins. Other tissue in the leg is not affected. Learn more about endovenous laser ablation at RIA Endovascular.

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Radio Frequency Ablation (RFA) Vein Treatment

Radiofrequency (RF) endovenous ablation is a minimally invasive treatment for venous reflux disease, using radiofrequency to heat and seal diseased veins to address the underlying cause of severe varicose veins. The procedure involves inserting a thin RF catheter into the diseased vein through a tiny small incision. The device is gently threaded through the vessel up to the groin area.

Radiofrequency waves are applied to the heating element in 20-second intervals to sequentially heat and ablate the vein in segments. After each segment is treated, the catheter is manually withdrawn down

Picture of leg before and after radiofrequency ablation procedure

Male leg – before and after treatment. Before treatment using insurance, a trial period of wearing compression hose is usually required. If you have trouble putting the hose on, use an assistive device, called a donner. Here is a video that shows how to put the stockings on using one of several available donning devices on the market.

the vein. The process is repeated until the entire length of the vein has been ablated. The body automatically re-routes blood flow through healthier veins, and the restoration of normal circulation relieves the distention of the surface veins. The ablated vein becomes scar tissue and is eventually absorbed by the body. Read more radiofrequency ablation (RFA) for treatment of varicose veins.

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Why have your veins treated at RIA Endovascular?

RIA Endovascular offers the most comprehensive treatment for varicose and spider veins.Our board-certified physicians use state-of-the-art technology in a beautiful, relaxing and professional environment. We provide complete vein care treatment — both medical and cosmetic — using the newest proven techniques. Our goal is healthy, beautiful legs!

  • Board-certified, fellowship-trained physicians who are experts in their field!
  • Our office is modern and comfortable.
  • You will always be treated by a medical provider — never an aesthetician or incentive-motivated staff.
  • At RIA Endovascular, we use the latest technologies.
  • Extensive experience — more than 12,000 image-guided endovascular procedures performed. We work on veins throughout the body – this is our specialty.
  • Dedication to the treatment of vein and arterial conditions – we’re more than a vein clinic!
  • In-office diagnosis and treatment, with no need for a hospital visit
  • Minimally invasive procedures with quick recovery time – no stitches

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RIA Endovascular

Call 720.493.3406 now to schedule your appointment.

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