ClariVein® for Nonsurgical Varicose Vein Removal

ClariVein® for Nonsurgical Varicose Vein Removal

Many women forego having their varicose veins treated because they are under the impression that invasive surgery is the only cure. In fact, varicose veins can be dealt with by minimally-invasive, maximally-comfortable procedures. For more than a decade, endovenous thermal (laser or radiofrequency) ablation techniques have used heat to seal problematic veins that were the source of developing varicose & spider veins at the surface. Such techniques are effective but require tumescent local anesthesia to numb and protect the area around the veins being treated. Typically the only discomfort associated with endovenous thermal techniques is the result of having to deliver the local anesthetic around the vein. Recently, newer techniques have been developed that do not require the use of heat to seal veins. Today’s post talks about Clarivein®. What is ClariVein®? ClariVein® is a type of “endovenous” (inside the vein) treatment where a very small, thin device is inserted into the problematic saphenous vein. The device resembles a thin wire, and it has two main purposes: first is to irritate the vein’s lining by rotating rapidly. Patients describe it feeling like a mild vibration. Once the Clarivein® catheter starts rotating, its next purpose is to serve as a delivery system for a chemical that will coax the vein to close permanently. Why Should Patients Choose the ClariVein® Procedure? There are many benefits to choosing endovenous closure techniques over traditional vein stripping surgery. Patients are able to go back most normal activities immediately. There aren’t any large incisions or stitches. The main benefits of Clarivein® over the heat-based methods of endovenous laser or endovenous radiofrequency ablation are overall comfort as well as the lack of potential heat-related injury to skin, soft-tissues, nerves, etc. surrounding the vein being treated. That having been said, those risks are quite low with endovenous thermal ablation. What Does the Treatment Feel Like? Some patients may feel pressure, pulsing vibration or “tugging”. All of my patients that have undergone Clarivein® stated pretty much the same sentiment: whatever they felt couldn’t be described as painful. Who Can’t Have a ClariVein® Procedure? Only the performing doctor can determine […]

Can Spider Veins Be Removed Easily, Comfortably and Effectively?

Spider veins are small veins that leave blue or purple “trails” on your skin. Spider veins are typically an aesthetic issue but sometimes may be the sign of significant underlying issues in a patient’s superficial venous system. Many patients have associated discomfort, swelling, leg cramps and even “restless leg syndrome”. They conclude that procedures required to remove them are too invasive or painful. What most patients do not realize is that modern, state-of-the-art vein treatments are safe, effective, comfortable and require no downtime. Many patients are surprised to learn that treatments may be coverable by insurance. What are some treatment options to Remove Spider Veins? As spider veins are a progressive problem, they will generally get worse over time if left untreated. Once patients decide to embark on a journey to legs that feel and look better than they have in years, the first step is a consultation appointment to determine if the problem is at the surface or if the spider veins are just the “tip of the iceberg”. If the problems are at the surface itself, a few options for treatment exist. While surface lasers or other such devices may be effective, I generally don’t suggest them as a first-line option. Generally, they are more painful, less effective and cost more than sclerotherapy. Typically, I recommend sclerotherapy injections for veins that are still big enough to be reached via my teeniest needle…which is very, very tiny. If the veins are smaller than that, two things can be said: They are probably so small that nobody will notice them at distances people typically stand near each other. The only other option you have are surface lasers. Sclerotherapy truly represents the ideal minimally-invasive treatment option. Why Treat Spider Veins with Sclerotherapy? Sclerotherapy tends to be the most effective way of treating spider veins. A solution is gently, carefully injected directly into the spider veins under direct visualization with special magnifiers and lighting. Once injected, the veins are coaxed into closing. Over time, the veins will slowly shrivel up and fade away. The process is very effective but often requires a […]

What Kinds of Veins Can Be Treated with Sclerotherapy?

Millions of men and women have spider and varicose veins. First introduced more than 100 years ago, sclerotherapy is a popular medical technique that permanently removes these enlarged veins, which are typically found in the legs. The procedure is also performed to treat smaller varicose veins that can appear after surgery. Depending on your individual circumstances, sclerotherapy may be used on larger varicose veins as well. This technique also relieves some of the symptoms associated with venous insufficiency such as burning sensations, night cramping, swelling and pain. The treatment can be performed alone or as a follow-up procedure after surgery. Sclerotherapy can help clear your skin of spider and varicose veins early before they cause other vascular complications. What Can I Expect? During treatment, the affected leg is elevated. A fine needle is then used to inject a special medicated solution, known as a sclerosant, into the spider or varicose vein. The sclerosant damages the interior lining of the vein, which causes it to close. Your body reabsorbs and eliminates the vein naturally. Blood flow is redirected to veins deeper under the skin.  This minimally-invasive treatment can usually be performed on an outpatient basis. The length of time it takes depends upon the number of veins being treated. You may need to wear a compression stocking for a few weeks and undergo more than one treatment session in order to successfully remove targeted veins. Is There Any Recovery? Generally, treatment does not require a hospital stay and has little to no downtime, which means that you can return to work and your normal activities quicker than with more extensive procedures. In most cases, you can resume regular activities immediately. While you are encouraged to move around to prevent blood clots, you should avoid strenuous exercise for several days.  It may also be recommended that you apply sunscreen to the treated area. Side effects may include itching and redness at the site of the injection. After being treated for spider and smaller varicose veins, you may see results in as little as three to six weeks. It may be three to […]

What are Varicose Veins and How are They Treated?

Varicose veins are enlarged and twisted veins that are visible beneath the skin. These veins usually form in the legs and the feet, but they can be seen in other parts of the body as well. This vascular condition develops as a result of pressure that is placed on the lower extremities of the body through standing and walking. Spider veins are similar to varicose veins in how they develop, but they tend to be smaller and tend not to protrude from the skin as prominently. At Rosen Vein Care, Dr. David Rosen specializes in the treatment of both types of veins and has many options available to you depending on your individual condition. Varicose Vein Overview Veins that become varicose can cause either a wide range of symptoms or no symptoms at all. For some, they may be merely cosmetic with no other symptoms. Others can experience fatigue, swelling and varying degrees of discomfort. Varicose veins can lead to more serious health problems. Their appearance is an indication that you may be at risk for underlying circulatory concerns. There are a number of treatment options, depending on the severity of your venous issues. Symptoms of Varicose Veins Varicose veins are characterized by the appearance of veins that are blue or purple and that are bulging or twisted. These veins can cause aches or heaviness in your legs with swelling in the lower portion. You might feel a burning sensation or throbbing, along with muscle cramps. Symptoms often worsen after long periods of standing or sitting. You may also experience itching near or around the affected veins. Treatments for Varicose Veins Treatment options depend on the severity of your case. There are many things you can do at home to lessen symptoms such as walking daily, and modern techniques have lessened the need for invasive surgical procedures in most cases. Increased exercise and weight loss can be a good start to lessening discomfort.  Avoiding wearing tight clothes that can restrict blood flow are another way to reduce your risk, and be sure to spend some time elevating your legs after […]