Varicose Vein Treatment

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Conservative Care

Many individuals with varicose veins and venous insufficiency do not require a procedure to treat their problem.  In some individuals, more conservative treatments are appropriate.  Some of the conservative treatment options that your doctor might recommend are the use of venous compression stockings, intermittent leg elevation, and nonprescription pain medication for symptomatic relief of associated discomfort.  This information is provided for general informational purposes only. It is not intended to recommend any specific treatment for an individual’s particular symptoms or condition.  As with any medical issue, you should consult your doctor for specific diagnostic and treatment recommendations.

Endovenous Ablation (Closure)

Venefit™ Procedure – Formerly known as VNUS Closure

Endovenous RF ablation, also known as Vein Closure or The Venefit™Procedure, is a state-of-the-art, FDA approved, minimally-invasive procedure to treat venous reflux, the underlying cause of many varicose veins. The procedure is performed in our comfortable office setting and usually takes approximately 20 minutes to complete.

Watch Dr. Gosin Perform an Endovenous RF Ablation Procedure

Local anesthesia is used to numb the area being treated. The diseased vein is then accessed through a small needle stick. A catheter is passed into the vein and positioned in the proper location using ultrasound guidance. The vein is then treated with radiofrequency (RF) energy which causes the diseased vein to collapse and close down. Blood is re-routed to the normal deep veins, reducing or eliminating the abnormal pooling of blood in the legs. The access site is then simply covered with a small bandaid. Sutures (stitches) are not needed. There is usually only mild discomfort. Prescription pain medication is usually not necessary with this procedure.

Recovery is fast, with most people returning to their usual activities within a day or two. Patients are instructed to wear compression hose for about a week following the procedure. They are encouraged to walk immediately after the procedure is completed.

With endogenous ablation, hospitalization, painful vein stripping surgery, and general anesthesia are not needed. We are a leading center for the Endovenous Ablation Procedure, having performed thousands of successful cases and instructing other physicians in learning the technique.

Venefit Img4



Depending upon an individual’s situation, it may be preferable to remove certain varicose veins in order to obtain the best overall results. When this is necessary, we use the microphlebectomy technique.  Although certain veins are removed during this procedure, it should NOT be confused with an “old-fashioned” vein stripping operation.

Microphlebectomy is a minimally invasive procedure during which veins are removed through tiny openings, so small that stitches are not required. Patients experience only minimal discomfort, walk immediately following the procedure, and generally return to their usual activities within about a day.  Cosmetic results are excellent. Microphlebectomy does not require hospitalization and is performed under local anesthesia, sometimes with light sedation.

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