Leg Veins


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Varicose veins are enlarged twisted vessels at the skin surface primarily in the legs. They indicate that the valves of the veins are not functioning appropriately causing poor circulation. If you have unsightly varicose veins or painful swollen legs, there are many treatments available. When symptoms are present, the vein treatments are covered by insurance.

Call us today or make an appointment online to see how our vein specialist can help you restore your circulation and the appearance of your legs.

What are varicose veins?

The term varicose means “twisted.” Veins that are bulging, cord -like, twisted, blue to purple swelling in the legs are varicose veins. People with varicose veins often feel:

  • Achy or heavy feelings in the legs
  • Burning
  • Throbbing
  • Muscle cramps/restless leg syndrome
  • Leg Swelling
They occur as a result of poor functioning of the valves in our veins called chronic venous insufficiency. The damage valves make it difficult for blood to return to the heart as in healthy circulation systems. This results in pooling of the blood and swelling in the legs. The increased pressure causes normal veins to enlarge, become damaged, and develop into varicose veins.

Who gets varicose veins?

Chronic venous insufficiency and varicose veins are one of the most under diagnosed in treated conditions in the United States. Approximately 60% of Americans will develop varicose veins. This number is even higher in women. Risk factors for them include:

  • Age over 50
  • Females
  • Family history of varicose veins
  • History of pregnancy
  • Standing for long period of time
  • Obesity

This very common condition can result in painful swollen legs impacting people’s quality of life and self-esteem from unsightly appearance. When symptoms are present and an ultrasound identifies damaged veins, this is considered a medical condition. A variety of minimally invasive, highly effective treatment options are available to our patients.

What treatments are available?

Fortunately, there are a variety modern, non-painful, minimally invasive techniques for varicose veins. The first step is increasing exercise, elevating the legs, and wearing compression socks of at least 20 mm Hg. This helps to return blood flow to the heart and gives extra support to be damaged veins.

When conservative therapy doesn’t work, it’s time to make an appointment with a vein doctor for vein treatment. A complete physical examination as well as obtaining a detailed, painless ultrasound is performed. The vein screening and ultrasound imaging is able to identify damage veins by the presence of inappropriate blood flow (reflux).

Once the damage veins have been accurately found, we are able to determine which treatment is best. These minimally invasive, highly effective treatments are covered by insurance plans and have virtually no downtime.

Does my insurance cover treatment for varicose veins?

Yes. If your ultrasound shows reflux (backward blowing blood) and if you have symptoms such as pain or swelling, then this is considered a medical condition.

We can diagnose your venous disease and discuss various medical therapies specific to your situation. We also have insurance experts who can help guide you through the process to make the treatment of your venous disease simple.

What should I do if I have varicose veins?

If you have varicose veins causing symptoms such as swelling, aching, cramping, or pain, it’s time to seek help. We have seen our patient lives transformed in just a simple series of minimally invasive therapies. Within just a few weeks of starting therapies, we see our patients return to enjoying outdoor activities, reduce the aching and cramping in their legs, and wear their favorite Summer clothing with confidence again.


What is Venaseal?

The Venaseal closure system is a minimally invasive technique for treating varicose vein disease. It is a safe, painless in-office treatment for varicose veins and poor circulation. When veins are damaged over time, blood begins to collect in the disease veins and not properly return to the heart. The Venaseal technique uses an adhesive to close damaged veins and restore healthy blood flow.

These treatments are highly effective at reducing symptoms such as swelling, pain, or cramping in the legs.

The Venaseal system is an improvement over other methods as it allows for instant treatment with a single injection, immediate return to normal activities, and no need for compression stockings. This also avoids the large scarring which can occur with procedures of the past such as vein stripping.

Advantages of Venaseal Closure System:

  • Simple, outpatient procedure
  • No hospitalization, no general anesthesia
  • No stitches or large incisions
  • Can resume normal activities immediately
  • No tumescent anesthesia or multiple sticks
  • Less pain and bruising than thermal ablations
  • Faster recovery time than thermal ablation
  • No need for compression stocking after the procedure

Am I a candidate for Venaseal Treatment for Varicose Vein Disease?

The first step to determining if Venaseal is right for you is a physical exam and a painless ultrasound image. If symptoms such as pain, swelling, or restless legs/cramping are present, you are likely a candidate. An ultrasound will determine if veins are damaged and if treatment would help. Using the ultrasound to map out where the damaged veins are located, we can then perform targeted, minimally invasive treatments to seal damaged veins and direct blood flow to healthy veins.

How is Venaseal treatment performed?

Treatment with Venaseal is an hour appointment performed in the office. You are made comfortable in one of our procedure rooms. Using the map of damaged veins made during your consultation, Dr. Tidwell identifies the damaged veins needed to be treated. Local anesthesia is used and a single injection with a small catheter is performed into the vein. Damaged veins and valves are sealed with the specialized adhesive. This provides immediate restoration of circulation and improvement of symptoms.

Of particular enjoyment for our patients is no compression socks are needed after this treatment. They are also able to immediately return to normal activities and work that same day.

Is a Venaseal treatment covered by my insurance?

Yes. We accept most insurance plans and they cover procedures as long as deemed medically necessary. Medically necessary treatments include those who are suffering from:

  • Swollen legs
  • Leg Pain
  • Cramping
  • Restless leg syndrome
  • Ulceration on the legs
  • Stasis dermatitis
  • Itchy legs

Some leg vein issues without symptoms are considered cosmetic and not covered by insurance plans. However, often cosmetic vein issues are a sign that deeper and more serious medical issues, such as venous insufficiency, are present.

Why should I have my Varicose Vein Disease treated at Skin Solutions?

If you are suffering from venous disease, we can help you today. We are experts at providing care for both medical and cosmetic venous conditions. Our surgeon, Dr. William J. Tidwell, MD, was fellowship trained and is board certified by the American Board of Venous and Lymphatic Medicine. He is a highly skilled doctor with an excellent support staff.

Call us today to make an appointment.

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