The visible presence of bulging, tortuous veins beneath the skin is what many envision when they think of varicose veins. That is not always the case. Not all varicose veins involving the legs can be seen beneath the skin. It depends on where the varicose vein is positioned as it traverses within the fat layer between the skin and underlying muscle. Sometimes, varicose veins can involve perforator veins within the leg. Perforator veins are short in length, usually have a single valve, and connect superficial veins (residing within the fat) to deep veins (residing within the muscle). Varicose leg veins that are treated at Hogue Vein Institute include superficial veins and perforator veins.
Varicose veins are caused by leaky valves within the veins that allows blood to flow bidirectional, rather than unidirectional. This backwards flow within the veins increases the venous pressure causing them to stretch and dilate. This vein stretching elicits symptoms of pain, burning, itching, cramping, restless legs, heaviness, and fatigue. Increased venous pressure into tissues surrounding the varicose veins may cause swelling or edema, inflammatory skin changes, skin breakdown, bleeding, and ulcers.
Evaluation of Varicose Veins
Hogue Vein Institute is fully accredited as a vein center by IAC Vascular Testing in the area of Peripheral Venous Testing. Through our comprehensive vein testing approach, we can diagnose the extent of your underlying vein condition, whether it is medical, cosmetic, or both. Hogue Vein Institute specializes in the treatment of varicose veins and cosmetic veins. We invite you to call our office at 763-447-2500 to schedule either a FREE Vein Screening or a Comprehensive Vein Evaluation (submitted to insurance). If you have varicose veins, or if you have signs or symptoms to warrant medical evaluation of a vein condition, then we recommend a Comprehensive Vein Evaluation be scheduled. If you do not have a history of varicose veins and you do not have signs or symptoms of an underlying medical vein condition, then we recommend a FREE Vein Screening be scheduled to evaluate your leg veins to determine if cosmetic vein treatment is appropriate.
Treatment Methods for Varicose Veins
Treatment methods for varicose veins at Hogue Vein Institute include Endovenous Laser Ablation (EVLA) and Ultrasound-Guided Sclerotherapy (UGS). Both techniques are highly effective in treating varicose veins, perforator veins, and tributary or branch veins stemming from varicose veins. Our varicose vein treatments are covered by Medicare and by most insurance plans.
At Hogue Vein Institute, an Endovenous Laser Ablation (EVLA) procedure is performed using tumescent local anesthesia. Having performed tens of thousands of EVLA procedures, our expert vein specialists perform this office-based minimally invasive procedure in less than 30 minutes. Ultrasound guidance is used to ensure safety and effectiveness during catheter placement and endovenous laser ablation. With the EVLA technique, laser energy destroys the varicose vein and causes it to shrink up.
At Hogue Vein Institute, an Ultrasound-Guided Sclerotherapy (UGS) procedure is performed with a tiny needle and an FDA approved sclerosing agent to chemically ablate targeted veins. This procedure requires no anesthesia and is essentially painless. This is because polidocanol, the sclerosing agent used for Sclerotherapy at Hogue Vein, is also a local anesthetic. Ultrasound guidance is used to ensure safety and effectiveness during needle placement. With the UGS technique, a chemical destroys the targeted vein segment and causes it to shrink up and become absorbed by the body.
Complications of Varicose Vein Treatment
Endovenous Laser Ablation (EVLA) and Sclerotherapy are safe, FDA cleared procedures. As with any medical procedure, there are potential side effects and complications. The most common side effects are pain, itching, and bruising. If any pain medication is needed after an EVLA or Sclerotherapy session, ibuprofen or acetaminophen is all that is required. Complications are rare, but include thermal or chemical injuries, allergic reaction, venous thromboembolism, skin necrosis, thrombophlebitis, hyperpigmentation, and visual disturbances.