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Ranking the Top Spider Vein and Varicose Vein Treatments in Texas

Are You Looking for Vein Treatment in Texas?

This comprehensive guide ranks the top vein treatment options for spider veins, varicose veins, and other vein problems. With an abundance of vein treatment options, selecting the ideal vein treatment for your specific needs can be challenging. That’s why you must find highly-skilled vein experts and state-of-the-art vein treatment centers in Texas for personalized and comprehensive treatments.

Over the past three decades, massive strides have been made in the field of vein care and vein treatments. Thanks to the development of minimally invasive vein treatment options, patients are no longer forced to undergo complex vascular surgeries with high risks of complications. Minimally invasive vein treatments are usually performed as in-office and outpatient procedures that conclude within an hour with no downtime and negligible risk of complications. Selecting the ideal vein treatment option can be challenging because each modality is suitable for different situations. This article provides a detailed overview of your spider and varicose vein treatment options, followed by a step-by-step guide to finding the right vein doctor in Texas.

Before discussing your vein treatment options, we must clarify the basics of spider veins and varicose veins. Most people assume that spider veins and varicose veins are cosmetic problems with no medical complications or risks, but that’s inaccurate. Spider veins and varicose veins are usually caused by an underlying circulatory disorder known as chronic venous insufficiency. Venous insufficiency is a medical condition wherein your vein valves collapse, and blood flows backward in your leg veins, eventually accumulating in the superficial veins close to your skin’s surface. Over time, increased pressure in the leg veins leads to spider veins and varicose veins. As such, the only way to achieve lasting relief from spider veins is to identify and treat the underlying venous insufficiency.

Vein Treatment Options

Endovenous Ablation

Other Names: Radiofrequency Ablation, RF Ablation, RF Therapy, ClosureFAST, Laser Ablation, EVLT

Suitable For: Chronic venous insufficiency, large varicose veins, and the symptoms of vein disease, including discomfort, leg heaviness, leg cramps, restless legs, and leg fatigue.

What is endovenous ablation?

Endovenous ablation is a minimally invasive procedure wherein thermal or laser energy eliminates the diseased veins. Radiofrequency ablation involves using a radiofrequency device that produces sound waves to heat up the diseased vein’s walls and make it collapse. Laser ablation involves using a laser device to destroy the diseased vein with laser energy.

Both ablation techniques are performed using similar steps, and both of them conclude within 15 to 30 minutes. However, your vein doctor will have their reasons to favor one over the other. Our vein doctors have performed hundreds of ablation procedures, and we generally recommend radiofrequency ablation because it causes less post-treatment discomfort.

What happens during the endovenous ablation procedure?

The vein doctor identifies the diseased veins using ultrasound technology, following which they administer local anesthesia and make a small incision on the skin just above the diseased vein. The vein doctor inserts a small device into the diseased vein under ultrasound guidance and then delivers tumescent anesthesia to surround the unhealthy vein with numbing fluids. Finally, the vein specialist activates the device to heat the diseased vein’s walls using thermal energy or laser energy. The diseased vein is completely reabsorbed by the body, and the accumulated blood reroutes to healthier leg veins, restoring effective blood circulation.

Pros

Radiofrequency ablation is one of the safest and most effective treatments for underlying chronic venous insufficiency — far safer than vein surgery, also known as vein stripping. Patients find this procedure incredibly convenient because there’s no pain or discomfort, and they can return to their work and other activities immediately. Radiofrequency and laser ablation have been used for over a decade, so there’s plenty of clinical evidence for their safety and success. Furthermore, endovenous ablation is covered by most major insurance providers because it’s a medically necessary procedure.

Pros Summary:

  • Safe
  • Effective
  • Painless
  • No recovery time
  • Covered by most insurance providers

Cons 

 

Radiofrequency ablation must be performed by the most talented vein doctors for safety. You must find a state-of-the-art vein treatment center in Texas led by a highly-skilled vein doctor to ensure a successful and painless treatment. That’s because endovenous ablation can be performed using numerous technologies, and all of them aren’t equally effective — cutting-edge technologies are essential for optimal results. Furthermore, inexperienced vein doctors often use more injections than necessary while delivering tumescent anesthesia, which causes more discomfort and pain than necessary.

Cons Summary:

  • Must choose highly-skilled vein doctors

Are you a candidate for endovenous ablation?

You’re a candidate for endovenous ablation if you have large varicose veins and underlying chronic venous insufficiency, as identified through vascular imaging tests. Most patients can go forward with this procedure because it’s covered by most major insurance providers. However, our vein doctors in TX generally recommend radiofrequency ablation over laser ablation because it’s more comfortable.

VenaSeal

Other Names: Vein Glue

Suitable For: Chronic venous insufficiency, large varicose veins, and the symptoms of vein disease, including discomfort, leg heaviness, leg cramps, restless legs, and leg fatigue.

What is venaseal?

Manufactured by Medtronic, venaseal is a cutting-edge technology that uses medical-grade adhesives (rather than thermal or laser energy) to seal the diseased vein’s walls. This treatment is performed using cyanoacrylate glue, one of the most well-established and safe medical-grade adhesives used for vascular procedures.

What happens during the venaseal procedure?

The vein doctor will use ultrasound technologies to identify the diseased veins, following which they’ll administer local anesthesia and make a small incision on the skin. Using the incision as an entry point, the vein doctor will insert a delivery device (catheter) with the cyanoacrylate glue into the diseased vein. Using an ultrasound device, the vein doctor will inject the medical glue into the diseased vein’s walls, making it seal shut. The accumulated blood will reroute into healthier veins, and the medical glue will harden into a permanent implant.

Pros

 

The primary advantage of venaseal over ablation treatments is that it doesn’t involve tumescent anesthesia, so there’s minimal post-treatment swelling. Furthermore, venaseal can address twisted and tortuous veins because the vein glue easily spreads through the veins and their branches — ablation isn’t as successful at treating twisted veins.

Pros Summary:

  • Modern treatment
  • Minimal post-treatment swelling
  • Suitable for tortuous veins
  • Suitable for recurring vein disease treatment

Cons

 

The primary drawback of venaseal is its relative newness, having received FDA approval just a few years ago. As such, its long-term effects are still unknown, and most insurance providers don’t cover this treatment. Some patients may develop allergies to the cyanoacrylate glue, and some patients don’t like that the medical glue remains in their body.

Cons Summary:

  • Must be performed by vein experts
  • Long term effects unknown
  • Potential for allergies
  • Not covered by all insurance plans

Are you a candidate for venaseal?

The ideal candidates for venaseal have a history of recurrent vein disease or tortuous veins that can’t be treated with ablation techniques. You must also consult a vein doctor who carefully reviews your insurance coverage options and runs allergy tests to ensure optimal safety.

Sclerotherapy

Other Names: Cosmetic Sclerotherapy, STS, Salt Solution Injections, Saline Injections, Vein Injections

Suitable For: Small varicose veins and spider veins

What is sclerotherapy?

Sclerotherapy is a minimally invasive procedure wherein a sclerosant medication is injected into unhealthy veins. Sclerosant is a medication that irritates vein walls, making them shrink, collapse, or turn into hardened scar tissues eventually reabsorbed by the body. Sclerotherapy can be performed using various sclerosant solutions, such as hypertonic saline (concentrated salt water). Hypertonic saline is one of the oldest sclerosant medications, but it’s no longer deemed appropriate because it causes considerable post-treatment pain and discomfort. Our vein treatment centers in Houston, TX, use advanced sclerosant medications that don’t cause any pain or discomfort.

What happens during the sclerotherapy procedure?

Your vein doctor will use vascular imaging techniques to visualize the diseased veins on a computer screen. If you only have visible spider veins, the vein doctor will inject the sclerosant medication into the individual spider veins on your skin’s surface. If you have unhealthy veins deeper under the skin’s surface, the vein doctor will use ultrasound guidance to inject the sclerosant medication.

Pros

Sclerotherapy is the ideal cosmetic treatment for spider veins without underlying chronic venous insufficiency. It’s also suitable for small but tortuous veins because the liquid medication flows all around the veins, making it more effective than ablation techniques. When performed correctly, sclerotherapy is far more effective than laser therapy for spider veins.

Pros Summary:

  • Highly effective
  • No recovery period

Cons

 

As mentioned earlier, sclerotherapy can be performed using various sclerosant medications. Furthermore, each sclerosant medication must be diluted with sterile water to achieve the ideal dosage. Inexperienced vein doctors who use the incorrect medication or wrong dosage may cause discomfort, pain, skin discoloration, and other side effects. Furthermore, accidentally injecting sclerosant into the arteries can also lead to tissue death (necrosis). As such, sclerotherapy must be performed by the most skilled vein experts.

Cons Summary:

  • Must be performed by vein experts
  • Results vary for each sclerosant medicine

Are you a candidate for sclerotherapy?

You’re a candidate for sclerotherapy if you have cosmetic concerns, i.e., spider veins without underlying vein disease. You may also be deemed a suitable candidate for sclerotherapy if you have tortuous veins that can’t be treated with ablation.

Foam Sclerotherapy

Other Names: Vein Injections

Suitable For: Small varicose veins (also known as reticular veins) and large varicose veins

What is foam sclerotherapy?

Foam sclerotherapy is a similar technique to liquid sclerotherapy — a sclerosant medicine is injected into the diseased veins to seal their vein walls. However, foam sclerotherapy involves using a foamy version of the sclerosant to cover more areas with the same amount of medication, making it suitable for larger varicose veins. Sclerosant medications are “detergents” that become frothy when mixed with air. As such, foam sclerotherapy involves injecting a foamy version of a sclerosant into larger veins.

What happens during the foam sclerotherapy procedure?

The vein doctor uses ultrasound technologies to identify the diseased veins under the skin’s surface. After identifying the unhealthy veins, the vein doctor prepares the foam solution — the sclerosant medication is mixed with air between two syringes. The foam sclerosant is then injected into the unhealthy veins under ultrasound guidance to ensure optimal precision. The vein doctor monitors the foam sclerosant as it travels across the varicose veins. This procedure requires utmost precision because the sclerosant mustn’t travel into the perforating veins, i.e., the deeper veins often connected to the varicose veins. 

Pros

Foam sclerotherapy covers more area than liquid sclerotherapy, so it’s more effective for larger veins. And it’s more effective in treating twisted veins that you can’t reach with ablation techniques. Foam sclerotherapy is also suitable for the treatment of recurring vein disease.

Pros Summary:

  • Highly effective
  • Suitable for tortuous veins

Cons

 

Foam sclerotherapy must be performed by an experienced vein doctor who carefully assesses the varicose veins’ location and prevents the solution from reaching the perforating veins. You also need an experienced vein doctor to minimize the risk of air embolism, a phenomenon wherein air travels through the bloodstream and into the lungs, preventing the oxygenation of blood.

Cons Summary:

  • Potential for complications
  • Must be performed by a highly-skilled vein doctor

Are you a candidate for foam sclerotherapy?

You’re a great candidate for foam sclerotherapy if you have tortuous varicose veins or reticular veins needing cosmetic treatment. It’s also ideal for patients with a history of repeated vein disease.

Pre-Mixed Foam Sclerotherapy

Other Names: Foam Sclerotherapy

Suitable For: Chronic venous insufficiency, large varicose veins, and the symptoms of vein disease, including discomfort, leg heaviness, leg cramps, restless legs, and leg fatigue.

What is pre-mixed foam sclerotherapy?

Pre-mixed foam sclerotherapy is another variation of sclerotherapy performed using pre-mixed foam solutions available in canisters. This procedure involves injecting the pre-mixed sclerosant foam solution into the unhealthy veins to seal their walls, alleviating the symptoms of vein disease. Like foam sclerotherapy, it can treat larger varicose veins because the foamy solution covers more area than liquid sclerosant. However, pre-mixed foam is prepared by mixing sclerosant with carbon dioxide and nitrogen — not room air. The pre-mixed foam sclerosant solution moves quickly through the bloodstream and dissipates before reaching the lungs, minimizing the risk of air embolism, one of the potential complications of foam sclerotherapy.

What happens during the pre-mixed foam sclerotherapy procedure?

The vein doctor leverages ultrasound technology to visualize the unhealthy veins underneath your skin’s surface and curate the treatment plan. There’s no need for tumescent anesthesia, foam sclerosant preparation, or any preliminary steps. The vein doctor draws the pre-mixed foam sclerosant from its canister and injects it into the diseased veins under ultrasound guidance.

Pros:

Pre-mixed foam sclerotherapy is the ideal treatment for recurring vein disease. Furthermore, it’s so effective at treating larger varicose veins that it often saves patients from needing surgeries.

Pros Summary:

  • Highly effective
  • Ideal for large varicose veins
  • Helps you avoid vein surgery
  • Ideal for the treatment of recurrent vein disease

Cons

 

Pre-mixed foam sclerotherapy is an incredibly powerful procedure, so it must be performed by the most talented vein experts. Furthermore, this procedure is quite expensive, and it isn’t covered by most major insurance providers.

Cons Summary:

  • Must be performed by exceptional vein doctors
  • Not covered by all major insurance providers
  • Very expensive

Are you a candidate for pre-mixed foam sclerotherapy?

You’re a great candidate for pre-mixed foam sclerotherapy if you have extremely large and tortuous varicose veins or a history of vein disease recurrence. However, your vein doctor should first determine if your insurance plan covers pre-mixed foam sclerotherapy — most insurance providers don’t.

ClariVein

Other Names: Mechanochemical Ablation

Suitable For: Chronic venous insufficiency, large varicose veins, and the symptoms of vein disease, including discomfort, leg heaviness, leg cramps, restless legs, and leg fatigue.

What is clarivein?

ClariVein is a cutting-edge treatment that combines the benefits of mechanical trauma and sclerosant medications while treating vein disease. The clarivein treatment is performed using a special medicine delivery device known as a catheter — it’s a specialized catheter with a rotating tip. The catheter is inserted into the diseased vein to simultaneously damage the vein’s walls while delivering sclerosant medicine.

What happens during the clarivein procedure?

Your vein doctor will use ultrasound scans to visualize the diseased veins, following which they’ll cleanse the skin and make an incision. The clarivein device will be inserted into the diseased vein under ultrasound guidance, and the rotating tip will be activated to damage the vein walls and secrete the sclerosant medication. The catheter will be driven along the diseased vein to complete the treatment.

Pros:

 

The catheter used for clarivein is extremely small, making it suitable for twisted and tortuous veins. It’s a suitable alternative for ablation and venaseal because it doesn’t involve tumescent anesthesia or leave a permanent implant in the body.

Pros Summary:

  • No tumescent anesthesia
  • Doesn’t leave an implant

Cons

 

ClariVein isn’t yet covered by most major insurance providers. Furthermore, there have been reports that some patients find this treatment uncomfortable, and there may be complications related to its inability to travel past vein valves.

Cons Summary:

  • Not covered by most major insurance plans
  • Potentially uncomfortable experience

Are you a candidate for clarivein?

You’re the ideal candidate for clarivein if you’re unsuitable for ablation treatment and venaseal because of allergic reactions to lidocaine or vein glue. However, you must ask your vein treatment center’s insurance concierge to check your insurance eligibility.

Surgery

Other Names: Vein Removal, Vein Stripping, Phlebectomy

Suitable For: Extremely large and tortuous varicose veins

What is vein stripping?

Vein stripping is a traditional vascular surgery method for vein treatment. This procedure involves the forcible extraction of the diseased vein through an incision using various surgical tools and techniques. 

What happens during the vein removal surgery?

After identifying the diseased vein using ultrasound technology, your vein doctor will deliver general anesthesia and take you to the operating room. The vascular surgeons will make an incision to expose the diseased vein and then use various surgical techniques to remove it from your body. In most cases, vein doctors use a hook-like device to extract the diseased vein.

Pros:

In extreme cases, vascular surgery may be your last option to remove the varicose veins.

Pros Summary:

  • Only option in extreme cases

Cons

 

Most non-surgical and minimally invasive varicose vein treatments are safer and more effective than vein surgeries. As such, vein surgery is now considered obsolete.

Cons Summary:

  • Obsolete treatment
  • Higher risk of complications

Are you a candidate for vein surgery?

You’re a candidate for vein surgery if you’ve undergone numerous minimally invasive vein treatments without sufficient results. You may also be considered a candidate for vein surgery if you have extremely large and tortuous varicose veins or blood clots in your veins.

Our vein doctors routinely perform all the procedures mentioned in this guide, and they have a flawless track record with no major complications. If you have more questions about your vein treatment options, please consult one of our incredibly talented vein doctors in Houston, TX.

 5 Tips to Select the Right Vein Treatment Center in Houston, TX, for Spider Vein and Varicose Vein Treatments

  1. Find a vein doctor who actually listens to you! Oftentimes, vein physicians jump to conclusions and recommend treatments before you’re even done listing all your symptoms. You must look for vein doctors who take the time to listen to your symptoms, discuss your goals, and provide detailed explanations of all your treatment options.
  2. You should restrict your search to IAC-accredited vein treatment centers of excellence. IAC, short for intersocietal accreditation commission, is an organization that certifies and recognizes medical facilities that meet all their extremely strict requirements. Our vein treatment center in Texas is IAC-accredited because we meet (and surpass) all their requirements for vein physicians, technicians, vascular imaging, and vein treatments.
  3. As this guide has illustrated, the only way to achieve long-lasting relief from spider veins and varicose veins is to address the root cause — chronic venous insufficiency. Unfortunately, inexperienced vein doctors often treat the visible symptoms without checking for deeper problems. Our vein doctors always run advanced diagnostic tests, such as duplex ultrasound, to determine if you have vein disease, and curate the ideal vein treatment plan accordingly.
  4. You must also look for vein treatment centers led by vein doctors with specialized training in vascular imaging. Vein doctors without sufficient training often have their assistants perform the ultrasound tests — this indicates that they’re not sufficiently capable of providing ultrasound-guided treatments for optimal precision. Our vein doctors in Houston are registered physicians in vascular imaging — they have specialized training in vascular imaging.
  5. You must also look for vein treatment centers in Texas that pay heavy emphasis on personalized vein care. Each individual is unique, and everyone needs a vein treatment designed for their specific needs and goals. As such, your vein doctors must discuss all your vein treatment options and highly which treatments are suitable for you specifically. You must avoid vein treatment centers that follow a “one-size-fits-all” approach.

Our state-of-the-art and accredited vein treatment center in Texas is staffed by highly-skilled and nationally-renowned vein experts. If you need spider vein or varicose vein treatment, please contact our vein doctors to discuss your minimally invasive treatment options.