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We Rank the Top Spider Vein and Varicose Vein Treatments in Texas

Are You Looking for Vein Treatment in Texas? We Can Help!

Our comprehensive guide ranks the top vein treatment options for spider veins, varicose veins, and other vein problems. We get it, selecting the ideal vein treatment for your specific needs can be challenging, especially when there is an abundance of vein treatment options. 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,you are no longer compelled to undergo complex vascular surgeries with high risks of complications. Our vein centers offer minimally invasive vein treatments that are usually performed as in-office and outpatient procedures. Our treatments 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 and we want to empower you to make the best decision. In this article, we provide 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. You might assume (as many do) 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. We help you achieve lasting relief from spider veins by identifying and treating 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 in your legs. 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?

Our vein doctors identify the diseased veins using ultrasound technology, following which they administer local anesthesia and make a small incision on your 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, our 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. This restores your optimal blood circulation.


We believe 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. You may find this procedure incredibly convenient because there’s no pain or discomfort, and you can return to your work and other activities immediately. We have been using radiofrequency and laser ablation for years, 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


Your radiofrequency ablation has to be performed by the most talented vein doctors for safety. 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. Inexperienced vein doctors often use more injections than necessary while delivering tumescent anesthesia, which causes more discomfort and pain than necessary. Our state-of-the-art vein treatment center in Texas is led by a highly-skilled vein doctor who ensures a successful and painless treatment.


Cons Summary:

  • You 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. You 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.


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. We perform this treatment using cyanoacrylate glue, one of the most well-established and safe medical-grade adhesives used for vascular procedures.

What happens during the venaseal procedure?

Our vein doctors use ultrasound technologies to identify the diseased veins, following which they administer local anesthesia and make a small incision on your skin. Using the incision as an entry point, the vein doctor inserts a delivery device (catheter) with the cyanoacrylate glue into the diseased vein under your skin. 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 your healthier veins, and the medical glue will harden into a permanent implant.


We believe the primary advantage of venaseal over ablation treatments is that it doesn’t involve tumescent anesthesia, so you experience minimal post-treatment swelling. Furthermore, we use venaseal to treat 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


We believe the primary drawback of venaseal is its relative newness, having received FDA approval just a few years ago. As such, we don’t have clinical evidence about its long-term effects, and most insurance providers don’t cover this treatment. You may develop allergies to the cyanoacrylate glue and you might have reservations against the medical glue remaining in your 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?

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


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 our vein doctor injects sclerosant medication into your 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?

Our vein doctors use vascular imaging techniques to visualize your 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.


We believe sclerotherapy is the ideal cosmetic treatment for spider veins if you don’t have 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. Our sclerotherapy treatments are far more effective than laser therapy for spider veins.


Pros Summary:

  • Highly effective
  • No recovery period


As we mentioned earlier, sclerotherapy can be performed using various sclerosant medications. Our vein doctors dilute the sclerosant medication with sterile water to achieve the ideal dosage. However, inexperienced vein doctors may use the incorrect medication or wrong dosage, causing discomfort, pain, skin discoloration, and other side effects. Furthermore, if a vein doctor accidentally injects sclerosant into the arteries, you may experience tissue death (necrosis). As such, we encourage you to consult our skilled vein experts for sclerotherapy.


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 — our vein doctor injects a sclerosant medicine 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, our vein doctors inject a foamy version of a sclerosant into larger veins.

What happens during the foam sclerotherapy procedure?

Our vein doctors use ultrasound technologies to identify the diseased veins under the skin’s surface. After identifying the unhealthy veins, we prepare the foam solution, mixing the sclerosant medication with air between two syringes. The vein doctor injects the foam sclerosant into the unhealthy veins under ultrasound guidance to ensure optimal precision and monitors the foam sclerosant as it travels across the varicose veins. We perform this procedure with the utmost precision because the sclerosant mustn’t travel into the perforating veins — the deeper veins connected to the varicose veins.


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. We also provide foam sclerotherapy for the treatment of recurring vein disease.


Pros Summary:

  • Highly effective
  • Suitable for tortuous veins


Your foam sclerotherapy must be performed by experienced vein doctors. Our vein doctors carefully assess the varicose veins’ location and prevent the solution from reaching the perforating veins. Our vein doctors also minimize the risk of air embolism, a phenomenon wherein air travels through the bloodstream and into the lungs, preventing the oxygenation of blood. If your treatment is performed by an inexperienced vein doctor, you may suffer from the aforementioned risks and complications.


Cons Summary:

  • Potential for complications
  • Must be performed by our 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. You can also consider this treatment if you have 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. During this procedure, our vein doctor injects the pre-mixed sclerosant foam solution into the unhealthy veins to seal their walls, alleviating the symptoms of your vein disease. Like foam sclerotherapy, it can treat larger varicose veins because the foamy solution covers more area than liquid sclerosant. However, we prepare pre-mixed foam by mixing sclerosant with carbon dioxide and nitrogen — not room air. The pre-mixed foam sclerosant solution moves quickly through your 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?

During pre-mixed foam sclerotherapy, our vein doctors leverage 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. Our vein doctor draws the pre-mixed foam sclerosant from its canister and injects it into the diseased veins under ultrasound guidance.


We believe pre-mixed foam sclerotherapy is the ideal treatment for recurring vein disease. Furthermore, it’s so effective at treating larger varicose veins that it saves you 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


Pre-mixed foam sclerotherapy is an incredibly powerful procedure, so it must be performed by our 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 our 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 determine if your insurance plan covers pre-mixed foam sclerotherapy — most insurance providers don’t.


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. We perform the clarivein treatment using a special medicine delivery device known as a catheter — it’s a specialized catheter with a rotating tip. Our vein doctor inserts the catheter into the diseased vein to simultaneously damage the vein’s walls while delivering sclerosant medicine.

What happens during the clarivein procedure?

During clarivein, our vein doctors use ultrasound scans to visualize the diseased veins, following which they cleanse the skin and make an incision. The vein doctor will insert the clarivein device into your diseased vein under ultrasound guidance, and activate the rotating tip to damage the vein walls and secrete the sclerosant medication. The vein doctor will drive the catheter along the diseased vein to complete the treatment.


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


Pros Summary:

  • No tumescent anesthesia
  • Doesn’t leave an implant in your body


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. Our vein treatment center’s insurance concierge will check your insurance eligibility before the procedure.


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. During vein stripping, our vein doctors forcibly extract your 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, our vein doctors deliver general anesthesia and take you to the operating room. Our vascular surgeon makes an incision to expose the diseased vein and uses various surgical techniques to remove it from your body. In most cases, our vein doctors use a hook-like device to extract the diseased vein.


We believe vascular surgery may be your last option to remove varicose veins in extreme (and rare) cases.


Pros Summary:

  • Only option in extreme cases


We always recommend non-surgical and minimally invasive varicose vein treatments because they are safer and more effective than vein surgeries. Vein surgery is now mostly 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 might also be 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. We look forward to helping you!

We Provide 5 Tips to Select the Right Vein Treatment Center in Houston, TX, for Your 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 highlight 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.