This will depend heavily on your treatment goals,  the evaluation of your vein doctor, and testing results from duplex ultrasound.  Patients are often characterized into one of three categories (overlap is common as patient will express cosmetic goals along with symptoms of vein disease):

• Cosmetic: Patients without underlying venous insufficiency or symptoms.  Primary treatment goal is the elimination of spider and reticular veins using sclerotherapy or laser removal.
• Symptomatic Venous Insufficiency: Patients will benefit from treatment of the underlying condition.  In the absence of leg ulcerations or swelling, the primary treatment is exercise, weight loss (if needed), and compression grade 2 medical stockings.  If conservative measures have not controlled symptoms, then additional medical treatments are considered.

This will depend heavily on your treatment goals,  the evaluation of your vein doctor, and testing results from duplex ultrasound.  Patients are often characterized into one of three categories (overlap is common as patient will express cosmetic goals along with symptoms of vein disease):

• Cosmetic: Patients without underlying venous insufficiency or symptoms.  Primary treatment goal is the elimination of spider and reticular veins using sclerotherapy or laser removal.
• Symptomatic Venous Insufficiency: Patients will benefit from treatment of the underlying condition.  In the absence of leg ulcerations or swelling, the primary treatment is exercise, weight loss (if needed), and compression grade 2 medical stockings.  If conservative measures have not controlled symptoms, then additional medical treatments are considered.

• Advanced venous insufficiency: These patients present with further signs of vein disease (CEAP 4-6) which includes leg edema, stasis dermatitis, skin discoloration, or venous leg ulcerations.  Bleeding varicose veins are also a sign of advanced vein disease and compression stockings alone are likely to be insufficient for resolution of symptoms

The Wayne Vascular Center is accustomed to treating all vein conditions and is equipped with state-of-the-art diagnostic tools to make the right diagnosis and treatment recommendation.   Our vein clinics are overseen by board-certified vascular experts formally trained in endovascular medicine. Additionally, our ultrasounds are performed by certified techs and interpreted only by in-house registered vascular physicians (RPVI credentials).  This guarantees the highest quality of vein care.