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Varicose Veins


Varicose veins are larger than spider veins. The word “varicose” comes from the Latin word “varix,” which means twisted. Varicose veins are usually blue and tend to bulge. As they enlarge, they may even become twisted, tortuous, gnarled, or even cord-like. They can occur anywhere in your leg from your groin to your ankle. Any vein can become a varicose vein, but they most commonly occur in your legs and feet.

Many people with varicose veins do not experience discomfort. In some cases, as more and more blood flows backward in the abnormal vein, the vein can become leaky causing symptoms of leg swelling and leg aches. Occasionally burning and throbbing occurs in your muscles as blood pools or backs up in your legs. Symptomatic varicose veins usually require treatment. In some patients sclerotherapy can be used to treat smaller varicose veins, but larger varicose veins many need endovenous laser ablation, radio frequency ablation, cutaneous laser, or microphlebectomy.


In addition to the visual appearance of purplish, knotted veins, many patients may experience one or more of the following leg symptoms:

  • Pain (an aching or cramping feeling)
  • Heaviness/tiredness
  • Burning or tingling sensations
  • Swelling/Throbbing
  • Tender areas around the veins
  • Restless leg

If you experience symptoms and delay treatment, your symptoms may progress onward to more serious complications including:

  • Inflammation (phlebitis)
  • Blood clots (e.g., deep vein thrombosis (DVT))
  • Ankle sores or skin ulcers
  • Bleeding

At AMISurgery, we offer several treatment alternatives for varicose veins. These may include conservative techniques including the use of medical grade compression stockings. If your varicose veins do not respond to conservative therapy, more active treatments may be required. Fortunately, AMISurgery offers state-of-the-art minimally invasive techniques that effectively treat varicose veins with no hospital stay, no scarring, minimal discomfort, and no downtime.


Venous reflux (faulty valves) in the greater saphenous or other superficial veins actually interferes with the normal venous return of blood. Closing or removing these areas improves venous circulation as blood is diverted to normal veins with functional valves. The resulting improvement in venous circulation significantly relieves symptoms and improves appearance.


  • Allergic reaction – Very rarely, a patient may have an allergic reaction to the anesthetic agent.  The risk of this is greater in patients who Garcinia Fruit have a history of allergies.
  • Pain – Patients may experience moderate to severe pain following the procedure.  The leg may be tender to the touch after treatment, and an uncomfortable sensation may run along the vein route.  This discomfort is usually temporary.
  • Swelling – This may occur after treating veins in the leg. It usually resolves in a few days but may last a few weeks, especially after the treatment of large varicose veins. Wearing the prescribed compression hose lessens ankle swelling.
  • Skin Burns – Utilizing endovenous ablation therapy carries a risk of skin burns, which may require further surgical treatment.
  • Damage to the eyes – Laser therapy carries a risk of damage to the unprotected eye. You will be provided with safety goggles to protect your eyes.
  • Deep Vein Thrombosis – A very rare complication, the dangers of phlebitis include the possibility of pulmonary embolus (a blood clot carried to the lungs) and post phlebitic syndrome, resulting in a permanent swelling of the leg.
  • Transient Hyperpigmentation – Patients who have had Endovenous ablation therapy may notice some discoloration after treatment. This discoloration is almost always transient and will resolve in about three months. In rare cases, this darkening of the skin may persist up to a year.
  • Nodularity – Nodularity at the site of vein removal may persist for up to a year. This occurs when there are pieces of the vein that remain in the body and have scarred down and become hard. With time, the body will absorb and soften these areas but some may persist.
  • Skin ulceration – Post injection therapy at the site of injection, a skin ulcer may develop. This is a rare complication. In the event of a skin ulcer, it may take months for the area to heal.
  • Nerve trauma – Occasionally there can be trauma to surrounding nerves, which can result in a transient numbness that will resolve on its own with time. In rare instances, the localized numbness may be permanent.
  • Recurrence of New Veins – When a patient has varicose veins it is usually an ongoing problem. Several years after the vein has been treated the body will attempt to repair itself by taking veins that were insignificant and make them significant. We recommend a yearly follow up with ultrasound so that we can detect any new problems and treat them accordingly as they arise.
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