Treatment Options

Treatments for vein problems have progressed dramatically over the past several years. Dr. Miller uses only state-of-the-art technology to eliminate problematic veins. These include: Endovenous Ablation with Laser (ELT) or Radiofrequency (RF-VNUS Closure®/ Venefit), Sclerotherapy with or without Ultrasound Guidance, and Microincisional Phlebectomy. These procedures are performed in the office under local anesthesia, with minimal to no discomfort. The type of treatment you require will be determined after a full evaluation by Dr. Miller and our experienced nurses.

We use the following varicose vein treatments:

Endovenous Ablation/ Microincisional Phlebectomy
Usually these procedures do not require stitches and the incisions (approximately 1/8-inch) are barely visible once the healing process is complete. Patients can walk out of the office after the treatment and resume normal activities within 48 to 72 hours.

Ultrasound-Guided Sclerotherapy/ Endovenous Chemical Ablation
There is no need for any incision. This technique is used to treat varicose veins that are below the skin surface. An FDA-approved medication is injected into the diseased veins using an ultrasound to guide the placement. This ensures that the medication gets placed accurately into the vein. This usually requires no anesthesia or sedation and you may resume normal activities immediately afterwards.

Conservative Treatment
Prescription strength compression stockings are the most conservative way to treat vein disease. Compression stockings will help lessen the symptoms caused by varicose veins, but they do not treat the underlying problem. These stockings must be worn on a daily basis since they do not eliminate the source of the problem in a definitive manner. Most insurance companies are now requiring a trial of compression stockings before considering the coverage of any procedure for varicose veins.