Varicose Veins

Minimally invasive procedure to treat varicose veins at their source
Having a problem with varicose veins and want to improve your skin’s appearance?


Varicose veins are blue or dark purple swollen, twisted veins that you can see just under the skin that usually occur in the legs and also can form in other parts of the body.

Varicose veins can be painful and disfiguring but they are usually harmless. When inflamed, they become tender to touch and can hinder circulation to the point of causing swollen ankles, itchy skin, and aching in the affected limb.


  • aching, heavy and uncomfortable legs
  • swollen feet and ankles
  • burning or throbbing in your legs
  • muscle cramp in your legs, particularly at night
  • dry, itchy and thin skin over the affected vein
The symptoms are usually worse during warm weather or if you've been standing up for long periods of time.
If you observe that you experience with one or more of the symptoms listed above, it is recommended to consult a doctor.
Request an Appointment
Varicose veins diagram
Normal versus varicose vein
varicose veins chart


beautiful legs

Treatment of varicose veins is usually necessary:

  • to ease symptoms for varicose veins that causes pain or discomfort
  • to treat complications such as leg ulcers, swelling or skin discoloration
  • for cosmetic reasons

Your doctor may recommend in using compression stockings, taking regular exercise and elevating the affected area when resting up to 6 months before taking any of the following treatment:

  • Endothermal ablation – where heat is used to seal affected veins
  • Sclerotherapy – this uses special foam to close the veins
  • Ligation and stripping – the affected veins are surgically removed

It's unlikely you'll receive treatment covered by insurance for cosmetic reasons – you'll have to pay for cosmetic treatment privately.

Endothermal Ablation

This technique composed of two types for treating varicose veins: EndoVenous Laser Ablation (EVLA) and Radiofrequency Ablation (RFA). These procedures seal off the main underlying faulty vein that is feeding the varicosities. This will be either the Long saphenous Vein (LSV) in the thigh or the Short Saphenous Vein (SSV) behind the knee and calf. These ablation techniques have replaced the traditional operation to provide a less pain treatment with quicker recovery.


A medical procedure used to eliminate varicose veins and spider veins. A solution (generally a salt solution) is directly injected into the vein. The solution irritates the lining of the blood vessel, causing it to collapse and stick together and the blood to clot. Over time, the vessel turns into scar tissue that fades from view. This treatment is more on cosmetic results.

Ligation and Stripping

This is a minor surgery that is used to remove a damaged vein and prevent complications. One or more incisions are made over the damaged veins, and the vein is tied off (ligated). If the ligation cuts off a faulty valve and the vein and valves below the faulty valve are healthy, the vein may be left in place to continue circulating blood through other veins that still have valves that work well.

Learn more about Varicose Veins Treatment and other
state-of-the-art therapies at Surgical Associates!


Frequently Asked Questions

  • When to seek medical advice?

    Self-help measures (conservative therapy) can help ease the pain of varicose veins and may prevent them from getting worse. But if the way they look and feel becomes a concern or if self-help measures are not successful, then it's time to see one of our doctors.

  • Does my insurance cover treatment?

    Most insurance companies cover treatments for varicose veins that are medically necessary, and in cases when conservative therapy with "compression" stockings has failed. Any treatment for cosmetic reasons, including sclerotherapy, is not covered.

  • What will happen if I leave my varicose veins alone?

    When left untreated, varicose veins can result in sores, skin ulcers, blood clots, and even deep vein thrombosis (DVT). It’s best to treat varicose veins as soon as possible to avoid these costly and, in the case of DVT, potentially life-threatening complications.

  • Will my diet affect my varicose veins?

    In a word, yes. What you eat can improve or exacerbate your varicose veins. Eating more colorful fruits and vegetables and high-fiber foods is a good example that will lead to a healthier body in general and in turn, healthier veins. In contrast, salty foods put greater pressure on veins by encouraging water retention. Similarly, dairy and red meat minimize consumption of foods that can worsen varicose veins by promoting constipation like, another source of excessive pressure on veins.



Surgical Associates have been providing the highest quality surgical care to our community since 1999. To continue our commitment to excellence, we make every effort to guide and assist our patients in their surgical needs.

Varicose free legs Surgical Associates PA Image
Don’t let visible varicose veins ruin your confidence. We perform less pain and bruising office procedure to reduce or possibly eliminate ugly and painful varicose.
Learn More
Surgery Surgical Associates PA Image
Breast Procedures
We are dedicated to serve and care for women with breast disease. Our breast surgeons work with other medical professionals to successfully perform your surgical needs and are with you every step of the way, from diagnosis through treatment, surgery and reconstruction.
Learn More
Consultation  Surgical Associates PA Image
Colon Screening
Find problems that can be treated before cancer develops or spreads. Regular screenings may reduce the risk of death and complications caused by colorectal cancer.
Learn More
Skin cancer Surgical Associates PA Image
Skin Cancer
More than 1.5 million Americans are diagnosed with skin cancer each year. Our team is equipped with experts in the diagnosis, staging and treatment of patients with simple to complex skin cancers.
Learn More
Surgical Associates

Contact Information

Telephone: (302) 674-0600
Fax: (302) 672-7144

Monday - Thursday: 8:30 am - 5:00 pm
Friday: 8:30 am - 4:00 pm