Choosing the Right Varicose Vein Treatment

Varicose veins are both unsightly and uncomfortable for sufferers. If you are dealing with this condition, effective treatment can help you alleviate your symptoms and improve your physical appearance. However, because multiple varicose vein treatment options are available, it can be difficult to select the right one. Consult the information below to determine which treatment may be best for you.

Understanding Varicose Veins

Varicose veins are abnormal veins that typically develop in the legs. They appear as swollen, gnarled vessels that may be raised above the surface of the skin or located deep within the tissues. Some patients with varicose veins experience no physical symptoms aside from the appearance of the veins. However, many patients also experience burning, tingling, cramping, throbbing, weakness and restlessness in affected legs. In severe cases, ulcerations may develop in the skin near a varicose vein.

Varicose Vein Treatment Options

If you are suffering from varicose veins, a number of treatment options are available. Some of the treatments you may consider include:


Sclerotherapy is a procedure that is often used on medium-sized varicose veins. During this procedure, a vein doctor uses a fine needle to inject a special solution into your varicose veins. This solution irritates the walls of the veins. The walls then swell, sealing off the vein. Eventually, it fades from view. Sclerotherapy may be performed with or without ultrasound guidance.

Nonthermal Ablation

Nonthermal ablation treatment involves the use of a chemical to close off the diseased veins and reroute the blood into healthier vessels. Unlike other types of treatment, nonthermal ablation does not utilize heat. Thus, the procedure is faster and produces less discomfort than some of the other options available.

Radiofrequency Closure

Radiofrequency closure uses radiofrequency waves to heat the fibers within the vein, causing them to shrink. The vein closes, and blood moves into other vessels. The procedure requires only local anesthetic and is performed under ultrasound guidance. Recovery is quick and easy, with most patients returning to their normal activities within 24 hours.


If your varicose veins are close to the surface of the skin, microphlebectomy may be the best option. During this procedure, the surgeon removes the diseased vein through small punctures made in the surrounding skin. This procedure provides immediate results and a complete relief from associated symptoms.

Choosing the Right Treatment

Different treatment options work better for different people. The best way to determine which treatment option is best for you is to visit a vein doctor. Please contact Bridgeport Vein Center to make an appointment.

Understanding Venous Reflux: The Root Cause of Abnormal Veins

Most cases of abnormal veins arise from a problem known as “venous reflux.” Because of this condition, millions of patients suffer from the symptoms of varicose veins, often seeking professional treatment for relief.

What is Venous Reflux?

Venous reflux is a condition that develops when valves within the veins fail. It is most common in the saphenous veins, which are responsible for carrying blood back to the heart. When they are functioning properly, the valves in these veins stop blood from flowing backward. When they fail, however, blood refluxes and pools, which causes the vein to swell. These diseased veins are referred to as “varicose veins.”

Symptoms of Varicose Veins

Varicose veins are most common in the legs, and they may be blue, red or purple in color. They appear as large, swollen veins that may be twisted or gnarled. In some cases, varicose veins protrude from the legs. In other cases, they are found deep within the tissues. Many patients experience uncomfortable symptoms with this condition, including swelling of the legs, pain, cramping, throbbing, burning, weakness and tingling. If varicose veins are severe, ulceration of the skin may occur as well.

Treatment Options for Patients

Patients with varicose veins may be able to resolve their symptoms with a number of different treatments. Some of the most common treatments designed to address venous reflux include:


Sclerotherapy is a minimally-invasive procedure that involves a series of injections into the patient’s varicose veins. This procedure works by introducing a sclerosing solution into the veins in order to force the walls to swell and seal together. For some patients, this procedure is performed under ultrasound guidance.


Microphlebectomy is a procedure used to remove diseased veins from the body and eliminate all associated symptoms. During this procedure, the vascular surgeon uses small hooks to extract veins from the body through small incisions.

Laser Ablation

Laser ablation treats varicose veins by administering laser energy into the interior of the walls. The heat generated by the laser shrinks the vein’s collagen fibers and causes them to disappear.

Radiofrequency Ablation

Radiofrequency ablation treats the interior of varicose veins with radiofrequency energy. This energy is introduced into the vein via a thin catheter.

Seeking Treatment

If you are interested in seeking treatment for varicose veins, contact the Bridgeport Vein Center.

Tips for Choosing a Local Vein Specialist

Whether you  have varicose veins or spider veins, or a combination of both, finding a local vein specialist to treat them isn’t as easy as looking in the phonebook or doing a quick Google search. You want a vein specialist who has the knowledge, experience, and education needed not only to perform the surgery or other treatment right, but also to easily determine which treatment will best meet your needs. Before you decide on a vein doctor or vascular surgeon, it helps to look closely at a few areas.

What to Look for in a Vein Specialist


Training and Experiencejanoff_article

Ask yourself this, would you rather work with a vascular surgeon who’s been in practice for many years or with one who only recently graduated from medical school? Most likely, you’d pick the surgeon with ample training, knowledge and experience. Take a look at the vein doctor’s CV to find out how long he’s been in practice, what procedures he typically performs, and where he’s licensed to practice. It also helps to look for board certification, as that means that he has passed a number of requirements beyond medical school, such as completing years of residency and fellowship training.


References and Reviews

Talking to people who have had vein treatments can give you a good idea of how skilled a particular vein specialist is. There are a number of ways to find out what previous patients think of the  doctor you’re considering. You can ask the doctor to provide you with references, you can look online at reviews left by past patients, or you can ask any friends or relatives you know who might have had vein treatments from the same doctor. Your primary care doctor might also be able to give you a good review or refer you to a vascular surgeon.


Bedside Manner

The truth is that not every patient and every doctor is a good match. A vein doctor your friend loves might not be your cup of tea, for example. That’s why it’s always a good idea to have an initial consultation with a doctor before you decide to see him for treatment. During your consultation, you’ll get a good idea of how the doctor treats patients and how the staff at the vein center interacts with patients, and you’ll have a good idea of whether it’s a level of interaction you feel comfortable with. If you don’t feel absolutely comfortable with a doctor or if you feel that the surgeon is rushing you or not listening to your concerns, it will probably not be a good working relationship, and you’ll be better off finding a different specialist to work with.

How to Know When It’s Time to Visit Your Local Vein Clinic

You might notice a few at first, then more.  With the appearance of their first spider or varicose veins, patients wonder why these problem vessels developed.  In fact, at least half of American women and as many as 45 percent of men experience a vascular problem at some point, reports.  Half of people at least 50 suffer from varicose veins.  If you have problem veins, you might be wondering if it’s time to visit your local vein clinic.


What Are Problem Veins?vein clinic

MedlinePlus describes varicose veins as swollen veins just under the skin.  They have a gnarled, ropelike appearance and usually look blue or purple.  Varicose vessels most often develop in the legs, though they might appear elsewhere.  They arise when veins fill with too much blood, become dilated, and then enlarge.

Cosmetic issues are a concern for some patients.  Others experience pain, blood clots, skin ulcers, or other disorders.

Spider veins take their name from their weblike appearance.  Smaller than varicose veins, they sometimes appear in a clump.  They’re usually blue or red and appear closer to the skin’s surface.  They most often develop on the legs and the face.

Several things can cause vascular disease that results in problem veins.  Since some vein disorders can lead to serious health issues, it’s important to get an evaluation from a physician who is highly qualified to treat vein disease.


Causes of Spider and Varicose Veins

Both varicose and spider veins occur because of defective or weak valves in your veins.  Leg muscles squeeze to push up blood through veins toward the heart.  Whenever valve flaps are damaged, blood falls backward and leaks back into the vein.  When it pools, the problem is known as venous insufficiency.  As the pool enlarges, it can enlarge vessels until they become varicose.

These are the most frequent causes of varicose veins:

  • A sedentary lifestyle
  • Being pregnant
  • Being menopausal
  • Chronic heart valve disorders that are often congenital
  • Extended periods of standing
  • Excess pressure on the middle of the body
  • Being obese or overweight

Spider veins also link to valve problems.  Hormonal changes, trauma or other injury, and sun exposure are additional factors.


Vein Treatment Options

Doctors most often eliminate problem veins with sclerotherapy or VeinGoh.  The National Heart, Lung, and Blood Institute describes sclerotherapy as a non-surgical outpatient injection procedure for which no pain medicine is necessary.

Patients interested in sclerotherapy can expect to be back to their normal activities the same day as their treatment.  When symptoms become problems, the first step toward a solution is making an appointment for a consultation with a physician who specializes in treating spider and varicose veins.

Vein Treatment Options: Which Option is Right for Me?

If you suffer from varicose veins or spider veins, a number of different vein treatment options exist. Here is a brief explanation of the treatment options available to help you make the right choice.


Spider Vein Treatment Optionsspider veins

Spider veins are smaller abnormal veins that usually appear in web-like formations beneath the skin. They are discolored, and they are most common on the face, chest and legs.

The main treatment options available to people with spider veins are foam sclerotherapy and liquid sclerotherapy. Both of these treatments work by introducing a sclerosing solution into the interior of the spider vein. This solution irritates the vein’s walls, causing them to stick together. The vein then collapses and fades from view over time. Foam sclerotherapy utilizes a foaming sclerosing solution, while liquid sclerotherapy utilizes a liquid sclerosing solution. Both of these procedures can be performed with or without ultrasound guidance.

Varicose Vein Treatment Options

Varicose veins are larger abnormal veins that may be raised above the skin’s surface or deep within the tissues. These veins typically appear gnarled, and they are usually blue, red or purple in color. Varicose veins may be accompanied by other uncomfortable symptoms, including pain, cramping, tingling, numbness and weakness.

The vein treatment options available to clients with varicose veins include conservative treatment, endovenous laser therapy, radiofrequency ablation and microphlebectomy.


Conservative Treatment

Conservative treatment options for clients with varicose veins include elevation of the affected limb, wearing of compression garments and exercise. These three measures can reduce the symptoms associated with varicose veins for some patients. However, they won’t be effective for everyone.


Microphlebectomy is ideal for veins that are located close to the surface of the skin. During this procedure, the surgeon removes varicose veins from the body through small incisions in the skin.


Seeking Treatment for Abnormal Veins

If you are experiencing the symptoms of abnormal veins, please contact the Bridgeport Vein Center to learn more about your treatment options.

Using Sclerotherapy to Remove Spider Veins

Sclerotherapy is a minimally-invasive and highly effective procedure often used to treat spider veins. This procedure can be performed in the comfort of your vein doctor’s office with no need for general anesthesia.

How it Works

Sclerotherapy works by introducing a sclerosing solution into spider veins. This solution irritates the walls of the veins, causing them to swell, seal off and collapse. Over time, the treated vein is absorbed by the body and fades from view.

Preparing for Sclerotherapy

Before your surgeon schedules sclerotherapy, he or she will examine your veins and review your medical history. Be sure to report any factors that may affect your safety during surgery, including a history of birth control usage or smoking, any heart conditions you have, medications you take and any allergies to medication or other substances. Follow your surgeon’s pre-op instructions carefully to avoid problems during the procedure.

Don’t shave your legs or apply any creams or lotions during the 24 hour period immediately before surgery. Wear loose-fitting, comfortable clothing that can be removed easily for the procedure.

What to Expect

During the procedure, your surgeon will ask you to lie down on your back with your legs elevated slightly. He or she will clean the skin near your spider veins before performing the injections. Injections of sclerosing solution will be made directly into your spider veins with a fine needle. You may feel some cramping or discomfort during the injections. After each injection, the surgeon may apply compression to disperse the sclerosing solution. The entire procedure should be completed in less than an hour. For some patients, sclerotherapy takes only 15 minutes.

After the procedure is complete, you will rest on your back temporarily. Within a few minutes, the surgeon will ask you to get up and walk. You may be asked to wear bandages and/or compression garments for several days after the procedure.


While you are recovering from sclerotherapy, you should avoid aerobic activity, as well as exposure to the sun. It is common for patients to notice swelling and redness near the injection sites, as well as brown spots or lines. You may also notice bruising. All of these effects should fade over time.

The results of your sclerotherapy procedure may not appear for up to six weeks, depending on the size of the veins treated. Some patients may require additional treatments to achieve the desired outcome. Additional treatments may also be required if new spider veins develop.

Scheduling a Consultation

If you are interested in learning more about how sclerotherapy can be used to treat spider veins, please contact the Bridgeport Vein Center today.

5 Health Tips from Your Local Varicose Vein Doctor

Some factors that cause varicose veins are out of your control. You can’t help it if vein disease runs in your family, for example, and you can’t keep your body from getting older. But, other common causes of varicose veins and other types of vein disease are within your ability to control. Your local varicose vein doctor has some advice to help you improve your health and reduce the occurrence of vein disease.

Tips to Help Reduce or Prevent Vein Disease, from Your Varicose Vein Doctor:

Get Up and Move Frequently  vein doctor

Your veins are already fighting an uphill battle when it comes to getting blood back up to the heart. When you sit or stand still for extended periods of time – such as eight hours in a desk chair at the office — you make the battle that much more difficult. One way to improve your  health and to minimize the risk for developing vein disease is to get up and move on a regular basis. Every  hour or so, make it a point to walk from one end of the hallway or office building to another. Use it as an excuse to visit a co-worker or to grab some water to drink. When you do sit or stand still, make sure not to cross your legs, as doing so puts more pressure on the veins.

Cut Out Unhealthy Habits

Smoking reduces blood flow and can make varicose veins worse. Reducing your risk for vein disease is only one reason to quit smoking, but it might be the reason that matters the most to you. Excessive alcohol consumption is another habit that can make vein disease worse. Like smoking, alcohol affects blood flow. Drinking a moderate amount, or not at all, can help improve your overall health, as well as your veins.

Maintain or Lose Weight

Being overweight is another common risk factor for varicose veins. Doing what you can to maintain your weight if you’re at a healthy one or to lose weight if you are heavier than recommended can help protect your health and your veins.

Eat a Healthy Diet

Eating  a healthy diet goes hand in hand with helping you lose or maintain your weight. But, healthy eating has more benefits that just weight loss. When you eat a diet that is low in sodium and high in fiber, you help improve your blood pressure and circulation, reducing the chance that your vein disease will become worse.

Choose Low Impact Exercise

Some types of exercise are better for varicose vein treatment than others. For example, workouts that don’t put a lot of pressure on the legs, such as swimming and cycling, tend to be better than exercises that cause straining or pressure, such as weight lifting.

Vein Disease: What it is and how to treat it

Vein disease is a common problem affecting millions of people all across the country. Here is some basic information about vein disease to help you understand how it affects your life and what you can do about it.

What is Vein Disease?   vein disease

Vein disease occurs when your veins no longer look normal and/or function properly. The most common cause of vein disease is known as venous insufficiency or venous reflux. This condition develops when the valves that prevent blood from flowing backwards within one or more veins fail. This allows blood to pool in the veins, leading to a number of symptoms.

Anyone can get vein disease, but you are more likely to develop this condition if you are obese, female and/or pregnant. The risk of vein disease also increases with age.

Symptoms of Vein Disease

Two types of abnormal veins can develop in patients with vein disease: spider veins and varicose veins. Spider veins usually appear as small, web-like veins that are purple, blue or red. They are rarely raised above the skin’s surface and don’t typically cause any additional symptoms. Varicose veins, on the other hand, are larger veins that may be gnarled or swollen and tend to appear in the legs. They may be raised above the skin’s surface, and they may also be uncomfortable. Patients with varicose veins often report cramping, tingling, numbness, throbbing, weakness and restlessness associated with this condition.

Vein Disease Treatment Options

The treatment options for people suffering from vein disease include:

  • Conservative treatment. – Conservative treatment options for abnormal veins include compression, elevation of the legs, exercise and weight loss.
  • Foam sclerotherapy. – Foam sclerotherapy is a treatment option designed for spider veins that involves the introduction of a foam sclerosant into the vein by injection.
  • Liquid sclerotherapy. – Liquid sclerotherapy is a treatment option designed for spider veins that involves the introduction of a liquid sclerosant into the vein by injection.
  • Endovenous laser therapy. – Endovenous laser therapy is a procedure that utilizes laser energy to seal off varicose veins.
  • Radiofrequency ablation. – Radiofrequency ablation is a procedure that uses radiofrequency energy to seal off varicose veins.
  • Microphlebectomy. – Microphlebectomy involves the complete removal of varicose veins from the body using small surgical hooks. This treatment option is best for superficial varicose veins.

Choosing a Treatment Option

If you are suffering from vein disease, the best way to find the right treatment option for you is to visit a vein specialist.

Best Ways to Get Rid of Varicose Veins

There is no easy answer to this question, because not all varicose veins are created equally. They all involve the valve system in the veins, but that is where the similarity ends. Veins come in a variety of sizes and depths. When asking how to get rid of varicose veins, you have to consider these factors, as well as your general health and any medical problems that may complicate the treatment such as diabetes.

For this reason, the process is always going to begin with a medical evaluation. A vein doctor can map out the circulation in your legs using ultrasound and rule out a more complex problem like chronic venous insufficiency or even something life-threatening such as deep vein thrombosis. Once your leg health is understood, you can discuss ways to get rid of varicose veins.

Learn How to Get Rid of Varicose Veins

Varicose vein occur due to a failure of the valves in the vein wall. Veins push blood upward towards the heart. To fight the effect of gravity, there are valves in place throughout the vein that keep blood from moving downward between muscle contractions.

As a person ages, the vein walls lose some of their elasticity. This allows the valves to gap open and blood to seep backwards. The excess blood between valves causes the vein to become engorged and swollen. This is a varicose vein.


The best way to get rid of varicose veins is to never have them in the first place. Unfortunately, they are a natural part of aging, so there is no way to avoid them completely. The Mayo Clinic points out, there are things you can do to lessen their effect, though.

  • Exercise regularly
  • Manage your weight
  • Eat a high-fiber diet and reduce your salt intake
  • Elevate your legs when possible
  • Alternate standing and sitting

Home Care

Lifestyle is also the best way to manage varicose veins once you have them, too. Making sure you eat right and get enough exercise helps keep minor varicose veins in check. Avoid wearing high heels if you have problems with your legs and don’t cross them when you sit.

Visiting a Vein Clinic

There are surgical options to get rid of varicose veins, too. Most of them are done right at the vein clinic and require little recovery time.

VNUS Closure – The VNUS Closure procedure allows the vascular surgeons to insert a small catheter into the problem vein, no matter how deep. The catheter emits a pulse of radiofrequency energy to the vein wall, causing it to collapse.

Ambulatory phlebectomy – This minimally invasive surgical procedure works well for varicose veins that sit near the surface. The doctor makes tiny incisions along the path of the vein and hooks to remove it. This is done at an outpatient surgical clinic under general anesthesia.

Ultimately, the doctor will decide which procedure is best for your varicose veins and advise you on ways to improve your overall leg health.

Dr. Janoff visits KATU TV AM to Discuss Vein Treatment

Dr. Janoff visits KATU TV AM to Discuss Vein Treatment


Helen: Those veins are not only unsightly but can really be painful, so now there’s a center that’s devoted solely to the treatment of veins. And here to tell us about the latest treatments is Board Certified Vascular Surgeon, Dr. Kenneth Janoff. Welcome to AM Northwest.

Dr. Kenneth Janoff: Thank you. Thanks for having me.

Helen: Let’s talk about this. You devoted a whole treatment for the veins so there must be a problem out there. A lot of people must be affected.

Dr. Kenneth Janoff: Absolutely, the 20 to 25 million Americans have varicose veins and they can cause quite a bit of discomfort.

Helen: So they’re not only unsightly but, like as we mentioned, not comfortable?

Dr. Kenneth Janoff: Yeah.

Helen: Painful?

Dr. Kenneth Janoff: Throbbing, aching, burning and itching.

Helen: What types of vein is usually you see?

Dr. Kenneth Janoff: Well, at the center we’re seeing people with primary varicose veins, spider veins, people with ulcers from venous which is called Venous Stasis Disease. We see pretty much to everybody with venous problems.

Helen: Let’s take a look before and afters because those are always just stunning. So, tell me about what we’re seeing here. Wow, that is a difference.

Dr. Kenneth Janoff: Well on the left they’re large what we call ropey varicose veins and that patient had treatment with what’s called the Vnus Closurefast Catheter, which I happen to have one here, and basically that was treated with just the needed stick into just below the knee and then the catheter spread it up and we heat the inside of the vein and it shuts it down and decompresses these other veins.

Helen: How many treatment? How uncomfortable are the treatments? It sounds kind of . . .

Dr. Kenneth Janoff: It’s about a 15 to 20 minute treatment in office under local anesthesia. It’s really tolerated very well. It’s much, much better than the old vein stripping where we tore the vein out of the leg actually.

Helen: Oh, yeah, oh gosh, and then this?

Dr. Kenneth Janoff: Same thing that was accessed in the thigh and you can see on the left the large blue veins that are now very less prominent.

Helen: What about spider veins? How do you get rid of those?

Dr. Kenneth Janoff: Well, we have a couple of options. We can do what’s called Sclerotherapy where you inject veins with a solution that scars them down and then we have a new machine called VeinGogh which just with a little bulk of radio frequency electricity cauterizes the veins with a very tiny needle that’s just barely put into the skin.

Helen: All right, tell me about this. This is what you mentioned earlier.

Dr. Kenneth Janoff: Well, this is the Vnus Closurefast Catheter. This has this exposed metal tip that goes inside the vein and then it plugs in at the back to a generator and once it’s in position we push the button and it just cycles up to a 120 degree centigrade for 20 seconds. And then we just advance it down the leg until we’ve completed the treatment.

Helen: Wow, I love the before and afters because it really says at all, doesn’t it? Folks, if you’d like to find out more about the Bridgeport Vein Center just give them a call at 503-239-4324. As we mentioned you are a Board Certified Vascular Surgeon, it’s in Portland at 503-636-0776 Lake Oswego. We’ll put all that information onto our website at KATU. Thank you very much appreciated.

Dr. Kenneth Janoff: And thanks so much.

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