You need a consultation and ultrasound exam to determine what the problem is.

Published on Jul 11, 2012

Firstly you need to know if there is an underlying condition. Normally, we have our patients schedule an appointment including ultrasound (done right in our office at the same time).

If there is venous reflux (backflow due to broken valves) in the saphenous veins, our patients undergo a short period of conservative therapy to qualify for insurance coverage (compression hose, elevating legs, taking aspirin or Advil when needed, exercise, weight loss etc). We then can seal the vein causing the problem with a laser inserted into it under local anesthetic.

At the same setting, I remove the large bulging veins using microphlebectomy (tiny punctures and sections removed through there). A light dressing is applied and stockings for two days, no real limitations except very strenuous exercise for the first week. The risk in experienced hands are minimal. The procedures are minimally invasive and under local anesthetic in the office, walk in, walk out.

Published on Jul 11, 2012

The first step in getting varicose veins treated is to see a physician who treats them regularly for a consult and an ultrasound.

The doctor can determine the cause of the varicose veins, assess how severe the underlying problem is, and offer treatment options that would be most appropriate for you.

While it is uncommon for varicose veins to be dangerous, depending on how severe the underlying vein disease is, you could potentially be at risk for significant medical problems if the underlying disease process is left untreated.
Best of luck with your treatment,

Yedida Goldman, MD
Vein Institute of Blue Bell (vibb.org)

Published on Jul 11, 2012

Start by seeing a certified vein specialist from the American Board of Venous and Lymphatic Medicine or a vascular surgeon. Go to the American College of Phlebology website and do a search under 'physician locator' section using your zip code.

Published on Jul 11, 2012

Varicose veins are due to refluxing (leaking) valves of the saphenous system of veins. The standard of care is to treat the refluxing valves with a closure procedure, and then the varicose veins with either removal through small incisions or sclerotherapy. The first step is to see a vein specialist for a full venous evaluation including a venous duplex ultrasound.

Published on Jul 11, 2012