Understand all of your options.

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 You may have heard of treatments other than sclerotherapy and EVLA as you’ve been researching. In certain situations, some can be practical options, but many are not–that’s why it’s important to consult with a vascular specialist who can help you understand the whole picture. Sclerotherapy and endovenous laser treatment are not the only options out there, but they are known to be among the safest, least painful, and most effective. However, we still feel it’s best to address the advantages and disadvantages of other treatment options in order to give you the full story.

Recommended alternative vein treatments:

Compression Stockings:

What they are: Compression stockings are prescription garments that fit tighter around the foot and gradually loosen compression as they move up the leg. They are designed to increase your blood flow, and to help push your veins blood back upward toward your heart. Compression stockings for varicose veins may be required by your insurance company as a first course of action before authorizing coverage for medical treatment, so schedule a consultation at your nearest vein clinic to find out.

Pros: They can provide symptomatic relief of pain and swelling and can encourage healthier, more efficient blood flow. When used with other treatments they may also increase the effectiveness of those treatments, so they’re often helpful before or after sclerotherapy and EVLA treatments.

Cons: Compression stockings do not treat the underlying problem. Because vein disease is progressive, symptoms will typically worsen over time if the disease is not properly treated. Also, some people find compression stockings to be uncomfortable and hot.

Ambulatory Phlebectomy

What it is: Removing veins through small incisions or needle punctures.

Dr Sharier’s recommendation : It can only be used for veins that are close to the skin’s surface and requires local anesthesia

Alternative treatments that we don’t recommend:

Vein Stripping

What it is: Varicose veins are surgically removed.

Why Dr Sharier does not recommend: The procedure is less effective and more invasive than EVLA. Vein disease is a chronic problem with new varicose veins developing over time, and repeated surgery for a potentially recurring problem is not an advisable solution.

Also, vein stripping entails a longer and more painful recovery time than minimally invasive procedures and it may result in scarring.

Surface Laser or Intense Pulse Light (IPL)

What it is: Lasers hit the lighter, more delicate spider veins close to the skin’s surface.

Why Dr Sharier does not recommend it: IPL isn’t as effective as sclerotherapy and can be quite painful. There’s also the possibility that it may damage or burn the skin. It is not considered the “gold standard” in treatment.

2 Goldman MP, Sadick NS, Weiss RA. Treatment of leg telangiectasias with lasers and high-intensity pulsed light. In: Fronek HL, ed. The Fundamentals of Phlebology: Venous Disease for Clinicians. 2nd ed. London, England: Royal Society of Medicine Press Ltd; 2008:47-52.

Creams and Ointments

What they are: Spider vein removal creams and creams to reduce varicose veins are topical products applied directly to the skin that are available over the counter.

Why Dr Sharier does not recommend it: They do not get rid of varicose or spider veins, or treat their root cause.

Let us design your customized treatment plan.

Schedule a free** consultation or get the answers to your questions

Head doctors

  • Dr. Edaline Lavender

    Dr. Edaline Lavender

        36 years experience

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  • Dr. Ashley Fletcher

    Dr. Ashley Fletcher

        36 years experience

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  • Prof. Rodney Stratton

    Prof. Rodney Stratton

        36 years experience

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