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Endovenous Laser Ablation This is the state of the art for management of the larger varicose veins. This procedure removes the most common cause of increased pressure to the surface veins. This avoids the vein stripping procedure which used to be done in the operating room.

Phlebectomy

This procedure removes the larger surface bulging or varicosities. An out-patient mini-stripping procedure that is done in the office. Again avoiding the operating room. Local anesthesia is all that is required. 

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DopplerGuided Sclerotherapy

Venous injection of solution to pressure veins that are not amenable to laser ablation. This important for maintenance to keep recurrence down to a minimum.

Sclerotherapy 

most popular management technique for remove the smaller spider veins. 

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Prevention Methods

Supplements and specific use of proper compression hose are under used

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