1695 E Rainforest Road | Fayetteville, AR 72703 |Ph 479.445.6460

Treatments

Treatment aims to improve the patient’s quality of life. CVI presents with a wide spectrum of severity and symptoms. Whether the patient’s desire is to cosmetically improve the appearance of one’s leg or to heal an advanced stasis ulcer, we are here to help.

There are non-surgical treatment options for CVI. These include consistent compression stocking treatment, refraining from long standing or sitting, and leg elevation. These tend to transiently improve symptoms but typically does not treat the source of the disease. Surgical treatment involves rerouting venous blood return from the legs through healthy veins rather than incompetent veins.

Treatments for Chronic Venous Insufficiency (CVI)

The leg vein valves are the main problem. The veins serve as highways for blood return from the legs to the heart. This is aided by muscle contractions of the feet and the calf to push the blood upward. In order to provide continued upward flow, the leg veins are designed with one-way valves. When the valves of the large veins in the legs are leaking, other veins of the legs start to pool blood which results in swelling, pain, and large bulging veins.

Radiofrequency Ablation (RFA)

Radiofrequency ablation (RFA) is an office-based minimally invasive procedure in which a diseased vein is accessed and treated using a small catheter. The procedure is sometimes called the ClosureFast™ procedure. Ultrasound is used throughout the procedure to ensure precision.

What to expect during your RFA Procedure

The treatment will take about 45-60 minutes per session with one major vein treated per session. Once the leg is cleaned with a sterilizing solution, ultrasound is used to determine several landmarks along your leg and its veins. The entry site and the length of the vein are numbed using local anesthetic. A tiny incision is made and a catheter is inserted into the diseased vein. Heat is then delivered to close the target vein. As a result, the body will now reroute through healthy veins to deliver blood back towards the heart.

What to expect after your RFA Procedure

Once the procedure is completed, we will place your leg in a compression stocking. Please plan on wearing the stocking for 48 hours. Then, we recommend that you wear it during the day for the next five consecutive days. You will be scheduled for a follow-up ultrasound within one week.

Endovenous Laser Treatment (ELVT)

Endovenous laser treatment (EVLT) is another treatment option that is minimally invasive in which heat is delivered to collapse the diseased veins. Ultrasound is used throughout the procedure to ensure precision.

What to expect during your EVLT Procedure

The treatment will take about 45-60 minutes per session with one major vein treated per session. Once the leg is cleaned with a sterilizing solution, ultrasound is used to determine several landmarks along your leg and its veins. The entry site and the length of the vein are numbed using local anesthetic. A tiny incision is made and a catheter is inserted into the diseased vein. Heat is then delivered to close the target vein. As a result, the body will now reroute through healthy veins to deliver blood back towards the heart.

What to expect after your ELVT Procedure

Once the procedure is completed, we will place your leg in a compression stocking. Please plan on wearing the stocking for 48 hours. Then, we recommend that you wear it during the day for the next five consecutive days. You will be scheduled for a follow-up ultrasound within one week.

VenaSeal™

The VenaSeal™ procedure is the newest office-based minimally invasive procedure in which a medical proprietary adhesive is used to close the diseased veins. It is currently the only procedure that is performed without neither tumescent anesthesia nor heat. This minimalizes the risks of heat-related nerve injuries. Ultrasound is used throughout the procedure to ensure precision.

What to expect during your VenaSeal Procedure

We will start with a brief ultrasound of your leg. Then your leg will be cleaned with a sterile solution and a tiny amount of a numbing agent will be injected into your skin. A catheter is then placed into the diseased vein and advanced with ultrasound guidance. VenaSeal™ is then introduced through the catheter to treat the appropriate length of your vein. Once the catheter is removed, a bandage is placed on the puncture site.

What to expect after your VenaSeal Procedure

Unlike most other vein treatment procedures, VenaSeal™ does not require wearing a compression stocking following the procedure. You can expect to resume most daily activities following the procedure.

Ambulatory Microphlebectomy

Sometimes, even after other vein treatments, there are residual veins that may require surgical removal. Ambulatory microphlebectomy is an office-based procedure which involves removal of such veins by tiny incisions. Tiny vein hooks are inserted to remove the diseased veins.

What to expect during your Ambulatory Microphlebectomy

First, we will mark your leg while standing then you will be asked to lay on the procedure table. After tiny injections of numbing medication, a series of 2-3mm incisions are made and micro-hooks are used to retrieve and remove the diseased veins.

What to expect after your Ambulatory Microphlebectomy

A compression stocking will be placed on your leg after small bandages are placed on the microincisions. We ask that you wear the compression stocking for two weeks. Tylenol or other over the counter analgesics will most often address some soreness you may experience after the procedure. We recommend that you refrain from strenuous exercise for the following two weeks.

Visual Sclerotherapy

Visual Sclerotherapy is a minimally invasive treatment modality in which visual superficial veins, spider veins, or even some of the larger surface varicose vens are treated with a medical sclerosant. Sclerosant is a medicine that will safely close these superficial veins. 

What to expect during your Visual Sclerotherapy procedure

The procedure will take approximately 30 minutes per session with the number of sessions dependent on the extent of the disease. Lidocaine may be used to numb larger areas of treatment. Tiny needles are used to directly inject medicine into your superficial veins to close them. There may be mild discomfort but expect to no have any significant pain.

What to expect after your Visual Sclerotherapy procedure

Upon completion, we recommend a compression stocking for at least the next week. Please plan on wearing the stocking at all times for the first 48 hours then during the day for the next two weeks. We strongly recommend walking regularly following the procedure to prevent blood clots.

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