Vein Disease

The skilled surgeons at University Surgical Vascular routinely treat a wide variety of vein disorders ranging from spider veins and restless legs to deep vein thrombosis and varicose veins. 

The medical communities understanding of vein disease has changed in the past two decades. Treatment options traditionally consisted of vein stripping or support hose for venous insufficiency and included long term bed rest for patients with DVT. The modern treatment of vein disease included endovenous ablation in the outpatient setting, micro-phlebectomy and ultrasound guided sclerotherapy using modern detergents such as Asclera.  Current recommendations for the management of DVT include the wearing of support hose and ambulation instead of rest. Modern treatments include stenting of the larger veins in the abdomen and even the blood thinners have advanced to the point where routine testing is not needed in many cases. 


Signs and Symptoms of Vein Disease


  • Visible varicose veins
  • Spider veins breaking on the surface of the legs or thighs
  • Pigment changes to the lower inner aspects of the calf or ankle. 
  • Swelling that goes away when laying down and immediately occurs after standing.
  • Swelling of the ankle or feet.
  • One leg being larger than the other. 
  • Tightening of the skin (scarring of the fat layer) or lipodermatosclerosis. 


  • Swelling in legs and/or ankles.
  • Tight feeling calves or itchy painful legs.
  • Heavy tired legs, especially after standing for long periods of time.
  • Restless Leg Syndrome
  • Leg ulcers that are sometimes very resistant to treatment
  • Pain in the back of the legs during menstruation.
  • Pain during intercourse and or flank pain at rest.