Varicose Veins



If you have varicose veins, then you know how annoying, embarrassing, and painful they can be. Everyone who has them wants to get rid of them, but until recently treatment options were limited to a long and painful surgery called vein stripping. However, thanks to major advances in vascular technology over the last few years, you no longer have to live with unsightly and unhealthy varicose veins.


What are varicose veins? Varicose veins are enlarged, “ropey” veins that appear on the surface of the skin on your legs. Varicose veins sometimes are not visible, hiding below the skin and causing symptoms of swelling, aching, heaviness, and tiredness. Restlessness of the legs at night is often caused by varicose veins. If left untreated, varicose veins can progress to create other more serious circulatory and skin problems in your legs such as ulcers or blood clots.





Veins can lose elasticity as you age, becoming weak and allowing blood to flow backward. This blood then pools in your veins, which then become enlarged and varicose.




This is the number one factor – so if varicose veins run in your family, your chances of also getting them are dramatically increased.




There is a close relationship between being overweight and having venous insufficiency.




Pregnancy increases the volume of blood in your body, but decreases the flow of blood from your legs to your pelvis. Circulatory problems can then occur, causing varicose veins to appear.




Women are three times more likely to develop varicose veins than men. Hormonal changes during pregnancy or menopause, and taking HRT or birth control pills may all be factors.




When you sit or stand in the same position for long periods of time, your blood doesn’t flow as well as when you are active and moving around.





  • Aching pain
  • Easily tired legs
  • Leg heaviness
  • Swelling in the legs
  • Darkening of the skin (in severe cases)
  • Numbness in the legs
  • Itching or irritated rash on the legs




In which the doctor injects the veins with a solution that causes the vein to close and the blood is then directed through healthier veins. This is a common treatment option, but may require multiple treatments. It is useful for treating small and medium sized varicose veins.


Radiofrequency Ablation 

Radiofrequency Ablation (RFA) is a minimally invasive procedure in which a catheter is inserted into the diseased vein delivering heat to the vein wall and causing it to collapse and close. After the vein is sealed shut, blood is naturally re-routed to other healthier veins.






The VenaSeal™ closure system is the only non-tumescent, non-thermal, non-sclerosant procedure that uses a proprietary medical adhesive delivered endovenously to close the vein. This unique approach eliminates the risk of nerve injury when treating the small saphenous vein, which is a risk sometimes associated with certain thermal-based procedures.1,2  Clinical studies have demonstrated that the procedure is safe and effective.1-4  The procedure is administered without the use of tumescent anesthesia, avoiding patient discomfort associated with multiple needle sticks.


What is VenaSeal™ made of?

As you may already know, VenaSeal is a treatment that involves the application of a Medical Grade ‘Superglue’ into the disease vein, that collapses and permanently seals the vein off. It is a quick, minimally invasive and completely painless procedure that takes approximately 15 minutes in experienced hands.

Venaseal adhesive is a special type of medical super-glue referred to as a ‘Cyanoacrylate’. It is very carefully formulated in specially designed labs and has some unique properties when compared to other medical grade glues on the market.

  1. When it comes into contact with blood within the vein wall, it polymerizes rapidly. What this means is that it rapidly seals the vein shut upon application, with minimal migration.
  2. It is very soft and elastic, so that it is undetectable by the patient after application.
  3. Has an “anti-microbial” effect against gram positive organisms.
  4. Has been shown to be extremely safe on administration with no adverse long term effects.



  • Minimal discomfort as there is no need for injection of tumescent anesthetic along the course of the vein.
  • No need for compression stockings.
  • Minimal time off work.
  • Return to normal activities.
  • No admission to hospital or general anesthesia.
  • No chance of nerve damage or thermal injuries.

**For more information about VenaSeal™ and how you can take advantage of this non-invasive procedure call our office at 818-885-7905.



1. Morrison, N. Use of Cyanoacrylate adhesive for Treatment of Incompetent Great Saphenous Veins: 12-month Results of the VeClose Trial, European Venous Forum, 2015.

2. Morrison N, Gibson K, McEnroe S, Goldman M, King T, Weiss R, Cher D, Jones A. Randomized trial comparing cyanoacrylate embolization and radio frequency ablation for incompetent great saphenous veins (VeClose). J Vasc Surg.

3. Almeida JI, Javier JJ, Mackay EG, Bautista C, Cher DJ, Proebstle TM. Two-year follow-up of first human use of cyanoacrylate adhesive for treatment of saphenous vein incompetence. Phlebology / Venous Forum of the Royal Society of Medicine, 2014.

4. Proebstle TM, Alm J, Dimitri S et al. The European multicenter cohort study on cyanoacrylate embolization of refluxing great saphenous veins. J Vasc Surg Venous and Lymphat Disord.