Varicose Veins

Varicose Veins & Treatment Options

Varicose veins are very common and can cause aching, heaviness, swelling, and fatigue in the legs. They develop when the valves in your veins weaken, allowing blood to pool and veins to stretch, twist, or bulge. Over time, untreated veins can lead to skin changes or ulcers.

Traditional treatment starts with conservative care. Compression stockings, leg elevation, and regular walking can help manage symptoms, but they don’t fix the underlying vein problem.

We specialize in minimally invasive vein treatments that close diseased veins and redirect blood to healthy ones. These outpatient procedures—thermal ablation, sclerotherapy, and vein glue—require no major surgery, and most patients return to normal activities within 1–2 days.

These treatments are ideal for anyone with painful, heavy, or visible veins who hasn’t found enough relief from conservative care.

Ready to take the next step?

Explore the tabs below to learn more about your options. If you’re ready to take control of your health, schedule your appointment online or call our office—we’re here to help you get back to your life.

Hear from Dr. Costantino

Advanced Vascular Centers is a national medical group specializing in interventional radiology. Our team of highly skilled physicians, dedicated providers, and creative administrators are committed to creating an environment that prioritizes patient experience, positive results, and advanced care.

Understanding Varicose Veins

What are Varicose Veins?

Varicose veins are enlarged, twisted veins that bulge beneath the skin, most commonly in the legs. They develop when one-way valves inside veins weaken, allowing blood to flow backward and pool. This causes veins to stretch, enlarge, and become visible.

Varicose veins are very common. In the U.S., over 11 million men and 22 million women between ages 40 and 80 have varicose veins. By age 50, nearly half of all adults have some form of venous disease.

Types of Visible Veins:

Your Symptoms Are Real and Treatable

Many people dismiss leg symptoms as “just part of aging.” This is not true. Symptoms are real and can significantly affect quality of life. Common signs include:

Aching, throbbing, or heaviness in the legs
Fatigue, especially after standing
Swelling of ankles and lower legs
Burning, itching, or tenderness along veins
Cramping or restless legs at night
Skin changes (discoloration, dryness, thickening)

Symptoms often worsen at the end of the day, with prolonged standing or sitting, and in hot weather, but may improve with leg elevation or walking.

Why Varicose Veins Develop:

Genetics (family history)
Age (vein walls and valves weaken)
Female sex and hormonal changes
Pregnancy
Obesity or prolonged standing/sitting
Previous blood clots (DVT)

CEAP Classification:

Doctors classify venous disease to determine severity and guide treatment. Classes C2-C6 indicate chronic venous disease, while C4-C6 represent more advanced chronic venous insufficiency

Treatment Options for Varicose Veins

Not all veins require procedural treatment. All start with conservative measures, which is part of your treatment plan:

Conservative Treatments:

Minimally Invasive Procedures:

When conservative care is not enough, treatments may include:

Some centers offer phlebectomy, but this procedure is not provided at our facility.

Your provider will determine the best treatment after evaluating your symptoms, medical history.

What to Expect during Treatment

Evaluation & Planning:

Treatment Procedures:

Recovery:

Important Notes:

Am I a Candidate? | Schedule a Consultation

You may be a candidate if you:

Next Steps:

Don’t ignore leg pain, heaviness, or swelling
Schedule a consultation with a vein specialist
Get a venous ultrasound to evaluate reflux and anatomy
Discuss treatment options and insurance requirements
Start conservative measures while awaiting evaluation

Our goal is to provide safe, minimally invasive treatments that relieve symptoms, improve quality of life, and help you avoid more invasive surgery whenever possible.

Contact our office to schedule a consultation and learn more about Vein Disease treatment options available in our office

FAQS

What is Benign Prostatic Hyperplasia (BPH)?

BPH, or enlarged prostate, is a non-cancerous growth of the prostate gland that occurs as men age. The prostate surrounds the urethra, and when it enlarges, it can squeeze the urethra and cause urinary problems.

What Causes BPH?

The exact cause of BPH is not fully understood, but it is related to hormonal changes that occur with aging. Risk factors include:

- Age (risk increases significantly after age 50)

- Family history of BPH

- Obesity

- Diabetes and heart disease

- Lack of physical activity

How is BPH Severity Measured?

Your doctor will use several tools to assess the severity of your BPH:

International Prostate Symptom Score (IPSS): A questionnaire that measures your urinary symptoms on a scale of 0-35:

- Mild symptoms: 0-7 points

- Moderate symptoms: 8-19 points

- Severe symptoms: 20-35 points

Quality of Life (QoL) Score: Measures how much your symptoms bother you on a scale of 0-6

Peak Urinary Flow Rate (Qmax): Measures how fast you can urinate (normal is >15 mL/second)

Postvoid Residual (PVR): Measures how much urine remains in your bladder after urinating

Prostate Volume: Measured by ultrasound or MRI (normal prostate is about 20-30 grams)