Vein Disease

Vein Disease is caused by malfunctioning valves in the superficial veins of the legs.  This condition can lead to the common symptoms of heaviness and pain after standing for a long time, swelling, and progressive discomfort.  In severe cases, venous ulcers can occur.  We use noninvasive ultrasound to evaluate the veins in your legs to assess if they are “refluxing”, which indicates malfunctioning valves.  If you are diagnosed with Vein Disease, we will recommend compression stockings, elevation, and exercise.  Should you continue to have symptoms after trying these noninvasive measures, we may recommend venous intervention to improve your quality of life. These treatments are minimally invasive, require very little downtime, and are covered by most insurance plans.

To find out if you may be suffering from Vein Disease, take this quick survey


  • Aching
  • Restless legs
  • Fatigue
  • Itching
  • Burning
  • Swelling
  • Cramping
  • Throbbing
  • Large, bulging, rope- like appearance
  • Discoloration


Healthy leg veins have valves that keep blood flowing to the heart.



If you are experiencing symptoms associated with Vein Disease, call our office to schedule an evaluation.  Our Registered Vein Sonographer, Coley Andrews, will use venous ultrasound to help determine whether you may have this condition.  She, along with Dr. Citrin, will then recommend different treatment options depending on the severity of your case.


Vein Disease is treated by minimally invasive procedures.  In order to resolve the problem, insufficient veins are sealed off so that the blood is rerouted into healthier pathways. The procedures we use are as follows:

Radiofrequency Ablation (RFA)

This procedure usually takes 30 minutes, although you may be in the office longer due to preparation.  A small catheter is inserted in the vein under ultrasound guidance through a small incision.  We then apply numbing medication around the vein for three reasons: to numb the vein, to compress the vein to ensure accurate heat is applied, and to protect the surrounding tissues from the heat. The vein is then sealed off and the body reabsorbs it in time.  Blood flow is diverted into the healthy veins and circulation improves.

Varithena (Sclerotherapy)

Varithena is an injectable foam medication used to treat the branches of the larger varicose veins.  It is minimally invasive and does not require an incision.  This medication causes the vein walls to collapse and redirects the blood to healthy veins.




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