To successfully and permanently remove large, bulging varicose veins, several things need to be done. First, the refluxing blood in the deeper veins that feed the varicose veins need to be stopped. This is done with radiofrequency ablation (closure, venefit) or endovenous laser therapy (EVLT). Second, the varicose veins need to be removed by a non-invasive procedure called ambulatory micro-phlebectomy. This is not vein stripping. These procedures are done in the office under local anesthesia. There is no post-procedure pain, and regular daily activities can be resumed immediately. Spider veins, which are the unsightly small, thin veins, can be treated with laser therapy or sclerotherapy, which involves injecting medicine in the veins with a tiny needle. Compression stockings will stabilize varicose and spider veins, but they will not make these veins go away or disappear. While exercise is good for your legs and your overall health, it will not help get rid of your vein problem. Neither will pills or ointments. This is because the underlying problem is a mechanical failure of the one way valves in your veins. The only way these ugly veins will go away is by stopping the abnormal blood flow in them by one of the treatments discussed above.

EVLT