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Vein Procedures

In our Vein Center, we offer evaluation and treatment for everything from your medical to your cosmetic needs. Our facility is designed for your comfort and care, with all procedures done in-office with very rapid recovery.

Understanding Venous Reflux Disease

Healthy leg veins contain valves that open and close to assist the return of blood back to the heart. Venous reflux disease develops when the one-way valves that keep blood flowing out of the legs and back to the heart become damaged or diseased. When the valves or walls of the leg veins become weak, blood backs up. This is often genetic or related to other causes, leading to some or all of the following symptoms:

leg heaviness and aching

tightness and fatigue

leg discomfort with standing and sitting

burning or itching

leg swelling

restless legs and cramping

varicose veins

leg skin changes and discoloration

leg sores that don’t heal

spider veins

Diagnosis and Treatments for Chronic Venous Disease

Our physicians and friendly staff will guide you through a full evaluation for your leg problems involving a visit and often an ultrasound study to accurately diagnose your particular problem and customize a plan. Our physicians specialize in advanced venous disorders and will formulate a treatment plan tailored towards your needs.

Treatment options include either conservative management or procedures to treat more unhealthy veins more definitively. The Vein Center of East Texas offers a wide variety of the latest techniques to customize to your particular needs but also provide you with options for your care.

Procedures offered at the Vein Center to treat Venous Reflux Disease:

EndoVenous Radiofrequency Ablation

Endovenous Radiofrequency Ablation is a patient-friendly and preferred alternative to surgical vein-stripping for the treatment of varicose veins.

It is performed on an outpatient basis in our fully equipped office using a local anesthetic usually in less than an hour. Using ultrasound, your physician will position the catheter into the diseased vein through a small opening in the skin. The tiny catheter powered by radiofrequency energy delivers heat to the vein wall after the vein has been fully anesthetized. As the thermal energy is delivered, the vein wall shrinks and the vein is sealed closed. Once the diseased vein is closed, blood will re-route itself to other healthy veins.

Following the procedure, a simple bandage is placed over the insertion site, and additional compression may be provided to aid healing. Your physician may encourage you to walk and remain active following the procedure.

The average patient typically resumes normal activities.


Chemoablation has been offered by the Vein Center since its approval for use in 2015.  The procedure involves inserting a small catheter into the diseased vein with ultrasound guidance then injecting a small drop of medical adhesive (glue) to close down the diseased veins.  Results have shown equal efficacy in closing down leg veins and providing an alternative to patients to the thermal techniques.

EndoVenous Laser Therapy

Endovenous laser therapy is also a patient-friendly alternative to surgical vein-stripping for the treatment of varicose veins.  A thin laser fiber is inserted into the varicose vein, through a small puncture in the leg. After locally anesthetizing the leg, the physician then delivers laser energy through the fiber which causes the vein to close as the fiber is gradually removed. Endovenous laser therapy can be performed in a physician’s office in less than one hour, and the patient is encouraged to walk immediately following the procedure.

Ultrasound-Guided Foam Sclerotherapy

Foam Sclerotherapy with ultrasound guidance is a useful technique that our skilled physicians use to treat irregular veins not suitable for other techniques.  This treatment can be helpful to close diseased tributary veins associated with difficult to treat ulcers or sores as well as unsightly varicose veins.

Ambulatory Phlebectomy

Ambulatory Phlebectomy is a minimally invasive technique also performed in the office usually after the ablation procedures to remove larger, unsightly, painful, bulging varicose veins. Under a local anesthetic, sections of the diseased vein are removed with little to no pain or scarring during or following the procedure. The results are very appealing cosmetically as well.


Sclerotherapy is commonly used to improve the appearance of spider veins and small unsightly varicose veins. This procedure involves injecting a small volume of liquid into the diseased surface veins to improve their cosmetic appearance.  Sclerotherapy is comfortably performed in our office and no anesthesia is required.

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