Specialized vein doctors use leading-edge diagnostic treatment categories to treat vein disease. This usually includes radiofrequency ablation (RFA), ultrasound-guided Sclerotherapy, and endovenous laser ablation (EVLA). These are painless and safe processes that most insurance plans cover, including Medicare, and need minimum downtime. The vein doc will work with the patient to select a personalized treatment plan.

Endovenous Laser Ablation

Ablation is any procedure that eliminates small parts of tissue interfering with the operations of the body. Vein ablation is developed to extract tissue in sick valves that obscures blood flow, increasing blood circulation to the leg.

Endovenous laser ablation EVLA is a procedure that is minimally-invasive and utilizes a beam to correct the underlying cause of varicose veins and the symptoms. EVLA treats the greater saphenous vein, and side branches or saphenous veins and small saphenous vein. The operation is done under ultrasound guidance, which enables the physician to treat the areas in focus accurately and safely. Only local anesthesia is needed during EVLA and is done in the office in less than an hour with fast recovery time and minor discomfort.

While an EVLA procedure is being performed, the doctor will inject a small optic fiber into the vein directly with unhealthy valves, deploying a laser beam that heats particular sections of the vein until it blocks. The process of recovery starts almost immediately after the removal of the optic fiber by the doctor. The blocked vein is reabsorbed naturally, and the provision of blood to the area is supplied through other, healthier veins. Besides some minor discomfort in the injection area, the patient usually gets back to their usual activities in less than 24 hours with insignificant or no pain and other complications after the EVLA process.

Radiofrequency Ablation.

When undergoing leg pain, swollen veins, and other signs that make you uncomfortable or self-conscious, remember that you are not alone. According to statistics, 30% to 60% of grownups develop spider veins or varicose veins, both male and female genders. Radiofrequency ablation is one of the various solutions that is provided by metro veins centers to treat varicose veins and spider veins.

What is Radiofrequency Ablation?

Radiofrequency ablation is a procedure that uses radio waves to treat both the underlying causes and symptoms of varicose veins with very little invasiveness. RFA is utilized to treat connecting threads used to transport blood from outmost veins below the skin to the deeper veins below the muscles. The operation is carried out with ultrasound guidance. RFA needs local anesthesia only and performed inside the office within one hour with little discomfort taking several hours to heal.

How Does Radiofrequency Ablation Work?

When the procedure is being carried out, the vein doc will insert a thin catheter directly to the veins in focus via the skin. The catheter device emits radio waves that heat the desired areas of the unhealthy veins, resulting in its closure. When the doctor extracts the catheter, the recovery process immediately begins. The blood supply for that area is rerouted naturally via other healthy veins as the closed vein is reabsorbed into the body. The cons of this procedure are very few. Patients report that they experience limited amounts of numbness — a burning sensation or hypersensitivity close to the insertion area.

The advantage of RFA is that it is a perfectly safe procedure, and the healing process takes a few hours. Metro Veins Center takes almost all insurance providers, Medicare being among them.


Sclerotherapy is seen as the gold standard method of treatment in the vascular medicine field for smaller varicose and spider veins. It is mostly applied to treat abnormal veins or arteries, hemorrhoids, and varicose veins. The treatment procedure requires around two minutes to complete. Several sessions are needed to attain full clearance of the problematic veins.

How Does Sclerotherapy Work,

Sclerotherapy procedure involves a vein doc injecting a medicated sclerosing blend into the unhealthy blood vessels. This results in the vein immediately closing down and start to be absorbed back into the body. Larger veins can be cured using duplex ultrasound-guided sclerotherapy. During this procedure, ultrasound is utilized to visualize and map the veins, enabling the vein doc to check the injected solution. In larger veins, foamed sclerosing solutions are used because they provide the solutions with a more significant surface area and also thicker consistency.

The side effects of Sclerotherapy are very few; some patients narrate minor discomfort. The good thing about Sclerotherapy is that healing is exceedingly quick, and the operation is perfectly safe. It is advisable to check with your insurance providers before going through with the procedure. This is because Sclerotherapy is selectively covered by insurance.