Specialist Services

  • Stress Tests
  • Labs
  • Ultrasonography
  • Cardiac Echocardiograms
  • Nuclear Wall Studies
  • EKG's
  • Holter Monitors
  • X-rays
  • Heart Catheterizations and Angioplasty
  • Placement of coronary/peripheral stents
  • Placement of Pacemakers
  • CAT Scans
  • External Counter Pulsation
  • Ankle Brachial Index
  • Pulmonary Function Test
  • Varicose Vein Ablations

Varicose Veins

Varicose veins are often misunderstood as simply a cosmetic issue. Yet, if left untreated, varicose veins can progress to a more serious form of vein (venous) disease called chronic venous insufficiency (CVI). CVI is a progressive disease that can result in increasingly serious signs and symptoms over time. More than 30 million Americans suffer from varicose veins or CVI,yet only 1.9 million seek treatment annually. There are effective and minimally-invasive treatments available for varicose veins that may be covered by many insurance plans.

Symptoms & Impact

As CVI progresses, other painful and unsightly signs and symptoms may develop, making walking and everyday tasks difficult to complete.Those who suffer from CVI may experience:

  • Varicose veins
  • Restless legs
  • Fatigue of the legs
  • Leg pain, aching or cramping
  • Burning or itching of the skin on the legs
  • Leg ulcers, open wounds or sores


Varicose veins and CVI can affect anyone; gender and age are key factors that may increase a person's risk for developing the disease. For example, women older than 50 are more likely than others to develop venous disease that can lead to CVI. Other risk factors include:

  • Family history of varicose veins
  • Excess weight
  • Pregnacy
  • Lack of exercise
  • Lifestyle that requires standing for long periods of time


We will assess a patient's medical history and make a visual assessment of the patient's legs during a physical examination. If appropriate, we may perform a duplex ultrasound test to confirm a diagnosis of CVI. This test uses painless sound waves to measure the speed of blood flow and see the structure of a person's leg veins.


Many people live with varicose veins and signs and symptoms of CVI without realizing there are effective and minimally-invasive treatment options available that can treat the condition before it progresses. These treatments may be covered by many insurance plans. Symptom management for less severe cases may involve changes in diet and lifestyle, leg elevation or the use of compression stockings. For some patients, we may recommend chemical sclerotherapy. For those with more serious symptoms, minimally-invasive endovenous treatments or surgical treatments. Minimally-invasive endovenous treatments include radiofrequency ablation, in which a catheter is used to deliver radiofrequency to heat the vein and seal it off so that blood flow re-routes to a healthy vein.

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 valves that keep blood flowing out of the legs and back to the heart become damaged or diseased. As a result, vein valves will not close properly, leading to symptoms of:

  • Varicose veins
  • Pain
  • Swollen limbs
  • Leg heaviness and fatigue
  • Skin changes
  • Ulcers

Healthy Vein Valve

Healthy valves keep blood moving in one direction
Diseased Vein Valve

Diseased valves caused blood to move in both directions elevating venous pressure

Venous Reflux Disease is Progressive
Symptoms can worsen over time if left untreated

Procedural Highlights

  • Relief of symptom within 2 days
  • Outpatient procedure
  • Can be performed under local anesthesia
  • The average patient typically resumes normal activities within a few days
  • Proven results with positive patient outcomes and experience

Visual Results