Love your legs again!
Step out with confidence. Treatment options for vein disease can relieve pain safely and effectively restore a healthier appearance.
MedStar Health Vein Centers are part of the MedStar Heart & Vascular Institute. You can get individualized, minimally invasive vein procedures at multiple convenient locations throughout the region, from Bel Air, Baltimore, and Annapolis in Maryland, to Washington, D.C. and McLean, Virginia. Visit us to relieve discomfort and restore your confidence.
Signs and symptoms of vein disease
- Visible, blue, enlarged veins in your legs
- Aching pain, especially after long periods of standing or sitting
- Throbbing or cramping in the thigh or calf
- A feeling of heaviness in the leg(s)
- Swelling in the lower leg, ankle, or foot
- Itching in the affected limb
- One-on-one examination and consultation with a physician to discuss your specific condition and a proposed treatment plan
- An ultrasound assessment performed by a registered vascular technician
-
Compression Therapy
Compression therapy involves the use of special garments that put external pressure on the leg to push valves closer together, increasing their efficiency. Compression socks and stockings provide support and apply graduated compression.
Over-the-counter compression hose are available in pharmacies and medical supply stores, and many styles look just like regular socks or hose. Prescription-strength garments are recommended for anyone with venous disease. A trained professional can fit you for socks or hose based on your body and venous condition.
-
Sclerotherapy
Sclerotherapy is a procedure involving injection of a sclerosing solution direction into the vein with a small needle. The sclerosant irritates the vein, causing collapse, and eventual reabsorption of the vein. This treatment alleviates symptoms of pain, inflammation, and itchiness of varicose veins and may also improve the cosmetic appearance of certain veins. The treatment does not prevent new veins from surfacing in the future.
-
Thermal Ablation (Radiofrequency vs. Laser)
This minimally invasive technique treats symptoms of venous insufficiency. A small catheter is inserted directly into the affected vein through a needle. The catheter delivers heat to the vein, causing wall collapse. Over time, the vein is reabsorbed by the body and blood flow is redirected to healthier veins. While it can improve the appearance of your legs, it is mainly used to eliminate symptoms such as pain, swelling, heaviness, fatigue, and itching in the legs.
This procedure is performed in the office under local anesthetic. Patients go home immediately from the office with instructions to wear compression stockings. Regular activity can be resumed rather quickly.
-
Non-thermal Ablation
This minimally invasive technique treats symptoms of venous insufficiency. The VenaSeal® Closure System uses a medical adhesive to permanently close diseased saphenous veins. A catheter delivers an adhesive into the diseased vein, closing it off, and blood flow is redirected to healthier veins. While it can improve the appearance of your legs, it is mainly used to eliminate symptoms such as pain, swelling, heaviness, fatigue, and itching in the legs.
This procedure is performed in the office under local anesthetic. Patients go home immediately from the office. Regular activity can be resumed rather quickly.
-
Microphlebectomy
Symptomatic veins that are deemed not candidates for sclerotherapy can be treated with this outpatient procedure. The surgeon will make precise 2-3mm targeted incisions in your skin to remove troublesome veins. Although it does not require stitches, you'll need to wear an elastic bandage or compression socks for a few days to support healing.
Sclerotherapy procedure for spider veins.
Dr. Maggie Arnold, director of the MedStar Health Vein Centers- Baltimore region demonstrates the sclerotherapy procedures on a patient with spider veins. During the video, she describes the in-office procedure —including injecting a chemical solution into the veins, and as the solution is injected, the spider veins begin to disappear. This process is repeated throughout the spider veins on the leg. Once the injections are completed, the area is covered and wrapped to protect against any bruising. There are no restrictions of daily activities after the procedure.
Our convenient locations
-
Maryland
MedStar Franklin Square Medical Center
9000 Franklin Square Dr.,
Baltimore, MD 21237MedStar Health Bel Air Medical Campus
12 Medstar Blvd,
Bel Air, MD 21015MedStar Health Cardiology Associates at Annapolis
2002 Medical Pkwy #520
Annapolis, MD 21401MedStar Health Cardiology Associates at Bowie
4175 North Hanson Court
Bowie, MD 20716MedStar Health Vascular Surgery at Prince Frederick
301 Steeple Chase Drive
Suite 301
Prince Frederick, MD 20678MedStar Health at Chevy Chase
5454 Wisconsin Avenue,
The Barlow Building
Ste. 1200
Chevy Chase, MD 20815MedStar Health at Dorsey Hall
9501 Old Annapolis Rd.,
Suite 220
Ellicott City, MD 21042MedStar Health at Frederick
163 Thomas Johnson Drive
Suite E
Frederick, MD 21702MedStar Montgomery Medical Center
18101 Prince Philip Drive
Suite 5200
Olney, MD 20832MedStar Southern Maryland Hospital Center
7501 Surratts Road
Clinton, MD 20735MedStar St. Mary's Hospital
25500 Point Lookout Rd.
Leonardtown, MD 20650MedStar Union Memorial Hospital
201 E. University Pkwy,
Baltimore, MD 21218 -
Virginia
MedStar Health at McLean
6862 Elm Street, Ste. 800,
McLean, VA 22101 -
Washington, D.C.
MedStar Health at Lafayette Centre
1133 21st Street, NW,
Building 2, 7th Floor,
Washington, DC 20036MedStar Georgetown University Hospital
3800 Reservoir Rd NW,
Pasquerilla Healthcare Center, 4th Floor,
Washington, DC 20007MedStar Washington Hospital Center
110 Irving St NW,
POB North, Ste. 3150
Washington, DC 20010
Meet our vein experts
Our board-certified vein specialists are nationally recognized cardiovascular experts. At MedStar Health Vein Centers, you'll get access to exclusive therapies that are not yet widely available.
-
Vein Experts
Misaki Kiguchi, MD
Director, MedStar Health Vein Centers — D.C. regionMargaret Arnold, MD
Director,
MedStar Health Vein Centers — Baltimore regionSonya Alekseyev, FNP-BC
Vascular SurgeryJoshua Dearing, MD
Vascular SurgeonLauren Marie Hensler, PA-C
Vascular SurgeryGeetha Jeyabalan, MD
Vascular SurgeonWendy Lobo, AGACNP-BC
Vascular SurgeryKrystal C. Maloni, MD
Vascular SurgeonMelissa Meghpara, DO
Vascular SurgeonDanielle Salazar, MD
Vascular SurgeonAmanda Simonton, PA-C
Vascular SurgeryD'Andre Beth Williams, MD
Vascular Surgery
Frequently asked questions about vein disease treatment
-
What causes varicose veins?
Common risk factors to having varicose veins include family history, multiparity, obesity, and height. Although varicose veins may seem like a “surface” issue, symptoms of swelling, fatigue, achiness and tiredness of the leg can be due to venous insufficiency. Venous insufficiency can develop due to leaky one-way valves. These valves are supposed to keep flow in one-direction, towards the heart, but when the valves weaken, blood can flow backwards, causing pool of the veins, and eventually, varicose veins.
Obstructive pathologies, like deep vein thrombosis, can also cause these symptoms. Although treated differently than the aforementioned techniques, the initial office ultrasound would help determine both structural and functional etiologies of your symptoms.
-
What happens if varicose veins are left untreated?
Varicose veins are often a sign of venous insufficiency. Left untreated, venous insufficiency can lead to symptoms such as swelling, inflamed varicose veins, hyperpigmentation of the skin, and heaviness and achiness of the legs.
-
Can varicose veins go away on their own?
Unfortunately, no. Sometimes the appearance of spider or varicose veins fades with time. Losing weight or exercising more can help temporarily. But for most patients, symptoms such as pain, cramping, and visible veins return over time.
Don't wait. Delaying treatment can make symptoms worse.
-
Can certain activities/job functions increase likelihood of developing varicose veins?
Professions that involve standing or sitting for prolonged periods of time can increase the risk of varicose veins. This is because standing or sitting for extended periods puts pressure on your veins. Examples of these jobs can include hairstylist, cashier, office worker, teacher, healthcare workers, security guards, etc.
-
Can men get varicose veins too?
-
Can varicose veins be prevented?
Wearing compression stockings can help alleviate symptoms of heaviness, achiness, and tiredness from venous insufficiency. In addition, it is important to stay active through frequent walking and other leg exercises to provide muscle stimulation to keep the blood flowing and veins healthy.
-
How long is recovery for a vein procedure?
Recovery time depends on your specific condition and the procedure you choose. Most people can return to normal activities within two weeks. You may need to wear compression stockings or bandages for a few weeks to help incisions heal. For most procedures, you should be fully healed by four weeks after surgery.
Watch our recent Facebook Live interviews with our experts
Our vascular experts discuss minimally invasive treatment options that provide exceptional results.
-
Danielle Salazar, MD, Maggie Arnold , MD, and Melissa Meghpara, MD - Varicose and Spider Veins
Facebook Live: Varicose and Spider Veins
We were LIVE with vascular surgeons Dr. Maggie Arnold, Dr. Misaki Kiguchi, Dr. Melissa Meghpara, and Dr. Danielle Salazar discussing varicose and spider veins.
-
Maggie Arnold, MD - Varicose and Spider Veins
Varicose veins: how to identify, treatments, and more
Summer is right around the corner. Are your legs summer ready? If you’re unhappy with the way your legs look from varicose or spider veins, you have options. Fortunately, there are treatment options that can relieve pain safely and effectively and restore a healthier appearance. Vascular surgeon Dr. Maggie Arnold discusses how to identify varicose or spider veins, what happens during an evaluation for varicose veins, and what are the various treatments and more.
-
Misaki Kigucki, MD - Varicose Veins
Facebook Live: Varicose Veins
Varicose and spider veins can be unsightly and painful. Fortunately, there are treatment options that can relieve pain safely and effectively and restore a healthier appearance. We sat down with board-certified vascular surgeon Dr. Misaki Kiguchi and nurse practitioner Bianca Cutler to discuss the signs and symptoms of deep vein thrombosis (DVT), how to identify varicose veins, the different treatment options, and more!
-
Geetha Jeyabalan, MD - Varicose Veins
Varicose Veins–Getting your legs summer ready.
Summer is right around the corner. Are your legs ready? If you're unhappy with the way your legs look, there are treatment options to relieve pain safely and effectively and restore a healthier appearance. We recently sat down with board-certified vascular surgeon Dr. Geetha Jeyabalan to discuss varicose and spider vein treatment options, risk factors, and more!
Additional resources
-
Blog
-
DocTalk-Podcast
