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Foot and Leg Vein Removal

Foot and Leg vein removal is the most sought after vein treatment because foot and leg veins are more prone to deterioration than other veins in the body. The reason is that unlike veins in the upper body, foot and leg veins have the hard task of pumping blood up to the heart against gravity. When the major veins in the legs cannot properly pump blood back to the heart, blood flows backward and pools in the superficial veins forcing them to enlarge and sometimes even erupt.

People most prone to leg and foot vein disorder include those who have a history of varicose veins in the family, spend prolonged periods of time standing, are overweight, or have experienced trauma.

Visible Signs of Leg Vein Disorder

The unsightly veins that appear on the leg surface, known as varicose veins (large and bulging), spider veins (thread-like), and reticular veins (small and blue) are often visible signs of vein disorder in the leg. An estimated 30% to 60% of adults have leg varicose veins or spider veins.

Brown skin discoloration, stasis dermatitis and ulceration of the lower legs are other visible signs of leg vein disorder and usually indicate advancing vein disease.


*Individual results may vary.


When to Seek Foot and Leg Vein Removal

The visible veins on the legs and feet may not be problematic or life-threatening, but you may still want to eliminate them for cosmetic improvement.

Leg vein removal is indicated when they become problematic, giving rise to many annoying symptoms, such as aching and heaviness in the legs, swollen feet, and swollen ankles. Lower leg ulcers,  pigmentation, or muscle cramps, particularly at night, are other signs and symptoms indicating a need for seeking treatment.

Treatment becomes more urgent when complications, such as bleeding, inflammation (phlebitis), clots (thrombosis), dermatitis or ulcers are also present.

It should be stressed that untreated abnormal leg veins only will become worse over time. Early treatment of these veins will minimize the risk of complications and further progression of the disease.

In general, it is much easier to treat any disease at early stages rather than after its progression. Thus, early treatment of leg veins tends to be less complicated and less involved.

The Necessity of Ultrasound Mapping of Leg Veins

Ultrasound-machine for detecting vein disorder
Ultrasound Machine

Although visual inspection of the legs may reveal the presence of spider veins, reticular veins, and varicose veins, or lower leg ulceration, not all vein disorders are visible to the naked eye.

Only a qualified vein specialist can assess the health of your veins and advise whether a medical intervention is absolutely necessary. The assessment of the doctor will be based on Ultrasound diagnostic test findings.

A Venous Duplex Ultrasound exam is an important tool used by vein doctors for mapping leg veins. The exam enables the doctor to detect any venous reflux or insufficiency, and determine the cause, and severity of the problem.

According to many studies, the traditional kind of treatment directed solely at the veins seen on the surface and still offered by many vein clinics and dermatologist is bound to fail.

Patients who also suffer from concurrent arterial disease may need additional ultrasound mapping to assess the blood flow in their arteries. Those with a personal or family history of blood clots, on the other hand, will require additional blood testing.


*Individual results may vary.

Choice of Treatment

The treatment of foot and leg vein problems depends on the nature and severity of the problem. If your symptoms are mild, and you are not concerned about the appearance of your unsightly veins, there are simple measures that you can take to alleviate symptoms.

Walking, elevating your legs for short periods, avoiding prolonged sitting or standing, or not wearing high heel shoes are known to relieve your symptoms. Activating the calf muscle by flexing the feet, and wearing graduated compression stockings are also known to be helpful.

There are also some dietary supplements and medications that your doctor may recommend to temporarily relieve some of the symptoms and signs of vein disease, like leg swelling.

However, none of these “lifestyle” adjustments and medications have been proven to have a lasting disease-altering effect. Moreover, they do not significantly prevent the progression of the underlying venous condition or the emergence of new veins.

When ultrasound mapping of leg veins reveals serious leg vein problems, the best treatment is to eliminate or remove these problematic veins. This can be achieved surgically, or with one of the newer non-surgical procedures.



*Individual results may vary.

Safety of Leg Vein Removal

According to studies, unsightly leg spider veins do not serve a biological purpose. Malfunctioning superficial varicose veins, on the other hand, impose an extra burden on the deep veins, leading to their deterioration.

Accordingly, once the damaged veins are removed, the blood finds new paths to the heart through healthy veins. As a result, circulation improves and symptoms associated with damaged leg vein diminish or even disappear. Moreover, your legs look much better.

Fortunately, advances in technology have made it possible to treat problematic veins with non-surgical office-based safe procedures.

Dr. R. Dishakjian, our vein surgeon, has made sure that our vein clinic is equipped with the most cutting-edge technologies that are currently available in advanced vein clinics in Southern California.

Non-Surgical Vein Treatments at Nu Vela

At Nu Vela Laser and Vein Center, Dr. Dishakjian always aims to give you not only the best possible vein treatment outcome in the short term but also the lowest possible chance of recurrence in the long term. To that end, Dr. Dishakjian recommends that leg spider veins be treated only after treating varicose and reticular veins.

Dr. Dishakjian’s approach is always to permanently treat the underlying cause of unsightly leg veins by carefully identifying the sources. These include venous reflux, as well as the presence of incompetent saphenous and perforator veins.

The following are the non-surgical, minimally invasive techniques that Dr. Dishakjian uses to treat your leg spider veins and ablate your unsightly varicose veins. The choice is based on the size, location, and the regional anatomy of the site to be treated:

  • Sclerotherapy injection therapy for leg spider vein treatment.
  • Laser and intense-pulsed-light vein therapy for clearing the very fine leg thread veins.
  • Venefit Radiofrequency (RF) Therapy or Endovenous Laser Therapy (EVLT) for leg varicose vein treatment.
  • Foam sclerotherapy for the treatment of superficial small leg varicose veins.
  • Microphlebectomy for the removal of the very superficial varicose veins of the leg and foot.

For more information about these techniques please go to our Vein Treatment Los Angeles page.



*Individual results may vary.

Pregnancy and Leg Veins

Many leg veins that appear during pregnancy may disappear or improve significantly after delivery. However, those already present will usually not fully recover to their state before pregnancy. In fact,  the condition will generally worsen with subsequent pregnancies.

Accordingly, women who plan to have children should treat their varicose veins before pregnancy. This will prevent any complications such as clotting and bleeding that may develop during pregnancy.


Cost of Treatment and Insurance Coverage

The cost of treatment of leg veins will depend on the nature of your problematic veins and their number. Spider vein treatment cost will be determined by the time the doctor devotes to eliminating these veins. The cost of varicose vein removal, on the other hand, varies with the complexity of the work and the number of veins that have to be eliminated. Three-quarters of the fee paid for Ultrasound test is reimbursed once patients receive varicose vein treatment.

Note that insurance companies consider sclerotherapy a cosmetic treatment and accordingly do not cover the cost of spider vein removal. However, most PPO health plans and Medicare cover the cost of the treatment of leg varicose veins when the treatment is medically necessary.  The best approach is to check with your insurance company before considering your treatment options.