August 16, 2023

3 Treatment Options for Varicose Veins

General, Healthy Living, Leg / Vein Health

During National Wellness Month, it’s important to get your health in check, and that can start with your varicose veins. At the MercyOne Iowa Heart Vein Center, we offer three treatment options for deep vein thrombosis, varicose and spider veins: endovenous vein therapy, ambulatory phlebectomy and sclerotherapy. These procedures are minimally invasive and can get you back on track to living life pain free.

Endovenous Vein Therapy

With endovenous vein therapy, a thin fiber or catheter is inserted into the vein and heat energy is applied under local anesthesia. The heat or radiofrequency energy, delivered in short pulses, heats the vein from within, causing it to shrink, collapse and seal shut. The procedure takes about an hour, and normal activities can resume immediately afterwards. Vigorous workouts, running and other related activities should be paused for 1–2 weeks.

To view our complete list of pre- and post-procedure care for endovenous vein therapy, please visit our website.

Ambulatory Phlebectomy

An ambulatory phlebectomy is an office procedure performed to remove large surface varicose veins through tiny skin punctures. It leaves minimal scarring and is performed under local anesthesia. There is very little discomfort, and no stitches are required. Depending upon the number of varicosities to be removed, plan to be at the office between 2–4 hours.

After the procedure, your leg will be wrapped with gauze and ace wraps for three days. On the third day you will remove the wraps. Plan to relax and elevate your affected leg intermittently with periods of walking for the three days after your procedure.

To view our complete list of pre- and post-procedure care for ambulatory phlebectomy, please visit our website.


Used to treat spider veins and small varicose veins, sclerotherapy can reduce or eliminate both the appearance and any discomfort caused by those diseases. The procedure involves injecting a “sclerosing” agent into the vein using a very fine needle. The chemical solution irritates the vein issue, causing the lining of the vein to swell, harden and eventually seal off.

Discomfort is normal with this produce but should subside when it’s completed. You may resume normal activity with some exceptions immediately following treatment. Upon completion of the procedure, you will wear compression stockings for one week.

To view our complete list of pre- and post-procedure care for sclerotherapy, please visit our website.

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