Your Treatment Options

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Sclerotherapy

Sclerotherapy is the gold standard treatment for spider veins and small varicose veins. A specialized solution is injected into the vein, causing it to collapse and gradually fade as the body absorbs it. This minimally invasive treatment improves both appearance and symptoms, requires no downtime, and is one of the most commonly performed vein procedures.

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EVLT/EVLA

Endovenous laser treatment, also called EVLT or EVLA, treats larger varicose veins using laser energy delivered through a thin catheter inside the vein. The laser generates heat that damages the vein wall, causing it to collapse and close. Blood flow is immediately redirected to nearby healthy veins, relieving pressure and improving circulation without traditional surgery.

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RFA

Chronic venous insufficiency occurs when leg veins cannot efficiently return blood to the heart, leading to ongoing pressure in the lower extremities, which, in turn, leads to persistent leg pain, heaviness, swelling, skin discoloration, and tightness. CVI is a progressive condition that can interfere with daily activities and significantly impact comfort, mobility, and quality of life.

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VenaSeal™

VenaSeal is a no-heat treatment that uses a medical adhesive to close the diseased vein. A small amount of adhesive is delivered inside the vein to seal it instantly. Because no heat is involved, the surrounding tissue remains unaffected, and blood immediately flows through healthier veins. It may eliminate the need for compression stockings afterward.

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Varithena™

Varithena is a specialized microfoam sclerotherapy administered for larger or more complex varicose veins. The foam solution spreads evenly within the vein, allowing thorough contact with the vein walls and effective closure. It is often used when vein anatomy makes other treatments less ideal or as a complementary option alongside ablation.

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Phlebectomy

Phlebectomy, also known as ambulatory phlebectomy, removes bulging surface veins through tiny incisions. This procedure provides immediate visual improvement and symptom relief. While more invasive than injections or ablation, phlebectomy is performed on an outpatient basis, involves minimal recovery, and is highly effective for prominent surface veins.

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Compression Therapy

Compression therapy uses graduated pressure stockings to support the veins and improve blood flow back toward the heart. The external pressure helps reduce vein diameter, limits blood pooling, and improves overall valve function. While it does not remove veins, it can relieve symptoms and slow disease progression when used consistently.

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Blood Flow Mapping

Blood flow mapping is the essential first step in diagnosing vein disease. Using detailed ultrasound imaging, this evaluation shows how blood flows through your leg veins and identifies faulty valves that cause reflux. By locating the source of the problem, blood flow mapping ensures treatments are focused on correcting the underlying cause of your symptoms.

Why Choose Core Alliance?

Core Alliance Vein Specialists offers minimally invasive vein treatments with a true concierge-level experience. You receive personalized attention, flexible scheduling with extended weekday and weekend availability, and direct access when you need guidance. Your care is never rushed, and your questions are always taken seriously. From detailed blood flow mapping to tailored treatments, every step is focused on helping you move comfortably again. Schedule your consultation to explore the right treatment for you.

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