Varicose Veins

Varicose Veins Dallas

Varicose Veins are a commonly known condition and are just as commonly misunderstood. Read below to discover the facts about the dangers of varicose veins and the solutions available to you.

What are Varicose Veins?

Varicose veins are enlarged blue, red or flesh-colored veins that look like raised, twisted, rope-like cords on the legs. They are much more than a cosmetic issue for some 30 million men and women.

In fact, varicose veins are twice as frequent in the U.S. population as coronary artery disease and five times more frequent than peripheral artery disease.

What causes Varicose Veins?

Your veins have one-way valves to properly regulate blood flow back to the heart and lungs. When those valves are faulty, blood may leak backward and begin to collect or “pool” in the veins, causing varicose veins.

Over time, varicose veins can lead to chronic venous insufficiency (CVI), a more serious condition, in which it becomes increasingly harder for the leg veins to pump blood back to the heart.

What are the symptoms?

  • Visible large veins just under the skin surface
  • Swelling in the lower legs or ankles
  • Heavy or tired feeling in the legs
  • Leg cramping, pain, achy or itchy sensation
  • Changes in skin color and texture
  • Sores, ulcers or open wounds developing

Who is at risk?

  • Age over 60
  • Female (hormonal changes during puberty, pregnancy or menopause may be a factor, as can birth control pills and hormone replacement therapy)
  • Family history
  • Obesity
  • Standing or sitting for long periods
  • Trauma to the leg

How are Varicose Veins diagnosed?

Varicose veins are diagnosed during a physical exam. Your doctor will take a medical history, examine your legs and ask you to describe the pain and other symptoms.

Additional noninvasive testing may be ordered, such as ultrasound scanning, which can evaluate blood flow in the veins and identify whether there are blood clots and blockages.

How are Varicose Veins treated?

Varicose veins are commonly treated using one of several proven treatment options, including Venefit targeted endovenous therapy, Phlebectomy, High Ligation and stripping of varicose veins or sclerotherapy.

Venefit Targeted Endovenous Therapy

Venefit Targeted Endovenous Therapy is an innovative treatment that uses radiofrequency ablation. During this minimally invasive procedure, Dr. Lam will insert a catheter through a tiny incision and maneuver it to the damaged area of the vein.

Radiofrequency waves will heat, collapse and seal the vein, permanently blocking the blood flow. The body normally reroutes the blood flow to adjacent healthy veins. This technique offers faster recovery, with less discomfort, bruising and complications.

Venefit™ Procedure by Covidien



Phlebectomy is a varicose vein removal procedure in which several small incisions are created in the skin through which the varicose vein is removed. In the majority of cases, stitches are not required.

Phlebectomy is an out-patient procedure that can be performed in-office under light sedation with local anesthesia.

Dr. Lam may choose to perform a phlebectomy in conjunction with another treatment for varicose veins, including ligation and stripping or radiofrequency treatment.



Sclerotherapy is used to eliminate varicose veins and spider veins by injecting a solution (generally a salt solution) directly into the vein. The solution causes the lining of the blood vessel to collapse and stick together and the blood clots. Over time, the vessel fades from view.

High Ligation and Stripping of Varicose Veins

Vein ligation and stripping is a minor procedure that your Dallas Vascular Physician uses to remove a damaged vein as well as prevent complications from vein damage. When multiple valves in a vein are heavily damaged, the vein is then removed, or stripped. An incision is made beneath the vein, and a flexible device is threaded through the vein and to the first incision, which is used to grasp and remove the vein.

During this procedure, one or more incisions are created over the damaged veins, and the vein is closed or ligated. If the ligation serves to close a faulty valve, and the vein/valves beneath the faulty valve are still healthy, then the vein may remain in place to continue circulating blood.

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The information contained in this website is neither intended to dictate what constitutes reasonable, appropriate or best care for any given health issue, nor is it intended to be used as a substitute for the independent judgment of a physician for any given health issue. Patient results will vary based on risk factors, age, disease and medical history. Please seek physician's advice. Like any procedure, it may come with benefits, risks or side effects associated. Click here for additional information.

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