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4401 Coit Road Suite 401 Frisco, TX 75035 |
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Services | Evaluation & Workup | Treatment Options | Before & After Gallery Treatment Options
Many patients will get temporary relief of their symptoms with conservative measures such as leg elevation, exercise, weight loss and the use of footwear that allows for calf flexion. Compression hosiery may be prescribed for those patients without arterial disease or leg artery disease. The hosiery provides pressure to redirect blood away from the skin surface counteracting the effect of venous reflux. This provides relief for some patients but is only a temporary solution. 
A more durable treatment for reflux of the saphenous veins or perforator veins can now be performed in an office setting by a trained professional such as Dr. Lorenzo. A catheter is inserted into the vessel via a puncture site in the skin. Ultrasound imaging is used to guide positioning. The catheter then delivers energy to the lining of the vein causing it to collapse. This process is called ablation. Animated videos demonstrating the ablation procedure can be viewed at the following website links: Many varicose veins will decompress once the refluxing “feeder” veins are ablated. Less commonly, a patient may have veins with anatomy that is not conducive to treatment with a catheter. Ligation and stripping is the procedure whereby the saphenous vein is removed. This can be performed as an outpatient procedure. At Vein Care Solutions (conveniently located at the intersection of TX-121 and Coit Road in Frisco), Dr. Lorenzo uses the latest technology to treat most patients venous conditions in the office, this allows them to return to work and normal activity the next day. For those veins that are not resulting from an underlying problem of reflux, focal therapy is recommended. For larger vessels, phlebectomy or removal of the vessel via small incisions may be recommended. Other focal therapy may include sclerotherapy where a solution injected into the vein will cause the lining to become adherent to itself. Laser therapy applied to the surface of the skin overlying smaller telangiectasia or “spider veins” will also result in collapse so that blood no longer flows within the vessel.
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