Treatment Options for Bulging Vein Problems

Our modern lifestyle has resulted in many people facing bulging vein problems. These often come in the form of varicose veins and spider veins. In a significant number of these cases, the person affected does not show symptoms that indicate the need for urgent treatment. However, the unappealing appearance of this malady has led to psychological distress and decreased self-esteem for many.

Chuback Medical Group, headed by Dr. John Chuback, offers a wide variety of treatment options for bulging vein problems. The most appropriate choice among these depends largely on the size of the veins needing treatment, their location, and the symptoms the person is having.

Compression Stockings Coupled With Exercise

When bulging vein problems are in the early stage, compression stockings are often advised as a means of early intervention. The pressure applied by the stocking on the vein prevents it from becoming overly distended while the user is going about his or her daily routine. It is coupled with raising the legs while lying down and pumping the ankles to help blood in the veins return to the heart.

This method of treatment may become uncomfortable, especially if a higher compressive force is needed. The stockings also become stretched out with time and have to be replaced as often as once every six months. For those who are on their feet most of the day, this may prevent varicose veins or spider veins from forming or progressing.


If compression stockings and exercise fail to arrest the problem, sclerotherapy may then be tried. This procedure involves injecting a medication into the affected vein. The medication reacts with the wall of the blood vessel in such a way that an inflammatory process is created which ultimately leads to the disappearance of the veins.

This treatment is highly effective particularly for smaller veins. Varicose veins with a larger diameter may also be treated in this manner. However, it is possible that other treatment modalities will be more effective for these veins.

Allergic reactions to the medication used may also occur. This is extremely rare. Other factors that make this option inadvisable are the presence of clots in the deep veins, pregnancy, and severely blocked arteries. After treatment, the affected area may initially look a bit darker as a result of the healing process but almost always resolves completely within about 4 to 6 months.

Ultrasound guided sclerotherapy (sometimes called chemical ablation) is the more advanced form of this treatment. An ultrasound machine is used to monitor and guide the sclerotherapy treatment. This allows distended veins not visible through the skin’s surface to be treated, as well.

Endovenous Laser Treatment (EVLT)

Treating large varicose veins by inserting a laser fiber into them is called Endovenous Laser Treatment. The probe emits intense energy that converts into heat energy in the veins.  This ultimately closes the treated veins. Those who have undergone EVLT and vein stripping at different times in their life state that EVLT is significantly less painful.

If the veins are still small, a probe need not be inserted. The skin surface over the vein may be treated directly with laser energy. This destroys the underlying vein. Several treatments may be necessary, however, for it to be effective.

Radiofrequency ablation is very similar to EVLT, but uses radiofrequency rather than laser energy.  Results of this procedure are very similar to EVLT. We do not offer radiofrequency ablation at the Chuback Vein Center as our laser esults have been outstanding.


Microphlebectomy is a simple procedure performed under local anesthesia whereby varicose veins are removed through tiny 2-3 millimeter incisions.  This procedure is performed in the office with minimal discomfort.

To Sum Up

Each bulging vein problem is unique. Each patient is also unique. This is why the Chuback Medical Group offers such a wide variety of treatments. Dr. John Chuback and his staff carefully evaluate each problem and suggest the best treatment tailored to each unique need.

Filed under: News, Vein Specialists