Do Varicose Veins Require Surgery?

Varicose Vein  | The Vein Clinic | Columbia SCVaricose veins can present enormous problems. In their mildest form, these bulging veins can look unattractive. If you’ve got several twisting, protruding veins, you may prefer to wear pants even when the weather nearly demands otherwise. Moderate to severe varicose veins not only look highly unpleasant, but they tend to also cause uncomfortable sensations such as cramping, aching, itching, and burning. In most cases, varicose veins do not go away on their own (pregnancy varicose veins may be an exception). While medical care is necessary, patients should not fear that they will need an invasive, painful surgery to treat their vein disease.

Have you been postponing care for an unnecessary reason? If you’ve been under the impression that your varicose veins would need surgery, we think you’ll be happy to learn that there are non-surgical options that may suit your needs. Vein stripping is a thing of the past. Today, we utilize innovative techniques to eliminate non-functioning veins. Non-surgical options include:

  • Non-Thermal pharmaceutical ablation: VenaSeal Adhesive Therapy
  • Heat-Induced: Radiofrequency Therapy
  • Minimally Invasive: Ambulatory Phlebectomy


VenaSeal is a non-thermal, non-heat-based method of closing varicose veins. This FDA-approved technique utilizes medical grade adhesive, the same substance used in some surgical procedures, to stop reflux in individual veins. Treatment is conducted in the office and usually does not require anesthesia of any type. This is because veins do not have pain receptors. Using ultrasound imaging and a tiny IV catheter, Dr. Reynolds inserts the medical adhesive into the segment of the vein that he wishes to close. The adhesive makes the walls of the vein stick together, stopping blood flow through the area. No stitches are needed and, in many cases, patients don’t even need compression.


Radiofrequency ablation is a thermal treatment during which energy is inserted into the vein using a tiny radiofrequency fiber. The energy transforms to heat within the vein, causing controlled damage that leads to the vein closing. Patients tend to find this method of vein ablation more comfortable than laser vein treatments, and experience only mild discomfort afterwards.

Ambulatory Phlebectomy

Phlebectomy is a minor procedure in which small, slit-like incisions are made in the skin to physically remove varicose veins. The office procedure is conducted with a local anesthetic to numb the tissue where incisions are made. A tiny instrument is inserted and placed around the vein, like a hook. This causes the vein to collapse before it is removed.

Vein treatments have become more effective and less invasive in recent years. Learn more about treatment options for varicose veins in our Columbia, SC office. Call  (803) 253-8667.

Posted in: Varicose Veins

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Take the first step towards better looking, better feeling legs today at The Vein Clinic by scheduling an initial consultation. Schedule an appointment online or give us a call at (803) 253-8667.

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1725 Devonshire Dr. Columbia, South Carolina 29204
(803) 253-8667
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