Waco Surgical Vein Center

More than 1 in 3 Americans suffer from Vein Disease

Now they don’t have to.

Damaged veins can take many different forms, from small surface veins to large grape-like clusters. No matter what size or shape, these veins are signs of vein disease. If left untreated, they could lead to more serious issues like blood clots, ankle sores or skin ulcers, or spontaneous venous rupture.

Do I have a vein problem?

Vein problems develop slowly over the years, often without even being noticed.

Vein problems develop gradually, and many patients learn to increase their tolerance for the discomfort that vein problems can cause. In fact, many patients are not even aware of how much better they can feel until after they have received treatment.

If gone unchecked, vein problems have the potential for developing into a serious medical issue.

Varicose Veins

Varicose veins are a very common problem, generally appearing as twisting, bulging rope-like cords on the legs, anywhere from groin to ankle. While many people have heard of varicose veins, very few truly understand their underlying cause, and the potential they have for developing into a serious medical issue.

What are the symptoms? Will they get worse?

In addition to the visual appearance, many patients may experience one or more of the following leg symptoms:

  • Pain (an aching or cramping feeling)
  • Heaviness/Tiredness
  • Burning or tingling sensations
  • Swelling/Throbbing
  • Tender areas around the veins

We know that obesity, pregnancy, age, and prolonged standing increase the chance of developing varicose veins.

If you experience symptoms and delay treatment, your symptoms may progress onward to more serious complications including: inflammation (phlebitis), ankle sores or skin ulcers.

How can vein problems be treated?

Spider Veins

Spider veins are tiny red or purple dilated blood vessels that form when veins become enlarged and swollen with stagnant blood. They commonly occur on the legs, but are also found on the face or other areas of the body. Spider veins are smaller than most varicose veins, but are often darker and more noticeable. This is because these veins are located just below the surface of the skin.

What are the symptoms?

These dilated blood vessels may be short, unconnected lines, each about the size of a large hair, or connected in a “sunburst” pattern. They may look like a spider web or a tree with branches. Spider veins can occur in a small area where they are not very noticeable, or they can cover a large area of skin and be very unattractive.

Sometimes spider veins can cause pain, ranging from dull and throbbing to a burning sensation. The larger vessels are more likely to cause pain, however smaller blue veins sometimes also cause pain.

How can vein problems be treated?

Treatment begins with a clinical consultation.

The first step is to receive a consultation with one of our doctors. Either as part of consultation or afterward, we usually do a venous ultrasound mapping of the legs.

A personalized treatment plan is then outlined which is tailored to each patient. The initial treatment may involve simple compression hose. This may be followed by a single treatment or combination of treatments including:

  1. Endovenous Laser Therapy (EVLT)
  2. Sclerotherapy
  3. Ambulatory Phlebectomy

Endovenous Laser Therapy

We use the CoolTouch CTEV endovenous laser procedure. The procedure is done in the office and requires only local anesthesia. There is no scarring and normal activity can be resumed immediately.

Benefits of CoolTouch CTEV

  • Most comfortable laser procedure available
  • Rapid relief of symptoms
  • Relatively pain free
  • No downtime
  • Minimal bruising or scarring
  • No general anesthesia
  • Quick, office-based procedure

The Origin of Vein Disease

Blood in the leg veins normally flows only towards the heart. The direction of flow is maintained by valves in the veins which prevent the blood from flowing backwards. If the valves do not close properly, blood is allowed to flow backwards. The blood then “pools” in the veins causing the walls to enlarge and become thin. The result is varicose veins.

How It Works

During the CoolTouch CTEV procedure, a small laser fiber is threaded up the incompetent vein. The laser is activated at a wavelength of 1320 nanometers as the fiber is withdrawn, heating the vein and causing it to scar closed. The 1320 wavelength is unique to CoolTouch. It requires less heat to close the vein than other lasers do,  and it has been found to be the most comfortable and effective laser treatment for varicose veins.

Download the CoolTouch brochure to learn more.


Sclerotherapy is a straightforward procedure where the doctor injects a medicine — known as a “sclerosing solution” — into the blood vessels which makes them shrink.

Benefits of Sclerotherapy

  • Quick and simple
  • Can effectively relieve some varicose veins and spider veins
  • It’s not a surgical procedure
  • The patient experiences no downtime
  • Same day, outpatient procedure
  • Little to no scarring

Ambulatory Phlebectomy

Ambulatory phlebectomy is a small surgical procedure where under local anesthesia a small stab wound is used and the vein is physically removed leaving only a minimal or non visible scar.

A consultation lets us know if you are a candidate for vein therapy.

If you have symptoms suggestive of venous disease, we recommend requesting a consult with specialist in this area, or with us. The physician will take a medical history and physical exam. If appropriate, the physician will then order a venous mapping of the lower extremities (legs) and build a personalized treatment plan.

What does insurance cover?

Most symptomatic venous disease is covered by the patients insurance plan.

We do submit, on behalf of the patient, to insurance companies our consultation, ultrasound studies and photographs of the patients condition prior to proceeding with therapy. We contract with most health insurance companies including Medicare.

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