How We Treat Vein Disease
Years ago, varicose veins were treated by vein stripping, which was a highly-invasive procedure. Patients were put to sleep using general anesthesia and recovery often took six months or more.
Thankfully, we’ve come a long way in treating varicose veins.
The treatments we offer at Medical Vein Clinic:
Are without surgery
Only local anesthetic applied to numb legs
Patients walk in and walk out/drive home

What To Expect
During a patient’s first visit, we will examine their legs to determine if they have varicose veins. Our experienced staff uses ultrasound imaging equipment to get a picture of the veins in patients’ legs.

We Start with Conservatively Treating Patients
Conservative Treatment
If the exam confirms a patient has varicose veins, we start with three months of conservative treatment. During this phase patients wear compression stockings that help determine if treatments will be effective. These stockings help vein walls to get closer together to pump blood back to the heart. If a patient’s symptoms are reduced or subside while wearing stockings, this confirms that their symptoms are due to faulty veins, and we schedule a vein treatment procedures. If a patient’s symptoms do not go away, this tells us that something else is causing their issues and refer them to another specialist for help.
Conservative Treatment Phase
For three months:
Patients wear compression stockings to gauge if treatments will be effective
Move legs frequently during the day
Elevate legs throughout the day
Take ibuprofen or an anti-inflammatory for pain/swelling

State-of-the Art Treatments That Don't Require Surgery
Radiofrequency Ablation (RFA)
Medical Vein Clinic’s doctors typically perform one of two state-of-the art procedures to treat varicose veins, radiofrequency ablation, or RFA, and VenaSeal.
RFA is considered the gold standard and best treatment to get rid of varicose veins. It has a success rate of more than 95% in treating bad veins. RFA is covered by insurance and has minimal recovery time.
With this procedure, we use a local numbing medication at the site of the diseased veins. Then, using ultrasound guidance, we insert a catheter in the lower leg and move it upwards to the start of the bad vein. With each patient we start by identifying and treating the bigger problem source veins---the ones leaking and blowing out the smaller veins. This way, varicose veins are less likely to reoccur.
The RFA catheter treatment uses heat---which the patient does not feel---to make the inside of the bad vein walls “sticky.” This makes the bad veins close. Closing the bad veins keeps blood from pooling in them and creating bulging varicose veins.
Then the catheter is withdrawn from the leg and we put a compression stocking on the patient’s leg. This keeps the vein walls sticking together.
With radio frequency ablation patients need to follow some procedures for three weeks to ensure their veins stay closed.
Post-treatment, patients wear compression stockings for 21 days and walk 10 to 15 minutes every hour they are awake. This prevents blood clots from forming and helps generate new, good veins. And, no running, straining, lifting anything over 25 pounds.
RFA Post-treatment Procedures
For three weeks:
Wear compression stockings
Walk 10 to 15 minutes per waking hour
No heavy lifting, straining or running
VenaSeal™
The second treatment option is called VenaSeal™. It’s a newer procedure recently approved by the FDA and a good alternative for those who are unable to pull on compression stockings. Like the first treatment, a catheter is inserted into the bad veins. Instead, of cauterizing the veins shut, a medical-grade super glue is used. Some people are allergic to the glue, so we always screen for a possible allergic reaction ahead of time.
VenaSeal™
No need to wear compression stockings after procedure
Resume normal activities right away
Covered by Medicare, but not all insurance.
Payment plans available
Treating Spider Veins
Sclerotherapy
We treat smaller varicose and spider veins with a method called sclerotherapy. Veins are injected with a chemical solution (sclerosant). This solution essentially damages the lining of the vein, causing it to contract. The vein eventually disappears, reabsorbed in the affected leg. This procedure usually takes less than 15 minutes.
Benefits of Sclerotherapy
Short treatment
Performed in our clinic
Relieves varicose vein symptoms
Permanently closes smaller veins with venous insufficiency

At Medical Vein Clinic, Your Legs Are in Good Hands
Book Your Appointment Today
210-622-8000
Covered by Medical Insurance. Se Habla Español.

Covered by Medical Insurance
Se Habla Español
Our Offices
622 Isom Rd.
San Antonio, TX 78216
5742 W. Loop 1604 N
San Antonio, TX 78251
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Office Hours
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8 am to 5 pm
Friday 8 am to 12 pm
Friday
8 am to 12 pm