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Varicose Vein Treatment

Varicose veins and chronic venous insufficiency occur when leg veins fail to move blood efficiently back to the heart, leading to pooling and pressure in the legs. At The Medical Group of New Jersey, minimally invasive vein treatments are used to relieve symptoms and prevent complications.


Symptom Onset & Initial Evaluation

Symptoms of venous insufficiency often progress gradually and tend to worsen later in the day or after prolonged standing or sitting. Patients are commonly referred for evaluation when they experience:

  • Aching, heaviness, or fatigue in the legs
  • Swelling of the ankles or calves, especially by evening
  • Visible bulging or twisted veins
  • Skin discoloration, thickening, or non-healing venous ulcers

During the initial visit at The Medical Group of New Jersey, providers review symptom patterns, daily activity level, prior vein treatments, pregnancy history, and family history of venous disease to guide further evaluation.


Diagnosis

Accurate diagnosis focuses on assessing venous blood flow and valve function. Evaluation typically includes:

  • Venous duplex ultrasound to identify reflux and vein obstruction
  • Detailed mapping of vein anatomy to determine which veins are contributing to symptoms

This imaging allows providers to tailor treatment to the specific veins causing disease rather than relying on a one-size-fits-all approach.


Treatment Guidance & Management

Based on imaging findings and symptom severity, treatment is individualized and may include:

  • Endovenous thermal or chemical ablation to close diseased veins
  • Sclerotherapy for smaller or residual veins
  • Phlebectomy to remove problematic surface veins through tiny incisions

These procedures are performed on an outpatient basis, allowing most patients to return to normal activities quickly.


Ongoing Management & Monitoring

Follow-up care at The Medical Group of New Jersey focuses on long-term symptom control and prevention of recurrence, including:

  • Monitoring symptom improvement and cosmetic results
  • Use of compression therapy when appropriate
  • Periodic reassessment for new or recurrent venous disease

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