Understanding Varicose Veins: More Than a Cosmetic Concern
If you’ve started to notice rope-like, bulging veins on your legs, you’re not alone—millions of people deal with this issue. Varicose veins can be more than an aesthetic problem; they’re often a sign of chronic venous insufficiency, a condition where the vein valves no longer function as they should.
When these valves fail, blood struggles to return to the heart efficiently. Instead, it pools in the lower legs, creating increased pressure that causes veins to enlarge, twist, and become visible under the skin. Along with the appearance changes, you may also notice heaviness, aching, or swelling that worsens as the day goes on.
Many patients in the St. Louis and O’Fallon areas come to us after trying compression stockings, leg elevation, or lifestyle changes without enough relief. Fortunately, modern, non-surgical treatments like Varithena® can successfully address both the symptoms and the root cause.
What Is Varithena®? A Modern Solution for Vein Disease
Varithena® (polidocanol injectable foam) is an FDA-approved treatment for varicose veins caused by chronic venous insufficiency. Instead of requiring surgery or heat-based closure, Varithena uses a specialized microfoam that’s gently injected into the problem vein.
Once inside the vein, the foam pushes out the pooled blood, making contact with the vein wall. This causes the vein to collapse and seal shut. Over time, your body naturally absorbs the closed vein, and blood reroutes to nearby healthy veins.
Dr. Wright has offered Varithena in our Missouri offices since it became available. Patients often see dramatic results with minimal discomfort—especially when the veins are too twisted for traditional laser or radiofrequency treatments.
How Varithena® Works: Why the Foam Matters
Varithena’s microfoam is key to its success. During treatment, it:
- Pushes blood out of the targeted vein
- Coats the inside of the vein wall for maximum contact
- Seals the vein completely
- Allows the body to naturally absorb the treated vein over time
This is a form of sclerotherapy, but unlike standard liquid treatments, the foam stays in contact with the vein wall longer, leading to more reliable closure. Closing these malfunctioning veins actually improves circulation because the blood can move through healthier, properly functioning veins.
Who Can Benefit from Varithena®?
Varithena is FDA-approved to treat:
Primary Conditions:
- Great saphenous vein (GSV) reflux
- Accessory saphenous veins
- Varicose veins linked to saphenous vein insufficiency
Common Candidate Symptoms:
- Leg heaviness, aching, or pain
- Swelling in the lower legs or ankles
- Fatigue or cramping in the legs
- Visible twisted or bulging veins
- Skin changes or discoloration near the ankles
- Restless legs at night
If your veins are too twisted for catheter-based treatments like laser ablation, Varithena may be the best choice. Dr. Wright often recommends it for patients whose vein structure makes other methods less effective.
What to Expect During the Varithena® Procedure
Before Treatment
Your first visit includes a thorough evaluation with an ultrasound to pinpoint exactly which veins are causing your symptoms. Dr. Wright will review your medical history, discuss your goals, and explain your treatment options. In many cases, insurance covers most or all of the cost when the procedure is medically necessary.
During Treatment
Varithena is performed in our St. Louis or O’Fallon office in under 30 minutes:
- Preparation – The treatment area is cleaned and prepped.
- Local Anesthetic – A small amount of numbing medicine is applied.
- Guided Injection – Using ultrasound guidance, the Varithena foam is delivered into the vein.
- Monitoring – Ultrasound confirms complete closure of the targeted vein.
Patients usually report only mild pressure or tingling during the procedure.
Immediately After
You’ll walk around for a few minutes to promote blood flow. We’ll provide compression stockings to wear for 1–2 weeks to optimize your results and minimize swelling.
Recovery & Aftercare
Varithena offers a fast return to daily life—most people are back to work the same or next day.
First 1–2 Days:
- Walk regularly but avoid intense exercise
- Wear compression stockings as directed
- Expect mild bruising or tenderness at the injection site
First Week:
- Continue wearing stockings during the day
- Avoid saunas, hot tubs, and long hot baths
- Light exercise like walking is encouraged
Weeks 2–4:
- Noticeable symptom relief (less heaviness, aching, and swelling)
- Veins begin fading from view
- Follow-up ultrasound to confirm closure
Why Patients Choose Varithena®
Immediate Advantages:
- No incisions or stitches
- Completed in less than half an hour
- Minimal discomfort and downtime
- Return to normal activities the same day
Lasting Results:
- Reduced leg pain and swelling
- Improved vein appearance
- Better circulation
- Increased comfort and mobility
Safety & Possible Side Effects
Varithena has a strong safety track record. Most side effects are temporary and mild, such as:
- Bruising or mild pain
- Temporary skin discoloration
- Minor swelling
Serious complications are rare. Dr. Wright will review your medical history to ensure Varithena is right for you.
Insurance & Cost Information
Most insurance providers, including Medicare, cover Varithena when treating symptomatic varicose veins. Our team works directly with your insurer to confirm benefits and minimize any out-of-pocket costs.
Why Choose Dr. Wright & Laser Lipo and Veins Center
Dr. Thomas Wright is a nationally recognized vein specialist with decades of experience treating complex vein conditions. Our approach combines:
- Comprehensive diagnostics using advanced ultrasound
- Customized treatment plans for each patient
- State-of-the-art technology for precision and comfort
- Ongoing follow-up care to ensure long-term success
Our St. Louis and O’Fallon offices are designed with patient comfort in mind, and our team is committed to clear communication at every step.
Varithena® vs. Other Treatments
- Varithena vs. Laser Ablation – Works for veins too twisted for lasers, avoids heat-related risks.
- Varithena vs. Surgery – No anesthesia, no incisions, quicker recovery.
- Varithena vs. Compression Stockings – Treats the root cause rather than just managing symptoms.
FAQs
How soon will I see results?
Most patients notice symptom relief within days; cosmetic improvements continue over several months.
Can I have Varithena after other treatments?
Yes, it can be used even if previous procedures didn’t fully resolve your vein issues.
Is it painful?
Discomfort is minimal—most compare it to a routine injection.
Schedule Your Consultation
If varicose veins are keeping you from feeling your best, Varithena may be the minimally invasive solution you’ve been looking for. Call (636) 397-4012 or schedule your consultation online today.
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