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Varicose Veins

Varicose veins are twisted and swollen veins that can be seen under the surface of the skin. Varicose veins can be an uncomfortable and painful issue that can become a more serious problem if left untreated. At IVY Cardiovascular and Vein Center, we offer varicose vein treatments that can provide you with the relief you need.

Varicose Veins

What are Varicose Veins?

Your veins are constantly working to facilitate the movement of blood through your vital organs. They contain little valves that open and close. Sometimes the valves get damaged or become weakened.

This gives rise to a weakened vein valve. Because the valve is now weak, your blood flow isn’t as smooth as before. A backflow of blood occurs and the veins work overtime to push the blood. The oxygenated blood pools up inside the veins and causes them to swell. The varicose veins can appear red or blue in color and can be seen on the surface of the skin. Most varicose veins don’t present any pain for the patient. But they can be unpleasant to look at as they grow more and more gnarled and twisted.

The veins further from your heart work hard to deliver blood all the way to the center of your body where the heart is. And so, this makes extremities like your legs and feet especially vulnerable.


  • Deep Vein thrombosis
  • Leg injury or surgery
  • Excess weight or weight gain
  • Pregnancy
  • Prolonged standing or sitting without movement
  • Age
  • Genetics
  • Family history of vascular disease
  • Leg swelling
  • Dark blue-purple, swollen, distended, unappealing veins.
  • Itchiness in the legs and ankles
  • Leg fatigue, heaviness, and restless legs at night
  • Your specialized doctor exam
  • Ultrasound

The National Institute of health recommends these conservative measures. Home treatment may be all you need to ease your symptoms and keep the varicose veins from getting worse.

  • Wear compression stockings
  • Elevate your legs
  • Avoid long periods of sitting or standing
  • Get plenty of exercise

If you do not respond with the above conservative measures,

  • Veins are treated in one of two ways:
    • Sclerotherapy to close off the vein.
    • Radiofrequency treatment to close off the vein.
    • Phlebectomy, or stab avulsion, to remove the vein.

If the measures above do not provide relief you may need medical intervention from a venous specialist.

“90 to 95 percent of the time a venous specialist can appropriately diagnose the underlying problem and provide an accurate diagnosis and treatment plan to prevent the disease from progressing,” Dr. Panchal says.

What are the Symptoms of Varicose Veins?

  • Discoloration
  • Itching
  • Achiness
  • Swelling
  • Nerve damage

If left unattended, varicose veins can grow into worse complications such as:

  • Deep vein thrombosis
  • Inflammation
  • Chronic venous insufficiency
  • Phlebitis

How are Varicose Veins Diagnosed?

Varicose veins are relatively easy to detect. They present physically under the surface of the skin and mostly require a physical examination to find them.

In some instances, doctors might use ultrasound testing to further evaluate your situation.

Your doctor might look at your history to determine the cause of your varicose veins.

How do you treat Varicose Veins?

Compression stockings

Regular use of compression stockings can stimulate blood circulation around the leg. These stockings are snug little socks that are tighter at the ankles than they are at the calf. They reach towards your thigh and offer different levels of compression depending on your needs.

Ultrasound sclerotherapy

Ultrasound sclerotherapy makes use of a special chemical to cause it to collapse. The vein is no longer able to carry blood and will no longer be visible. The treatment is performed in office under local anesthesia.

Radiofrequency ablation

This is a simple, minimally invasive treatment that’s done under local anesthesia. A special catheter is inserted into the affected vein. The catheter emits heat is used to damage the vein and cause it to collapse. The procedure is performed in office and there is a minimal recovery period.



  • Fellow of American College of Cardiology
  • Society for Cardiovascular Angiography & Interventions (SCAI)
  • Chronic Limb Ischemia Global Society
  • Society for Vascular Medicine

Schedule a Consultation

The most important step in your care is choosing a vascular specialist to treat your veins. At IVY Cardiovascular and Vein Center our physician, Dr. Rishi Panchal, was trained at Yale, one of five advanced peripheral vascular fellowships in the nation to treat your veins in an academic fashion. We utilize minimally invasive technology to evaluate superficial as well as deep venous disease. We serve all of Palm Beach County and greater South Florida. Current offices in Wellington and Belle Glade, Fl. Call today to set up your consultation.