The physical manifestations of lower extremity venous insufficiency can range from the most common spider and varicose veins to, in extreme cases, skin breakdown and venous ulcers. The venous ulcers can subsequently lead to more serious medical conditions. Vein disease can be easily diagnosed and is treatable even at an advanced stage. The condition is generally covered by most health insurances, including Medicare and Medicaid. Vein disease can get worse if untreated. Incompetent and weakened valves can lead to more prominent varicose veins.

Varicose veins range from smaller “spider veins”, bluish reticular type veins or bulging large prominent varicosities that are on the surface of the legs. They are often a combination of the 3 described manifestations. More importantly for the patient, lower extremity venous insufficiency can cause symptoms that can interrupt normal daily activities and adversely affect the quality of life. Aching painful legs can have a detrimental domino effect to overall health as there is a decrease in physical activity from pain and as a disincentive to exercise or be mobile.

Patients that leave their venous disease untreated are often not able to enjoy the same quality of life or wellness, and are likely to eventually have more serious health issues. As mentioned before, a vicious cycle of derangement occurs as vein disease progresses, varicose veins enlarge become more prominent and valves and veins walls become more damaged. Varicose veins occur only in the lower body and can affect anywhere in the lower half of the body, from the groin down to the ankle.


  • Heavy/Tired legs
  • Leg aching and throbbing
  • Restless legs
  • Leg cramping and soreness
  • Chronic swelling


Superficial Veins

These veins lie just under the skin and drain into perforator veins or deep veins.

Perforator Veins

These veins are in between superficial and deep veins, they drain into deep veins.

Deep Veins

These veins lie inside the muscles and carry most of the blood back to your heart.

With regard to diagnosing and treatment of lower extremity venous insufficiency, we focus on the superficial and perforator veins of the legs. Advances in medical technology have allowed for more eloquent and minimally invasive options for treating lower extremity vein disease. These treatments have largely replaced the more painful and cumbersome hospital-based vein stripping procedures. Many patients that have avoided treatment due to horror stories of painful procedures with long and hard recoveries can now rest easily with these new minimally invasive options.

At Precision Vein Care we have expertise in all the available minimally invasive techniques. We offer radiofrequency (ClosureFast, previously known as Venefit) and non-thermal ablation procedures in addition to microphelebectomy. Various smaller varicose and spider veins can also be treated with sclerotherapy (injections). After the initial evaluation, we tailor the correct procedures with patient comfort, safety and maximum effectiveness in mind.