Are You Wondering Which Texas Vein Treatment to Try?

Here’s Our Expert Analysis of Texas Vein Clinic Treatments

This Helpful Guide Explains Each Treatment Offered at Texas Vein Clinics

What’s stopping you from treating your varicose veins or spider veins? Is it your confusion about the various vein treatment options? With so many new methods, it’s no wonder patients aren’t sure what to try. Read on to learn what each procedure is and how it’s performed, so you can select the most effective vein treatment. Start by choosing an accredited Texas vein clinic, run by board certified vein doctors, and then inquire about their experience with the methods detailed below.

While the amount of vein treatment options might seem overwhelming, that’s actually a positive development, resulting from tremendous advances in venous technology since the 1990s. Vein treatment used to be a painful endeavor with varied results, prior to the introduction of superior, minimally invasive treatments guided by ultrasound. Now, there’s no guesswork or trial and error involved, and often, no general anesthesia or surgery. Instead, spider vein and varicose vein treatment is a rapid, precise, and largely painless experience, when administered by qualified vein specialists.

One reason treatment options abound is that veins are complicated. Some patients have a superficial spider vein that can be injected directly through the skin. But many times, vein damage comes from a problem lurking a bit deeper, known as chronic venous insufficiency. This results from valves failing within veins, allowing blood to reverse through the vein and accumulate below a weakened valve. That excess pressure engorges the vein, causing it to bulge and contort, forming the dilated varicose veins you see on your legs. That same pressure can also force tiny, new veins to branch away from the feeder vein, creating the trickly spider veins you see through your skin. If you want to truly eliminate spider veins or varicose veins, you need to visit a Texas vein doctor who checks for this condition. Otherwise, you’ll find yourself returning to a vein clinic over and over again, since those damaged veins will keep appearing.

Texas Vein Clinic Treatment Options


Also Known As: RF ablation, EVLT, thermal ablation, laser or radiofrequency ablation

Best For: Enlarged varicose veins and symptoms of venous insufficiency (the cause behind most damaged veins)

What Is an Endovenous Ablation Treatment?

Medical ablation procedures are used to remove or destroy bodily tissue, or to destroy its ability to function. In the case of endovenous ablation, vein doctors use thermal energy to destroy damaged veins without removing them from your body. It’s a minimally invasive technique designed to eradicate the defective veins you see through your skin, and also to address the valve failure that might exist deeper in your venous anatomy.

How Do Endovenous Ablation Treatments Work?

With endovenous ablation, vein doctors don’t need to extract large varicose veins, like they do with vein stripping surgery. Instead, they can treat them gently, inside of the body. Our Texas vein doctors apply a numbing solution to your skin and then inject a tumescent anesthetic around the vein they plan to treat. This makes the procedure comfortable and protects surrounding tissue from thermal energy. They then insert a tiny catheter into the troubled vein and heat the vein’s walls so that it swells and scars shut. Then blood flows into healthy veins, and that vein is harmlessly absorbed by the body, revitalizing your circulation. Ablation uses either light (laser) or soundwaves (radiofrequency) to generate heat. Our Texas vein clinic prefers radiofrequency since it’s less likely to cause discomfort or bruising. One of the best perks of endovenous ablation is that it’s done in under 30 minutes, which is much faster than surgery. It also allows you to resume your normal life, rather than enduring the slow recovery process of vein stripping surgery. Don’t select a Texas vein clinic that isn’t trained in endovenous ablation, since it’s one of the best ways to treat varicose veins and chronic venous insufficiency.


Radiofrequency ablation is an effective and safe treatment for underlying vein disease. It is significantly gentler and more convenient than vein surgery (vein stripping). Most insurance carriers will cover this procedure. There is no down time, with most patients returning to work the same day. This is one of the most commonly used modalities and has a proven track record of safety and efficacy.

Pros Summary:

• Safer and more effective than vein stripping
• No downtime or hospitalization
• Insurance typically covers the cost
• No scarring or stitches involved


The method of generating thermal energy isn’t the only variant in endovenous ablation. There are also many different tools used to perform it, some of which aren’t as precise or effective. Injecting tumescent anesthesia requires a skilled provider to prevent complications like pain during the procedure. Choose an accredited vein clinic in Texas with a long history of conducting ablative procedures and ask whether they use lasers or radiofrequency. Our vein specialists use state-of-the-art tools and are happy to explain the pros and cons of each method, which they’re highly experienced in administering.

Cons Summary:

• Tumescent anesthesia requires a trained vein specialist
• Certain ablative tools and methods provide better results

Is Endovenous Ablation the Right Choice for You?

The majority of varicose vein patients in our Texas vein clinic are qualified for endovenous ablation. It’s covered by insurance for most patients, and allows people to head right back to work, rather than recovering in a hospital, as with vein surgery. If you have large varicose veins or symptoms of venous insufficiency, ask our Texas vein doctors about this innovative solution.


Also Known As: Cyanoacrylate glue, vein adhesive, vein glue

Best For: Vein insufficiency symptoms and varicosities

What Is a VenaSeal Treatment?

A newer option on the market, VenaSeal technology uses medical adhesives to close varicose veins and combat venous insufficiency. The cyanoacrylate glue used in this technique has long been used safely in cardiac procedures and to prevent hemorrhage with incisions. However, Medtronic recently formulated this adhesive as an injectable treatment for veins, which glues them together to prevent blood from entering veins with malfunctioning valves.

How Do Texas Vein Doctors Use VenaSeal?

Often, VenaSeal requires your vein doctor to find the vein with an ultrasound device, since the valve failure might be in a deeper part of the vein. The ultrasound also enables your doctor to position the catheter exactly where they want it before releasing the glue. Once your skin’s entry point is numb, our vein specialists enter the vein with a fine-tipped catheter that slowly releases cyanoacrylate into the vein. Once it’s glued shut, your blood starts flowing back to the heart through viable blood vessels, rather than collecting in that vein and producing varicosities.


Since VenaSeal doesn’t use thermal energy, no local anesthesia is needed around your vein. This means, you won’t have any swelling afterward, like you might with endovenous ablation. Also, adhesives can be manipulated with gentle external pressure to spread into other defective branches of your veins, making it an efficient way to treat more than one varicose vein.

Pros Summary:

• Latest innovation
• New option for veins that have already been treated
• Tumescent anesthesia isn’t necessary


The newness of this procedure means the long-term outcome is unclear. Some patients are allergic to the glue, while others are opposed to glue injected (and remaining) in their body. Ask our insurance team whether VenaSeal is covered for you, since it can be costly if it’s not.

Cons Summary:

• New technique, so a doctor might lack experience with it
• Glue produces allergic reaction in some patients
• Long-term safety and efficacy are still under review
• You might not get insurance coverage

Is VenaSeal the Best Option for You?

Have you tried other vein treatments for your vein disease before? If so, VenaSeal is a good solution for previously treated veins. Our vein doctors will assess whether you might be allergic to the adhesive. And our insurance experts will ascertain whether you’re covered for VenaSeal. If you’re eligible for VenaSeal, it’s a great new option to try.


Also Known As: Sodium tetradecyl sulfate injections (STS), saline injections, spider vein injections, salt solution injections, cosmetic sclerotherapy

Best For: Large or small spider vein treatment and small varicose veins

What Is a Sclerotherapy Treatment?

One of the most common and efficacious methods to treat damaged veins, sclerotherapy consists of sclerosing medicine injected into a vein, which irritates it to the point of collapse. This process shrinks and lightens defective veins, improving the health and appearance of your vascular system.

How Do Texas Vein Clinics Perform Sclerotherapy?

Some veins requiring sclerotherapy can be located visually through your skin. Others require our Texas vein specialists to find them with ultrasound imaging. In either case, the vein is injected with a tiny needle that secretes an irritant, known as a sclerosing solution, which intentionally aggravates the walls of your spider or varicose vein. The chemicals cause the vein to collapse, which facilitates blood flow away from the faulty vein and into a vein that can carry it back to the heart. Some vein clinics in Texas use the older sclerosant known as hypertonic saline, while others, like our vein clinic, use newer, gentler medicines like sodium tetradecyl sulphate or polidocanol, which are highly effective with less discomfort.


Since it employs a liquid medicine, sclerotherapy is great for tortuous veins that are hard to maneuver through with an ablation catheter. The irritant can easily disperse throughout veins for fast and thorough coverage. It’s also safer than laser skin treatments for spider veins, since it doesn’t have the potential to irritate or damage your skin.

Pros Summary:

• Most recommended treatment for spider veins
• Less irritating and more effective than surface lasers
• Immediate recovery


There are not only different sclerosants, but also different delivery devices available for vein clinics in Texas to use. Choosing the right medicine and an experienced vein doctor are essential to a pleasant and successful treatment. Vein doctors need to know how to dilute and dose the sclerosant correctly to prevent discoloration, discomfort, or necrosis (if the doctor mistakenly injects an artery). A well-trained vein specialist in Texas can avoid these complications and provide exceptional results.

Cons Summary:

• Experience with dosing and dilution required
• Sclerosant type and doctor’s training determine the results

Is Sclerotherapy the Right Choice for You?

Ablation and VenaSeal both carry a small risk of allergic reaction, so if you’re susceptible, choose sclerotherapy. Sclerotherapy works great against recurrent vein disease, as well as superficial vein damage that only needs cosmetic treatment.


Also Known As: Vein foam injections, foamed sclerotherapy

Best For: All types of varicose veins

What Is a Foam Sclerotherapy Treatment?

If your veins are a bit larger or more tortuous, turning a liquid sclerosant into foam allows doctors to fill bigger veins without increasing your dose of medicine. By agitating the sclerosing solution with air, it multiplies in volume so that it can more thoroughly coat an enlarged vein. This bubbly solution is easier to detect with ultrasound imaging, so doctors can clearly watch it moving through your vein until the vein is irritated and invoked to close.

How Do Texas Vein Clinics Use Foam Sclerotherapy?

Our vein doctors identify the injection site by finding the defective vein visually or with ultrasound imagery. The foam sclerosant is administered by injection, like liquid sclerosants are, but vein doctors “create” the foam prior to injection by quickly exchanging the medicine between syringes to gather air and generate bubbles. They’ll then inject it immediately while it has maximum volume, and then observe its progression through the vein. The foam’s consistency helps doctors minimize the amount of medication required for large veins or recurrent vein disease.


If you have a recurrent vascular disease, foam is a safer choice, since it keeps your medicine dose lower than if liquid were used. Foam sclerotherapy is also advised for highly tortuous veins, since tools like catheters can’t access those tighter turns as well.

Pros Summary:

• Foam is great at filling highly twisted or enlarged veins
• Keeps dosage lower while treating chronic vein diseas


Foam’s dispersion ability is one of its advantages, but it can quickly become a disadvantage if foam disperses into perforating veins. That’s why you should only try this procedure with a highly trained vein doctor in Texas who knows how to map your unique venous connections.Agitating sclerosants makes them expand and increases their propensity to disperse. So, it’s essential to choose a vein doctor in New York who’s trained in identifying venous connections. If not, you risk medication spreading into veins that don’t need to be treated, damaging healthy blood vessels. If it enters deeper veins, a foamed sclerosant can circulate and cause serious damage.

Cons Summary:

• Requires more experience of a provider
• Foam can mistakenly spread into healthy veins

Is Foam Sclerotherapy the Best Treatment for You?

If your varicose veins or reticular veins only require cosmetic treatment, foam sclerotherapy is a safe way to minimize them. And if you have recurrent vein issues, foam injections are also safe for treating veins that have been subjected to other techniques.


Also Known As: Pre-mixed foam injections, foam sclerotherapy

Best For: Large, complicated varicosities and underlying chronic venous insufficiency

What Is a Pre-Mixed Foam Sclerotherapy Treatment?

An alternative to liquid or foam sclerotherapy, this method has the same mission behind it: injecting diseased veins to prompt their collapse. However, pre-mixing the foam adds distinctive benefits for the patient. Doctors don’t need to agitate the sclerosant in this case, since it’s mixed and sterilely sealed upon arrival at your Texas vein clinic. That means less risk of improper dosing or air embolisms if a doctor mixes it incorrectly. Pre-mixed foam is also infused with more nitrogen and carbon dioxide than other sclerosants, which makes it more powerful and expeditious in your veins. If it’s injected by a board certified, experienced vein specialist, pre-mixed foam sclerotherapy might be a safer varicose vein treatment than traditional liquids or foam.

How Do Vein Clinics in Texas Perform Pre-Mixed Foam Sclerotherapy?

Once your vein specialist pinpoints the vein in need of injection (visually or with ultrasound), they inject the pre-mixed foam straight from the storage canister into your vein with a tiny needle. The mixture’s composition enables it to work quickly so it deactivates before reaching any connecting veins. In theory, it’s safer and more potent for varicose veins. In practice, that’s only true with the right doctor in command. Our trained vein specialists are adept at safely administering all types of sclerotherapy.


With a capable physician, pre-mixed foam sclerotherapy is safe and extremely effective. It’s an excellent option for recurrent vein disease. Pre-mixed foam sclerotherapy can be used instead of surgery to treat large varicose veins when performed by an experienced provider.

Pros Summary:

• Highly powerful and expeditious
• Supplants surgery for those with large varicose veins
• Great choice for patients with chronic vein diseases


This version of sclerotherapy is markedly more potent, so only a highly trained vein specialist should inject it. It’s not covered by insurance as often as other types of sclerotherapy and it costs more than other types, as well.

Cons Summary:

• Trained vein specialist required to handle its potency
• Insurance isn’t as likely to cover it as traditional sclerotherapy

Is Pre-Mixed Foam Sclerotherapy the Best Treatment for You?

Ask our insurance specialists if you’re eligible for coverage. If it’s within your budget, pre-mixed foam sclerotherapy is a powerful alternative to surgery and also to standard foam or liquid sclerotherapy treatments


Also Known As: Infusion catheter, mechanochemical ablation Best

Best For: Varicosities and venous insufficiency, as well as chronic symptoms

What Is a ClariVein Treatment?

A distinctive quality of ClariVein treatments is their twofold approach to destroying varicose veins. The specialty infusion catheter both rotates and injects a medicine (sclerosant) inside the vein to weaken its inner lining. The combination of chemical and mechanical damage it imparts ensures the closure of unhealthy veins.

How Do Vein Clinics in Texas Administer ClariVein?

The injection site on your skin is cleansed and then the vein specialist applies a numbing solution before inserting the catheter through a pin-sized hole. Once inside the vein, the catheter spins to aggravate the interior walls and delivers a sclerosant to maximize the impact. The catheter’s fine tip can be guided throughout the length of an unhealthy vein to treat the superficial damage and also address deeper malfunctioning valves.


ClariVein doesn’t require the large incision of surgery, the glue implant of VenaSeal, or the tumescent anesthesia of ablation. The specialized catheter is smaller than others, so it handles tortuosity better.

Pros Summary:

• No adhesives, large incisions, or tumescent anesthetics
• Diminutive catheter works well in twisted veins


Most insurance companies don’t cover ClariVein treatments yet. There’s a risk of pain or treatment incompletion if a venous valve resists the catheter’s passage during the procedure.

Cons Summary:

• Your insurance company isn’t likely to cover it
• Risk of discomfort when accessing venous valves

Is ClariVein the Best Treatment for You?

If you’re sensitive to lidocaine (thermal ablation) or uneasy with the concept of glue hardening in your body (VenaSeal), ClariVein might be a more appealing choice for you. Our team of insurance experts can see if coverage is available with your plan, so you know what to expect with ClariVein.

Surgery in Texas Vein Clinics 

Also Known As: Vein stripping surgery, ligation and stripping, vein removal, phlebectomy

Best For: Enlarged or highly tortuous varicose veins, patients with blood clots

What Is a Vein Stripping Surgery?

More commonly used in previous generations, this is a more invasive procedure that involves anesthesia and multiple open incisions to expose and extract a defective vein from the patient’s body.

How Do Texas Vein Clinics Conduct Vein Surgery?

Patients are typically given spinal or general anesthesia and taken to an operating room. Vein surgeons must cut down to reach the vein, usually making incisions near the groin and/or knee, depending on the length and location of the vein. Typically, an instrument is threaded up through the vein through one incision, and then the vein is grasped and pulled out of the body with hooks or wires through a second incision. The vein might be tied off (ligated) if only one valve was malfunctioning, so that only a portion of the vein is removed. Or, surgeons might need to remove the entire vein.


Certain veins are too complicated and tortuous to be treated with anything besides surgery. Some patients have a history of blood clots or health conditions that preclude them from treatments other than vein stripping surgery.

Pros Summary:

• Necessary for a handful of patients with highly tortuous veins or blood clots


With the wealth of gentler, safer options available now, surgery is too invasive for most patients. Beware of Texas vein clinics who still view it as a first line of treatment. Other options are safer and more effective for the majority of patients with varicose veins, and nearly all patients with superficial spider veins.

Cons Summary:

• Unnecessary and risky for the majority of patients
• Outdated and invasive compared to minimally invasive options

Is Vein Surgery the Right Treatment for You?

You should only consider vein stripping surgery if your doctor has exhausted all other options or your veins are too tortuous or prone to blood clots to try other methods. Our Texas vein specialists can determine if surgery is required, but for the majority of our patients, it is not.

Now that you have a better understanding of vein clinic treatment methods, what questions do you have? Our board certified Houston vein doctors would love to tell you more about the innovative vein treatments at our award-winning, IAC accredited vein clinic. Call us today for a consultation!

Which Texas Vein Clinic Treatment
Is Best for You?

We’ve outlined the pros and cons of each vein treatment but visiting a board certified vein specialist is the best way to decide how to proceed. You might not require treatment at all, or your veins might need more intervention than you think. Start by selecting a reputable Texas vein clinic. Here are 5 signs that a vein clinic is qualified to take good care of you.

The vein treatment plan fits you precisely:


Your vein treatment should not only be customized to meet your medical needs, but also to meet your ideals. If you aren’t amenable to, or suited to, a particular treatment, our vein doctors have a variety of alternatives to provide the perfect results. We regularly combine methods and design tailored solutions to create the perfect fit.


The vein doctors are investigative:


Most vein damage results from venous insufficiency, so be wary of Texas vein clinics that treat veins without looking for signs of this disease. While some spider veins are just a cosmetic problem, they might represent a valve failure deeper in the vein. That means those colorful clusters will keep cropping up if your vein doctor doesn’t investigate.


The vein doctors are good listeners:


If you have a vein consultation and the doctor is too hurried to answer your questions, don’t book a procedure with them. Vein diseases are complex and each patient’s symptoms and risk factors are unique. You need an attentive doctor for your safety, as well as your peace of mind. Our vein clinics are staffed exclusively by compassionate physicians who are excellent listeners.

The vein clinic is IAC approved:


Only a handful of vein clinics in Texas bear the distinction of being accredited by the Intersocietal Accreditation Commission. However, our clinics are accredited in two separate realms: vein medicine and vein imaging. We provide an elite level of safety and service to our patients.

The vein specialists are proficient with ultrasound devices:


The latest minimally invasive treatments use ultrasound guidance to isolate issues and ensure proper placement of needles and catheters for treatment. It’s imperative to choose a Texas vein clinic with ultrasound imaging, but also one whose doctors helm the machines, rather than assistants.

Our NJ vein doctors are world-class physicians.


Each of our doctors is a leader in the field of venous medicine who sets the standard for all other NJ vein centers. Our esteemed physicians frequently train other doctors on our superior diagnostic and treatment techniques. Our Harvard-trained medical directors developed superior systems and the highest safety standards for each of our centers to follow. Each doctor at our vein centers is a highly qualified, board-certified vein expert, and also an expert listener, adept at customizing treatment to the individual. You’ll never have unanswered questions with our caring physicians.

Our treatment plans always incorporate your input.


Each vein doctor in our practice takes a collaborative approach, sharing your symptoms with other experts on our team for the most comprehensive analysis. We understand that patients are in tune with their own bodies, so we always use your goals and preferences in our diagnostic process. Every patient’s case is submitted to our medical directors for quality assurance and rigorous review. At our Paramus and Clifton vein centers, you work with an esteemed doctor who applies the expertise of our entire team.

Our vein
centers offer
state-of-the-art care.


Our premiere NJ vein centers hold the unique distinction of dual accreditation in vascular imaging and venous medicine. Following a rigorous approval process, we achieved this rare recognition from the Intersocietal Accreditation Commission for the exceptional level of care in all of our vein centers. The extensive review of our practice revealed the highest marks in quality, safety, and performance, proving us supremely qualified to treat vein disease.

*New clinic locations might be in the approval process at the time of publication.

Our board-certified vein doctors are distinctly trained.


Only a handful of vein clinics in Texas bear the distinction of being accredited by the Intersocietal Accreditation Commission. However, our clinics are accredited in two separate realms: vein medicine and vein imaging. We provide an elite level of safety and service to our patients.

Our 5-star
reviews speak for themselves.


Patient satisfaction is guaranteed at our New Jersey Vein Centers. Check out our favorable reviews on Facebook, Google, and RealSelf to see why patients love our NJ vein centers.

Are you tired of seeing spider veins or varicose veins spreading across your legs? Are you fed up with symptoms like swelling, cramping, or heaviness in your lower extremities? Come see our Houston vein experts to learn how we can help. It only takes a few minutes for us to deliver lasting relief from vein damage and vein disease.

Spider & Varicose Vein Treatments

Non Invasive, Non Surgical
Solutions in Houston Vein Clinic


One of the most common and efficacious methods to treat damaged veins.

Radiofrequency ablation

RF Ablation is a minimally invasive vein treatment for removing unhealthy veins.

Laser Ablation

It’s one of the best ways to treat varicose veins and chronic venous insufficiency.


A distinctive quality of ClariVein treatments is their twofold approach to destroying varicose veins.


A newer option on the market, VenaSeal technology uses medical adhesives to close varicose veins.

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