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Varicose veins are dilated veins that are visible beneath the skin of the lower extremities. They are caused by damaged or diseased valves, which result in blood moving backwards in your legs. This is a condition known as venous reflux. Varicose veins, as a result of venous reflux, can cause localized pain, itching, fatigue or a burning sensation. If left untreated, this condition can lead to venous ulcers in the lower leg. Heredity, pregnancy or prolonged standing can all be factors in developing varicosities. 

An evaluation is necessary to determine the underlying cause of the varicose vein. The patient's history, an examination and an ultrasound scan are all used in determining the treatment needed.

EVLT (Endovenous Laser Treatment) is an alternative treatment to the surgical stripping of the greater or short saphenous veins. A small laser fiber is inserted into the diseased vein and pulses of laser energy are delivered to cause the vein seal shut. This in-office procedure requires a local anesthetic and is followed by a bandage and/or compression hose placed on the treated leg. After treatment the blood is rerouted through the leg by other healthy veins. 

"Spider" veins are small dilated veins near the surface of the skin. Slerotherapy is an effective treatment used to gradually reduce their appearance.