Varicose Leg Vein Treatments

Vein Clinics Chicago & Suburbs

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Chicago Vein Specialist Dominic Tolitano MD   Advanced Vein Clinics...
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According to the Society for Vascular Surgery 35-40 Million Americans suffer from Chronic Venous Insufficiency (CVI). The U.S. Department of Health and Human Services reports that about 50 to 55 percent of women and 40 to 45 percent of men in the United States suffer from some type of vein problem. Varicose veins affect half of people 50 years and older.

To put these staggering numbers in perspective, consider that the 2010 U.S. Census showed Illinois 50 years and older population made up 31% of the state’s total population. And that age group is growing at a faster rate than any other age demographic. Varicose veins are now, and will continue to be one of our country’s  biggest health issues.

Infographic of vein disease among women in US

Infographic of vein disease among men in US

Infographic of vein disease among people over age 50 in US

What are Varicose Veins?

Varicose veins are unsightly twisted red and blue lines that commonly appear on the legs. Varicose veins are caused by blood pooling in the veins that carry blood back up to the heart, and may appear during pregnancy or as you age. Healthy leg veins have valves that keep blood flowing to the heart. Chronic Venous Insufficiency develops when the valves stop working properly and allow blood to flow backward (i.e. reflux) and pool in the lower leg veins.

While any vein in the body can become varicose, the legs are the most common location due to the pressure exerted on those veins through standing and walking.

For some people with varicose veins, the ugly blue leg veins usually pose little more than a cosmetic concern. However, large varicose veins may also begin to cause pain, restlessness and swelling in the lower legs and ankles. Some varicose vein sufferers may develop complications from their veins, including leg and foot ulcers or an increased risk of cardiovascular problems.

If you are concerned about your varicose veins, there are plenty of options available to help you get rid of those problem veins for good. The first step is to get an ultrasound examination at a Chicago Vein Clinic near you. The ultrasound exam is routine and is covered by Medicare and most insurance.

Varicose Vein Treatment Chicago

Infographic with causes of venous insufficiency

Risk Factors and Causes of Varicose Veins

Varicose Vein Warning Signs

In most cases, leg problems do not occur just out of nowhere. There are typical warning signs such as:

Symptoms of Varicose Veins

Chronic Venous Insufficiency (CVI) is a condition in which the veins are constantly congested with pooled blood causing circulation to be significantly impaired. Symptoms include:

If left untreated for too long the oxygen depleted blood that stays in the legs and feet instead of going through the normal circulation process can begin to cause changes in the color and texture of the skin.

The resulting changes begin a process known as Venous Stasis Dermatitis. After these skin changes begin ulcerations and open wounds aren’t far behind.

If you are experiencing swelling or itching in your legs and feet or if you are seeing skin changes it is imperative that you schedule an ultrasound exam from a Vein Treatment Center near you today. The ultrasound is covered by Medicare and most insurance and will show if your leg symptoms are a result of vein disease.

Leg Ulcer Treatment Chicago Before
Leg Ulcer Treatment 14 Days After
Leg Ulcer Treatment 30 Days After

Venous Leg Ulcer & Varicose Vein Treatment in Chicago Covered by Medicare & Insurance

varicose Vein Removal Chicago

Innovations in minimally invasive treatment of varicose veins and venous ulcers allow qualified vein surgeons in Chicago to successfully treat these problematic veins and get patients back on their feet with minimal downtime.

If a problem is found by an ultrasound exam, your Vein Clinic will develop a treatment plan. That normally begins with compression stocking therapy. If the symptoms persist after 3-6 months of wearing compression garments daily (depending on insurance provider), your Vein Doctor will proceed with the appropriate course of action for your specific case. Most patients need Laser Vein Therapy, but every patient is unique.

Any good Varicose Veins Specialist offers multiple modalities to solve their patient’s problems. Best of all, many of these treatments are covered by Medicare and insurance. They are done in office to minimize the cost and make the patient’s process efficient and hassle free.

Does Medicaid Cover Leg Vein Treatments?

Unfortunately Medicaid does not cover leg ulcer and vein removal treatments. This is a sad reality because vein disease affects many people who don’t have or can’t afford insurance, or those who aren’t old enough to receive Medicare. Hopefully elected officials can remedy this situation and get these Chicagoans access to the vein therapy they need and deserve.

To help raise awareness about Chronic Venous Insufficiency and improve the education of the public on the symptoms and causes of vein disease, Top Clinic Chicago is proud to feature some of the leading Vein Specialists and Vein Clinics in Chicago, Illinois and the Suburbs. Use this as a resource to help find the best treatment near you.

Varicose Vein Removal Procedures

Laser Vein Removal and Surgical Varicose Vein Removal

Varicose Vein Removal Treatments: Clarivein, Sclerotherapy abd Groin Dissection

Endovenous Laser Therapy (EVLT): 

Endovenous ablation is a treatment that uses heat to close off the affected varicose vein. After a local anesthetic is injected into the leg, a laser fiber is inserted into the vein under ultrasound guidance and advanced to the end of the vein. Additional local anesthetic is then injected surrounding the area of the vein to be treated. Once the anesthetic is placed, the proper position of the laser demonstrated by ultrasound, the laser is turned on, pulled back through the vein, and removed. Following the procedure, a small Band-Aid is placed on the site, and a compression stocking is placed on your leg.

Are there Risks?

Because endovenous laser treatment is considered a minimally invasive procedure, risks associated with the procedure are relatively small.  Some uncommon risks might include:

Are the Results Permanent?

EVLT  is successful in permanently removing varicose veins nearly 100% of the time. However, other veins can become varicose at the same location, resulting in the need for subsequent procedures. If you are concerned about a recurrence of varicose veins, our staff can give you information about how to lower your risk of experiencing additional varicose veins in the future.

Endovenous laser treatments get rid of unwanted varicose veins with minimal discomfort and downtime all the while yielding successful results. Best of all, EVLT is covered by Medicare and most insurance.


The Micro Phlebectomy , also know as “Stab Phlebectomy” is often done at the same time as the EVLT.  Under local anesthesia, the diseased veins are delicately extracted using specially designed hooks. The incisions are truly stab wounds and are so small, no stitches are required and there is virtually no scarring.

How does the Procedure Work?

Stab Phlebectomy is typically done under light IV sedation or local anesthesia, so patients do not feel any discomfort during the procedure. The veins to be removed are carefully marked so the doctor knows precisely where to make the incisions for removal. Incisions used to remove the veins are so small, no stitches are required. Veins are removed in small sections until the entire vein is removed. The procedure is relatively quick, although the specific length of time will vary based on the number of veins the patient will have removed.

What is the Recovery Like?

After the procedure, the patient is fitted with compression stockings to reduce the risk of blood clots and swelling and promote healing. The stockings will need to be worn for about one week after the procedure. Most patients find that mild swelling and discomfort after the procedure can be effectively managed with over the counter pain medications. Symptoms usually abate after the first 24 hours. Patients are allowed to resume normal activities as early as the day after the procedure, although strenuous exercise is discouraged for approximately two weeks.


This procedure has been around for nearly a century and is still considered one of the most effective ways to treat spider and varicose veins. A foam saline solution is injected directly into the targeted veins, causing them to collapse and disappear from view. Treatments take between 15-30 minutes and patients can go right back to their normal activities.


Designed by Doctors and manufactured by Vascular Insights™, ClariVein®IC is a specialty infusion catheter with a rotating wire tip designed for the controlled 360-degree dispersion of physician-specified agents to the targeted treatment area. The ClariVein®IC is minimally invasive and can be efficiently used in an office setting. ClariVein®IC offers many patient benefits including minimal post-operative pain and faster recovery.

Under ultrasound guidance ClariVein® is introduced through a microintroducer, infusion is through an opening at the distal end of the catheter and fluid delivery by use of a rotating dispersion wire. The chemical/mechanical combination (known as mechanochemical ablation) closes the diseased vein. ClariVein® has shown to have a 96% success rate and is a go-to vein therapy for patients suffering from open sores and wounds on their legs and feet. It has been proven extremely effective for hard to treat patients with large extremities who may be suffering from a condition such as lymphedema or lipedema in addition to having Chronic Venous Insufficiency.

Groin Dissection:

While Endovenous Laser Therapy (EVLT) for varicose veins has revolutionized treatment of Chronic Venous Insufficiency (CVI), a small percentage of varicose veins are too large and swollen to be closed by laser vein therapy. Leg Vein Surgeons solved this problem by surgically removing a segment of the malfunctioning vein  and close the other end with RF Ablation (laser treatment). This removes the vein from the system with no chance of re-opening.

Chicago Vein Clinic Patient Reviews

Listed below are interviews we filmed with venous leg ulcer and varicose veins removal patients from throughout Chicago and the Suburbs. Watch their vein therapy procedures and listen to them share their experiences as they have the pain in their legs healed by some of the best Vein Doctors in Illinois.

Laser Leg Ulcer Treatment Patient Testimonial

In the video below we interviewed a woman who was facing the possibility of leg amputation if she couldn’t get her ulcers healed. Other Doctors told her the future was bleak. Thankfully she was smart enough to get a second opinion from a Venous Ulcer Specialist in Chicago.

“The laser treatments closed my ulcers and they’ve shown no sign of re-opening. These procedures are truly life changing!”

Leg Ulcers Healed After Years of Pain
Venous ulcer treatment patient testimonial from Northwest Suburban Chicago Woman.
Endovenous Laser Therapy (EVLT) Venous Leg Ulcer Treatment
Written by: Debbie from Bartlett, Illinois
Date Published: 02/16/2017
I've dealt with open sores on my legs for years. Every Doctor I met told me this would be a life long problem. Thankfully I went to a Chicago Vein Clinic and got a 2nd opinion. After 4 laser vein removal treatments my ulcers are closed and have shown no signs of re-opening. These procedures are truly life changing!
5 / 5 stars

Groin Dissection Varicose Veins Treatment Patient Testimonial

In the video below we spoke with a Suburban Chicago woman who began feeling pain, throbbing and heaviness in her legs from varicose veins during pregnancy. Her ultrasound found veins swollen 6 times larger than normal size. She needed a complex laser & surgical vein removal combination treatment available from one of the best Vein Clinics in Chicago.

“The pain in my legs is gone! I’m shocked the results have been so great. I would recommend this treatment to anyone suffering from varicose veins.”

Pain and Heaviness in Legs Gone After 1 Treatment
Varicose veins removal patient testimonial from Chicago Woman who had pain and heaviness to her legs that began during pregnancy and was fixed after a visit to a Vein Clinic in Chicago IL.
Groin Dissection with Ligation & Division of the Greater Saphenous Vein
Written by: LaKeshia from Chicago IL
Date Published: 02/16/2017
I had stabbing pains in my legs for years. It started during pregnancy, but has become a major problem over the years. My legs would get extremely heavy on my commute to work. After 1 treatment the pain in my legs is gone! I was shocked. I would definitely recommend this treatment to anyone with varicose veins in Chicago.
5 / 5 stars

Stab Phlebectomy Patient Testimonial

Sometimes after laser vein removal treatments there are a few remaining vein segments that bulge under the skin. While the main veins that were treated have healed, these segments are unattached varicosities that have to be removed with a small device that looks like a crochet hook. The Vein Doctor then makes small puncture wounds and removes the vein segments permanently. The woman we interviewed in the video below had the Stab Phlebectomy after getting laser vein therapy.

“I had cramps in my legs that would wake me up every night. These treatments are amazing! I can finally sleep through the night with no pain.”

Leg Cramps Gone After Varicose Vein Treatment
Varicose veins treatment patient review from Suburban Chicago Woman who had horrible night cramps in her legs before her visit to a Chicago Vein Specialist.
Microphlebectomy Varicose Veins Removal Treatment
Written by: Camille from Wood Dale IL
Date Published: 02/17/2017
I had severe cramps in my legs that would wake me up at night. In just a few treatments the pain is gone. I can finally sleep at night. I highly recommend this treatment.
5 / 5 stars

We are proud to bring you the best Doctors, Surgeons & Clinics in Chicago and Suburbs. Offering a variety of treatment options and education on conditions allows us to aid in informing the public so they can receive the healthcare they deserve.