Women in Fredericksburg discussing ViVa's vein services

Varicose veins are now easy to treat

In News, Varicose Veins by VIVA

Varicose veins are now easy to treat.

With warmer weather approaching, it’s time to think seriously about your legs.  Not only how they look, but also how they feel.  If you suffer from varicose veins and you dread the thought of exposing your legs during the warm months, now is the perfect time to consider treatment of varicose veins.  The good news is that varicose veins are easy to treat and the surgery is relatively inexpensive and covered by most insurances.

“We treat patients in our office and most treatments take only 60 to 90 minutes.  Patients walk out and go back to work or their other normal activities, including most exercise, with no down time,” said Dr. Don Doherty, an Interventional Radiologist at Virginia Interventional and Vascular Associates (VIVA).

There are a variety of treatment options available from the doctors at VIVA.

Endovenous Laser Ablation Treatment (EVLT)

EVLT is a minimally invasive treatment that uses heat to close off problematic veins. The vascular surgeon/interventional radiologist uses ultrasound images and a tiny needle to thread the laser fiber into the problem vein.  Next, the physician numbs the length of the vein to minimize discomfort during the heating process.  Finally, the laser heat causes the vein to close.  Once the varicose vein is closed, blood will flow through the remaining healthy veins.  Throughout this process, patients rest comfortably.  They return to most normal daily activities immediately after the procedure is completed.

RadioFrequency Ablation (RFA)

RFA is similar to EVLT, but it uses radio energy to seal the vein instead of laser energy.


Sclerotherapy is the direct injection of a chemical into a vein to close the vessel.  This treatment is often used to treat smaller veins such as spider veins.  A variety of materials can be used to irritate the vein lining, which causes it to shrink and close. The solution is administered through a tiny needle.

Ambulatory Phlebectomy

 Ambulatory Phlebectomy is an outpatient procedure that is most often used to treat larger, unsightly varicose veins.   The veins are removed through tiny, pinpoint incisions that do not require stitches to close.   Most patients will have little to no scarring once the incisions have healed.

VIVA differs from most practices treating varicose veins because both Interventional Radiologists and Vascular Surgeons work together at the same location.

“Each patient is seen by the appropriate specialist who can best treat his or her symptoms.  If the expertise of another doctor is needed, it’s easy and convenient since we’re all in the same practice at the same location,” Dr. Doherty said.

All VIVA doctors are Fellowship Trained and Board Certified.  The VIVA Vascular Lab is also accredited by the Intersocietal Accreditation Commission (IAC) and all lab technicians are Registered Vascular Technologists.

If you have any questions, you should contact your primary physician or call VIVA directly at 540-654-9118.