Unretouched photo. Actual patient. 2 weeks post-treatment. Varicose veins are abnormal, non-functional veins in the legs and are a manifestation of a deeper circulation issue called venous insufficiency. Without treatment, varicose veins may lead to leg pain, cramping, leg swelling, superficial thrombosis or blood clots, skin discoloration, and ulcers or wounds. Many patients experience frequent leg cramps or Restless Leg Syndrome, which interfere with sleep. Genetics play the greatest role in whether an individual gets vein varicose veins disease. Other risk factors include multiple pregnancies, prolonged standing, and blood clots (deep vein thrombosis or DVT). While using compression stockings, losing weight, walking and elevating the legs may provide temporary relief, none of these actually addresses the underlying circulation issues to provide the best varicose vein treatment. By performing a detailed physical and ultrasound, Dr. Malvehy can provide a customized treatment plan using tested and state-of-the-art techniques performed in the office with no downtime. For many patients, a single treatment course – focused on treating the underlying venous insufficiency – provides definitive cure for their varicose veins. Our office has a variety of lasers available to ensure that you get the best laser vein treatment for you. This is also called EndoVenous Laser Treatment or EndoVenous Laser Ablation. For patients from San Francisco, the East Bay, and the greater Bay Area seeking varicose vein treatment, visits can be organized around their work schedule including morning and afternoon treatments. For patients visiting Dr. Malvehy from outside the Bay Area, varicose vein treatment may be performed in a single day after a video consultation. If you have symptoms like pain, bleeding, or ulcers, vein treatment may be covered by Medicare and most commercial insurance.