Compression Hose

Compression hose treat the symptoms of venous insufficiency but do NOT treat the cause. They are effective in preventing the pooling of blood in enlarged veins and are often utilized in conjunction with other treatments. Compression hose have been shown to increase the long-term effectiveness of all vein treatments.


Sclerotherapy involves the injection of small amounts of medication into diseased veins which causes the vein walls to seal and eventually absorb. In some instances, ultrasound-guided sclerotherapy may be used to precisely localize veins for injection.

Following sclerotherapy, veins typically disappear within 4-8 weeks. While simple spider veins may require only one treatment, reticular and larger veins may require multiple staged procedures to eliminate them.

Ambulatory Phlebectomy

Ambulatory phlebectomy, also called micro-incision phlebectomy, is a procedure where large surface varicose veins are surgically removed through tiny puncture insicions. These micro-incisions do not require stitches and the procedure is performed under local anesthetic.

The VNUS ClosureFast Procedure

The VNUS® Closure procedure, an alternative treatment option to traditional vein stripping surgery, brings state-of-the-art technology to an age-old disease.

The Closure procedure is performed on an outpatient basis using local anesthesia. Using ultrasound, Dr. Nielsen will position the Closure catheter into the diseased vein, through a small opening in the skin. The tiny catheter delivers radiofrequency (RF) energy to the vein wall. As the RF energy is delivered and the catheter is withdrawn, the vein wall is heated, causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins.

Following the procedure, a simple bandage is placed over the insertion site, and additional compression may be provided to aid healing. Your doctor may encourage you to walk, and to refrain from extended standing and strenuous activities for a period of time.

Patients who undergo the Closure procedure typically resume normal activities within a day.

98% of patients who have undergone the Closure procedure are willing to recommend it to a friend or family member.¹

¹Weiss, R, et al. Controlled radiofrequency endovenous occlusion using a unique radiofrequency catheter under duplex guidance to eliminate saphenous varicose vein reflux: a 2-year follow-up. Dermatology Surg 2002; 28:38-42.


VeinwaveTM is a revolutionary technique used by physicians around the world to eliminate spider veins on the legs and fine thread veins, known as telangiectasia. Utilizing the principle of thermocoagulation, Veinwave is the only treatment of its kind having recieved 510k clearance to market by the FDA. Veinwave has become the treatment of choice for practitioners and patients alike, many having been failed by lasers and other light based systems. Veinwave provides a relatively painless walk in walk out procedure, with no significant risk of bruising, scarring or pigmentation.

Veinwave is an electrical desktop device which uses a needle holder and a footpedal. The practitioner identifies the area for treatment and inserts an ultra-fine insulated needle into the needle holder. Different types of vein will require differing techniques but in respect of straight forward linear veins, the treatment it applied subepidermally along its length. This is minimally invasive, literally breaching only the top layers of skin, and should not pierce the vessel. The nickel needles are insulated with a micro sheath so as not to cause advert trauma to the surrounding tissue. the effect of the treatment is 'instant' - you see the veins dissappearing immediately. Some patients leave the treatment without any real visible sign on the skin, other than the lack of veins, and some with more sensitive skn may suffer minor reddening which should disappear within a few days if not hours. The sensation to most is similar to a warm pin prick, others relate it to a minor sting but which doesnt linger - often it depends upon the location of the treatment. Either way, any discomfort is said to be incomparable to the pain of some laser based treatments and is undoubtedly more effective.

Immediately after the treatment you can resume everyday activities. Avoid the sun for a couple of days or use sun block. After a few days very small micro-crusts like the marks from a cat scratch can appear where Veinwave has been applied. This is normal and no special care is needed. These will disappear on their own. It is best not to retreat an area for 6 weeks. At that time your practitioner is best able to see if any small veins remain. Once a thread vein has been successfully treated it cannot come back. It is possible to make more thread veins but these too can be treated. Never use Veinwave on self-tanned skin

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What they say...

  • "My feet don't tingle anymore."

  • "After standing at work all day, I am now able to play with the kids when I get home!"

  • "My legs feel 20 years younger"

  • "Thank you, Dr. Nielsen! My spider veins are gone."