Venous Disease, Varicose & Spider Veins

An active lifestyle is important to most Coloradans, and our state offers plenty of opportunities for adventure. Unfortunately, venous disease can sideline you when it causes leg pain, swelling and decreased performance. Fortunately, if you suffer from venous disease, there are many ways to alleviate symptoms without a medical procedure. If medical intervention is required, however, you’ll be glad to know today’s procedures are well-tolerated and less invasive, and recovery times are shorter than ever. But how do you know which path is right for you? Dr. Pinsinski at the Artemis Colorado – Vein & Cosmetic Center can help you avoid unnecessary interventions.

How does venous disease present itself?

Varicose and spider vein treatments from Artemis Vein and Cosmetic Center

Venous disease presents itself in a variety of ways. Varicose veins or venous insufficiency can be defined broadly as dilated and diseased veins that result in reverse blood flow. They can eventually appear as visibly “ropey” varicosities, causing swelling, aching, skin changes and possibly bleeding. Those varicosities are easy to see right on the surface since they look like ropes under your skin. This is what most people think about when they think of varicosities.

The other kind of varicosities, however, are just under the surface of the skin and can only be seen by ultrasound. The most common vein that can be involved is called the Saphenous Vein. Spider veins are like varicose veins but smaller and are closer to the surface of the skin than varicose veins. Often, they are red or blue. They can look like tree branches or spiderwebs with their short, jagged lines.

If a vein is diseased, whether you can see it or not, it can cause symptoms from reverse blood flow. There is a simple, minimally invasive procedure to treat diseased veins, but before undergoing any procedure, you should first try non-invasive treatment.

What symptoms do you have?

If you are experiencing any of the following symptoms, you may be suffering from venous disease and require treatment. All of the vein treatment procedures at Artemis Colorado – Vein & Cosmetic Center are minimally invasive and typically covered by your insurance carrier.

  • Pain
  • Itching
  • Heaviness
  • Aching
  • Thrombosis (clotting)
  • Bleeding
  • Tenderness
  • Cramping
  • Numbness
  • Throbbing
  • Edema (swelling)
  • Burning
  • Stinging
  • Restless legs
  • Fatigue
  • Warm areas
  • Discoloration

Varicose and spider vein treatments from Artemis Vein and Cosmetic Center

Artemis Colorado – Vein & Cosmetic Center offers the following vein treatment procedures:

Laser Ablation

Laser ablation is often the first step to an effective treatment for both varicose and spider veins.

Laser ablation uses targeted laser energy to close the vein. The laser energy minimizes the vein walls, shrinking them and closing the faulty vein so that the blood cannot flow through it. This eliminates the bulging of the vein at its source. After the treatment, the blood in the faulty veins will be diverted to the many normal veins in the leg.

You do not have to live with the discomfort of varicose veins or the appearance of spider veins. Laser ablation relieves the heaviness, aches, and swelling of the legs and avoids the possibility of scarring. Since it is a minimally invasive procedure, you can expect the session to last about 45 minutes. Our doctors administer a local anesthetic and the laser treatment is performed in our comfortable office.

Ultrasound Guided Sclerotherapy (USGS)

This is the injection of sclerosant fluid under ultrasound guidance in order to close down any remaining segments of diseased veins that can’t be closed by laser ablation. After Laser Ablation you will be reassessed by ultrasound to determine if any remaining segments of veins are present. If there are persistent problems, you may need USGS. After treatment, compression hose are worn for several days and you may return to normal activity immediately; however rigorous exercise is not recommended.

Cosmetic Sclerotherapy

When spider veins are present and there are no other symptoms of venous insufficiency such as aching, pain, swelling, or skin discoloration, then the condition is considered cosmetic. We treat most spider veins with sclerosant fluid. Sclerosant fluid is injected directly in the veins with a tiny needle causing them to shut down. Depending on the number of veins and the difficulty of access appointments can take up to an hour. Frequently several visits are required to obtain an 80% improvement overall. Compression hose are worn after the procedure for several days.


This is the physical removal of varicose veins that are bulging on the skin surface. A laser ablation of the saphenous vein is often followed by a micro incisional phlebectomy to remove remaining surface varicosities. This is also considered a minimally invasive procedure and is different from “vein stripping”, which is no longer performed in most vein treatment centers. The procedure requires no sedation. Local tumescent fluid is used to numb the area around the bulging suface veins, then sections of the diseased vein are removed. This takes 10 to 15 minutes in most cases. Afterwards compression hose are worn and you may return to normal activities, but not rigorous exercise until cleared by your doctor.

Unattractive, painful, annoying…

Varicose veins are not only unattractive, they can cause discomfort or pain and affect daily activities. Spider veins are the annoying little relatives of varicose veins that tend to appear all over the legs. While they don’t always cause physical pain, they can definitely hinder how you choose your wardrobe. Don’t wait any longer, come in for a consultation and we’ll discuss your options.