VARICOSE VEIN TREATMENT OPTIONS

Jozef Tryzno, MD, RVT, DABVLM, Park Ridge, Illinois

Physician-Performed • Medically Indicated • Ultrasound-Guided • Minimally Invasive

If you’ve been told you may need varicose vein treatment, a proper evaluation matters. At International Vein & Skin Institute (IVSI), treatment decisions are based on symptoms, physical examination, and venous ultrasound findings — not one-size-fits-all protocols.

All evaluations and procedures are personally performed by Dr. Jozef Tryzno, MD, RVT, DABVLM, with more than 25 years of focused experience in the diagnosis and treatment of venous disease.

📞 Call (847) 518-9999 to schedule an initial venous evaluation.

Why patients choose IVSI

Physician-performed care from evaluation through treatment
Modern, minimally invasive vein procedures
No hospital stay or general anesthesia
Treatment recommended only when medically appropriate

TREATMENT FOLLOWS DIAGNOSIS

Varicose veins are most commonly caused by chronic venous insufficiency (CVI) — a condition in which vein valves fail and blood flows backward in the legs. Because this process occurs beneath the skin, accurate diagnosis is essential before treatment.

Treatment is recommended only when medically appropriate and is often performed in stages, addressing the underlying source of venous reflux rather than focusing only on visible veins.

ENDOVENOUS LASER ABLATION (EVLA)

Endovenous Laser Ablation (EVLA) is a minimally invasive procedure used to treat incompetent saphenous veins, a common source of venous reflux and varicose vein formation.

Under ultrasound guidance, a thin laser fiber is placed inside the affected vein. Controlled laser energy is delivered to seal the vein closed, allowing blood flow to reroute through healthier veins.

EVLA is commonly used to:

Treat the underlying cause of varicose veins
Reduce symptoms such as leg pain, heaviness, and swelling
Help prevent progression and recurrence

The procedure is performed in-office, does not require general anesthesia, and does not involve a hospital stay.

ULTRASOUND-GUIDED SCLEROTHERAPY

Ultrasound-guided sclerotherapy involves injecting a medical solution into refluxing or abnormal veins identified beneath the skin using ultrasound guidance. The treated veins gradually collapse and are absorbed by the body over time.

This approach is often used for:

Veins not suitable for EVLA
Residual or recurrent refluxing veins
Deeper varicosities not visible at the surface

Sclerotherapy is frequently used in combination with EVLA as part of a comprehensive, staged treatment plan.

COMPRESSION SCLEROTHERAPY FOR SPIDER & RETICULAR VEINS

Compression sclerotherapy is commonly used to treat spider veins and reticular (blue) veins on the legs. A medical solution is injected into small surface veins, followed by compression to support vein closure and gradual fading.

This treatment is typically considered when spider or reticular veins are isolated cosmetic findings. When underlying venous insufficiency is present, treatment is often staged to address the deeper condition first.

WHY PHYSICIAN EXPERIENCE MATTERS

Ultrasound-guided procedures such as EVLA and ultrasound-guided sclerotherapy are technically demanding. Accurate vein access, precise delivery of laser energy or sclerosant, and real-time interpretation of ultrasound imaging require advanced training and hands-on experience.

The safety and effectiveness of these procedures depend heavily on the skill and judgment of the physician performing them.

At International Vein & Skin Institute:

All venous ultrasound evaluations and ultrasound-guided procedures are personally performed by Dr. Jozef Tryzno, MD, RVT, DABVLM
Dr. Tryzno has more than 25 years of focused experience treating chronic venous insufficiency and varicose vein disease
Treatment planning, procedural care, and follow-up are fully physician-led, ensuring continuity of care and careful attention to safety

INSURANCE & TREATMENT PLANNING

Many varicose vein treatments are considered medically necessary when symptoms and ultrasound findings meet clinical criteria and may be covered by insurance.

Coverage, staging, and treatment recommendations are reviewed during your evaluation so expectations are clear before proceeding. Self-pay options are available for patients without insurance coverage or with high deductibles.

SCHEDULE YOUR EVALUATION

If you have been told you may need varicose vein treatment or are experiencing symptoms related to venous disease, an evaluation can help determine which treatment options are appropriate.

📞 Call (847) 518-9999 to schedule an initial venous evaluation.

Medical Disclaimer
The information on this page is provided for educational purposes only and does not replace individualized medical evaluation or treatment. Treatment recommendations and outcomes vary based on clinical findings.