VARICOSE VEIN TREATMENT OPTIONS

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

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

If you are experiencing symptoms of varicose vein disease or have been told you may need treatment, a proper evaluation is essential.

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, a board-certified physician 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

✔ Direct physician care from consultation through follow-up
✔ Board-certified vein specialist with 25+ years of experience
✔ Ultrasound-guided diagnosis and symptom-based treatment planning
✔ Minimally invasive in-office procedures — no hospital admission required
✔ Insurance accepted with transparent self-pay options

When Treatment May Be Considered

Varicose vein treatment may be recommended when patients experience symptoms such as:

Leg pain or aching
Heaviness or fatigue in the legs
Leg swelling
Enlarging or bulging varicose veins
Skin changes near the ankles

VARICOSE VEIN TREATMENT OPTIONS AT IVSI

When medically indicated, treatment may include the following minimally invasive procedures performed in our clinic:

Endovenous Laser Ablation (EVLA) – closes refluxing saphenous veins using laser energy under ultrasound guidance
Percutaneous Ablation of Perforating Veins (PAP) – treats incompetent perforator veins contributing to venous reflux
Ultrasound-Guided Sclerotherapy – injection treatment for refluxing or abnormal veins not suitable for laser ablation
Compression Sclerotherapy for Spider Veins – cosmetic treatment for small superficial veins

All procedures are performed in-office under local anesthesia without hospital admission.

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 with venous ultrasound is essential before treatment.

When treatment is indicated, it 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 treatment used to close incompetent saphenous veins responsible for venous reflux and varicose vein formation.

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

EVLA is designed to:

• Address the underlying source of venous reflux
• Reduce symptoms such as leg pain, heaviness, and swelling
• Help limit disease progression and recurrence

The procedure is performed in-office under local anesthesia and does not require hospitalization.

👉 Learn more about Endovenous Laser Ablation (EVLA)

📞 Call (847) 518-9999 to schedule your evaluation.

PERCUTANEOUS ABLATION OF PERFORATING VEINS (PAP)

Percutaneous Ablation of Perforating Veins (PAP) treats incompetent perforator veins that allow abnormal blood flow between the superficial and deep venous systems.

Under ultrasound guidance, a laser fiber is inserted through a small skin puncture into the targeted perforator vein. Laser energy is delivered to close the abnormal connection and eliminate pathologic cross-flow.

PAP may be recommended when perforator reflux contributes to persistent symptoms or advanced venous changes.

Like EVLA, the procedure is performed in-office under local anesthesia.

ULTRASOUND-GUIDED SCLEROTHERAPY (LIQUID & FOAM)

(Liquid & Foam)

Ultrasound-guided sclerotherapy involves injecting an FDA-approved sclerosant solution into refluxing or abnormal veins identified beneath the skin using real-time ultrasound guidance.

Depending on vein size and anatomy, treatment may be performed using:

Liquid sclerosant
Physician-prepared foam
Commercially prepared microfoam

The treated veins collapse and are gradually absorbed by the body over time.

Sclerotherapy is commonly used for:

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

It is often combined with EVLA or PAP as part of a staged treatment plan.

👉Learn more about Sclerotherapy for Varicose Veins

COSMETIC SCLEROTHERAPY FOR SPIDER & RETICULAR VEINS

Compression sclerotherapy is used to treat spider veins and reticular (blue) veins on the legs.

A medical solution is injected into small superficial veins, followed by compression to support vein closure and gradual fading.

When underlying venous insufficiency is present, deeper reflux is typically addressed first before cosmetic vein treatment.

👉Learn more about Sclerotherapy Injections for Spider Veins

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 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, procedures, and follow-up are provided by the same physician, ensuring continuity of care

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, treatment staging, and 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.

Learn More About Venous Disease