TreatmentS of Varicose Veins
If you are looking for a physician with experience and skillful hand, in treatment of varicose veins, you should definitely consider Jozef Tryzno, MD, DABVLM.
At IVSI we understands the need for consistent, reliable, and effective vein care. Our physician, Dr. Jozef Tryzno personally conducts all venous ultrasound evaluations to fully assess the extent of patient's venous disease.
- Treatment of varicose veins is also elective in nature. Not every patient with abnormal findings in veins on ultrasound exam, needs to have all “leaking/refluxing” veins closed immediately. Sometimes simple change of lifestyle helps temporarily resolve symptoms and delay treatments for several years.
- Treatment of varicose veins is destructive in nature. It aims to eliminate insufficient superficial vein form circulation, to improve hemodynamics of remaining veins. Vein restoration for varicose veins is not possible.
In our clinic we are able to offer all FDA approved methods of varicose vein treatments. Some methods are less popular with patients, due to very high cost of medical components or unfavorable insurance coverage.
The most popular and reliable methods of vein closures, due to cost-effectiveness and very high success rate are, Laser Vein Ablation ( EVLA) and Ultrasound Guided Sclerotherapy.
#1 - Endo Venous Laser Treatment(EVLT) also known as Endo Venous Laser Ablation (EVLA) is one of the most recommended treatments for varicose veins. During this minimally invasive in-office treatment, a thin laser fiber is inserted into the varicose vein via a needle or introducer through the skin. Local anesthetic is injected into saphenous compartment, along the length of the vein. This “liquid padding” around the vein protects nearby nerves and tissue, from heat created by ablation and numbs the entire treated area. Pulses of laser light are delivered to the damaged vein, which causes the vein to seal shut and be cut off from blood circulation.
Radiofrequency Endovenous Ablation was first introduced back in 1999 VNUS procedure, EndoVenous Laser Ablation ( EVLA) followed shortly after. As of today EVLA is still the most reliable method of treatment main axial veins. VNUS/RF procedure is still being performed by some physicians however due to bulkines of the catheter, when compared to thin and flexible laser fiber, VNUS/RF is no longer offered in our clinic.
#2 - Ultrasound Guided Sclerotherapy (Echo-Sclerotherapy)- A technique that utilizes ultrasound imaging to visually guide a needle into the varicose vein (not visible on skin surface) that is later injected with FDA approved, liquid or "foamed" sclerosant. Ultrasound guided sclerotherapy permits treatment of tortuous varicosities and varicose veins below the surface of the skin or in hard-to-reach areas.
#3 - Compression Sclerotherapy - The most common treatment for reticular and spider veins. Injections to small surface veins are done with very thin needles that feel like mosquito bites. The number of treatments needed will vary from patient to patient. Short-term post-procedure bruising is quite common. Pigmentations, if they occur, fade away but might last for several months.
# 4 - Stab Phlebectomy - A method of surgically removing bulging, ropey varicose veins. Depending upon diameter of the bulging varicosity, tiny incision is made next to the vein with a needle or scalpel, and a small hook is inserted into the opening. The varicose vein is then grasped and removed. Incisions and punctures often do not require stitches and leave only small scars. Once a very popular option among patients due to immediate results, this procedure is being slowly eliminated by foam sclerotherapy.
Treatments to varicose veins listed above, do not require hospital and are performed in our clinic, under local anesthesia. General anesthesia is not needed.
Following each procedure, a gradient compression stocking is placed on the treated leg, patient is asked to walk around our office for 10-20 minutes, and can return to normal household or work duties.
COVID & INFECTIOUS SAFETY: In our clinic we have six procedure rooms designated for specific skin surgeries, vein surgeries, medical and cosmetic laser treatments. To avoid unnecessary patient floor traffic and cross contamination, two procedure rooms combined into a suite, are designated strictly for vein patients. It is rater a luxurious setup for a private practice, but patient safety always comes first. This extra layer of protection (so important in COVID era), along with UVC germicidal lights and disinfection techniques allows us to safely perform all treatments.
Patient's have different needs. After considering symptoms, past medical history, extent of venous disease condition, health status, insurance restrictions and financial constraints, we may suggest a combination of different conservative and corrective treatment options.
Dr. Jozef Tryzno, is a Diplomate of the American Board of Venous and Lymphatic Medicine
and holds Registered Vascular Technologist credentials from the American
Registry of Diagnostic Medical Sonographers.
If you decide to have your veins treated by Dr. Tryzno, he will be there for you every step of the way, from first exam, through each procedure, and all follow up visits.
Over 20 years of of experience - Treating Varicose Veins since 1998
Call today and schedule ultrasound examination today.
Call: (847) 518-9999
Disclosure: Every patient is a unique, and cosmetic results can vary between patients. No two laser treatments will get same results – even if performed by the same physician on patients with similar conditions.