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Venous Disease

Normal Veins

Leg veins contain valves that open and close to assist blood back to the heart they form a vital part of whole body nutrition. Waste products from cell metabolism are transported for elimination in mainly the liver, kidneys and lungs. Being thin-walled, veins are quite distensible and in the legs, hold about 60% of the blood volume. This sump holds reserve for necessary body emergencies.


Vein Disease

Varicose and spider veins are generally variations on the same problem. It now appears the primary defect in varicose veins is a weakness in the vein wall, which allows the vein to distend to the extent that the valves can no longer close the interior vessel of the valve to prevent back flow of blood. Venous Reflux disease develops when the valves that keep blood flowing back to the heart from the feet and legs are damaged. Most commonly this damage is a result of pregnancy, trauma or jobs that require a lot of standing or sitting. Family history of varicose veins is also a major factor in developing venous insufficiency. Venous Reflux disease is progressive. Symptoms can worsen over time if left untreated. In some cases patients can have severe venous disease without showing signs or having any symptoms.

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Symptoms of Vein Disease

  • Varicose Veins
  • Skin Texture Changes
  • Swelling
  • Ulcers
  • Spider Veins
  • Leg Pain
  • Foot Pain
  • Neuropathy
  • Burning or itching of the skin
  • Restless legs
  • Blood Clots (Deep Vein Thrombosis)
  • Pain/Numbness in legs & Feet
  • Skin inflammation in the lower legs (Stasis Dermatitis)
  • Peripheral Artery Disease (PAD)
  • Chronic Venous Insufficiency (CVI)

These symptoms will be assessed by Dr. DeMaio in our office and treated with various approaches.




If patients do not qualify for radio frequency (RF) ablation, varicose veins may be treated with sclerotherapy. Sclerotherapy involves an injection of a solution directly into the vein. The solution irritates the lining of the blood vessel, causing it to swell and stick together, and close. Over time, the vessel turns into scar tissue that fades resorbs. In some instances, sclerotherapy is used in conjunction with RF ablation for maximum results.



Radiofrequency(RF) ablation is a minimally invasive outpatient procedure that is performed in office. The entire process takes about 30-45 minutes per vein. The patient can resume normal activities by the next day. A follow up scan is performed within 72 hours of the procedure to ensure successful vein closure and absence of complications.



Our newest treatment option for the treatment of Varicose Veins & Venous Reflux Disease is Venaseal. Venaseal is the newest treatment option on the market that is aimed at improving the overall patient experience. Venaseal is a medically safe glue that closes your veins without having to use the thermal/burning option. Since there is no thermal energy being delivered there is no need for the needle sticks associated with Thermal Treatment. The other advantages of Venaseal include the ability to be treated immediately, no compression stockings are needed. Also, many veins may be treated on the same date.