It’s all about you! Would you like your entire leg treated in one visit or spread out among many? If you are like most people, you don’t have time to keep returning to the doctor’s office. Not only that, but those copays start to add up! Although insurance carriers pay more money for separate medical procedures, we care more about you than the money! That’s why more of you refer your friends and family to Miller Vein than any other vein clinic in Michigan.
Only Miller Vein promises to combine procedures whenever possible to save you time and money. Our virtually painless, in-office treatment options for varicose veins and spider veins bear no resemblance to the pain and bruising of traditional vein stripping and old fashion saline injections.
Varicose Vein Treatments
Venous insufficiency is the cause of varicose veins and refers to an incompetent vein inside your leg that you can’t see. Varicose veins are branches coming off of this poorly functioning vein. The good news is that these are unimportant vessels. With that in mind, traditional, painful “stripping” techniques are now replaced by "ablation procedures" that close down these veins.
Vein ab·la·tion (əˈblāSHən/) = to close a vein shut
An ablation can be carried out using heat devices, injecting special medications, as well as other medical procedures described below. All procedures are guided with ultrasound for precision, accuracy, and safety.
Insurance carriers pay much more for separate treatments. At Miller Vein, we put patient care above profit and ablate as many veins as needed, safely, in one setting. Many other practices only ablate one vein at a time.
Perhaps more importantly, we will also let you know when you really don’t need any treatment! Too often we hear from patients like Francena, that they are getting sold a great deal of therapies they don’t need.
Thermal (Heat) Ablations
There are two types of thermal ablation procedures that close down abnormal veins: Endovenous Laser Ablation and Radiofrequency Ablation. Both of these treatments are performed in less than 30 minutes with success rates greater than 90% and very low recurrence rates. Patients can immediately return to normal activity with little or no pain.
Endovenous Laser Ablation (EVLA)
EVLA consists of inserting an FDA approved laser fiber into the affected vein. Laser energy is then delivered to the vein and seals it shut (ablation). Once the bad vein is closed, blood is rerouted to healthy veins which improves venous circulation.
Radiofrequency Ablation (RFA)
RFA consists of inserting an FDA approved catheter (VNUS ClosureFAST ®) into the affected vein. Radiofrequency energy (heat) is then delivered to the vein and seals it shut. Once the bad vein is closed, blood is rerouted to healthy veins which improves venous circulation.
Non-thermal treatments require fewer needle pokes since less local anesthetic is required compared to thermal ablations. Patients can immediately return to normal activity with little or no pain.
Varithena® (polidocanol injectable foam) is a prescription medicine injected into abnormal veins under ultrasound guidance to seal them shut. This medicine is unique in that the foam is made with carbon dioxide that may improve safety. Some patients receiving Varithena® only need a single treatment. Additional treatment may be needed, depending on the number and size of veins to be treated.
Mechanochemical Ablation (MOCA)
ClariVein® is a treatment of venous insufficiency and like the other endovenous procedures is aimed at closing down problematic veins. MOCA varicose vein treatment uses the patented ClariVein® catheter and combines two methods of action: Mechanical agitation of the vessel by a rotating catheter tip with a sclerosant drug (chemical) sprayed from the tip of the catheter as it is pulled back. The trauma to the vein coupled with medicine delivered to it, close it down quickly.
The VenaSeal™ system is a form of ablation that improves blood flow by closing diseased veins with a medical adhesive (glue). A special catheter system delivers a small amount of a specially formulated adhesive to the diseased vein. The adhesive seals the vein and blood is rerouted through nearby healthy veins. Benefits of the VenaSeal™ closure system:
- Only one numbing injection
- No compression stockings after the procedure
- Ability to exercise immediately
Currently this procedure is NOT covered by insurance.
After treating the cause of varicose veins with one of the various ablation procedures, additional procedures may be needed to address the actual varicose veins. Miller Vein is unique in providing these additional treatments at the same time as your ablations. This saves you time and money.
Also referred to as ambulatory phlebectomy, microphlebectomy is a safe and effective in-office procedure that is used to remove varicose veins through tiny incisions using local anesthetic. These incisions are so small that no sutures or stitches are required!
Once removed, these varicose veins never return. The advantage of microphlebectomy is that it’s a "one-and-done" procedure. Patients are able to walk immediately.
Endovenous Chemical Ablation (EVCA)
Endovenous chemical ablation (also referred to as Ultrasound Guided Sclerotherapy) refers to the injection of a special medicine (sclerosant) into abnormal veins in order to seal them shut. As with other ablation procedures, the treatment is performed under ultrasound guidance to ensure safety.
Spider Vein Treatments
Miller Vein’s trademarked VeinErase® program is the least painful and most cost effective method to rid your legs of unsightly veins. Spider vein treatment is a very gradual process and requires several sessions. But don’t despair! You can drive yourself to and from each treatment. Also, you are able to purchase a treatment package to save money. VeinErase® packages never expire and you receive our money back guarantee. You will also be happy to know that our unique treatment method is stocking-free! And other than keeping your legs out of the sun for a few days, there are no restrictions. You can walk out of our treatment center immediately… in fact, head over to the gym!
Our patients frequently tell us that they enjoy visiting our office where they are pampered to a spa-like environment and friendly staff. Spider vein treatment can be fun.
One last thing. Your body continues to produce spider veins despite successful vein treatment so touch up treatments are usually necessary.
NOTE: If your legs feel great but you have a few spider veins, you likely do not need any medical treatment! Your body, your choice! Just as you wouldn’t hesitate to leave the car mechanic selling you unnecessary service, you should make sure you are comfortable with information you are receiving from your physicians. When in doubt, come to Miller Vein for a second opinion.
Sclerotherapy Vein Treatment
Sclerotherapy, also know as microsclerotherapy, is a safe procedure in which a solution (sclerosing agent) is injected into affected veins using extremely fine needles which causes the veins to close. The number of treatments varies from patient to patient, depending on the extent of the problem.
VeinGogh™ Vein Treatment
VeinGogh™ delivers radiofrequency energy through an ultra-fine insulated needle, to heat the affected blood vessels which causes the sides of the blood vessel to stick together and disappear. The ultra-fine needle allows for precise, accurate treatments, even in hard to treat areas, such as the nose and cheeks.
VeinGogh™ is the preferred treatment for facial veins and Rosacea.
This treatment should not be used if you are pregnant, have a severe nickel allergy, or have a permanent pacemaker.
VeinGogh™ is an improvement upon a device developed by a leading vascular surgeon in the United Kingdom, inventor Brian Newman, M.D. Miller Vein’s Jeffrey H. Miller, M.D. trained directly with Newman in order to bring this specialized treatment to Michigan. Miller Vein is a preferred provider for VeinGogh™.
Deep Venous Thrombosis Treatment
Miller Vein physicians are board certified in venous and lymphatic medicine and are able to diagnose and manage DVT blood clots. Treatment usually includes the use of blood-thinning medications (anticoagulants) that prevent new clots from forming or prevent existing clots from getting larger. If you believe you have a DVT but also have shortness of breath, rapid heart rate (palpitations), or chest pain, you should dial 911 or get to a hospital immediately as this may mean you have a pulmonary embolism (blood clot in the lungs).
Newer catheter-directed therapies are available, including devices that remove clots, administer drugs directly into a clot, or both. Procedures of this kind typically are done by an interventional radiologist in a hospital setting.
Lymphedema & Swelling
Miller Vein physicians are board certified in venous and lymphatic medicine and are able to diagnose and manage multiple causes of leg swelling. At your full consultation, we carefully review your medical history and perform a complete physical exam. While there currently are no adequate permanent surgical solutions to lymphedema, our physicians have several options to help and can manage your care.
If you have a non-healing leg ulcer, Miller Vein can help! Since 80% of these wounds are due to poorly functioning veins, a major component of healing is to fix this underlying problem. The way we treat this condition is outlined in our varicose vein section. It is helpful to imagine that your skin is dry wall, and an underlying leaking pipe is causing the dry wall to rot. Fixing the dry wall alone would not take care of the underlying leaking pipe. Thus, the treatment of a leaking vein is the first step in healing a venous stasis ulcer.