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Varicose or spider veins are twisted, enlarged veins. They most commonly occur in the legs.

Most varicose veins don't cause serious medical problems, but over time, they can lead to the following symptoms:

  • Leg fatigue
  • Aching
  • Burning
  • Pain
  • Swelling

While varicose veins are not life-threatening, the 40 million Americans who have these conditions can find them painful, unsightly, or uncomfortable. Fortunately, the experienced physicians at UR Medicine can treat these veins with sophisticated, minimally invasive treatments.

Video: Refluxing Vein Animation

UR Medicine's Approach

UR Medicine Imaging Sciences and Vascular Surgery offer the most comprehensive care in the region for the treatment of varicose and spider veins. We strive to offer minimally invasive techniques whenever possible.

Conservative approaches are often the first line of treatment. They may include lifestyle modifications such as regular exercise, weight management, and wearing compression stockings to ease symptoms and prevent further progression. These measures are particularly effective for milder cases of varicose and spider veins.

The treatment options we recommend depend upon the extent and severity of the problem and whether patients have responded to initial conservative approaches. Venous vascular procedures are done on an outpatient basis, either in a physician’s office or—in the case of more extensive procedures—in an operating room.

Treatment options include: 

Compression Therapy—compression stockings are used to apply external pressure to the legs. The pressure helps more blood return from the legs to the heart, reducing leg fatigue, pain, and swelling.

VenaSeal™ Closure System—the latest advancement in varicose vein treatment to be approved by the FDA. VenaSeal permanently seals superficial varicose veins of the legs using a medical grade adhesive, or “superglue."

Minimally invasive vein ablation—heat energy is applied to the inside of the vein to seal it closed and stop reflux.

Sclerotherapy—a chemical is injected, causing the veins to close up and eventually disappear.

Ambulatory Microphlebectomy—a procedure to remove a vein through small puncture wounds that can also be done in conjunction with the other procedures. This treatment is effective for superficial varicose veins that cannot be treated with sclerotherapy. Patients can return to normal activity immediately.

Radiofrequency ablation (RFA)/endovenous laser ablation (EVLT)—this uses heat to cause a blood clot that blocks the vein. It is the preferred treatment for those with moderate to severe venous insufficiency. The body eventually absorbs the treated vein, and blood then reroutes through other veins.

Veinwave—an FDA-approved device to treat spider veins that are too small to treat with sclerotherapy. It is effective for treatment of both legs and the face.

Video: VenaSeal Animation
Video: ClosureFast Procedure Animation

What Sets Us Apart?

While many physicians treat veins, UR Medicine is different in several ways:

  • We offer the complete spectrum of treatments, ranging from traditional non-operative treatments to the most advanced minimally invasive and open surgical treatments.
  • We participate in ongoing quality improvement through the Vascular Quality Initiative as part of our national patient safety organization. This database allows us to monitor our outcomes to achieve excellence.
  • We offer the highest levels of care and non-invasive diagnostic testing as the Rochester region’s only IAC-accredited vein center and diagnostic vascular laboratory.

We offer many convenient locations. Our physicians see patients at the vein center in Brighton, outpatient surgical center at Sawgrass, at Highland Hospital, and in Canandaigua.


Our care team is here for you. Find a UR Medicine expert and get care now.

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We serve you in the Rochester metropolitan area and surrounding region.

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11 locations

Imaging - Platinum Office Complex - Penfield

Platinum Office Complex
2064 Fairport Nine Mile Point Road, Suite 200
Penfield, NY 14526

Imaging - Thompson Health - Canandaigua

FF Thompson Hospital
350 Parrish Street
Canandaigua, NY 14424

Vascular Surgery - Rochester

Highland Hospital
1000 South Avenue, East 251C
Rochester, NY 14620

Vascular Surgery - Rochester

Canal View Office Complex
140 Canal View Boulevard, Suite 103
Rochester, NY 14623

Vein Center - Rochester

Canal View Office Complex
140 Canal View Boulevard, Suite 103
Rochester, NY 14623

Vascular Surgery - Canandaigua

395 West Street, Suite 007
Canandaigua, NY 14424

Vein Center - Rochester

Highland Hospital
1000 South Avenue
Rochester, NY 14620

Vein Center - Brighton

Surgery Center at Sawgrass
180 Sawgrass Drive
Rochester, NY 14620

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