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Logo TREATMENTS & PROCEDURES
What is EVLA?
EndoVenous Laser Ablation uses laser energy delivered in a thin fiber optic probe to treat the underlying cause of the varicose veins. There is minimal to no pain and no scarring.

During the 45-minute procedure, the area of the leg affected is locally anesthetized, and under ultrasound guidance, a thin laser fiber is inserted into the abnormal vein, delivering laser energy in short pulses.

The fiber optic probe is then withdrawn from the vein. There is almost no discomfort during the procedure, and you will return tonormal activity the next day.
  • Quick, minimally invasive laser procedure
  • 98% success rate
  • Rapid relief from painful and unsightly leg veins
  • Return to normal activity immediately
  • No general anesthesia or hospitalization
If you are not a candidate for EVLA, Dr. Tidwell also offers alternative procedures in the Medicus Veincare office:

Sclerotherapy
In this rather simple procedure, veins are injected with a sclerosing solution, which causes them to collapse and fade from view. The procedure may also remedy the bothersome symptoms associated with spider veins, including aching, burning, swelling and night cramps. If neccessary, an ultrasound-guided foam sclerotherapy procedure is available.

Ambulatory Phlebectomy
With this treatment, the varicose veins are completely removed from the leg. This procedure does not affect the circulation of blood in the leg because veins deeper in the leg take care of the larger volumes of blood. The varicose veins removed through a tiny incision are superficial or surface veins, and collect blood only from the skin. This procedure requires only local anesthesia.

Cutaneous Laser Treatment
The laser is applied to the skin surface, removing the vein from sight. This is a clinically proven, effective treatment of spider veins, telangiectasias and retricular veins alone or in conjunction with sclerotherapy.

VeinWave™
This innovative procedure utilizes microwave energy. The device is applied to the skin surface to remove spider veins in areas that are otherwise difficult to treat like the face and ankles. Patients typically experience less discomfort with this procedure than with traditional sclerotherapy or cutaneous laser therapy. Typically spider veins are eliminated in one to two treatments.