Varicose Veins

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Vascular and Interventional Radiologist Steven Tidwell, M.D. is the founder and medical director of Medicus Vein Care. Our board-certified vein specialists and skilled nurses are committed to offering patients a professional, caring experience that won’t be found elsewhere.

Since 2005, patients have attributed our ability to accurately diagnose and treat varicose veins to our expertise in ultrasound technology and our extensive experience in vein removal. This unique skill set allows Medicus to provide every patient with the highest quality vein treatments at the hands of experienced vein specialists.

Board-Certified Vein Specialists
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Covered By Most Health Insurance Read More

We accept most major insurance companies including: Aetna, Blue Cross Blue Shield (Florida Blue), Cigna, Coventry, Medicare, Multiplan (BeechStreet, PHCS) and United Healthcare. If your insurance company is not listed, please call us. We may participate with your specific insurance plan.

Our Specialists Perform Their Own Ultrasounds Read More

Varicose veins are treated using non-surgical procedures. With each of these procedures requiring ultrasound guidance, Medicus specialists are specifically trained on ultrasound diagnostics. This allows them to provide the base for a treatment plan by pinpointing the problem areas that require treatment, and to effectively treat the faulty vein under ultrasound guidance without the need for a separate ultrasound technician.

Why Treat Varicose Veins?

Most people seek treatment for varicose veins to relieve discomfort like pain, swelling, itching or tingling, and other uncomfortable symptoms. In normal leg veins, leaflet-like valves help pump blood back to the heart, but when these valves don’t function properly, blood flows backward and pools within the vein.

Left untreated, these bulging veins can lead to more serious medical problems, such as venous leg ulcers or varicose eczema. Up to 35% of people in the United States are affected by varicose veins, but treatment typically alleviates symptoms as well as the unsightly appearance.

Treatments available



VenaSeal™ is the only technology that features an advanced medical adhesive to close varicose veins.

Endovenous Laser Treatment

EVLA combines fiber-optic technology with laser energy to remove abnormal veins under ultrasound guidance.


The Varithena treatment uses a foam medication to seal varicose veins using ultrasound technology.

Our treatment results



What are varicose veins?

Veins that have become bulging, elongated, thickened and rope-like are called varicose veins. Normally, one-way valves in veins keep blood flowing against the force of gravity. When the valves do not perform their function, blood can flow backwards or reflux within the vein. They usually occur near the surface of the skin and appear as bulging veins with a purplish hue.

Varicose veins can develop through a combination of these faulty vein valves and weakened vein walls. Under a variety of circumstances, normally toned, elastic vein walls can become weak and allow the recirculating blood to flow backward in the vein causing the blood to pool and the vein to bulge.

What are the steps of a varicose vein treatment at medicus?

1. Complimentary Consultation
The first step to treatment is offering you the opportunity to visit our office, and to meet the staff who will be treating you. During the consultation, we will discuss your symptoms and determine if you have spider or varicose veins. Often times, most of our patients have a combination of both vein types.

2. Ultrasound Diagnosis
If you have varicose veins, an ultrasound will be performed by your vein specialist. After the ultrasound, the best treatment options will be recommended to you for your unique case.

3. Vein Treatment
Treatment is scheduled following your ultrasound. Each of the varicose vein procedures are minimally invasive and allows for zero downtime. If you have health insurance, we will handle all of the insurance claims for you.

4. Follow-up Visits
You will visit us for a follow-up visit after your treatment for an ultrasound to ensure closure of the treated vein. When the vein has closed, those veins are gone for good.

why is every ultrasound performed personally by a vein specialist?

Our specialists are specifically trained in ultrasound imaging, and these skills are combined to accurately diagnose and treat varicosities. Patients should be aware that since an ultrasound is required not only for the initial diagnosis of varicose veins, it is also an integral part of the procedures that eliminate them. It is important to choose a vein specialist who relies on their own training and experience to accurately determine the underlying cause of symptoms, find the abnormal veins, and treat them with familiarity and expertise.

What are the symptoms of varicose veins and venous insufficiency?

Symptoms include aching, throbbing, fatigue, itching, tingling and heaviness – all of which worsen as the day goes on. Mild swelling in the ankles and feet often occur. Many people find that they need to sit down in the afternoon and elevate their legs to relieve symptoms.

People who have venous insufficiency can have symptoms even without visible varicose veins.

how are vein problems diagnosed?

Your clinical evaluation is assessed through an ultrasound evaluation. The ultrasound is important because it determines which veins are not functioning properly and allows the physician to create a “game plan” and to present you with a treatment plan.

how are varicose veins treated?

Using an ultrasound, the vein specialist maps out the veins in your leg to pinpoint the faulty vein that needs to be treated. To treat this faulty vein, a very small probe is inserted using an ultrasound to follow and guide it to the proper position. He will then remove the probe, sealing the vein using one of the various treatment methods available.

what is venous insufficiency?

The reflux of blood in faulty veins result in what is known as venous insufficiency, a very common condition that results in the pooling of blood in the vein and, in turn, creates varicose veins.

Is the loss of a vein a problem?

Not at all. The blood flow of the faulty veins are already being diverted to the many normal veins in the leg.

Is there any downtime?

No, there is no downtime associated with any of the vein procedures. You can go back to your normal activities right away. In fact, we want you to stay active after treatment! Each of the treatment modalities are minimally-invasive and do not require any sedation, only local anesthetic.

What happens if I leave my varicose veins untreated?

Varicose veins are a result of vein disease and will only continue to get worse if left untreated. Some patients progress to develop skin changes and ulcerations, in addition to swelling and discomfort.

Is there anesthesia involved with the treatment?

No, only local anesthetic is used. Patients find the discomfort from the procedures are minimal and some even fall asleep during the procedure. The procedures allow for zero downtime and you can return to your normal activities immediately after treatment.

Are laser fibers ever re-used?

No, we never re-use laser fibers or any procedure component. They are used only once.

Do I need to wear compression stockings?

Yes, you will need to wear compression stockings for up to two weeks after treatment to ensure complete closure of the vein. We sell many styles and colors of compression stockings to suit your lifestyle.

However, the VenaSeal glue procedure does not require the use of compression stockings.

Does my insurance cover treatment for varicose veins?

Yes, the treatment for varicose veins is considered medically necessary by insurance companies. Our insurance specialists will process all claims and will follow-up with your insurance company as necessary. After your consultation, we will advise you of any deductibles, copays or co-insurance amounts that you may owe. If you do not have health insurance, we offer a cash rate.

We accept most major insurance companies including: Aetna, Blue Cross Blue Shield (Florida Blue), Cigna, Coventry, Medicare, Multiplan (BeechStreet, PHCS) and United Healthcare. If your insurance company is not listed, please call us. We may participate with your specific insurance plan.

Medicus magazine

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