In recent weeks, we’ve shared information about sclerotherapy as a treatment for varicose veins and spider veins. As described in a previous post, sclerotherapy uses a very fine needle to inject the abnormal vein with a sclerosing solution, which irritates the inner lining of the vein and causes it to collapse. Treated veins generally disappear within three weeks to six months. We also touched on ultrasound-guided sclerotherapy, which also utilizes ultrasound technology to help target veins located deeper within the body.

However, sclerotherapy isn’t the only treatment option available for varicose and spider veins. Vein Specialists of Tennessee ( offers two additional types of treatment – endovenous ablation and an ambulatory phlebectomy – which provide patients with choices that may be more effective in treating their individual cases, depending on their specific circumstances.

Endovenous ablation uses lasers to heat and destroy the targeted vein tissue. A thin catheter is inserted into the vein through a tiny incision in the skin, and then laser energy is introduced to heat and cauterize the vein, closing it off.

The procedure is relatively quick – less than an hour – and minimally invasive. A local anesthetic is used on the incision area, and following treatment, patients can resume most daily activities.

Endovenous ablation has also proven to be quite effective, with studies showing the treatment to have a 98-percent success rate and excellent long-term results.

The ambulatory phlebectomy – also known as micro-incisional removal – is a newer procedure that’s also designed to eliminate the need for invasive surgery or hospital stays. During treatment, small punctures are made along the path of the damaged vein, through which a specially designed instrument grasps and extracts the vein.

The procedure generally takes one to two hours and can be performed on an outpatient basis using local anesthesia. The incisions are generally only two to three millimeters in diameter and are often undetectable after only a few weeks. Overall, ambulatory phlebectomies have been proven to be 100-percent effective with very few side effects.

To determine which form of treatment might work best for your specific case, contact us to schedule a consultation.

Dr. Jack Tarr of Vein Specialists of Tennessee has more than 30 years of experience treating patients in Knoxville and the surrounding East Tennessee area. Vein Specialists of Tennessee routinely treats varicose veinsspider veinsface veins, and venous ulcers through a spectrum of treatment options, including ultrasound-guided sclerotherapyendovenous laser ablation and microsurgical ambulatory phlebectomy.