New vein treatment has arrived at Center for Advanced Vein Care

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Varithena—a foam-based, highly effective sclerosant treatment— is particularly skilled at treating large, bulging varicose veins.

By Dr. Sonja Stiller, Center for Advanced Vein Care

Treatments for varicose veins have improved dramatically over the years—from the painful stripping surgery endured by our parents and grandparents to today’s high-tech ultrasound-guided laser ablation. Sometimes, however, it takes insurance companies time to catch up with technology.

For example, a new foam-based sclerosant, which has been around for several years, is finally being covered by insurance here in Ohio. 

That’s great news because this treatment—called Varithena—is highly effective, particularly at treating large, bulging varicose veins. Unlike liquid versions, foam sclerosants are not diluted by the blood in the veins. The foam is made up of micro-bubbles which increase the surface area of the medication and push the blood out of the vein with less dilution. 

As a result, the treatment is both more effective and more efficient.

Although Varithena contains polidocanol, which we have been using for years, it comes pre-foamed, and its recent acceptance by insurance companies means that many more patients will be able to afford the procedure.

In addition,VenaSeal, an acrylic-based medical adhesive used to close the vein, is also on the horizon. Although it, too, is available now, insurance companies have been slow to approve their coverage of the procedure...but it’s coming.

For now, in our practice, we always balance the most leading-edge procedures with real-world, out-of-pocket costs to determine the best treatment for each patient.

Call our office now to discuss your options, especially if you are experiencing any of the following symptoms:
  • chronic leg pain
  • fatigue
  • itching
  • burning
  • Restless Leg Syndrome
  • leg cramps or swelling

Dr. Sonja Stiller is a diplomat of both the American Board of Emergency Medicine and the American Board of Venous and Lymphatic Medicine and is the founder of the Center for Advanced Vein Care located at 7200 Mentor Avenue, in Mentor. For an appointment, call 440-710-1140. More information can be found at