What Are the Different Vein Treatment Options?
Medically verified
Last updated on 1/29/2026

By Dr. Michael Nguyen
Vein Doctor at Vein Treatment Clinic
Harvard Medical School
Board Certified by the American Board of Venous and Lymphatic Medicine
Vein treatment includes several different methods designed to improve blood flow and relieve symptoms caused by vein disease.
Many patients are surprised to learn that most modern vein treatments are non-surgical and performed in an office setting.

This page explains the different vein treatment options available today and how specialists decide which option is best for each patient.
If you’re unsure which vein treatment option applies to your condition, a vein evaluation can help clarify your choices.
How vein treatment options are chosen?
Vein treatment options are selected based on vein size, location, symptoms, and ultrasound findings.
The goal is to treat the underlying cause of vein dysfunction, not just visible veins.
Endovenous ablation (laser or radiofrequency)
Endovenous ablation uses heat delivered through a thin catheter to close malfunctioning veins.
This option is commonly used for larger veins with valve failure and venous reflux.
Sclerotherapy
Sclerotherapy involves injecting a medication into small veins to close them.
It is most commonly used for spider veins and small varicose veins.
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Phlebectomy (removal of surface veins)
Phlebectomy removes bulging surface veins through tiny skin openings.
It is often combined with treatment of deeper reflux for complete results.
Ultrasound-guided foam sclerotherapy
Foam sclerotherapy uses a medication in foam form, guided by ultrasound, to treat certain veins.
It is useful for veins that are not ideal candidates for thermal ablation.
Compression therapy and conservative care
Compression stockings and lifestyle measures may help reduce symptoms.
These approaches manage symptoms but do not correct underlying valve failure.
Do different conditions require different options?
Yes. Varicose veins, spider veins, and chronic venous insufficiency often require different combinations of treatments.
That is why individualized treatment planning is important.
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Table of contents
1. How vein treatment options are chosen?
2. Endovenous ablation (laser or radiofrequency)
3. Sclerotherapy
4. Phlebectomy
5. Ultrasound-guided foam sclerotherapy
6. Compression therapy and conservative care
7. Do different conditions require different options?
8. Can vein treatment options be combined?
9. What results can patients expect?
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Can vein treatment options be combined?
Many patients benefit from a combination of treatments tailored to their vein pattern.
Treating underlying reflux first often improves the success of additional treatments.
What results can patients expect?
Most patients experience symptom relief and improved appearance after treatment.
Results depend on the severity of disease and adherence to post-treatment guidance.
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About the Medical Team at Vein Treatment Clinic
Vein Treatment Clinic is powered by VIP Medical Group and built around a single guiding principle: deliver the highest standard of vein care using an academic, evidence-based approach combined with the most advanced, minimally invasive technology available today.
Clinical leadership at Vein Treatment Clinic is guided by board-certified vein specialists, including Dr. Michael Nguyen, whose training and experience help shape the clinic’s rigorous standards of care.
All physicians at Vein Treatment Clinic follow a structured, highly standardized clinical model. This includes ongoing training in the latest non-surgical vein treatments, continuous review of emerging research, and strict adherence to proven safety and quality protocols.
Patients benefit from a team-based model of care where expertise is shared, best practices are consistently applied, and treatment recommendations are driven by data, experience, and long-term results.

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At Vein Treatment Clinic, education is considered a core part of treatment. Patients are encouraged to understand their condition, their options, and the reasoning behind each recommendation, so they can move forward with clarity and confidence.
If you’d like clarity about your varicose veins and what treatment options make sense for you, a vein evaluation can help guide that decision. Submit the form below to start your journey!
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