Why is Ultrasound Scanning Important With Small Vein Conditions?


This picture demonstrates spider veins at the surface level may actually arise from veins that are not visible to the naked eye. These can be seen with ultrasound scanning.

Venous duplex ultrasound allows us to identify problems within the blood vessels that are not visible to the naked eye. Sometimes, the varicose veins or even small spider veins on the surface of the skin are just the ‘tip of the iceburg.’

Non-surgical Varicose Vein Removal

Fortunately, Vein stripping surgery is a thing of the past. Modern varicose vein treatments are minimally-invasive with little pain or down-time.  There are different non-surgical treatment options offered at La Jolla Vein Care. The advantages of the modern non-surgical treatments are that return to normal activities is almost immediate, there is little pain or bruising and there are no scars! The different non-surgical treatments that are used to eliminate varicose veins at La Jolla Vein Care include:

Before and After Varicose Vein Treatment

This young La Jolla Vein Care patient’s varicose veins were a result of an incompetent great saphenous vein. As a result, her treatment included radiofrequency closure of the great saphenous vein with foam sclerotherapy used to treat the surface bulging varicose veins.

Before and After Varicose Vein Treatment

This is another before and after picture of the same patient whose bulging varicose veins were removed without surgery at La Jolla Vein Care, utilizing radiofrequency and foam sclerotherapy treatments.

1) foam sclerotherapy, which uses an injection of a solution to collapse the vein, 2) radiofrequency ablation, which uses radiofrequency energy to heat and collapse the vein, 3) clarivein or mecahnochemical ablation which utilizes a small wire that spins while delivering a liquid solution to the vein and 4) microphlebectomy, which uses tiny incisions to remove the veins. More information can be found about each treatment type on our website.  The best treatment type depends on the size and locations of the veins affected and the patient preference.   Many times, a combination of treatments will be recommended.


What is a Venous Insufficiency / Duplex Ultrasound Test?


The Duplex Ultrasound examination, also called a venous insufficiency study allows us to visualize the blood vessels that are not visible to the naked eye, even blood vessels that are deep within the muscles.  The ultrasound examination is used to both identify the veins that have faulty valves and to map the anatomy of the veins, creating a ‘road map.’  This is necessary to make an accurate assessment of the cause and extent of the varicose veins, as well as to formulate the best treatment plan.  This should be done for any individual being evaluated for varicose veins, leg swelling, patients who have failed prior treatment, patients who are symptomatic and in some patients with certain anatomic patterns of spider veins.

Duplex ultrasound uses sound waves to get images of your blood vessels.  It also helps determine how fast blood moves through the vessels.


One of our vascular sonographers, evaluating the great saphenous vein in the thigh with duplex ultrasound.

At La Jolla Vein Care, the venous duplex study will be performed by one of our registered vascular technologists, who have specialized training in the science of vascular sonography (RVT). It is performed in the standing position, which is important in obtaining an accurate study result.  This examination takes approximately 45-60 minutes. Following the study, the doctor will personally discuss the results with our patients to ensure a complete understanding of the ultrasound findings.  Insurance typically covers this type of diagnostic study.


See Our Variety of Compression Stockings

click here to watch our compression stocking video

Compression therapy is available in many styles and colors for both men and women. We have put together this video to show you a few of our many options for compression stockings.  It is important to incorporate compression stockings into your lifestyle for optimal leg health.  We believe in choices, and it is important to us to make available to you compression stockings that compliment your lifestyle.  As a result, we offer the most comprehensive selection of compression stockings in the region- all at 10% less than retail cost, exclusively to our patients.

Free Varicose Vein Screening

If you experience the discomfort and swelling of varicose veins, you may be suffering from venous insufficiency or venous reflux disease. Approximately 25 million people in the United States suffer from this condition. Currently, La Jolla Vein Care is offering a free varicose vein screening for a limited time. During the screening, you’ll get a patient history, examination of your the legs, and a recommend plan of treatment (if necessary).  So call (858) 550-0330 today and schedule an appointment. It’s the first step in keeping you healthy and looking good—and it’s free!

Alleviating Burdens

We understand the importance of excellent health care and its impact on healthy living. That’s we’re pleased to announce our new partnership with Scripps Employee Health Insurance and ChaseHealthAdvance. With a new easy-to-use payment option, we’re able to offer this plan to employees and family members of the Scripps Healthcare System. Through this partnership, patients can get the treatment for $0 down and no interest (if paid within the year). While we’re dedicated to alleviating the pain in your legs, we’re also happy to remove a financial burden as well.


Executive Team

Improving Leg Circulation

We receive many inquiries about how the removal of varicose veins might impact circulation. After all, veins are conduits for transferring blood throughout the body. The good news, however, is that the removal of diseased vessels actually improves circulation because varicose veins are a burden on the circulatory system. By treating varicose veins via sclerotherapy, we eliminate only the bad veins, thus leaving the healthy veins that the body naturally uses to return blood from the heart.


Executive Team