Welcome to the Triangle Orthopaedics Vein Clinic

The Vein Clinic is located at 120 William Penn Plaza in Durham, NC. The first floor entrance leads patients directly to the Vein Clinic reception. All appointment requests and general inquiries maybe directed to (919) 220-5255.

The Vein Clinic is designed to diagnose and treat people with both symptomatic and asymptomatic visible lower extremity venous disease in a pleasant, convenient, out-patient setting. Visible varicosities and poorly functioning veins not visible to the eye may seem asymptomatic, but they are often responsible for lower extremity signs and symptoms, such as pain, burning, heaviness, achiness, throbbing, soft tissue swelling, skin color changes, and even wound formation.

The diagnosis of incompetent veins or chronic venous insufficiency (CVI) is made with simple physical examination and ultrasound. Minimally invasive therapies are available to treat malfunctioning veins. These treatments include:

  • catheter-based thermal ablation of an incompetent vein
  • Endovenous Laser Ablation (EVLA)
  • Radiofrequency Ablation (RFA)
  • ambulatory phlebectomy
  • sclerotherapy

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Results

Upon completion of treatments, many patients are very pleased with the drastic improvements in their lower extremity health.

Susan Weeks, MD
Walter Woodrow Burns III, MD

What do vein procedures involve?

Endovenous Laser Ablation (EVLA) is performed to treat malfunctioning veins which are often times not visible on physical examination but are identified with ultrasound imaging. These abnormal veins are usually responsible for lower extremity symptoms, and the symptoms may often be significantly worse than the appearance of the legs would suggest.

A tiny incision is made in the skin measuring less than 1/4 inch. Under ultrasound guidance, a small catheter with a laser fiber tip is introduced into the abnormal vein and then appropriately positioned. Local anesthetic is introduced around the length of the vein to be treated to accomplish three things: appropriately anesthetize the surrounding tissues, collapse the vein against the catheter to allow greater deposition of energy into the vein wall, and insulate the normal neighboring soft tissues. The laser catheter is attached to a generator and the laser treatment is performed to damage the vein enough that the body will sense the damage and cause fibrosis with resultant resorption of the vein. This procedure is over 95% successful.

Ambulatory Phlebectomy This procedure is performed to remove unwanted visible varicosities which may be either symptomatic or asymptomatic. The veins to be removed are identified and marked, and then dilute numbing medicine is introduced along the course of the abnormal veins. Tiny 2mm incisions are made, through which the varicose veins are segmentally removed. Small surgical tapes are applied to the access sites, and the patient can often return to work the following day.

Sclerotherapy is a non-surgical technique, often used as an adjunct or alternative for treatment of smaller varicose veins and spider veins. The veins to be treated are identified, and then the sclerosant (an irritant) is injected into the veins at several locations to cause inflammation, fibrosis, and resorption of the unwanted veins. Patients can return to work immediately following this procedure.

Insurance

The above-described therapies are frequently covered by most insurance plans, and are performed in the office using local anesthetic with or without an anxiolytic. You may wish to contact your insurance carrier for specific questions regarding your benefits and coverage.

Recovery

Recovery time is quite short, as patients may return to work immediately or following one day of rest. Patients may also return to all normal activities (including heavy exercise) within 1-2 weeks.

"Being able to access your Orthopedic Urgent Care on a Saturday was a God-send. It was wonderful to avoid an ER. Thank you all so much for being open on Saturdays and after hours, Monday through Friday."

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