Venous insufficiency which leads to venous hypertension (HTN) of the lower extremity, is neither uncommon nor benign, and causes many unpleasant symptoms including venous ulcers. When left untreated venous HTN can cause the skin tissue to break down and the non-healing venous ulcers eventually form. Approximately 500,000 patients in the U.S. have venous ulcers at a cost of $3 billion dollars per year in continual treatment. 70% of venous ulcers recur when treatment of the underlying cause is not obtained.

The Vein Clinic at Vascular Specialists partners with referring physicians and area wound care centers to diagnose and treat the underlying cause of venous ulceration. In most cases eliminating the sources of venous HTN in the patient’s legs by means of endovenous laser or radio frequency ablation improves healing rates and reduces the recurrence rate of venous ulcers. Depending on results from non-invasive venous duplex imaging and Doppler waveform analysis, a treatment plan will be developed and implemented to treat patients who require hospital-based procedures such as deep vein reconstruction, valve reconstruction, venoplasty, and stenting. The key to the long term success of ulcer treatment is to treat the underlying cause of venous insufficiency and venous HTN.


The problem:

  • 500,000 patients in the U.S. have venous ulcers
  • 80 – 90% of all lower extremity ulcers are caused by venous insufficiency
  • 70% of venous ulcers will recur if venous insufficiency is left untreated
  • Continual ulcer treatment cost patients in excess of $3 billion

Treatments to eliminate Venous Insufficiency:


  • Superficial Venous Reflux:
    • Endovenous Laser Ablation ELA)
    • The Closure Procedure by VNUS – radio frequency ablation (RFA)
    • Ambulatory Microphlebectomy
    • Duplex guided sclerotherapy


  • Perforator venous reflux
    • ELA
    • RFA
    • Perforator ligation/interruption
    • Duplex guided sclerotherapy
  • Deep venous reflux/venous obstruction
    • Deep vein reconstruction
    • Valve transposition
    • Venoplasty and stenting

At the Vein Clinic at Vascular Specialists, our highly trained staff diagnose and treat the underlying causes of the venous ulcers with minimally invasive, and often, office-based procedures. Once the underlying cause of the ulcers has been adequately treated the patients return to their wound care specialist for continued therapy.