Comprehensive Vein Care Solutions

Advanced Treatment Options for Varicose Veins, Spider Veins, & More

At Elmore Medical, we provide the latest, most effective treatments for various vein conditions. Our minimally invasive procedures offer quick recovery times, excellent results, and high patient satisfaction.

a person pointing out their leg veins

Our Approach to Vein Care

At Elmore Medical, we believe in putting patients first. Our practice is not about performing procedures—it's about taking care of people we care about. This philosophy guides everything we do, from your initial consultation to your follow-up care.

two hands holding a heart with a plus in the middle of it

Patient-Centered Care

We offer a full spectrum of vein treatments, including:

  • Endovenous Laser Therapy (EVLT), Sclerotherapy, Varithena - Transcatheter Sclerotherapy (TCT), Microsurgery, Ultrasound-Guided Sclerotherapy, Ambulatory Phlebectomy

a medical chart

Comprehensive Treatment Options

Unlike general medical practices that treat a wide range of conditions, our specialists focus exclusively on vein treatments. This specialization allows us to provide expert care that general practices simply cannot match.

three people wearing stethoscopes

Specialized Expertise

We employ state-of-the-art diagnostic technology, including Duplex Ultrasound Imaging (DUS), to measure the size, speed, and direction of blood flow in the veins. Exemplifying our commitment to quality, we employ the only full-time, Registered Vascular Technologists (RVTs) in the Central Valley dedicated solely to venous disease.

a test tube with a drop of blood next to it

Advanced Diagnostic Technology

Varicose Vein Treatments

Endovenous Laser Therapy (EVLT)

This revolutionary therapy is the best available treatment for large bulging varicose veins. Through a single needle stick, a fine laser fiber is inserted into a varicose vein. Laser energy generates heat that seals the vein closed, redirecting blood flow to healthy veins.

Key Benefits:

  • Minimally invasive procedure

  • Performed under local anesthesia

  • Quick recovery time (most patients resume normal activities within 24 hours)

  • Excellent success rate (our center has achieved the highest success rate ever reported in medical literature)

  • Creates minimal and often imperceptible scars

Learn More About EVLT

Varithena - Transcatheter Sclerotherapy (TCT)

Varithena is a prescription medicine we use to treat varicose veins caused by problems with the great saphenous vein (GSV) and related veins in the GSV system. While duplex ultrasound imaging demonstrates the abnormal veins, the doctor closes them with a specialized sclerotherapy technique.

Key Benefits:

  • Non-surgical approach

  • Treats the underlying vein problems

  • Minimal downtime

  • Effective for various types of varicose veins

  • Can be used in conjunction with other treatments

Microsurgery

Vastly different from traditional vein stripping surgical procedures, microsurgery utilizes special instruments to remove veins through very tiny "micro" incisions. The incisions are so small that with normal healing, they can scarcely be found on the leg.

Key Benefits:

  • Significantly less invasive than traditional vein stripping

  • Only tiny incisions are required

  • Minimal scarring

  • Faster recovery compared to traditional surgery

  • Effective for certain types of varicose veins

Spider Vein Treatments

Sclerotherapy

Sclerotherapy is the most effective method of treating the majority of spider veins. An irritating (sclerosing) solution is injected directly into the vein through a tiny micro needle. The vein closes, and then disappears with normal healing. This has been a well-accepted method of treating varicose veins for over 50 years and has now become the gold standard in spider vein treatment. Learn More About Sclerotherapy

Ideal for:

  • Cosmetic leg veins

  • Facial spider veins

  • Hand veins

Key Benefits:

  • No downtime required

  • Minimal discomfort during treatment

  • Gradual improvement over several weeks

  • Long-lasting results

  • Multiple areas can be treated in one session

Ultrasound-Guided Sclerotherapy

For veins that aren't visible on the surface or that connect to deeper vein systems, we use ultrasound-guided sclerotherapy. This technique allows us to precisely target veins beneath the skin's surface that contribute to visible spider veins.

Key Benefits:

  • Treats underlying causes of visible veins

  • Precise targeting of problem veins

  • Reduces risk of recurrence

  • Complements traditional sclerotherapy

  • Increased effectiveness for certain vein types

Diagnostic Services

Duplex Ultrasound Imaging

Duplex ultrasound imaging (DUS) is an essential part of the initial diagnostic evaluation. This state-of-the-art technology is utilized to measure the size, speed, and direction of blood flow in the veins.

Exemplifying our commitment to quality, we employ the only full-time, Registered Vascular Technologists (RVTs) in the Central Valley dedicated solely to venous disease. Our technicians will use a small hand-held device called a transducer placed against the affected area to produce onscreen images that help us define each patient's specific venous anatomy prior to recommending treatment.

Benefits of Advanced Diagnostics:

  • Non-invasive and painless

  • Provides detailed images of vein structure and function

  • Helps identify underlying vein issues not visible on the surface

  • Guides treatment recommendations

  • Enhances treatment precision and outcomes

Treatment Comparison

Our specialists will recommend the best treatment or combination of treatments based on your specific vein condition, symptoms, and goals.

Treatment | Best For | Procedure Time | Recovery Time | Number of Sessions

Endovenous Laser Therapy (EVLT) | Large varicose veins | 45-60 minutes | 24 hours | Usually 1

Varithena (TCT) | Varicose veins in GSV system | 30-45 minutes | 24-48 hours | Usually 1

Microsurgery | Certain types of varicose veins | 30-60 minutes | 1-2 days | Usually 1

Sclerotherapy | Spider veins, small varicose veins | 15-30 minutes | Immediate | 2-4 sessions

Ultrasound-Guided Sclerotherapy | Deeper veins, not visible on surface | 30-45 minutes | Immediate | 1-3 sessions

The Treatment Process

1. Consultation & Diagnosis

Your journey begins with a comprehensive consultation where our specialists evaluate your vein concerns, symptoms, and medical history. Advanced diagnostic testing may be performed to assess the health of your veins and identify any underlying issues.

3. Treatment Sessions

Depending on your needs, treatments may be completed in a single session or multiple sessions spaced over time. Most procedures are performed in our comfortable office setting with minimal discomfort.

2. Treatment Planning

Based on your diagnosis, our specialists will create a customized treatment plan designed to address your specific vein concerns. We'll explain all recommended procedures, expected results, and answer any questions you may have.

4. Follow-Up Care

After your treatment, we'll provide detailed instructions for optimal recovery. Follow-up appointments ensure your veins are responding well to treatment and allow us to address any concerns that may arise.

Insurance & Financing

Many vein treatments are covered by insurance when deemed medically necessary. Our staff will help determine your coverage options and assist with insurance verification and documentation.

Frequently Asked Questions

  • The best treatment depends on several factors, including the type and location of your veins, your symptoms, and your medical history. Our specialists will recommend the most appropriate options after a thorough evaluation.

  • Most patients experience minimal discomfort during and after treatments. We use local anesthesia for procedures like EVLT, and sclerotherapy typically causes only a mild burning sensation that subsides quickly.

  • Results vary by treatment:

    • EVLT results can be seen immediately with continued improvement over several weeks

    • Sclerotherapy results develop gradually over 2-6 weeks after treatment

    • Multiple sessions may be needed for optimal results, especially for spider vein treatments

  • Most vein treatments require minimal downtime:

    • EVLT patients typically return to normal activities within 24 hours

    • Sclerotherapy patients can resume normal activities immediately

    • Compression stockings may be recommended for a period of time after treatment

  • Once a vein is successfully treated, it will not return. However, new veins may develop over time. Maintaining a healthy lifestyle can help reduce the risk of developing new vein issues.

Patient Success Stories

"Elmore Medical was recommended by my family doctor as being the best in this field. Previous treatments in Sacramento left me unsatisfied with the results. I am totally pleased with the treatments I received here."

— P.H.

“Friendly, caring staff. They took the time to explain the procedure and make me feel safe and comfortable. I didn’t feel hustled like another office I talked to. Family atmosphere. Highly recommended.”

— Robert Z.

Schedule Your Consultation Today!

Take the first step toward healthier, more comfortable, and better-looking legs. Schedule your consultation with our vein specialists today.

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Elmore Medical Vein & Laser Treatment Center has been Fresno's premier vein specialty practice for over 30 years. We are dedicated to providing the highest quality care for varicose veins, spider veins, and other venous conditions.