What are the best ways to judge a doctor’s qualifications for vein treatment?

My veins are in horrible shape, and I was recently told that I would need 5 different ablation procedures and 6 Sclerotherapy appointments afterwards. I had my first VNUS procedure on the greater saphenous vein, and when I returned for the follow-up ultrasound, I was informed that the vein did not close. Does this mean I should consider another doctor? I have met with one hospital-based practice and one vein clinic and I’m just not sure how to assess who is best qualified for these procedures.

Answers from doctors (8)


More About Doctor David Green, MD

Published on Jul 04, 2022

It is important to find a physician who is competent and has integrity, i.e., is treating veins that are insufficient and need to be treated. I suggest that you consult with several physicians and obtain their treatment recommendations. Every physician with whom you consult should discover the same findings and have comparable treatment recommendations. If there is a disparity in findings and recommendations between the physicians, you should seek additional guidance. Once you are certain that you have been correctly diagnosed and that the treatment plan is correct, you should choose a physician with whom you have the most confidence and comfort.

Answered by David Green, MD (View Profile)

It is important to find a physician who is competent and has integrity, i.e., is treating veins that are insufficient and need to be treated. I suggest that you consult with several physicians and obtain their treatment recommendations. Every physician with whom you consult should discover the same findings and have comparable treatment recommendations. If there is a disparity in findings and recommendations between the physicians, you should seek additional guidance. Once you are certain that you have been correctly diagnosed and that the treatment plan is correct, you should choose a physician with whom you have the most confidence and comfort.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on May 08, 2018

I would recommend a consultation with a board certified vascular trained surgeon who can perform these in his office under local anesthesia. Someone with many years of experience is advisable. We do see many people for second opinions after they were told they needed so many procedures and find they really do not.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/623_1499902138.jpg
Answered by Vein Specialties of St. Louis

I would recommend a consultation with a board certified vascular trained surgeon who can perform these in his office under local anesthesia. Someone with many years of experience is advisable. We do see many people for second opinions after they were told they needed so many procedures and find they really do not.

Published on Jul 11, 2012


Although uncommon (success rate is >96%), it is possible even with the most qualified provider, that thermal vein closure fails. Although disappointing, it does not necessarily mean that you need to find someone else. There is not a specific board that regulates just vein practices. However, there are organizations such as the American College of Phlebology and the American Venous Forum which guide most providers. Additionally, like all professions there are review sites. Finally, you will want to choose someone you are comfortable with and who addresses your concerns in a manner that suits you. Not all providers are created equally.

Answered by Advanced Vein Institute of Arizona (View Profile)

Although uncommon (success rate is >96%), it is possible even with the most qualified provider, that thermal vein closure fails. Although disappointing, it does not necessarily mean that you need to find someone else. There is not a specific board that regulates just vein practices. However, there are organizations such as the American College of Phlebology and the American Venous Forum which guide most providers. Additionally, like all professions there are review sites. Finally, you will want to choose someone you are comfortable with and who addresses your concerns in a manner that suits you. Not all providers are created equally.

Published on Jul 11, 2012


Vein Treatment Clinic

Published on May 07, 2018

Seeing a top vein doctor, who you can trust, would be ideal. It is important that an evaluation of your venous circulation is done by a Vein Doctor that is Board Certified, preferably by the American Venous and Lymphatic Board of Medicine. Using ultrasound imaging to scan your leg(s), the vein doctor can decide what the best vein treatment plan would be for your specific case after knowing all your signs and symptoms, anatomical variations, pathology, and reflux time.
All the best!

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8534_1510077584.jpg
Answered by Vein Treatment Clinic

Seeing a top vein doctor, who you can trust, would be ideal. It is important that an evaluation of your venous circulation is done by a Vein Doctor that is Board Certified, preferably by the American Venous and Lymphatic Board of Medicine. Using ultrasound imaging to scan your leg(s), the vein doctor can decide what the best vein treatment plan would be for your specific case after knowing all your signs and symptoms, anatomical variations, pathology, and reflux time.
All the best!

Published on Jul 11, 2012


More About Doctor Desert Vein Institute

Published on May 07, 2018

No you should not consider another doctor. Sometimes this can happen It can reopen on it's own if the vein diameter is to large. You might just need to have another treatment.

Answered by Desert Vein Institute (View Profile)

No you should not consider another doctor. Sometimes this can happen It can reopen on it's own if the vein diameter is to large. You might just need to have another treatment.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on May 07, 2018

The treatment of veins has evolved over the last 20 years as has the qualifications of the physicians who treat veins. There is a board certification in venous treatments called the American Board of Venous and Lymphatic Medicine. Physicians who have passed this qualifying exam are fully credentialed to treat venous disease. If you go to this website you will be able to find a board qualified vein physician.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1053_1499982262.jpg
Answered by Vanish Vein and Laser Center

The treatment of veins has evolved over the last 20 years as has the qualifications of the physicians who treat veins. There is a board certification in venous treatments called the American Board of Venous and Lymphatic Medicine. Physicians who have passed this qualifying exam are fully credentialed to treat venous disease. If you go to this website you will be able to find a board qualified vein physician.

Published on Jul 11, 2012


More About Doctor Allure Medical

Published on May 07, 2018

It is pretty rare that the VNUS does not close the saphenous vein. Occasionally, particularly with horrible veins like yours, the vein was large and failed to respond to the energy dose used. In cases like that, we would re treat at a higher energy, and this will typically work fine. It is one of those things that just happens from time to time, and doesn't put your health at risk.

Answered by Allure Medical (View Profile)

It is pretty rare that the VNUS does not close the saphenous vein. Occasionally, particularly with horrible veins like yours, the vein was large and failed to respond to the energy dose used. In cases like that, we would re treat at a higher energy, and this will typically work fine. It is one of those things that just happens from time to time, and doesn't put your health at risk.

Published on Jul 11, 2012


Normand Miller, MD, FACS, RPVI, RVT

Published on Apr 30, 2018

This is a difficult question. In general you would like to see some certification related to the treatment of vein disease, such as Vascular Surgery or Phlebology. It is recommended to be seen in a center that has accreditation (by the IAC) as a Vein Center and as a Vascular Laboratory. You would also appreciate seeing some of the before and after pictures from that specific practice and have an idea of how many such procedures they have done.

I become very concerned when I see such an extensive number of procedures that appear in the original plan, irrespective of the amount of disease that you have. I have been managing Vein Disease for over 20 years. I have performed over 2500 ablation procedures. It is only a rare patient that has required 4 different ablations. I have not had any patient who needed 5 ablations. Before proceeding with 5 ablations (in your case, now 6 ablations, including a redo procedure), I would get a second opinion. I hope that this extensive answer helps you make the right decision.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8623_1538075777.jpg
Answered by Normand Miller, MD, FACS, RPVI, RVT

This is a difficult question. In general you would like to see some certification related to the treatment of vein disease, such as Vascular Surgery or Phlebology. It is recommended to be seen in a center that has accreditation (by the IAC) as a Vein Center and as a Vascular Laboratory. You would also appreciate seeing some of the before and after pictures from that specific practice and have an idea of how many such procedures they have done.

I become very concerned when I see such an extensive number of procedures that appear in the original plan, irrespective of the amount of disease that you have. I have been managing Vein Disease for over 20 years. I have performed over 2500 ablation procedures. It is only a rare patient that has required 4 different ablations. I have not had any patient who needed 5 ablations. Before proceeding with 5 ablations (in your case, now 6 ablations, including a redo procedure), I would get a second opinion. I hope that this extensive answer helps you make the right decision.

Published on Jul 11, 2012


Related Questions for Endovenous Laser Ablation

Endovenous Laser Ablation -10 answers
I had EVLT about 10 days ago , now I have a big knot on my inner thigh and when I touch it, it still hurts , I had a lot of pain the day after the surgery and I couldn't bend my leg. Is this normal?
See More
Endovenous Laser Ablation -8 answers
If I have had large vessels such as the saphenous closed, is there chance of circulatory problems later on?
See More
Endovenous Laser Ablation -9 answers
Can you please detail some of the restrictions after EVLT?
See More
Endovenous Laser Ablation -10 answers
I am just over 2 weeks post EVLT and still have pain. As long as I take an anti-inflammatory the pain subsides. Visually the inner thigh looks good. How much longer will the pain last?
See More
Endovenous Laser Ablation -8 answers
It has been a week since my EVLT procedure, and I am wondering if I should continue wearing the compression stocking?
See More
Endovenous Laser Ablation -11 answers
I had swelling in my left foot and my doctor confirmed that the valves in two of my veins were not working properly. I had these veins closed with endovenous laser ablation, but four weeks later I still have swelling in my foot that doesn't go away. Is this normal?
See More
Endovenous Laser Ablation -10 answers
I have burning pain at my incision site 3 weeks after endovenous laser ablation. It isn't constant, just when it is touched or rubbed. Could this be nerve damage or a hair follicle that is irritated from the incision?
See More
Endovenous Laser Ablation -6 answers
I had endovenous laser treatment and sclerotherapy performed on both the greater and lessor saphenous veins of my legs. It was done on the same day. After a couple of weeks I started feeling numbness and tingling in my legs, mostly below the knee and through my feet. Will the feelings ever go away?
See More
Get answers from our experienced doctors.
How it works
Endovenous Laser Ablation -6 answers
Or does the treatment permanently remove them?
See More
Endovenous Laser Ablation -5 answers
I had EVLT done about three months ago..right after the EVLT procedure i started feeling weird sensations in my ankle and now the pain seems to get worse every day? Could this pain be associated with the procedure?
See More
Endovenous Laser Ablation -6 answers
I am about two months into treatment for chronic venous insufficiency? I have had laser ablation and foam sclerotherapy with very little results. Can anything be done to treat lipodermatosclerosis after the veins are treated. I wear compression hose.
See More
Endovenous Laser Ablation -13 answers
I had my GSV ablation done 13 days ago and still have intense pain in a segment on the inner thigh just above the knee. Is this level of pain normal and, if so, for how long? I have to take Advil for relief, but my stomach is sensitive to NSAIDS.
See More
Endovenous Laser Ablation -9 answers
I've heard that ELA can result in deep vein thrombosis. Is this true, and how common is this complication? Is there any way to prevent it?
See More
Endovenous Laser Ablation -7 answers
EVLT 5 days ago GSV. No serious pain yet. Compression stocking to come off tomorrow, but bruising seems excessive with dark patches and tenderness to touch. I was told to use heating pad, and now I'm reading not to do that. What should I do?
See More
Endovenous Laser Ablation -5 answers
What are the side effects of drinking alcohol after my evla?
See More
Endovenous Laser Ablation -4 answers
I have sharp stabbing pains in my leg. It's very painful and the Motrin did not help. I was in tears! This went on for a couple of days. The pain is on my right leg and my left leg isn't painful at all. What could this be?
See More
Endovenous Laser Ablation -12 answers
Does this procedure hurt?
See More
Endovenous Laser Ablation -10 answers
It's been a year since my surgery and I still have bruising. Does that mean it's permanent?
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR