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Varicose Veins
Varicose Vein Treatment in Los Angeles



There are many different conditions that lead to varicose veins and spider veins.  Understanding the difference between cosmetic spider veins and medical varicose veins can make a difference in the longterm management of vein problems.  Using state-of-the-art ultrasound and vein mapping techniques, our board certified vein surgeon can help you diagnose and treat your problem veins.  Spider and varicose veins may be an early warning sign of an unhealthy vein network.  Schedule a consultation today by calling (310) 998-5533.



Do you suffer from varicose veins? Do you have unsightly veins on your legs and thighs? Do you have a strong family history of veins in the family? Well, you are not alone, as there are tens of millions of varicose vein sufferers in the United States who live with the problem every day.  Fortunately, newer laser advancements in varicose vein treatment make it easier and safer to undergo these procedures.  


When choosing a varicose vein specialist, one of the most important determinants of qualification in vein treatment is board certification in vein surgery by the American Board of Phlebology (Vein Surgery).  Dr. Raffy Karamanoukian is a double board certified surgeon and surgical director of our Los Angeles vein clinic.  He is a diplomate of The American Board of Plastic Surgery, The American Board of Phlebology (Vein Surgery), and a Fellow of the American College of Surgeons. He possesses the qualifications to address your medical and cosmetic varicose vein issues.


A condition known as venous reflux can cause veins to malfunction or become incompetent.  This leads to characteristic changes in the shape and size of veins, leading to a condition known as varicose veins.  The majority of patients just live with the progressively bulging veins until they start to cause symptoms.  The most common symptoms associated with varicose veins include pain, discomfort, itching, burning, swelling, cramping, restlessness of the feet, throbbing, and heaviness.  These symptoms can be an early warning sign of more problematic problems in the future.  


Varicose veins are very common among healthy adult men and women.  Unlike smaller spider veins on the legs and thighs, varicose veins may be a sign of venous insufficiency and may progress from being a purely cosmetic problem to one that is a combination of cosmetic and medical.  Dr. Karamanoukian is a double board certified surgeon who is a diplomate of the American Board of Plastic Surgery and the American Board of Phlebology (Vein Surgery).  He is the surgical director of Santa Monica Vein Center and can provide comprehensive diagnosis and treatment of spider veins, reticular veins, and varicose veins. Varicose veins can be unsightly, but can also be uncomfortable, often associated with itching, burning, fatigue, muscle weakness, achiness, throbbing, restlessness, and swelling of the legs. 


Santa Monica Varicose Veins


Varicose vein treatment should be performed by a board certified vein specialist who is a Diplomate of the American Board of Phlebology.  Our surgical director and vein specialist, Dr. Raffy Karamanoukian, performs the following procedures at the Santa Monica Vein Center: 

  1. VNUS Closure Fast Endovenous Radiofrequency Ablation of Saphenofemoral Reflux
  2. VNUS Closure RFS Endovenous Radiofrequency Ablation of Incompetent Perforator Veins.
  3. EVLT Endovenous Laser Ablation of Saphenofemoral Reflux
  4. Microphlebectomy - Surgical removal of incompetent varicose veins and perforator veins using tiny incisions.
  5. Sclerotherapy with Polidocanol, Asclera
  6. Sclerotherapy with Hypertonic Saline (Salt Water Injections)
  7. Dynamic Foam Sclerotherapy
  8. Ultrasound Guided Foam Sclerotherapy
  9. Laser Vein Removal
  10. Transilluminated Sclerotherapy
  11. Unna Boot Therapy
  12. Vein Compression Stockings

Evaluation of your varicose veins is an important initial step in the treatment of spider veins and small broken capillaries on the legs and thighs.  Spider veins may arise from varicose veins and deeper saphenofemoral reflux, which leads to progressive enlargement of the spider vein cluster that occurs under the skin. If the spider veins are isolated and not associated with underlying vein problems, treatment with sclerotherapy or laser saphenous vein reflux, will usually lead to complete elimination of your spider veins.  If the spider veins are linked to a deeper vein problem, then simple sclerotherapy or laser spider vein treatment will likely lead to high rates of recurrence.  During your spider vein or varicose vein consultation, Dr. Karamanoukian will evaluate your legs and determine if there is an underlying vein problem.  If there is, a diagnostic study such as a vein ultrasound will likely be ordered.  If the spider veins are purely cosmetic, our office will schedule you for a spider vein treatment with laser or sclerotherapy. 


Sclerotherapy los angeles


Patients with a significant history of varicose veins also have symptoms associated with these bulging varicosities.  Although symptoms of varicose veins vary from person to person, the most common types of vein problems include bulging or knotted varicose veins that arise from the surface of the skin, leg and thigh fatigue, poor exercise tolerance, swelling in the legs and ankles, burning or itching, throbbing in the legs, leg cramps, a feeling of heaviness in the legs, and restless legs.  Restless legs, a condition wherein the feet and legs feel uncomfortable unless they are moved constantly, has been associated with venous reflux and venous disease. 


Dr. Karamanoukian uses the latest minimally invasive vein techniques to treat your vein problems with minimal downtime and discomfort.  Unlike vein procedures that were performed one or two decades ago, newer vein treatments use micro-incisions or microneedles to eliminate spider and varicose veins.  Microsclerotherapy, Dynamic Foam Sclerotherapy, and EVLT allow patients to return to normal non-strenuous activities immediately after treatment. 


During your consultation and vein examination, Dr. Karamanoukian will also review the causes of varicose veins and vein disease.  In the majority of cases, there is a genetic or family tendency towards developing varicose veins.  This may be further exacerbated by pregnancy, hormones, lifestyle and activity level, and amount of abdominal stress caused by heavy lifting or strain.  Some patients may also have developed varicose veins as a result of trauma or injury. 




Endovenous laser ablation of the greater saphenous vein can treat a condition known as saphenofemoral reflux, which is the causative factor for varicose veins in many healthy patients who develop varicose veins. Recently featured on Fox TV, EVLT treatments offer patients and safe and non-invasive treatment for bulging varicose veins that are symptomatic.  EVLT can be used to improve varicose veins that are cosmetically unappealing and medically symptomatic.  Varicose veins can often lead to many symptoms of pain, achiness, and leg cramps that can lead to progressive weakness and physical debility. If you are having symptoms associated with your varicose veins, schedule a consultation for EVLT treatment in Los Angeles at the Santa Monica Vein Center. 


EVLT Los Angeles


EVLT and endovenous ablation of the greater saphenous veins should be performed by a knowledgeable surgeon and diplomate of the American Board of Phlebology (Vein Surgery).  Phlebology is a subspecialty that focuses on the treatment of venous disease and varicose veins.  Dr. Raffy Karamanoukian is a double board certified surgeon and diplomate of the American Board of Phlebology.  


Since the inception of non-invasive vein therapy using endovenous laser and endovenous radiofrequency, Dr. Karamanoukian has performed thousands of endovenous ablation procedures, including EVLT and VNUS.   He is considered one of the most experienced vein treatment specialists in Los Angeles and is a Committee member for the American College of Phlebology.  He is the recipient of numerous academic honors and is currently on faculty at the University of California, Irvine Department of Plastic Surgery. 

Both VNUS Closure and EVLT are offered at the Santa Monica Vein Center and allow Dr. Karamanoukian to tailor your vein treatment to your specific situation.  Both the EVLT and VNUS systems offer distinct advantages and the decision to perform either treatment is based on a careful examination and diagnostic ultrasound.  All procedures are performed in an accredited surgical center under local anesthesia. Please contact our office to learn more about EVLT, VNUS, spider veins, varicose veins, venous reflux, and microphlebectomy. Schedule a consultation today by calling (310) 998-5535.

Dr. Karamanoukian also performs another type of vein treatment known as laser vein therapy, in which a superficial laser is used to destroy unwanted veins on the surface of the skin.  Our office uses three different types of lasers to treat superficial spider veins with high energy laser.  Your consultation will help you decide between endovenous laser therapy and laser vein therapy. 


Most people do not associate varicose vein problems with restless legs, but they have been linked in some cases.  Not everyone with restless leg syndrome has vein problems, but many patients with a condition known as venous reflux can have associated restless legs.  If you have RLS, or Restless Leg Syndrome, you may have a constant urge to move your legs and feet.  This can make someone uncomfortable during the day and may further impair sleep.  Patients who have RLS may benefit from an evaluation of their veins to determine whether a simple outpatient procedure can help solve the problem. RLS can often be associated with cramping, achiness, and generalized fatigue in the feet and legs. 


During your consultation for vein therapy, you will be provided with information regarding the most appropriate and time tested treatments available.  Our office offers the most state of the art treatments for veins available in the United States.  Your consultation for veins will include a careful medical history and vein evaluation that includes a vein mapping and examination.  Our office will also recommend a vein doppler examination which uses ultrasound to determine the depth of your varicose vein problem.  If diagnostic ultrasound shows a condition known as venous reflux, then you will be provided with options for treatment, which may include laser vein therapy, ultrasound guided therapy, radiofrequency ablation, VNUS, EVLT, Venefit, Microsclerotherapy, and Foam Sclerotherapy. Consultations are available Monday through Saturday and early morning hours are often available.  Our office will also work with your insurance company or Medicare to provide you with the most up to date procedures that are available through your insurance carrier.

Our office provides complete varicose vein and spider vein consultations for those patients with cosmetic or medical problems associated with your veins.  Unlike years past, new therapies for unwanted veins are less invasive with quicker recovery times and less risk.  During your initial consultation, Dr. Raffy Karamanoukian will provide you with a complete assessment of your vein problems, whether they are medical or cosmetic or both.  The specific goals of the consultation include:

  1. Assessment of the severity of symptoms associated with your varicose veins and spider veins
  2. Assessment of the functional or medical problems associated with your veins
  3. A diagnosis of the cause of your vein problem
  4. Determination of valvular incompetence and the presence of venous reflux
  5. A vein mapping to determine the extent of vein problems
  6. Venous topography
  7. Examination and evaluation of skin and ulcer related changes in your legs
  8. Evaluation of leg edema and circulatory problems
  9. Doppler examination of deep veins


  1. Is Dr. Raffy Karamanoukian board certified in vein surgery (phlebology)? Dr. Karamanoukian is a diplomate of the American Board of Plastic and Reconstructive Surgery and the American Board of Phlebology (Vein Surgery).  He holds both privileged honors and is the only vein surgeon in the United States who holds both board certifications simultaneously. 
  2. What is Transilluminated Sclerotherapy? Transilluminated sclerotherapy allows for directed sclerotherapy and chemical ablation of unwanted reticular veins using a vein lite transilluminating light to visualize the affected vein.  The treatment works well to highlight unwanted spider, reticular, and varicose veins underneath the skin.  Sclerotherapy is performed using approved foam sclerosants that can effectively destroy unwanted veins without surgery. 
  3. Will EVLT or Venefit treatment hurt? Compared to traditional vein stripping procedures and vein surgery, newer endovenous laser and RF treatments require no general anesthesia and minimal downtime.  Most patients do very well with the EVLT or Venefit procedures and complain of minimal pain or discomfort during and after the procedures.  If you are concerned about the procedure, Dr. Karamanoukian and his staff will discuss your concerns before surgery and help you understand the nature of endovenous therapy.  Endovenous therapy is a safe alternative to traditional surgery and has increased efficacy and shorter recovery. 
  4. How successful is laser treatment of leg veins by Los Angeles spider vein expert Dr. Karamanoukian? Leg veins are usually a broad term used to describe small spider veins and larger varicose veins that occur on the foot, ankle, legs, and thighs.  Although these legs vein started to develop as one passes their 20s and 30s, leg veins have multiple risk factors including occupation, activity level, genetic influences, hormonal influences, number of pregnancies and previous trauma.  Small thread like spider veins on the legs and thighs can be eradicated using a new laser treatment advocated by Dr. Raffy Karamanoukian at the Santa Monica Vein Center.  In the Los Angeles area, there is one obvious choice for spider vein treatment and that is with double board certified vein surgeon Dr. Karamanoukian.  Dr. Karamanoukian uses three different types of lasers to treat small spider veins as well as larger varicose veins.  The full spectrum of vein disorders are treated using our innovative strategies.  Dr. Karamanoukian was recently featured on The Doctors, Emmy award winning television show demonstrating his approach to spider veins.  Small spider veins can be eliminated using a laser system and the four basic parameters that guide the efficacy of laser vein treatment include the wavelength of a laser, the pulse duration of a vascular laser, the fluence level, and the specific spot size.  Dr. Karamanoukian is an expert in laser therapy of veins and can examine your leg vein to determine whether lasers are an appropriate match.  If you have questions about spider vein treatment or thread vein treatment in the Los Angeles area, please call our Los Angles vein clinic at 310-998-5535.
  5. What are vein ulcers? Varicose vein disease can lead to non-healing wounds along the ankles.  These wounds can be associated with skin changes, skin breakdown, and non-healing ulcers.  The size of a vein ulcer can vary from a small wound to a large gaping ulcer that erodes to the level of the bone.  Most cases of vein ulcers are associated with venous reflux and venous insufficiency. If you are concerned about a vein ulcer and wish to have it evaluated in our Los Angeles vein clinic, call our office coordinator at (310) 998-5533. Sometimes vein ulcers are called venous stasis ulcers. 
  6. Can EVLT help with vein ulcers or venous stasis ulcers? Venous stasis ulcers are often caused by underlying venous reflux and venous insufficiency.  If the venous reflux can be localized to the saphenofemoral junction, then EVLT can help treat the venous stasis ulcers and hasten the healing process.  Localized wound care and Unna boot therapy can also provide help for these ulcers. 
  7. How do I decide whether I have varicose vein problem or a cosmetic spider vein problem? The significance of vein problem is usually not immediate, but usually progresses over a lifetime and begins to impair the overall circulation.  Some women have very mild cases of cosmetic spider veins or thread veins that may appear as red or purple blood vessels underneath the skin.  These small thread like veins can occur as a result of sun damage, aging, and genetic influences.  On the other hand, Dr. Raffy Karamanoukian, a board certified plastic surgeon sees patients with deeper medical problems associated with veins.  These medical problems are known as varicose veins and venous reflux.  Examination and consultation usually can determine whether a patient merely has cosmetic vein issue or varicose vein issue.  The most common diagnostic test performed at the Santa Monica Vein Center is the Doppler or duplex scan to determine the amount of venous reflux.  Venous reflux will indicate whether there is incompetent vein perforators at the saphenofemoral junction.  Given the different types of vein disorders, Dr. Karamanoukian can examine your legs and perform a vein mapping to determine whether you will require endovenous laser therapy, laser vein therapy, or injection sclerotherapy.  The options are many and a qualified vein surgeon such as Dr. Karamanoukian will help you determine the appropriate treatment strategy.  Dr. Karamanoukian is available for consultation in the Los Angeles area by calling 310-998-5535.
  8. My dermatologist noted a dark pigmentation and discoloration in my legs that is now being called stasis dermatitis.  What is this? Stasis pigmentation or stasis dermatitis is a skin condition characterized by abnormal pigmentation and discoloration in the legs that is associated with leaking varicose veins in the context of venous insufficiency. The leg discoloration may be associated with vein ulcers. 
  9. What are some options for compression garments used to treat venous problems? There are many choices available for compression stockings, including knee high compression stockings, thigh high compression stockings, and maternity compression stockings.  Men often prefer knee high compression socks of various compression pressures. When you purchase compression stockings, you should be aware of compression pressures and also a good size fit for your stockings. 
  10. Are there different types of spider veins that pop up underneath the skin? Most spider veins occur on the surface of the skin and are often labelled as thread veins.  The majority of spider veins follow three basic patterns of growth, including linear spider veins, arborization, or spider vein clusters with a central nidus. Dr. Karamanoukian will evaluate your veins and determine whether you need cosmetic or medical vein treatment. 
  11. What is an Unna Boot for venous stasis ulcers? An Unna Boot is a local treatment for venous stasis ulcers that combines a cotton roll bandage with zinc paste that provides pressure support for the venous ulcer.  Application of the boot shoudl be performed by a trained vascular specialist every seven to ten days.  The treatment period depends on the amount of exudate arising from the venous ulcer. If you are concerned about a venous ulcer and need treatment, our Los Angeles vein clinic provides options for ulcer care and Unna Boots in Los Angeles. 
  12. What are some factors that lead to venous stasis ulcers? There are many cumulative factors that can predispose to venous stasis ulcers, including old injury, scar tissue, a previous DVT, pregnancy, venous stasis, lipodermatosclerosis, phlebitis, perforator veins, and venous hypertension. 
  13. What are some of the symptoms associated with venous stasis ulcers? Our Los Angeles vein clinic offers treatments for venous stasis ulcers and patients who have these ulcers often complain of associated problems, including itching and dryness of the skin, leg swelling, skin discoloration, venous eczema, chronic wounds, and ulceration and blistering of the skin. If you have venous stasis ulcers, we recommend local therapy, treatment for venous reflux if present, and elevation of the legs.  Compression therapy may help with the problem. 
  14. What is Clarivein endovenous therapy? Our Los Angeles vein clinic provides comprehensive vein treatments including endovenous therapy, sclerotherapy, and laser vein therapy.  Clarivein is a new FDA approved percutaneous infusion catheter that utilizes mechanicochemical ablation techniques to reduce venous reflux.  The Clarivein procedure received FDA clearance as an infusion catheter to treat venous reflux and longstanding vein disease. Clarivein is a revolutionary endovenous technique that is touted as the next generation in minimally invasive treatments for venous reflux and vein disease.  The technology is based on non-thermal vein ablation that has many benefits, including FDA approval, decreased risk of thermal injury, minimal risk of paraesthesia, decreased discomfort, and minimal bruising.  The method of action of Clarivein includes mechanical agitation of the endothelium and sclerosant-based vein ablation.  Clarivein is a safe and effective procedure used to treat venous reflux. 
  15. What is the first step to treat my spider veins and varicose veins in Los Angeles? One of the most common conditions affecting the legs and thighs are known as spider veins and varicose veins.  A detailed examination of vein mapping should always be performed prior to the initiation of any treatment for spider veins or varicose vein.  Although spider vein injection and spider vein laser are relatively easy to perform, the most important determinant of proper treatment includes a detailed physical examination, evaluation of venous reflux, and vein mapping.  Dr. Raffy Karamanoukian is a board certified vein surgeon and a board certified plastic surgeon who specializes in the management of complex and cosmetic spider and varicose vein problems.  He is available for consultation in the Los Angeles area and can evaluate your legs to determine whether there is only a cosmetic spider vein problem or deeper venous reflux or incompetent vein valves.  Large varicose veins and small spider veins can both be treated successfully in our office using the latest laser and injection sclerotherapy options.  If a treatment is performed correctly, risk and potential complications are minimized and the patients are able to have less chance of spider vein and varicose vein recurrence.  Please call our Los Angeles vein clinic at 310-998-5535.
  16. Is vein therapy covered by medical insurance? Varicose veins and venous insufficiency can arise in many different forms.  The severity of your vein problems and the amount of medical symptoms you have will determine if your medical insurance covers a particular vein condition.  In our Los Angeles practice, we have knowledgeable staff who can assist you in determining your medical benefits.  Anthem Blue Cross, Blue Shield, Anthem, United Healthcare, and others have specific policies related to your varicose vein coverage. 
  17. How do I choose the best vein surgeon in Los Angeles? The treatment of leg veins, whether they are small spider veins or larger varicose veins, should always follow a very systematic and comprehensive approach.  At the Santa Monica Vein Center, board certified vein surgeon Dr. Raffy Karamanoukian begins each examination with a thorough thigh, leg, ankle, and foot evaluation followed by vein mapping.  In doing so, Dr. Karamanoukian can avoid potential pitfalls in spider and varicose vein treatment and can diagnose the root cause of the venous problem.  Some patients will have minor cosmetic issues such as thread like veins or spider veins while other may have larger feeding vessels and incompetent vein valves that will require further treatment such as vein ligation, ambulatory phlebectomy, or newer and nonsurgical laser options such as endovenous ablation.  Many of the treatments require minutes to perform and can lead to a lifetime of improved circulation.  Dr. Karamanoukian is also board certified in phlebology and can provide you with specific options regarding sclerotherapy and newer options such as form sclerotherapy.  Vessels can be cleared in over 90% of vessels with a one single treatment.  Although recurrence is sometimes is noted, Dr. Karamanoukian’s systemic approach can minimize recurrence rate and potential complications such as pigmentation and matting.  Consultation with a vein surgeon for spider veins and varicose veins should begin with a thorough evaluation that can be scheduled with Dr. Karamanoukian by calling 310-998-5535.
  18. What are the best options for spider vein treatment in Los Angeles? The Santa Monica Vein Center provides notable expertise in the management of cosmetic thread veins and cosmetic spider veins as well as larger varicose veins.  A condition known as venous reflux is often the root cause of vein problems such as bulging varicose veins, leg vein, restless legs, and throbbing and vein discomfort.  The patients who notes chronic discomfort and pain along their veins may require a procedure known as endovenous laser ablation.  However, small cosmetic spider veins thread veins can be managed effectively using high-tech lasers and newer foam sclerotherapy options which reduce potential complications.  Minor complications include some hyperpigmentation, bruising, redness along the skin, and telangiectatic matting.  Dr. Karamanoukian has a very detailed and comprehensive approach to the management of small spider veins and believes that laser therapy is an appropriate option for many cosmetic patients. Cosmetic spider veins can be eradicated using several laser options available in our Santa Monica Vein Center.  If you have questions about spider vein treatment or wish to schedule a consultation for spider or varicose vein treatment in the Los Angeles, please call 310-998-5535 to schedule your appointment with Dr. Raffy Karamanoukian.
  19. Is it possible for veins to get worse with menstruation and pregnancy? Hormonal influences can cause increased pain and discomfort along varicose vein clusters.  This is likely due to increased blood volume and hormonal influences on the vein wall and vein valves.  If you are experiencing menstrual vein cramps, you may be a candidate for endovenous laser ablation, EVLT, radiofrequency ablation, VNUS or Venefit, or Clarivein procedures. 
  20. Choosing a board certified surgeon for EVLT or VNUS in Los Angeles: Varicose vein specialists come from various backgrounds, but board certification by the American Board of Phlebology, demonstrates a specialized expertise in the management of vein problems.  The treatment of varicose veins and vein disease has improved dramatically over the last decade with the introduction of endovenous laser and endovenous radiofrequency treatment.  These innovative and nonsurgical procedures replace old fashioned surgical vein stripping and can minimize recovery and downtime.  In order to choose the right physician, board certification is a necessary background check before scheduling a consultation.  Dr. Raffy Karamanoukian is a double board certified surgeon and surgical director of the Santa Monica Vein Center.  He is a diplomate of the American Board of Phlebology as well as the American Board of Plastic and Reconstructive Surgery.  Treatments in our Los Angeles Vein Center includes endovenous EVLT, endovenous VNUS, injection sclerotherapy, and laser varicose vein and spider vein treatment.  All procedures are performed after a thorough consultation and can be completed on an outpatient basis with minimal recovery.  Hospitalization is rarely required, even in the most severe cases.  Insurance coverage depends on the individual policy and largely depends on medical symptoms in the setting of venous disease.  A consultation with Dr. Raffy Karamanoukian will help determine whether you are a appropriate candidate for varicose veins or spider vein treatment.  Consultation includes a thorough medical history and physical examination to correlate the medical and cosmetic causes of vein problems.  To schedule a varicose vein or spider vein consultation in Southern California in Los Angeles, visit the American Board of Phlebology website for a physician locator or called the office of Dr. Raffy Karamanoukian.  If you are considering treatment for varicose veins, our Los Angeles patient care coordinator can be reached at 310-998-5533.
  21. Are varicose veins common among men? Varicose veins occur in adult men and women, but not with equal frequency.  Many hormonal factors can influence the development of varicose veins and venous insufficiency in women and these factors are less problematic in men.  Pregnancy and estrogen levels may adversely affect the development of varicose veins, making the condition much more prevalent among women.  If you are experiencing varicose veins and are concerned whether you should be seeking help for your condition, you are not alone.  Millions of healthy adults develop varicose veins and there are now some easy steps to take to minimize the pain and discomfort associated with these veins. 
  22. What are some symptoms associated with varicose veins? Problematic varicose veins are those that cause symptoms of discomfort, aching, throbbing, leg cramps, heaviness, swelling, skin changes such as skin darkening or redness, browning of the skin, numbness, tingling, night cramps, and restless legs.  You do not have to have all of these symptoms should you choose to be treated for your condition.  During your vein consultation in Los Angeles, Dr. Karamanoukian will evaluate your medical history and leg complaints in order to determine whether your condition is medical or cosmetic. 
  23. Are there any other references for vein therapy that I can read about? Dr. Karamanoukian recommends for a comprehensive review of current vein therapies offered in the United States.  Other references are and .
  24. What is superficial thrombophlebitis? Superficial thrombophlebitis is a vein condition in which a superficial vein spontaneously clots, causing pain and inflammation to occur.  The skin often becomes red, inflamed, and painful, with a hard knot underneath the skin that represents the clotted vein. Treatment of superficial thrombophlebitis begins with a careful vein examination by Dr. Karamanoukian in his Los Angeles vein clinic.  Most cases will resolve spontaneously, with the help of warm packs, NSAIDS, and a phlebitis pak.
  25. What are some risk factors for superficial thrombophlebitis (blood clots)? There are a number of reasons that people develop superficial thrombophlebitis, but it can also occur without any warning. The most obvious risk factors include bulging varicose veins, prolonged sitting or standing, injury or trauma, history of deep vein thrombosis, a genetic blood clotting disorder, medications, birth control pills, a family history of DVT or blood clots.  
  26. How do you diagnose medical varicose veins? The diagnosis of varicose veins or vein disease begins with a careful physical examination and history obtained by Dr. Karamanoukian or his associate, Kelly Cummings PA-C.  During your vein consult, Dr. Karamanoukian will perform vein mapping and ultrasound to determine the function of your veins as they relate to venous flow, venous reflux, and venous insufficiency.  The ultrasound can be used to determine the efficacy of your veins and the amount of valve damage that has occured in the proximal leg and thigh.  Treatments are then recommended based on your specific needs.
  27. What is a venous stasis ulcer in my leg? A venous stasis ulcer is a chronic wound in the legs and ankles that likely results from poor venous blood flow.  The underlying cause is usually venous reflux and venous insufficiency.  One of the fundamental treatments for venous stasis ulcers includes local wound care, but EVLT and Venefit endovenous treatments can also help solve the problem of underlying venous insufficiency. 
  28. What can I expect from my vein consultation in your Los Angeles vein clinic? Vein treatment is relatively straightforward.  We recommend that you follow these basic guidelines.  The first step is the consultation, in which we will perform a physical examination and look at your thighs, legs, ankles and feet to determine the health of your veins.  We will then review your medical history and pertinent vein-related medical problems.  A vein mapping will help 'lay out' your vein treatment plan.  The final step is to review our findings and determine a vein treatment plan that incorporates the latest advances in vein therapy. 
  29. What are the main benefits of EVLT vein treatment? EVLT stands for endovenous laser therapy in which a small laser fiber is used to destroy unhealthy veins that cause venous reflux.  The procedure is performed under local anesthesia with minimal downtime.  The main benefits are an improvement in leg vein circulation and a relief of symptoms in patients. Patients often have a short recovery with EVLT, including a mild period of minor bruising and discomfort along the treated area. 

Do you have questions about varicose vein treatment in the Los Angeles area? Our office performs all aspects of vein care, including varicose vein removal, Venefit, EVLT, endovenous ablation, sclerotherapy, microsclerotherapy, spider vein removal, laser spider vein treatment, Clarivein procedures, and foam sclerotherapy.  To schedule a consultation with board certified vein surgeon Dr. Raffy Karamanoukian, please call our office at (310) 998-5533 and speak to our office staff about varicose vein treatment cost, procedure details, procedure recovery, and scheduling.  Consultations are available Monday through Saturday.  


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