Vein Treatment in North Virginia

Leg Vein

Comprehensive Varicose & Spider Vein Treatment

Treatment for painful or embarrassing spider veins and varicose veins is now available without the need for invasive vein surgery (or ‘vein stripping’). Virginia Vein Care, a leading vein treatment center near Washington, DC, offers a range of minimally invasive, state-of-the-art alternatives to vein surgery, including RF closure and sclerotherapy, in the convenience of our McLean, VA office.

If your legs are sore or painful, or have a “heavy feeling” as if you have been on your feet all day, you may very well have venous reflux disease. Many vein treatments relieve symptoms without curing the underlying venous reflux disease that causes varicose veins and spider veins and may eventually lead to leg ulcers. At Virginia Vein Care, our vein doctor Dr. Markovitz , vein doctor Dr. Rothstein, and their  knowledgeable staff will find a minimally invasive treatment plan to get rid of varicose veins by dealing with their underlying cause.


We offer the following vein treatment options:

Varicose Vein Treatments

Endovenous Radiofrequency Ablation (VNUS Closure®) procedure (or RF Closure)

The VNUS Closure® procedure or RF closure (radiofrequency closure) offers a minimally invasive alternative to traditional vein surgery and is used to treat saphenous, superficial, and varicose veins. In RF closure, a tiny radiofrequency catheter is inserted into the vein. The catheter delivers gentle RF energy as it is withdrawn, heating the vein wall and causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins.

Unlike traditional vein surgery, RF closure is performed in the convenience of our office under local anesthesia. The procedure also offers a quick recovery, and most patients resume normal activities within a day.

Endovenous Laser Treatment (EVLT®)

EVLT can get rid of varicose veins that previously could only be treated with vein surgery. It is a minimally-invasive procedure using a laser fiber inserted directly into the vein. EVLT is performed in the office under local anesthesia, and usually in less than 45 minutes. It involves little to no pain, and most patients are back to normal activities the next day.

Ultrasound-guided sclerotherapy

Deeper veins that are not visible on the surface may be treated by using duplex ultrasound together with sclerotherapy. Ultrasound-guided sclerotherapy is particularly helpful in treating larger, non-saphenous varicose veins.

Ambulatory Phlebectomy

Ambulatory phlebectomy is a minimally invasive technique for the direct removal of residual unsightly bulging and varicose veins. It is performed under local anesthesia, through tiny punctures that typically leave no scars and require no skin sutures. After treatment, a compression bandage or compression stockings are worn and the patient is able to walk and drive. This technique differs significantly from vein stripping and should not be confused with that procedure.

Spider Vein Treatment


In sclerotherapy, a very small needle – the size of a human hair – injects a chemical solution known as a “sclerosing agent” into the vein. The solution causes the lining of the vein to swell, shutting it down. The body will eventually absorb the treated vein. Sclerotherapy may be used to get rid of varicose veins as well as spider veins. Sclerotherapy takes only a matter of minutes, although several sessions may be required to fully get rid of spider veins.

Duplex ultrasound

At Virginia Vein Care, we use duplex ultrasound to diagnose vein disease. Ultrasound is non-invasive and painless, and allows us to examine the blood flow in your veins and determine the extent of any vein disease. We use this information to recommend an individualized treatment plan to help you get rid of varicose veins using the most effective, minimally invasive treatment options available.

VeinGogh Ohmic Thermolysis

The VeinGogh offers a superior solution for the treatment of fine telangiectasia (thread veins), spider veins and small angiomas. It can be used on any skin type and usually only requires a single 20-25 minute treatment. With the VeinGogh treatment, a fine hair-thin probe delivers a ‘microburst’ of energy to selectively heat the vein, coagulate blood within it, and collapse the vessel to facilitate body reabsorption. VeinGogh treatment offers an excellent alternative for fine thread veins on the face, nose, cheeks or anywhere else on the body. Find out more on the official VeinGogh website. Visit

Treatment for venous ulcers

We also treat venous ulcers, a condition that affects up to 1.8 million people in the U.S. Venous ulcers make up the singlemost chronic wound type treated in wound care centers. Treatments typically used in the past, centering on antibiotics, salves and compression therapy, often failed, or left patients vulnerable to a recurrence of the venous ulcer. But today, venous ulcers (which are caused by perforated veins) can often be treated more effectively using the VNUS Closure procedure described above. Venous ulcers might be treated alone or in conjunction with other vein conditions.

Closure® is a registered trademark of VNUS Medical Technologies, Inc. (San Jose, CA)