(850) 654-5222 destinvein@gmail.com

Treatment Options

The healing process begins with you. And with a multitude of treatment options available, vein health is well within your reach.

Dr. Grisoli Uses a Variety of Techniques

With ongoing advancements in medical research and technology, the list of available treatment options for vein conditions continues to grow every year. State-of-the-art medical procedures allow varicose and spider veins to be treated more effectively and safely than ever before. Generally, there are two categories of treatment choice:  conventional (non-corrective) techniques and restorative techniques. Dr. Grisoli will be able to help you navigate the sea of treatment choices and arrive at a decision concerning which option will be most effective for you.

From compression stockings to minimally invasive surgical techniques, there is a wide array of options available to treat vein disease. Dr. Grisoli can help you identify the method, or methods, best for you. These corrective therapies include: sclerotherapy, endovenous thermal ablation, endovenous chemical ablation, ambulatory phlebectomy, compression and venotonics. In many cases, a combination of treatment methods works best.


Sclerotherapy can be used to treat both varicose and spider veins. This procedure employs the use of a tiny needle to inject the veins with one of several different kinds of chemical sclerosants. These irritate the lining of the vein, which in response, collapses, seals shut, and is reabsorbed by the body. The number of sclerotherapy treatments needed is variable, and depends on the number, size, and type of veins being treated. Typically, a patient will receive several injections per treatment session. The procedure is always performed in Dr. Grisoli’s office, without the need for a local anesthetic. Generally, all normal activities can be resumed immediately after a sclerotherapy treatment. It is usually recommended that prescription compression stockings and/or leg wraps be worn for three to seven days after treatment.

Endovenous Thermal Ablation

Endovenous thermal ablation (laser and radiofrequency treatment or ablation) is a therapeutic alternative to surgical stripping of varicose veins. These procedures are performed while Dr. Grisoli uses ultrasound to observe the vein. A small catheter or laser fiber is inserted through a needle into the damaged vein. Thermal energy, in the form of heat, is then delivered to the inside the vein. This causes the vein to collapse and seal shut. Over the course of several months, the body absorbs the treated vein and it disappears. The procedure is always done in the doctor’s office using a local anesthetic and mild to moderate oral sedation. Afterwards, a leg wrap or prescription compression stocking is usually placed on the treated leg for one to three weeks. Patients are able to walk and resume most normal activity immediately after the procedure. The majority of treated individuals are able to return to work the next day.

Endovenous Chemical Ablation

Also known as ultrasound-guided sclerotherapy, endovenous chemical ablation is another treatment alternative to surgical removal of varicose veins. During this procedure, Dr. Grisoli injects a chemical irritant, called a sclerosant, into the vein while the injection process is observed on an ultrasound screen. This allows unseen veins that are below the surface of the skin to be treated safely and effectively. Endovenous chemical ablation causes the vein to collapse and seal shut, in much the same way as endovenous thermal ablation, and can be performed with liquid or foamed sclerosants. This procedure is also usually performed in Dr. Grisoli’s office and generally does not even require local anesthesia. It is not uncommon for a leg wrap or prescription compression stocking to be placed on the treated leg for one to three weeks. Patients are encouraged to walk immediately after the procedure and resume most normal activity right away.  Most individuals are able to return to work the next day.

Ambulatory Phlebectomy

Ambulatory phlebectomy, or microphlebectomy, is another method of vein surgery.  Using this procedure, Dr. Grisoli removes veins that are visible at the skin’s surface through tiny punctures in the skin. Small nicks made next to the vein and segments of vein are removed through these tiny incisions. Phlebectomy is frequently done in Dr. Grisoli’s office using only local anesthesia and stitches are rarely needed. It is often done in conjunction with endovenous thermal ablation or other surgery. Afterwards, a leg wrap and/or compression stocking is worn for one to three weeks. Generally, normal activities can be resumed in a few days and a patient can go back to work shortly thereafter.


Compression is most effectively applied through the use of prescription graduated support stockings. These come in nearly every imaginable size, shape, length, and color. They range from thick and opaque to thin and sheer. At Destin Vein Center we provide graduated support stocking to our patients at our cost. We provide nude, thigh high, open toe stocking in a 20-30 mm Hg compression. If you prefer black or some other color or have an especially unusual leg shape, you may benefit from a visit to a professional stocking fitter at a durable medical supplier. Seeing a stocking fitter in person allows you to be measured and placed in the most effective and comfortable stocking for the size and shape of your leg. Experienced stocking fitters can also provide you with helpful tips on how to use your stockings most conveniently and effectively.


Since venotonic preparations are typically made from plant extracts, they can be obtained without a prescription and are commonly found in health food stores. A venotonic that is frequently used in the United States is Horse Chestnut. Conventional treatments can often be helpful in alleviating symptoms that can be caused by varicose veins, especially swelling. Venotonic preparations are usually well tolerated and have few side effects, but they have no effect on the appearance of prominent veins. Generally speaking, conventional or non-corrective treatment measures can only provide temporary and less definitive treatment for your vein problem.