Varicose Veins Treatment in Las Vegas

Symptoms of Varicose Veins

Varicose veins do not always cause symptoms, but many patients experience uncomfortable or progressive signs that may indicate underlying chronic venous insufficiency (CVI). Symptoms often worsen after prolonged standing or sitting and may improve with leg elevation.

Common symptoms of varicose veins include:

Aching or throbbing leg pain
Heaviness or fatigue in the legs
Swelling in the ankles or lower legs
Burning, itching, or tingling sensations
Muscle cramping, especially at night
Restless legs
Skin discoloration or darkening around the ankles
Thickened or hardened skin near affected veins
Non-healing wounds or venous ulcers

In more advanced cases, damaged veins can lead to inflammation or blood clots in superficial veins (superficial thrombophlebitis). Although less common, untreated vein disease may increase the risk of complications over time.

If you notice persistent leg discomfort, swelling, or visible bulging veins, a vascular evaluation with Dr. Zia Khan can determine whether your symptoms are cosmetic or a sign of a deeper circulation issue. As a Las Vegas vein specialist with advanced training in endovascular procedures, Dr. Khan focuses on treating the underlying cause of vein disease — not just the visible symptoms. Early diagnosis allows for simpler, minimally invasive treatment options and may help prevent long-term complications.

Varicose Vein Treatment Options

Treatment for varicose veins depends on the severity of your condition, your symptoms, and whether chronic venous insufficiency (CVI) is present. At Desert Cardiovascular Consultants in Las Vegas, Dr. Zia Khan takes a personalized approach to vein care, using ultrasound-guided evaluation to identify the underlying source of vein dysfunction before recommending treatment.

Endovenous Laser Ablation (EVLA)

Endovenous laser ablation is a procedure that uses targeted laser energy to close damaged veins from the inside. Using advanced vascular imaging, a small catheter is inserted into the affected vein. Heat from the laser seals the vein shut, allowing blood to reroute naturally through healthy veins.

Benefits include:

Performed under local anesthesia
Minimal discomfort
No large incisions
Quick return to normal activities
Long-term symptom relief

Radiofrequency Ablation (RFA)

Radiofrequency ablation is similar to laser treatment but uses controlled radiofrequency energy to gently heat and close the vein. This technique is precise and often associated with less post-procedure discomfort.

RFA is highly effective for treating larger varicose veins caused by venous reflux and is commonly performed in-office.

Ultrasound-Guided Sclerotherapy

Sclerotherapy involves injecting a specialized solution into smaller varicose or spider veins. The solution irritates the vein lining, causing it to collapse and eventually fade from view.

This treatment is often recommended for:

Smaller surface veins
Residual veins after ablation
Cosmetic improvement
Multiple sessions may be needed for optimal results.

Phlebectomy

For larger surface veins that are close to the skin, a phlebectomy may be recommended. During this procedure, tiny micro-incisions are made to remove the vein directly. The incisions are so small they typically do not require stitches and leave minimal scarring.

This approach provides immediate removal of visible bulging veins and is often combined with other treatments for comprehensive results.

Chronic Venous Insufficiency (CVI) and Varicose Veins

Varicose veins are often a visible sign of chronic venous insufficiency (CVI), a condition that occurs when the valves in the leg veins weaken and allow blood to flow backward and pool. This increased pressure causes veins to enlarge and become twisted or bulging beneath the skin. While some people experience only cosmetic concerns, others develop symptoms such as leg heaviness, swelling, aching, or skin changes — all of which may indicate underlying venous reflux.

Because CVI is a progressive circulation disorder, proper evaluation is important. A vascular (duplex) ultrasound allows your provider to assess blood flow, identify valve dysfunction, and determine whether deeper vein disease is present. If left untreated, CVI can worsen over time and may lead to persistent swelling, skin damage, or even venous ulcers. Early diagnosis and treatment can help relieve symptoms, improve circulation, and prevent long-term complications.

Schedule Your Varicose Vein Evaluation in Las Vegas

You don’t have to live with leg pain, swelling, or uncomfortable varicose veins. Whether your concerns are cosmetic or related to circulation, an early evaluation can help prevent complications and restore healthy blood flow. A comprehensive vascular assessment can also distinguish venous disease from other circulation conditions, such as Peripheral Artery Disease, ensuring you receive the most appropriate treatment.

At Desert Cardiovascular Consultants, board-certified interventional cardiologist Dr. Zia Khan, MD, FACC, FSCAI, performs advanced vascular ultrasound to identify the underlying cause of your symptoms. If treatment is recommended, you’ll receive a personalized plan using minimally invasive, image-guided techniques designed to provide long-term relief with minimal downtime.

Call today or use the online booking tool to schedule your evaluation.

725-726-3162

Frequently Asked Questions About Varicose Veins

Why do I have varicose veins?▼

Why do I have varicose veins?

You have varicose veins because of damage to the valves or walls in your veins, allowing blood to flow backward and pool. The pooling blood causes the veins to expand, making them visible.

Many people develop varicose veins as they age because of age-related changes that affect the elasticity of the veins, making them weak. You’re at greater risk of developing varicose veins if they run in your family or you spend a lot of time standing or sitting.

Varicose veins may affect any vein in the body but are more common in the legs.

Should I worry about varicose veins?▼

Should I worry about varicose veins?

You have varicose veins because of damage to the valves or walls in your veins, allowing blood to flow backward and pool. The pooling blood causes the veins to expand, making them visible.

Varicose veins aren’t a serious health concern. However, they’re a sign of a potential circulation problem and can cause uncomfortable symptoms, such as:

Leg fatigue
Muscle weakness
Itching or burning sensation
Swelling in the ankles
Leg ulcers

If you have varicose veins that cause these symptoms, schedule an appointment at Desert Cardiovascular Consultants.

What happens during a varicose veins evaluation?▼

What happens during a varicose veins evaluation?

Dr. Khan takes a patient-centered approach to care, asking detailed questions about your concerns and goals. He reviews your medical and family histories and performs a physical exam.

He then conducts a vascular ultrasound to evaluate the movement of blood through your veins to confirm or rule out chronic venous insufficiency (CVI), a vascular condition in which the veins in the legs cannot adequately pump blood back to the heart.

Is varicose vein treatment covered by insurance?▼

Is varicose vein treatment covered by insurance?

Insurance coverage depends on whether your varicose veins are considered medically necessary to treat. If you are experiencing symptoms such as leg pain, swelling, skin changes, or ulcers, treatment is often covered after a documented evaluation and ultrasound confirming chronic venous insufficiency. Cosmetic-only treatment may not be covered. Our office can help verify your benefits prior to scheduling a procedure.

How long does varicose vein treatment take?▼

How long does varicose vein treatment take?

Most minimally invasive vein procedures, such as laser or radiofrequency ablation, take approximately 30–60 minutes and are performed in an outpatient setting. Patients typically walk out the same day and return to normal activities within 24–48 hours, depending on the treatment performed.

Is varicose vein treatment painful?▼

Is varicose vein treatment painful?

Modern vein treatments are designed to be minimally uncomfortable. Procedures are performed using local anesthesia, and most patients describe only mild pressure or temporary soreness afterward. Over-the-counter pain relievers and compression stockings are usually sufficient during recovery.

Varicose Vein Treatment in Las Vegas, NV