Also known as Radiofrequency Ablation (RFA), Endovenous Laser Ablation (EVLA), or Laser Ablation, venous ablation is the gold standard treatment for chronic venous insufficiency, with an approximate 98% success rate. It treats the underlying cause of varicose veins, spider veins, leg heaviness, swelling, cramps, and restless legs rather than just the visible symptoms.
This minimally invasive, in-office procedure takes 15–30 minutes, uses local anesthesia, and requires no stitches, general anesthesia, or significant downtime. Most patients return to normal activities the same day.
Venous ablation is recommended for patients with venous insufficiency or symptoms such as aching legs, swelling, varicose veins, or poor circulation. Most major insurance plans cover the procedure when medically necessary. At CURA Vein Doctors, our experienced specialists provide advanced radiofrequency and laser ablation, helping patients achieve lasting symptom relief with personalized care.
Think of vein disease like a leaking pipe hidden behind a wall. Repainting the wall may temporarily improve its appearance, but unless the leaking pipe is repaired, the damage will continue. Similarly, visible varicose veins are often the result of an underlying circulation problem known as venous insufficiency, where damaged vein valves allow blood to flow backward and pool in the legs.
The first step is a comprehensive ultrasound examination to identify the affected veins, most commonly the Great Saphenous Vein (GSV) or Small Saphenous Vein (SSV). Once the diagnosis is confirmed, the skin is numbed with local anesthesia, and a small catheter is inserted into the unhealthy vein using ultrasound guidance.
A tumescent anesthetic is placed around the vein to ensure comfort and protect surrounding tissues. The catheter then delivers controlled radiofrequency or laser energy, gently heating the vein until it seals closed. Blood is naturally redirected through healthy veins, improving circulation and relieving symptoms while preventing the condition from worsening.
Recovery after venous ablation is typically fast and uncomplicated. Your vein specialist will wrap the treated leg with an ACE bandage and recommend wearing compression stockings. The bandage can usually be removed after 24 hours, while compression stockings should be worn for at least seven days to promote healthy circulation and support healing.
Most patients experience little to no downtime and can return to work and normal daily activities immediately. Mild bruising or tenderness is common and generally resolves within a few days.
Because chronic venous insufficiency is a progressive condition, delaying treatment may increase the risk of worsening symptoms and complications. If you experience varicose veins, spider veins, leg heaviness, swelling, restless legs, or persistent leg pain, scheduling an evaluation at CURA Vein Doctors can help determine the most effective treatment plan for your needs.
