Varicose Veins Specialist

Nellestein Vein Institute

Vein Specialists located in Saint Joseph, MO

If you have ropey, raised veins in your legs that often ache or burn, you know the discomfort of varicose veins. These veins simply aren’t functioning properly but can be treated successfully to reduce discomfort and smooth out the appearance of your skin. At Nellestein Vein Institute, vein specialist Dr. Michael Nellestein offers successful treatment for varicosities. Residents of Saint Joseph, Missouri, and the greater Northwest Missouri region, can call the office or book an appointment online to have their veins examined and treated successfully.

Varicose Veins Q & A

What causes varicose veins?

Veins return blood to the heart from all of your other organs. They contain one-way valves that allow the blood to flow upward from the legs. When these valves become damaged and incompetent, you have a condition known as chronic venous insufficiency. Blood leaks backward toward the foot, and blood pressure builds up in the leg for long periods of time. This results in the bulbous, twisted, and enlarged veins that exist close to the surface of the skin.

Varicose veins can progress to complications such as skin damage, chronic leg swelling, blood clots, ulceration, and even spontaneous bleeding.


Who is at risk of developing varicose veins?

Approximately 25% of adults have varicose veins, and they most commonly occur in women. Your risk of developing varicose veins increases if:

  • Your parents had varicose veins
  • You’re pregnant
  • You’re an older adult


What are the symptoms of varicose veins?

Varicose veins look ropey and raised. They’re often bluish or dark purple and may be tender to the touch. Other common symptoms include:

  • Burning, throbbing, and cramping around the veins
  • Itching and swelling around the veins
  • Hardening of the vein and inflammation of the skin
  • Restless and tired legs
  • Leg heaviness
  • Ulcers and chronic wounds in lower legs


How do I know if I need treatment?

Dr. Nellestein does a thorough examination and ultrasound to determine if your varicose veins are a sign of venous insufficiency. The ultrasound helps him determine the severity of chronic venous insufficiency.

Varicose veins that bother you aesthetically, but are not a result of chronic venous insufficiency can be treated — but insurance usually does not cover the procedure.


How are varicose veins treated?

The first steps in treating varicose veins include lifestyle changes to manage your symptoms. This includes avoiding long periods of standing, wearing medical-grade compression stockings, exercising to improve circulation, and losing weight if you are carrying excess pounds.

When lifestyle changes don’t bring you relief, Dr. Nellestein treats your veins with minimally invasive techniques including minor surgery, endovenous ablation, and sclerotherapy. The exact treatment plan depends on the severity of your condition. Please see endovenous ablation and sclerotherapy.

If you have any leg problems at all, whether or not you have varicose veins, come in for a free consultation with Dr. Nellestein, and he will help diagnose and treat your problem. Call or book an appointment online today.

The Nellestein Vein Institute is the only facility within a 40,000 sq mile radius offering every state-of-the-art treatment, including thermal and non-thermal ablation, sclerotherapy, phlebectomy and spider vein management.