Varicose Veins

At Capitol Vein and Laser Centers, we offer a range of minimally invasive procedures to eliminate varicose veins and make legs look better and feel healthier.

What are Varicose Veins?

Varicose veins are enlarged leg veins that bulge outward and often are associated with leg aching, heaviness & cramping. Varicose veins commonly worsen over time and can produce increased discomfort, leg swelling, skin changes, restless leg syndrome and risk for blood clots.

What Causes Varicose Veins?

To understand varicose vein causes, it’s necessary to understand how blood moves in the leg veins. The heart pumps the blood down the arteries to the legs. Healthy leg veins have one-way valves inside them that only allow blood to flow upward against gravity, towards the heart.

Under normal conditions (that is, in legs without venous insufficiency or other varicose veins causes), valves in the leg veins keep blood moving towards the heart, resisting the pull of gravity. Varicose veins develop when the one-way valves in the leg veins fail to work, allowing gravity to keep blood in the legs. The vein branches then distend and cause varicose veins, which lead to leg vein pain and other symptoms. Usually, patients with venous insufficiency note aching, heaviness, swelling, itching and even restless legs – all are common varicose vein symptoms.

Understanding Venous Insufficiency

Leg veins return blood from the lower extremities to the heart. Proper vein blood flow occurs against gravity. Pumped by the leg muscles, venous blood travels through one way valves in the leg veins which allow only upward flow toward the heart.

Venous insufficiency occurs when the one way valves fail or “leak,” allowing blood in the vein to follow gravity and flow backward toward the feet. This causes pressure to build up in the veins, distending them so that they bulge out of the surface of the skin and cause leg vein pain. Symptoms such as aching, fatigue, swelling and skin color changes can occur and worsen over time if the varicose vein causes are left untreated.

Varicose Vein Treatments:

  • Venaseal™ is a more recent FDA cleared treatment option, that closes the diseased vein by instilling a "glue" to seal it closed. The procedure has minimal discomfort and recovery. Medical insurance companies are expected to cover this treatment in 2018. Dr. McNeill and Dr. Rosenberg were the first physicians in Maryland & Virginia to perform this treatment.

  • VNUS Closure Procedure also known as thermal ablation, uses a tiny catheter inserted into the leaking, nonfunctioning vein. Radiofrequency energy is used in the catheter to deliver thermal energy to the vein wall, heating so that it contracts down and seals closed. Laser offers another form of thermal ablation. Dr. McNeill and Dr. Rosenberg were involved with the clinical trial studies for this treatment and have taught VNUS Closure to over 1000 physicians throughout the years.

  • ClariVein® is a Mechano-chemical ablation, stopping venous reflux by using liquid sclerotherapy introduced via a special vibrating catheter, to close the vein. Dr. McNeill and Dr. Rosenberg were involved with the clinical trial studies for Clarivein.

  • Varithena is a chemical ablation technique using a specially formulated foamed sclerotherapy agent to cause constriction and injury to the vein,. This effectively eliminating the diseased vein. Dr. McNeill and Dr. Rosenberg were involved with the clinical trial studies for Varithena.

  • Microphlebectomy is used to treat unhealthy, bulging surface veins that do not regress after ablation of the main diseased vein. This is done with local anesthesia via tiny nicks in the skin. There are no stitches and no scarring. Minimal down time and beautiful outcome.


Doctors Paul McNeill and Garth Rosenberg are board certified in Vascular Surgery and have decades of experience effectively treating varicose veins with beautiful aesthetic results. Your legs will be healthier, feel better and look younger.

We offer the latest high-tech solutions that can be performed in-office under local anesthesia. Treatment requires little to no down time. The care of venous disease is typically covered by insurance plans because vein procedures are medically necessary to prevent worsening.

Each of these varicose vein procedures is available at all of our conveniently located offices. Our doctors will determine the most appropriate treatment for your condition.

Varicose Vein Treatment Options

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Insurance Accepted

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Capitol Vein & Laser Centers participates with all major insurance plans; including Medicare and Medicaid. Varicose veins are a progressive medical condition that is covered by most insurance plans. For more information, call
(866) 695-8346.