Varicose Veins

Varicose Veins

Spider Veins, Phlebitis, and Other Vein Conditions

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The Duke Vein Clinic focuses on the causes of varicose veins or leg pain to best treat your medical and aesthetic concerns. We are committed to your complete circulatory health through comprehensive screening and treatment.

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Comprehensive Care for Varicose Veins

Whether your condition is cosmetic or complex -- from spider veins to phlebitis to challenging leg pain or skin ulcers -- we have the experience, resources, and technology to help. We develop a treatment plan to meet your specific goals. Our vascular experts use specialized imaging to capture pictures of the blood flow in your legs in order to make recommendations for treating your condition and improving your symptoms.

We recognize that vein conditions are often associated with quality of life. Many vein clinics treat varicose or spider veins without medical qualifications and experience; the emphasis is on cosmetic appearance. Our vascular experts work with you to review your symptoms and assess and treat your overall circulatory health, in addition to treating your aesthetic concerns.

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Duke Health offers locations throughout the Triangle. Find one near you.


Our vein experts work with you to develop a treatment plan driven by your goals to improve your skin’s appearance and treat your overall circulatory health.

Lifestyle Management

Many patients benefit from the daily use of tight-fitting compression stockings that improve blood flow and, in some cases, relieve leg pain. Other recommendations may include weight loss or increased physical activity.


A safe, proven, and nonsurgical treatment, this in-office procedure is performed for both spider veins and varicose veins. A tiny needle is used to inject saline or mild detergent into the target vein. The solution causes the vein to fade or appear lighter in color. The solution also causes vein walls to adhere together, preventing blood from filling it again.  Blood is redirected to healthier veins, and the treated vein fades.

Endovenous Ablation Technologies

Designed to close large, long veins, this procedure targets heat energy inside the vein to seal it shut. The sealing is performed by a laser or radiofrequency treatment. Endovenous laser ablation or radiofrequency ablation are minimally invasive and highly effective. They are performed in a comfortable office setting without general anesthesia and leave no scars.

Vascular Laser

The Excel V laser uses two different wavelengths to treat skin discolorations such as rosacea and red veins on the face, and tiny veins on the legs that are on and below the skin’s surface.

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Ultrasound Screening

We use ultrasound technology to see beyond the superficial images of the veins near the skin and better understand your overall vein health and blood flow. Our duplex ultrasound is designed to provide clear images of veins and blood flow. These images help us determine the most effective treatment for you.

Duke University Hospital is nationally ranked in 10 adult specialties
Consistently Ranked Among the Nation’s Best Hospitals
In addition, Duke University Hospital is proud to be named the best hospital in North Carolina, and nationally ranked in 10 adult and 9 pediatric specialties by U.S. News & World Report for 2019–2020.

Why Choose Duke for Your Varicose Vein Treatment

Thorough Diagnosis
We do a comprehensive review of your symptoms to understand the source of your concern. Cosmetic issues such as varicose veins may be caused by more complex underlying factors. 

Leaders in Vascular Research
In addition to participating in ongoing training and research, our vascular experts have helped write new treatment guidelines for the National Society of Vascular Surgeons, the organization that sets professional care standards.

Pioneers in New Technology
Our vein doctors embrace duplex ultrasound innovations as well as the use of MRI (magnetic resonance imaging) to create detailed pictures of veins and arteries. We help vein patients by deploying laser and radiofrequency technologies to close long veins rather than use the outdated, less-effective process of stripping veins from your legs.

Treating Both Cosmetic and Complex Circulatory Conditions
Our physicians successfully treat every type of circulatory disease. We recommend the right treatment course for you, based on our high-tech imaging for deep vein analysis as well as our experience in managing outpatient care for varicose or spider veins.