Varicose Veins

Spider Veins, Phlebitis, and Other Vein Conditions

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Duke’s experts work with you to review your vein symptoms and manage your overall vascular health. Duke focuses on finding the cause of varicose veins, other similar conditions, and any resulting leg pain so we can recommend the very best treatment for you.

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Comprehensive Care for Varicose Veins

We recognize that vein conditions are often associated with quality of life. Many vein clinics treat varicose or spider veins without medical qualifications, and with the emphasis on cosmetic appearance alone. Whether your concerns are purely cosmetic or more complex -- from spider veins to phlebitis (vein inflammation) to challenging leg pain or skin ulcers -- we have the experience, resources, and technology to address all aspects of your vein condition and help you avoid serious complications like blood clots.

Our Locations

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


Our vein experts develop a treatment plan driven by your goals for your appearance and overall circulatory health.

Lifestyle Changes

Many patients benefit from wearing compression stockings to improve blood flow and, in some cases, relieve leg pain. Other recommendations may include weight management, physical activities, physical therapy, or specific exercises.


This in-office procedure treats both spider veins and varicose veins. A tiny needle is used to inject medication into the target vein. This causes the vein to fade or appear lighter in color. It also causes the vein walls to stick together, preventing blood from filling it again, while blood is redirected to healthier veins. This procedure takes about 30 minutes.

Endovenous Laser Ablation and Radiofrequency Ablation

Designed to close large, long veins, these procedures use heat energy to seal the diseased vein shut. After numbing the incision site, your doctor will insert a thin, flexible tube called a catheter, and guide it to the problem vein. As the catheter is slowly removed, a device will heat up the vein and cause it to shut down, rerouting blood through normal veins to drain blood and fluid from the leg. Endovenous laser ablation and radiofrequency ablation are minimally invasive and highly effective. They are performed in a comfortable outpatient setting, usually take less than an hour, and leave no scars.



We use ultrasound imaging and MRI (magnetic resonance imaging) to see your veins in detail and better understand your overall vein health and blood flow. Our duplex ultrasound is specifically designed for this type of imaging. These images help us determine the most effective treatment for you.

Consistently Ranked Among the Nation’s Best Hospitals

Duke University Hospital is proud of our team and the exceptional care they provide. They are why we are once again recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 9 pediatric specialties by U.S. News & World Report for 2023–2024.

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, since issues like varicose veins can be caused by complex, underlying factors. 

Leaders in Vascular Research
In addition to participating in ongoing training and research, our vascular experts have helped write treatment guidelines for the American Venous Forum and Society for Vascular Surgeons, the organizations that set professional care standards for venous disease.

Pioneers in New Technology
Our vein doctors use duplex ultrasound and MRI to create detailed pictures of veins and arteries. We use laser and radiofrequency technologies to close veins more efficiently and less invasively than older methods.

Treating Both Cosmetic and Complex Circulatory Conditions
Our doctors treat every type of circulatory disease. We recommend the right treatment course for you, based on high-tech imaging findings and our experience in treating varicose or spider veins and leg swelling and pain.

This page was medically reviewed on 06/07/2022 by