Vein Therapy


Safe & Effective Vein Therapy

There are now solutions for unsightly veins. Our professional evaluation along with our safe and effective treatment will restore your health and confidence. Take your first step towards Loving your Legs!


Veins carry blood from the body back to the heart so blood should flow in only one direction in the veins. Varicose veins result from high pressures in the superficial veins (venous hypertension). The high pressure may result from malfunction of valves in the superficial veins allowing backflow of blood or abnormal communication with deeper veins that naturally have higher pressures. Your risk of developing varicose veins is increased if you have relatives with varicose veins, your job requires long periods of standing, or you are overweight. The incidence of varicose veins also increases with age.


Symptoms of varicose veins include:

  • Heaviness
  • Swelling
  • Aching, Burning or Throbbing
  • Itching
  • Restless legs

If left untreated, venous hyptertension can result in thickening of the skin, increased pigmentation, eczema, and ulceration.


A careful evaluation is necessary prior to starting treatment of varicose veins to determine if significant venous hypertension is present. The evaluation includes a history and physical examination. If indicated, a duplex ultrasound exam is done of the veins to determine the venous anatomy and look for incompetent valves and perforating/connecting veins.


Restoring Beauty

Varicose veins can be treated but the underlying disorder that caused the veins to dilate cannot be cured. Likewise, if the visible varicose veins are treated without treating the defective valves or connections to the deep system, new varicose veins will quickly develop. The treatment for varicose veins depends on the severity and underlying cause of the varicosities.

Procedures Include:


Scierotherapy is the injection of a chemical into the varicose vein resulting in damage to the walls of the vein and eventual closure. Sclerotherapy is best used for spider veins and small varicose veins.



Foam Sclerotherapy is similar to sclerotheropy except that the chemical is made into a foam prior to injection. This allows treatment of larger veins.



Phlebectomy: When veins are too large for sclerotherapy, they can be removed through tiny “stab” incisions. The procedure is done in the office under local anesthesia.



Endovenous Laser Treatment (EVLT): EVLT is used to close the main superficial veins in the leg when they have become incompetent and are the cause of more superficial varicose veins. During the procedure, a laser fiber is passed up the vein through a small puncture in the lower thigh. The laser is activated as the fiber is withdrawn delivering heat energy to the vein wall. The procedure is done in the office under local anesthesia and patients can return to their normal activity immediately.



Brian Hoffmann M.D. is a board certified general surgeon who has been in practice for over 14 years. He graduated from Dartmouth College in 1983 and attended medical school at the University of South Florida. He completed his general surgery residency at the Alton Ochsner Medical Foundation in New Orleans. He is a fellow of the American College of Surgeons and a member of the American College of Phlebology.

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Express Care

Express Care provides quality, cost-effective treatment for minor injuries and illness on a walk-in basis, including times when most physicians’ offices are closed – after hours and on weekends. We are open seven days a week for ailments such as:

  • Sore throats
  • Ear aches
  • Coughs and colds
  • Nebulizer Treatments
  • Basic labs (CLIA Certified Lab)
  • X-ray capabilities
  • Sport injuries
  • Sprains and strains
  • Flu and fever
  • Eye Infection
  • Vomiting and diarrhea
  • Minor cuts that may need stitches

Patients seen at Express Care are referred back to their primary care physician for follow-up or additional treatment.