Varicose veins are enlarged, twisted superficial veins often visible near the skin surface and symptomatic (e.g., aching, heaviness, throbbing, swelling). The clinic treats varicose veins by first diagnosing underlying reflux or incompetent valves, then applying targeted therapies (such as ablation or phlebectomy) to close or remove the diseased veins and reroute blood flow to healthy conduits. The result: relief from symptoms, improvement in appearance and prevention of progression to more serious venous disease.

Spider veins (fine, red, or blue small veins near the skin surface) are treated at the clinic by injecting a special solution (sclerotherapy) into the vein, which causes it to collapse and fade away. The procedure is virtually outpatient, fast, and minimally uncomfortable. It helps restore a smoother leg appearance and reduce minor symptoms like itching or mild ache. It is ideal for smaller vein issues and is part of the comprehensive vein-care offerings.

Endogenous Laser Ablation (EVLA) is a minimally invasive therapy used at the clinic for larger diseased veins (e.g., saphenous trunks) causing reflux and varicose veins. Under ultrasound guidance, the physician inserts a laser fiber into the dysfunctional vein, heats and seals it, redirecting blood flow to healthier veins. The procedure is efficient, performed in the office, and leads to improved leg comfort, fewer bulging veins and quicker recovery compared to open surgery.

Radiofrequency Ablation (RFA) is another minimally invasive option for treating incompetent large leg veins. Using ultrasound guidance, the catheter applies radiofrequency energy to the vein wall, closing it and eliminating the malfunctioning channel. At Estera, RFA is offered as a safe, effective alternative to laser, with similar benefits: less pain, quicker return to normal activity, and excellent symptom relief for varicose vein patients.

Ambulatory Phlebectomy is a procedure specifically for removing surface varicose veins that remain after or along with ablation therapy. The targeted veins are extracted through small punctures while the patient remains ambulatory (i.e., no large incisions or extended hospitalization). This technique helps clear remaining visible veins, improve leg aesthetics and relieve persistent symptoms in a practical, outpatient setting.

Chronic Venous Insufficiency (CVI) occurs when leg veins and valves fail to properly circulate blood back to the heart, resulting in leg swelling, skin discoloration or ulcers, heaviness and aching. At the clinic, CVI management starts with ultrasound diagnosis of reflux or blockage, followed by tailored interventions (ablation, phlebectomy, compression, lifestyle measures) to restore circulation, heal skin changes and prevent progression to ulcers or deep-vein problems.

Joint pain treatments at the clinic recognize that vascular and circulatory issues can contribute to or mimic musculoskeletal pain (e.g., leg discomfort, swelling, heaviness). By assessing both vascular and joint structures via imaging, the practice offers targeted joint-pain therapy when circulation is a factor, helping patients regain mobility and reduce pain through combined vascular and orthopedic insight.

Peripheral Artery Disease (PAD) arises when the arteries supplying the legs (or arms) become narrowed or blocked by plaque, reducing blood flow and causing symptoms like leg pain when walking (claudication), rest pain, non-healing sores or cold limbs. Estera evaluates PAD via vascular imaging and risk assessments, then treats it through lifestyle modification, angioplasty, atherectomy or bypass as needed – aiming to restore circulation, relieve symptoms, and prevent serious outcomes like gangrene or amputation.

Carotid artery screening focuses on the arteries in the neck that supply the brain; blockages here increase stroke risk. At Estera, our screening uses ultrasound or other vascular imaging to detect narrowing (stenosis), followed by appropriate referral or intervention. Early detection allows timely treatment to reduce the risk of stroke and long-term neurologic damage.

Aneurysm detection entails identifying abnormal bulges in arteries (e.g., aorta or peripheral arteries) that risk rupture or dissection. The clinic uses advanced vascular imaging to screen for aneurysms in at-risk patients, then manages discovered aneurysms via surveillance or intervention depending on size, growth and risk, helping prevent catastrophic vascular events.

Deep Vein Thrombosis (DVT) is a serious condition in which blood clots form in deep leg veins, which may lead to swelling, pain, and the risk of pulmonary embolism. At the clinic, DVT is assessed using vascular ultrasound and treated through anticoagulation, catheter-based techniques, or clot removal when necessary. The goal is to resolve the clot, restore flow, and reduce long-term complications like post-thrombotic syndrome.

The clinic uses vascular and joint ultrasound and other imaging modalities as foundational diagnostic tools across all services. These techniques allow visualization of blood flow, vein and artery structure, and detection of reflux, blockages, aneurysms or joint-vascular interplay. With accurate imaging, the team tailors minimally invasive treatments, monitors progress, and ensures optimal outcomes with fewer complications and faster recovery.