If you’re dealing with bulging, twisted veins, leg heaviness, aching, or swelling, varicose veins may be affecting your comfort and confidence. These enlarged veins often occur when the valves that help return blood to your heart weaken over time, allowing blood to pool and vessels to become distended. Varicose vein treatments are designed to reduce symptoms, improve circulation, and restore smoother-looking legs.
Dr. Thomas Pane, MD, offers personalized varicose vein care in Palm Beach Gardens, focusing on both functional relief and cosmetic improvement. Treatment is tailored to your needs and may include minimally invasive or surgical options depending on your symptoms and goals.

What Are the Symptoms of Varicose Veins?
Symptoms associated with varicose veins include aching legs, burning and itching around the vein, swelling, and in some severe cases, ulceration and bleeding. Veins that cause pain or are cosmetically unappealing should be treated.
What Causes Varicose Veins?
Contractions of your ankle and calf muscles help to pump blood back up to your heart. Valves inside the veins prevent blood from falling back down in between heartbeats. As you age, the veins in your legs begin to stretch and lose their elasticity. The valves may no longer function properly, allowing blood to flow backward and form pools in weakened, lower veins. The resulting twisted, lumpy mass of blue veins bulging just beneath the skin’s surface are known as varicose veins.
Your Varicose Vein Treatment Options
Surgical techniques include ligation, or tying off of a vein, and stripping, which involves removing a long segment of vein by pulling it out with a special instrument. This has traditionally been the treatment of choice for larger veins. The surgery may be performed using local, spinal, or general anesthesia. Most patients return home the same day.
Ambulatory phlebectomy is a surgical method to remove surface varicose veins through tiny incisions made along the treated vein. The incisions are so small that stitches are generally not necessary. Typically performed under local anesthesia, this procedure carries few complications and is often recommended in combination with sclerotherapy. It can minimize side effects and enhance results.
VNUS® Closure® is a minimally invasive alternative to traditional vein stripping. This technique uses radiofrequency (RF) energy to heat the inside of the greater saphenous vein (GSV), causing it to collapse and seal shut. A tiny catheter with an electrode tip is inserted into the affected vein, and as RF energy is delivered, the catheter is gradually withdrawn, sealing the vein along the way. The entire procedure takes about 30 to 45 minutes. After treatment, you’ll likely be advised to walk, wear compression stockings, and avoid prolonged standing. Most patients return to normal activity immediately, excluding vigorous workouts.
Endo Venous Laser Treatments (ELT, EVLT, ELVeS) are minimally invasive procedures that use laser energy to heat the vein wall, causing it to collapse and seal shut. A thin laser fiber optic is inserted into the vein, and as the laser pulses, the energy closes the vein and eliminates the underlying cause of the varicosities. The fiber is gradually withdrawn to complete the seal. Like VNUS Closure, the procedure lasts about 30 to 45 minutes, with most patients able to resume normal activities soon after.
What About Sclerotherapy for Varicose Veins?
Sclerotherapy is an excellent, non-surgical method for treating spider veins. It involves a series of relatively painless injections of a special solution into the abnormal vein, which causes irritation and damage to the vein’s lining. This leads to closure and eventual fading of the vein. Normal activities can typically be resumed right away.
What Results Can You Expect from Your Varicose Vein Treatment?
With today’s advanced evaluation and treatment options, varicose veins can be treated with a high level of effectiveness and safety. After your treatment, most patients experience visible improvement right away, especially when the procedure is performed by an experienced physician like Dr. Pane.
How Do I Know Which Varicose Vein Procedure Is Best for Me?
Schedule a consultation to review your complete medical history, including how long you’ve experienced vein issues and the severity of your condition. Dr. Pane may conduct additional testing to determine the extent of venous insufficiency and explain which treatment option is best suited for your individual needs.
Why Choose Dr. Pane for Varicose Vein Treatment
Dr. Pane brings a unique combination of surgical precision and aesthetic sensitivity to vein treatment. As a double board-certified physician with years of clinical and surgical experience, he understands how to address both the functional and cosmetic aspects of varicose veins. During your consultation, he will evaluate the extent of your vein concerns and create a tailored plan designed around your specific symptoms and goals.
Patients in Palm Beach Gardens and West Palm Beach trust Dr. Pane for his thoughtful approach, clear communication, and dedication to providing lasting, natural-looking results. Whether your concern is discomfort, appearance, or both, your care is always handled with respect and expertise.
Start Feeling Better from the Ground Up
If varicose veins are affecting how your legs feel or look, it’s time to take the next step toward relief. Contact Dr. Thomas Pane in Palm Beach Gardens, FL, by calling +1 561-422-4116 to schedule a consultation and learn more about personalized varicose vein treatment options.