Helping control the physical and cosmetic problems caused by varicose veins.

Enlarged, twisted varicose veins may form just under the skin in your legs when blood collects in those veins — causing swelling, discoloration, and even pain.

Some of the patients who most commonly experience varicose veins are women who have gone through either a pregnancy or menopause, people over 50, and those who have a job where much of the day is spent standing up.

Fortunately, Dr. Hubach can help you with such proven-successful procedures as endovenous thermal ablation (laser therapy) and sclerotherapy. These methods can take care of many problem veins right in our office.

We can start with a free, no-obligation consultation to evaluate your varicose veins, answer your questions, and help you understand your treatment options. Call us to schedule your visit.

Varicose Veins Q&A

Varicose veins typically show up as a result of weakened valves and veins in your legs and feet. When your valves and veins don’t function properly, your blood can flow in the wrong direction. 

If you have varicose veins, you might experience burning or itching skin, cramps, swelling, aching, ulcers, and restless legs.

Venous reflux disease (chronic venous insufficiency) is a medical condition that occurs when your veins can’t carry your old and used blood back up from your legs properly.

A multitude of factors can increase your risk of developing varicose veins, such as:

  • Heavy lifting
  • Overexertion
  • Being female
  • Aging
  • Excess body weight
  • Genetics and family history
  • Multiple pregnancies
  • Prolonged standing
  • Inactivity

In rare cases, certain conditions can lead to varicose veins, such as abnormal blood vessels, blood clots, and a swelling or tumor in the pelvis. If varicose veins aren’t properly treated, they can cause complications, such as spontaneous venous rupture.

Dr. Hubach starts by assessing your arterial and venous system and offers in-house ultrasounds and other testing, if needed. He provides a range of effective treatments for varicose veins.

He might suggest that you lose weight, manage stress, wear a compression stocking, start a new exercise routine, follow a nutrient-dense diet, or use physical therapy and other treatment modalities to enhance your general health. 

Most in-office treatments involve sealing a segment of the vein closing your unwanted vein. To treat varicose veins, Dr. Hubach uses a variety of methods tailored to your individual situation.

Endovenous ablation

Endovenous ablation is a convenient in-office procedure performed under local anesthesia. It involves the use of ultrasound to position a tiny catheter into your varicose vein. Dr. Hubach safely and carefully delivers laser energy through the catheter to heat and seal your vein. You return to normal activities the same day as your procedure.


With sclerotherapy (chemical ablation of larger veins), Dr. Hubach uses a special foam to close abnormal veins on the surface of your skin. Sclerotherapy typically involves small injections of an FDA approved solution into your veins.

Minimally invasive treatments like sclerotherapy are performed in the office in 30- 60 minute sessions.

Explore the treatment options for your varicose veins by calling Blue Ridge Skin and Vein Care, PC, or book online today.


With phlebectomy, Dr. Hubach uses a needle to make small incisions close to the vein. He uses a phlebectomy hook to remove the veins. Phlebectomy is a simple minimally invasive procedure performed with a local anesthetic.

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