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Vein Therapy Specialist

Marc L. Ladenheim, MD, FACC

Cardiologist & Internist located in Burbank, CA

Did you know that varicose veins are more than just a cosmetic issue? While many patients seek treatment to improve their appearance and self-confidence, few realize the detrimental impact that untreated varicose veins can have on their health. Dr. Marc L. Ladenheim, in Burbank, California, offers evaluation and treatment of varicose veins to prevent serious complications and debilitating side effects to patients in and around Studio City, Sherman Oaks, Valley Village, Encino, Tarzana, Toluca Lake, Chatsworth, North Hollywood (NoHo), Valley Glen, and Sun Valley. To find out if varicose veins are putting your health at risk, schedule an appointment at his practice, Marc L. Ladenheim, MD, FACC.

Vein Therapy Q & A


What are varicose veins and what causes them?

Varicose veins are enlarged veins that can be blue, red, or flesh colored. They’re often raised above the skin on the legs and look like twisted, bulging cords.

Varicose veins occur when the valves in the leg veins no longer function, causing blood to pool in the legs.

What is chronic venous insufficiency?

When varicose veins are left untreated, a serious disease called chronic venous insufficiency can occur. This condition causes uncomfortable side effects that dramatically impact your health.

Most people are aware of their varicose veins but they don’t realize that they may be the cause of multiple leg symptoms, including:

  • Leg pain, aching, or cramping
  • Heaviness and fatigue in the legs
  • Restless legs
  • Burning or itching of the skin
  • Leg or ankle swelling
  • Skin changes
  • Lower leg ulcers

Who is at highest risk of developing chronic venous insufficiency?

Risk factors include:

  • Gender: Much more prevalent in women
  • Age: 50% of the population over age five affected
  • Family history
  • Multiple pregnancies
  • Standing occupation
  • Obesity
  • Prior injury or surgery

How is CVI diagnosed?

Dr. Ladenheim bases diagnosis on a comprehensive review of your current general health, medical history, and symptoms. Additionally, he will complete a thorough medical examination and use ultrasound or other non-invasive tests to screen for venous disease.

How is venous insufficiency treated?

In mild cases, conservative therapies like exercise, leg elevation, compression stockings, and Unna boots may be used to alleviate the symptoms, but it’s important to note that these measures will not address the underlying cause of CVI.

The most effective treatment for chronic venous insufficiency is Venefit™ Targeted Endovenous Therapy. During this procedure, a flexible catheter is inserted into the vein. Radiofrequency is applied to the vein, damaging its walls and causing scar tissue to develop. This scar tissue eventually closes off the primary vein of the superficial vein system in the lower extremity, alleviating varicose veins.

When is it time to see a doctor?

Varicose veins are not the same thing as spider veins. If you have spider veins, which are dark blue, red, or purple in color but remain beneath the surface of the skin, medical treatment is not necessary. Cosmetic treatment is another issue.

If you have bulging, twisting varicose veins, you should schedule a consultation as soon as possible. Dr. Ladenheim can determine the level of risk associated with your varicose veins and recommend the appropriate course of treatment.


Please click here for more information about venous disease.