There are many treatments available. Most commonly we use endovenous thermal ablation, using a laser or radio frequency to shrink and seal the vein wall. Blood is then redirected to healthy veins. Other treatments include microphlebectomy, removal of the vein following ablation and sclerotherapy, an injection of a chemical to obliterate the vein from the inside out. Venous disease is a progressive disease and there is no cure but we can control its progression. However, even once diseased veins have been treated, more diseased veins can develop.