and Eye ClinicCardiologyVaricose veins｜Hyodo Internal Medicine

Day surgery treatment by specialist

Varicose veins are bulging, enlarged veins. Any vein that is close to the skin's surface, called superficial, can become varicosed. Varicose veins most often affect the veins in the legs. That's because standing and walking increase the pressure in the veins of the lower body.
For some people, varicose veins are simply a cosmetic concern. But varicose veins can cause aching pain and discomfort. Sometimes they lead to more-serious health problems.
Treatment involves exercising, raising legs when sitting or lying down, or wearing compression stockings. A procedure can also be done to close or remove veins.

About varicose veins About treatment of
varicose veins

Feature of our clinic

Point 1 The only Varicose Vein Clinic in Osaka-Kobe area that offers one-day treatment

We have more than 600 varicose veins one-day surgery per year, treated by specialists. It's one of the largest number of treatments in Japan. Both insured and uninsured treatment is available.
Point 2 Treatment by experienced physicians who are able to manage not only varicose veins but also the whole-body matters

We have one of the largest numbers of varicose veins surgery in Japan, treated by specialists in the Cardio-vascular and Internal medicine. You can rest assured the treatment because physicians can manage whole body matters. Please feel free to consult us not only about your lower limb problems but also your whole-body problems.

About our clinic
Point 3 Provide the pain-less treatment

Various anesthesia methods, including intravenous anesthesia, local anesthesia and femoral nerve block are used for maximum pain relief in all our treatments.
Point4 Close to the Tsukaguchi station and free parking available

About our costs

We accept all forms of Japanese medical insurances. Patients from overseas without any medical insurance are also welcome to our hospital for treatment.

	covered by medical insurance	10% copayment	30% copayment
Operaiton	Scolerotherapy(for one leg)	about 5,000 JPY	about 15,000 JPY
	ablation therapy(for one leg)	about 15000 JPY	about 43000 JPY
	Venaceal Glue treatment (for one leg)	about 18000 JPY	about 55000 JPY

	without medical insurance
Operaiton	Scolerotherapy(for one leg)	about 66000 JPY	tax included
	ablation therapy (for one leg) ablation therapy (for both leg)	about 143,000 JPY about 270,000 JPY	tax included
	Venaceal Glue treatment (for one leg) Venaceal Glue treatment (for both leg)	about 187,000 JPY about 350,000 JPY	tax included

contact us via emai:
hyodo@hyodo-clinic.com

About varicose veins

Varicose veins are swollen, blue, bulging, twisted veins that appear under the skin on your legs.
They are caused by high pressure inside the leg veins from valves that are damaged and not working properly, as gravity puts constant pressure on them while they work to return blood from your feet to your heart. Genetics can play a big role in whether or not you develop them.
As many as 10 million Japanese and 40 million Americans have varicose veins. If left untreated, varicose veins can get worse. They can cause leg aches, fatigue and skin changes like rashes, redness, leg swelling, blood clots, or sores.
Treatment can help improve your quality of life plus leg and general circulatory health.
Below, the left picture shows a healthy vein with working valves that stop blood from flowing backward. The right picture shows a weak vein with valves that don't work properly, letting blood flow the wrong way toward the feet. This increases pressure in the vein causing the varicose veins.

Symptoms

Visible veins that are swollen, twisted, or bulging
Thin, web-like veins close to the skin's surface
Aching or heaviness in the legs, especially after prolonged standing or sitting
Swelling, particularly around the ankles
Itching or burning sensation around the veins
Discomfort or pain that worsens with prolonged standing or sitting

Causes and Risks

Age: People between the ages of 30 and 70
Pregnancy: 50-55% of women experience varicose veins during pregnancy. Most of the time, the veins return to normal within a year after childbirth.
Multiple pregnancies: Women who have multiple pregnancies may develop permanent varicose veins.
Family history
Obesity
Standing or sitting for long periods of time
Skin changes, such as redness, inflammation, or sores
Restless legs or leg cramps, especially at night

About treatment of varicose veins

There are several treatment options that can help varicose veins.

Compression Stockings

Knee-high compression stockings, usually that provide 20-30 mmHg of compression, will often help relieve symptoms such as aching or swelling. These stockings compress the veins and prevent blood from traveling down pooling in the legs.

Lifestyle Changes

Most doctors will suggest additional lifestyle changes such as:

Starting a walking program
Maintaining a healthy weight
Elevating legs when resting
Avoiding sitting or standing for long periods of time

Additional Treatments

In some cases, a vascular surgeon will recommend additional treatments for varicose veins:

Ablation Therapy

If compression stockings don't provide sufficient relief, some form of ablation therapy (laser, radiofrequency, or adhesive injection) of a superficial vein (the great and/or small saphenous vein) may be an option for you.
Treatment is administered at the vascular surgeon's office. Your leg will be cleansed, and sterile drapes placed. Your vascular surgeon will then inject numbing medication and insert a catheter (thin tube) into the vein. Typically, patients feel only the injection of numbing medicine. The tube is advanced through the entire vein and then all the surrounding skin is numbed if necessary. The ablation catheter then treats the vein by closing it off so it can no longer reflux or "back leak" into the varicose veins. After the procedure, the leg is placed in a compression stocking or wrapped with a compression bandage.

Microphlebectomy

Microphlebectomy is a minimally invasive, surgical technique used to treat varicose veins that are near the surface of the skin and too large for sclerotherapy. This procedure is also known as "ambulatory phlebectomy" or "stab avulsion."
Patients are usually given local anesthesia along the course of the vein to be removed. The skin over the vein is cleaned and marked for incisions. Your vascular surgeon will make very small incisions (2-3 mm) are made over the varicose vein. Using specialized hooks or instruments, the vein is gently pulled out through the small incisions in segments.
The incisions are typically so small that they don't require stitches and heal naturally, often leaving minimal scarring. Patients usually wear compression stockings to support healing and reduce swelling. You can usually return to normal activities within a day or two, with complete recovery almost immediately.

Sclerotherapy

Sclerotherapy may be recommended if the affected veins are twisted and not straight enough. With the help of ultrasound, a small needle is used to inject sclerosant, a chemical that causes the vein to spasm and clot. This type of clot is not dangerous. It is broken down by your body's natural processes making your varicose vein disappear. Small "spider" veins can be treated this way using an even smaller needle.

Vein Stripping

Vein stripping is a procedure used to treat severe varicose veins. Your vascular surgeon makes two small incisions, one in the groin area and one below the knee, to remove the diseased veins. This is an outpatient procedure, usually done under general anesthesia. Most patients can usually return to their normal activities after four weeks.

VenaSeal™ Glue Treatment

Traditionally, varicose veins have been treated with methods like surgical removal or thermal ablation. These procedures, while effective, often require significant recovery time and can be quite invasive.
The VenaSeal™ treatment, a modern and minimally invasive procedure, uses a medical-grade adhesive to close off varicose veins. This special glue, known as cyanoacrylate, is applied directly to the affected vein through a catheter.

How Does the VenaSeal™ Procedure Work?

Simple Procedure: The process starts with inserting a small catheter into the vein. Through this catheter, a tiny amount of VenaSeal™ adhesive is delivered to the affected area.
Instant Closure: The glue acts almost immediately, sealing the varicose vein. This closure stops the backward flow of blood, which is the primary cause of varicose veins.
Natural Healing: Once sealed, the treated vein will gradually be absorbed by the body, effectively removing the varicose vein without the need for extensive surgery.
Quick and Comfortable: One of the biggest advantages of the VenaSeal™ treatment is its comfort and convenience. The procedure is virtually painless, and patients can typically return to their normal activities right after the treatment, with no need for long recovery periods.

Why Choose VenaSeal™?

VenaSeal™

Minimally Invasive: Unlike traditional surgeries, VenaSeal™ is less invasive, involving only a small insertion point for the catheter.
No General Anesthesia Required: The procedure does not require general anaesthesia, making it safer and more accessible for a wider range of patients.
Reduced Risk of Complications: Compared to thermal treatments, VenaSeal™ carries a lower risk of complications like skin burns or nerve damage.
Immediate Results and Recovery: Patients often see immediate improvement in symptoms and can quickly resume daily activities without the need for compression stockings or extended rest.
The glue treatment for varicose veins, particularly the VenaSeal™ procedure offered by Dr. Hyodo, Eiichi represents a significant leap forward in vein care. It's a safe, effective, and patient-friendly option that simplifies the treatment of varicose veins, making it an ideal choice for those seeking a modern solution to this common problem. To learn more about this innovative treatment and to see if it's the right option for you, contact our team for a personalized consultation.

About our clinic

Our clinic is close to the Tsukaguchi station and also free parking available.
In our clinic, we examine based on 4 pillars; Internal medicine (cold, diabetes, respiratory diseases, etc.), Ophthalmology (eyelid, conjunctiva, corneal lesions, cataract, glaucoma, contact lens prescription, etc.), Cardiology (heart and vessel disease, hypertension, sleep apnea syndrome, etc.), Podiatry (swelling, pain, numbness, ingrown toenails, sea snails, etc. and Varicose Vein Treatment) .
For Podiatry, we focus on varicose vein treatments. Systemic echocardiography, cardiovascular and ophthalmologic examinations can be performed on the same day using the latest medical equipment. We are the only clinic in the Amagasaki area that offers one-day surgery for Varicose Veins, and we strive to make treatment as painless as possible for our patients.
Our ophthalmology practice is managed by a female doctor, who provide careful, easy-to-understand explanations and convincing treatment. If surgery or other treatment is necessary, we will promptly refer the patient to a specialized facility and propose a reasonable treatment for each individual patient. We will take full responsibility for your "seeing" and "vision" so that you will not have any problems.
Sincerely,

Hyodo Internal Medicine, Cardiology, and Eye Clinic
1-21-5, Tsukaguchi Hommachi, Amagasaki city, Hyodo 661-0001, Japan
Tel 06-6422-0777
Fax 06-6422-0779
Clinic Hours:
Weekdays: 9:00 -12:00, 16:30-19:00/Saturdays: 9:00 - 12:00
Closed on Thursday, Sundays and public holidays

Book Online contact us via emai:
hyodo@hyodo-clinic.com