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1803 South Meridian, Puyallup, WA 98371
  • Always
    your best

    & outcomes

  • Always
    your best

    & outcomes

Varicose Veins

Varicose veins appear as large, bulging surface veins on the legs. They stem from venous reflux disease, a medical condition in which reversed blood flow pools downward toward the feet, increasing pressure in the leg and ankle which is often quite painful. A variety of factors contribute to venous reflux, such as heredity, age, prolonged standing or sitting, hormonal changes like pregnancy, and obesity. Not all varicose veins are visible to the eye, therefore we use ultrasound examination to accurately detect the location and degree of reflux in your veins.

Varicose veins form as a result of weakened vein walls and faulty vein valves that don’t close tightly enough to regulate the one-way flow of blood from your feet to your heart. Since the valves don’t function properly, gravity allows the blood to pool backward in the vein. Over time, the excess blood stretches and enlarges the vein walls causing congestion and discomfort.

06 Healthy vs Diseased Vein Illustration

Symptoms include:

  • Heavy & fatigued legs
  • Achiness & swelling in the problem area
  • Itching
  • Burning
  • Numbness
  • Restlessness


Venous reflux is a progressive medical condition that can become increasingly uncomfortable, debilitating and unattractive over time. Left untreated, venous reflux may progress to more serious problems such as skin discoloration and thickening, clot formation and venous ulcers.

04 Venous Disease Progression Photo


Venous reflux disease is primarily a hereditary condition so there is an increased likelihood that you may develop varicose veins if others in your family have them too. Varicose leg veins often affect individuals whose professions require standing for extended periods of time, because prolonged standing increases the pressure on the veins in the lower extremities. Patients also become increasingly susceptible to developing varicose veins with age, as vein elasticity decreases over time, causing the valves to stretch and become weakened. Pregnancy is another factor linked to the development of varicose veins, because of the circulatory and hormonal changes the female body undergoes in response to the growing fetus. Obesity will also put strain on an already weakened area, contributing to symptomatic varicose veins.



Venefit is a non-surgical, in office procedure for resolving venous reflux and varicose veins. Venefit, formerly known as the VNUS Closure procedure, uses radiofrequency heat to seal the vein from within. This stops the reflux and eliminates painful symptoms. Ultrasound guidance is used throughout the procedure to visualize your superficial venous system and direct a tiny catheter into the diseased vein to gently heat and seal the refluxing vein segment(s). This will re-route blood flow into healthier veins. The treated veins will shrink over time and be absorbed by the body.

09 Venefit Procedure 3 Step Illustration


Anyone seeking an effective, non-surgical treatment option for fast relief from painful symptoms almost immediately would greatly benefit from Venefit therapy. The Venefit procedure offers a number of advantages over other vein treatments, as clinical studies have demonstrated that Venefit is an effective vein treatment producing long-term results with dramatically less post-procedure discomfort and bruising than alternative vein treatments (i.e. endovenous laser therapy and vein stripping).Vein stripping can be a very painful procedure with a lengthy recovery period, whereas treatment with Venefit does not require hospitalization or general anesthesia, and there is no interruption to the patient’s daily activities. Patients are comfortable throughout the procedure, as treatment is very well tolerated. Plus treatment can be completed in an hour or less, making it an ideal therapy for most individuals.

Most insurances will pay for Venefit therapy for those who are diagnosed with venous reflux and have coverage under their health plan.

Before Dr.Calure 121410 FAfter Dr.Calure 121410 F


Large, bulging varicose veins can be effectively removed through a minimally invasive procedure known as microphlebectomy. During this procedure your physician will make a series of punctures along the length of the bulging vein. Segments of the vein will then be removed through theses punctures eliminating the varicose veins altogether. We generally perform microphlebectomy in conjunction with Venefit Targeted Endovenous Therapy to treat the underlying vein reflux disease that causes the formation of varicose veins. Microphlebectomy offers immediate cosmetic improvement with little to no downtime or recovery period and treatment is well-tolerated. Your physician will help you determine whether this is an appropriate therapy for you.

Patients generally report resolution of the painful symptoms associated with venous reflux almost immediately if treated in its earlier stages and improved aesthetic appearance of their varicose veins, skin changes and wounds over time. Those who suffer from more advanced venous reflux will notice incremental relief over the course of therapy.

Following your Venefit procedure, you may resume normal activities. In fact, we recommend walking, cycling or light jogging for a half hour a day for two weeks following treatment to promote continuous good blood flow. You will be advised to avoid strenuous activities or prolonged periods of standing for the next 1-3 weeks. We will schedule a follow up ultrasound within 72 hours after your treatment and will continue to monitor your progress periodically over the coming months.

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