When Vein treatment turns unethical

Varicose Veins

The treatment of vein diseases has become a lucrative market due to the growing number of patients and the ensuing demand for treatment options. Unfortunately, many clinics and healthcare professionals consider this as an opportunity for fraudulent business. Several clinics exist which possibly could take advantage of patients and this article aims to help a potential patient for vein treatment stay clear of hoaxes.

Several vein clinics actively advertise their services. Many try to lure the patients by offering major vein treatments at cheaper rates. With so many vein centers, doctors, and treatment modalities, how will you choose the best doctor who is pertinent to your condition? We will discuss few things you need to consider in the process.

If you suffer from any vascular problems there are 3 different types of vein doctors you can approach.

Read on to learn how they differ in their skills and training specialties.


Vascular surgeons are trained medical doctors who have completed years of rigorous residency training for surgery. They must take a specialized 2-year fellowship in vascular surgery to qualify for the board exams. Once certified by the board, they typically work closely under the guidance of senior vascular surgeons until they are proficient to practice independently.

The intense training that these surgeons receive prepares them to address and handle any complicated outcome that may arise during a procedure. They can effectively manage simple and complex vein conditions and perform both invasive surgeries and other minimally invasive techniques with expertise.


Qualified vein specialists will possess a training background in vascular surgery, interventional radiology, or cardiology. However, they are not surgeons and they attain their surgical expertise in vein treatment through additional training and board certification.

Vein specialists also have unique minimally invasive skills that they acquire from various rigorous training programs.


A phlebologist is a medically qualified doctor specializing in diagnosing and treating patients with specific vascular disorders such as spider veins, blood clots, leg ulcers, and similar vascular conditions.

They are not trained surgeons and are not licensed or trained in invasive vascular surgery or post operative care or vascular management. Their certification is not following an extensive residency training programme. They are trained in ultrasound guided Sclerotherapy, Endovenous Laser Ablation and Radiofrequency Ablation.

The treatment offered is limited mostly to the cosmetic treatment of varicose veins. For conditions with major complications demanding invasive intervention, they must be referred to a vascular surgeon who can attend to the patient.

Ever wondered why and how cheap treatments are offered?

Many clinics even claim themselves as centers offering the “cheapest treatment available” for varicose veins. As a beneficiary of the treatment, you should be aware that varicose veins is a progressive disease and a complete cure is seldom achieved. Moreover, the average treatment cost is based on the type of treatment you receive which mostly will be a combination of various procedures based on your medical condition and severity of the disease.

The key to getting a successful varicose vein procedure done is based on the selection of your doctor and the decision on selection should be based on the skills and expertise of doctors who provide the treatment. Highly trained and experienced doctors typically charge more owing to their expertise in highly specialized fields. People considering an effective treatment should consider the overall value the treatment offers and not merely the cost.

Do the doctors who offer cheap treatments for venous problems follow standard protocols?

Mostly No!
They commonly perform one procedure- either foam sclerotherapy or endovenous ablation therapy. The results may appear satisfactory in the short term, but the underlying cause remains untreated.

Generally, sclerotherapy is not recommended for larger veins as they do not respond well. Choice of inappropriate treatment modalities may result in clot formation in veins and skin discoloration. Further, additional procedures will be needed to avoid complications. This means the chances of recurrence is higher and each further procedure adds on to the overall treatment costs.

Cutting corners by bypassing the role of a Vascular Interventional Radiologist?

Many clinics may not prefer an interventional radiologist to perform a duplex ultrasound scan as they are expensive. The treatment then might turn out to be cheaper as specialists’ services are eliminated.

However, you end up missing important information during the diagnosis phase and the condition remains untreated and will have high recurrence rate in the future.

Accurate diagnosis using venous duplex ultrasound scan performed by a specialist vascular technologist would clearly show if veins are too large for just foam sclerotherapy alone and treatment decision based on expert suggestions will safeguard from the condition to recur.

Incomplete initial examination by inexperienced or unqualified doctors may lead to:

  • Wrong diagnosis leading to wrong procedures being performed
  • Inappropriate procedure that can cause scarring or staining in your legs
  • Excessive treatments and procedures

Buy cheap, buy twice

Doctor’s lack of knowledge, skills, and expertise in dealing with similar cases can lead to complications which can potentially affect your health in different ways as recurrences occur and complications arise. These complications could lead to resetting the treatment process again.

Can cost of treatment be reduced without compromising on safety and quality?

Circulatory system, as blood in the veins is transported back to your heart and lungs, it is very important that no cheap or substandard product is used or put into the veins as Sclerosing agents.

Maintaining medical devices and equipment is expensive. Ideally, equipment goes through rigorous testing and maintenance procedures to ensure safety. Owing to this, there is a minimum cost for proper medical treatment.

Is it possible that someone offering cheap treatment might probably have compromised on the safety and quality? If so, would you prefer treatment cost over your health and safety?

How Avis vascular center differs from the rest?

Founded by Dr. Rajah V Koppala, the center follows only USFDA approved procedures and the team has completed over 13,000 procedures with a 95% success rate.

Dr. Rajah, an internationally qualified interventional radiologist and vascular surgeon with over 25 years of experience, leads an expert team of well experienced and qualified vein specialists and interventional radiologists at Avis Vascular Center.

With impeccable academic credentials with MD in Vascular Interventional Radiology and an esteemed member of the Radiological Society of North America and a Fellow of The Royal College of Radiologists, UK (FRCR), the British Society of Interventional Radiology and Singapore Radiological Society, you can be rest assured that you are in safe hands.

The center offers complete in-house setup for colour doppler scan and specialize in painless and minimally invasive laser ablation and sclerotherapy for varicose veins. To know more or if you have questions about varicose veins treatment options and management, call 998-952- 7715 and schedule an appointment with our vascular experts at Avis.

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