Healthy leg veins have valves that keep blood flowing to the heart. Venous reflux disease, also known as chronic venous disease, develops when the valves stop working properly and allow blood to flow backward (i.e., reflux) and pool in the lower leg veins. If venous reflux disease is left untreated, symptoms can worsen over time.

As a result, vein valves will not close properly, leading to symptoms such as:

  • Varicose veins
  • Leg pain, aching or cramping Leg or ankle swelling
  • Leg heaviness and fatigue
  • Skin changes or rashes
  • Ulcers, open wounds or sores

How prevalent is venous reflux disease?

  • Venous reflux disease, also known as chronic venous insufficiency, affects more than 30 million Americans.
  • Varicose veins, a common symptom of venous reflux disease, can affect up to 40 percent of adults.
  • Varicose veins are more common in those who are overweight, and in women who have had more than two pregnancies.
  • Women usually have multiple risk factors for the development of varicose veins. In fact, varicose veins are most common in women (75 percent of those diagnosed) than in men (25 percent of those diagnosed).
  • Up to 55 percent of American women may be affected by varicose veins in their lifetime.
  • It is common for varicose veins to become more prominent during pregnancy and worsen with successive pregnancies.


The Vein Guys™ Nashville is the only provider in the Nashville/Middle Tennessee area performing the new VenaSeal procedure.

What is the VenaSeal™ closure system?

The VenaSeal™ closure system is the only non-thermal, non-tumescent, non-sclerosant procedure approved for use in the U.S. that uses a specially formulated medical adhesive that closes the diseased vein. The procedure is administered without the use of tumescent anesthesia, minimizing the need for multiple needle sticks. Patients also report minimal-to-no bruising post procedure.

Currently, VenaSeal™ is a self-pay procedure.

How does it work? 

During the procedure, one of our Vein Guys™ physicians fills a syringe with the medical adhesive, which is inserted into the VenaSeal™ closure system’s dispensing gun that is attached to a catheter. The catheter is advanced into the diseased vein under ultrasound guidance. The catheter is placed in specific areas along the diseased vein and the clinician conducts a series of trigger pulls to deliver the medical adhesive. Compression is applied to the leg during the procedure.

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How quickly can patients return to normal activities post-procedure?
The VenaSeal™ closure system procedure is designed to minimize patient discomfort and reduce recovery time.  After the procedure, a small bandage will be placed at the access site. Patients are able to return to normal activities following the treatment. Additionally, patients have reported minimal bruising following the VenaSealTM closure system procedure.