Varicose veins can be painful. Treatment depends on the patient and the types of veins involved (Varicose veins, spider veins, or reticular veins). It is also crucial to find out if the patient has venous insufficiency (venous reflux) which is often the root cause. At the San Francisco Vein Center, Dr. Aquino employs many different varicose vein treatments including compression therapy (compression stockings), sclerotherapy, radiofrequency ablation, and surgical phlebectomy. Each patient receives an individualized treatment plan to address the symptoms and appearance of varicose veins.