Varicose Veins Specialist

Vascular & Interventional Institute of Louisville

Mahmoud Samman, MD

Vascular and Interventional Radiologist & Endovascular Surgeon located in Louisville, KY

If you’ve developed ropy, bulging veins that are not only unsightly but painful too, various surgical solutions can help. At Vascular & Interventional Institute of Louisville, Mahmoud Samman, MD, offers several options that permanently eliminate varicose veins, restoring smooth, healthy skin to the area. If varicose veins plague you, call the office in Louisville, Kentucky, or schedule an appointment online to get help.

Varicose Veins Q&A

What are varicose veins?

Your veins carry blood back to your heart and the farther the veins are from your heart, the harder they have to work, fighting gravity along the way. Your veins have tiny valves at regular intervals, opening when blood is coming up through and closing to prevent backward flow. 

If these valves begin to fail, blood can pool, and your veins can varicose, pushing out toward the surface of your skin. Varicose veins typically show up in your legs, where distance and gravity are major challenges. 

Most of the time, varicose veins are only a cosmetic concern, but they can also become painful and lead to ulcers and blood clots.

What causes varicose veins?

There are many reasons why the valves in your legs may not be working correctly, including:


As you age, your tissue loses elasticity, including your veins, which can lead to pooling.


When you’re pregnant, you have more blood in your body and less circulation around your legs.


Women are more likely to develop varicose veins because of hormonal shifts, which affect the elasticity in the vein walls.


If you spend a lot of time on your feet, your veins are working harder to deliver blood back to your heart, and they may weaken.


Extra weight causes extra pressure on your veins, which they may not be able to handle.

What are symptoms of varicose veins?

Some mild symptoms of varicose veins include heaviness, burning, aching, tiredness, or pain in your legs. 

With more severe cases, you may experience leg swelling after you sit or stand for long periods of time. You might see skin changes, such as color changes, dry and thinned skin, inflammation, scaling, and open sores. You may also find that you bleed after a minor injury.

How are varicose veins treated?

In some cases, conservative treatment can ease your symptoms and keep your varicose veins from getting worse. Dr. Samman may suggest wearing compression stockings and elevating your legs. You should also avoid long periods of sitting or standing, and get plenty of exercise.

If your varicose veins cause pain or discomfort, or they lead to secondary problems, such as ulcers, Dr. Samman can eliminate them using the following surgical techniques:


Dr. Samman injects your veins with a sclerosing agent that causes them to shrivel up and close, eventually fading away. For larger varicose veins, he injects a foam solution into the vein to close it. 

Radiofrequency Ablation (RFA)

Radiofrequency ablation is a minimally invasive procedure that uses radiofrequency energy to heat up and damage the wall inside of their vein.

In all of these cases, the surgery is minimally invasive, and Dr. Samman can often perform them as an outpatient procedure. 

If your varicose veins are causing you pain or discomfort, call Vascular & Interventional Institute of Louisville or use the online booking tool to schedule a consultation.