"The Leg Pain Clinic is amazing!! I walked out with less pain than I walked in with! Dr. Anwar is amazing and I love his bedside manner!! I didn't want another knee replacement surgery and now I don't have to get one!!"
Varicose Veins & Venous Disease
Minimally invasive treatment for varicose veins and venous insufficiency. Same-day recovery, no surgery.
Treatable without surgery
Understanding your condition
Varicose Veins & Venous Disease explained
Varicose veins and venous disease affect millions of adults in Houston, causing heavy, aching legs, visible bulging veins, and swelling that many patients are told cannot be treated without surgery. Dr. Anwer, a Stanford Fellowship trained interventional radiologist, treats the underlying venous insufficiency rather than just the visible veins. When the valves inside leg veins stop working properly, blood pools and pressure builds. This causes the veins to enlarge and symptoms to worsen over time. Minimally invasive treatment corrects the root cause as an outpatient with same-day recovery.
Most patients return to normal activity the same day, with no hospital stay or surgical incisions.
Dr. Anwer's approach
Dr. Anwer uses image-guided techniques to close the diseased vein from the inside, redirecting blood flow to healthy veins. The procedure is performed through a pinhole incision under ultrasound guidance, takes approximately 60 minutes, and requires no general anaesthesia or hospital stay.
Treatable without surgery
Key facts
Treats the root cause of venous insufficiency, not just surface veins
Image-guided procedure through a pinhole, no surgical incisions
No general anaesthesia required
Outpatient procedure, typically completed in under 60 minutes
Most patients return to normal activity the same day
Covered by most major insurance when medically necessary
Stanford Fellowship trained physician performing your procedure
Treatment overview
Is this the right treatment for you?
Every patient is different. These four areas will help you understand whether Varicose Veins & Venous Disease treatment at LPVI is the right fit.
Who qualifies
Am I a good candidate?
Venous treatment at LPVI is suitable for patients experiencing symptoms such as leg heaviness, aching, swelling, or visible varicose veins that affect daily comfort. Candidates typically have venous insufficiency confirmed on ultrasound and have tried conservative measures such as compression stockings without adequate relief. Dr. Anwer reviews your ultrasound imaging personally at your first consultation to confirm whether treatment is appropriate and which technique best suits your anatomy.
Common symptoms
Symptoms we treat
Venous disease symptoms range from cosmetic concerns to significant daily discomfort. The most common include a heavy or tired feeling in the legs, aching or throbbing that worsens after standing or sitting for long periods, and visible twisted or bulging veins on the legs or feet. Many patients notice leg swelling that builds through the day and settles overnight. Skin changes around the ankles such as darkening or thickening are a sign of more advanced disease. Night cramps and restless legs are also common. Even mild symptoms affecting daily life are worth discussing with Dr. Anwer.
What to expect
The procedure
Dr. Anwer performs venous treatment using image-guided techniques that close the diseased vein from the inside, causing it to collapse and be absorbed by the body. A thin catheter is inserted through a pinhole in the leg under ultrasound guidance. The procedure takes approximately 60 minutes and is performed under local anaesthesia with no general anaesthesia required. Blood is naturally redirected to healthy veins. There are no surgical incisions, no stitches, and no overnight hospital stay. You go home the same day.
After treatment
Recovery and results
Recovery from venous treatment at LPVI is straightforward. Most patients return to normal daily activity the same day as the procedure. Walking is encouraged from the moment you leave the clinic. Compression stockings are worn for one to two weeks after treatment to support the treated vein and reduce any mild bruising. Some patients notice minor soreness along the treated vein for a few days. Heavy exercise and prolonged standing are restricted for about one week. Dr. Anwer schedules a follow-up ultrasound at four to six weeks to confirm the vein has closed successfully.
Your treatment starts here
What's holding
What's holding
you back?
You may have more options than you've been told. Answer four quick questions and our engine matches you to the right minimally invasive treatment and connects you directly with Dr. Anwer.
This information is not a medical diagnosis. A consultation with Dr. Anwer will confirm your treatment options. Individual results may vary.
Do any of these sound familiar?
Common symptoms
You do not need all of these. Even two or three are worth discussing with Dr. Anwer at your first consultation.
Heavy or tired legs that worsen through the day
Visible bulging or twisted veins on the legs or feet
Leg swelling that builds up by the end of the day
Aching or throbbing legs after standing or sitting
Skin darkening or thickening around the ankle area
Night cramps or restless legs that disrupt sleep
Our approach
How Dr. Anwer treats varicose veins & venous disease
Dr. Anwer uses image-guided techniques to close the diseased vein from the inside, redirecting blood flow to healthy veins. The procedure is performed through a pinhole incision under ultrasound guidance, takes approximately 60 minutes, and requires no general anaesthesia or hospital stay.
Consultation and venous ultrasound with Dr. Anwer
Personalised treatment plan, procedure date confirmed
Outpatient procedure, 60 minutes, local anaesthesia only
Same-day discharge, follow-up ultrasound at 4 to 6 weeks
Why choose this approach
Minimally invasive vs conventional treatment
Conventional approach
Traditional treatment for varicose veins involved surgical stripping under general anaesthesia, requiring a hospital stay and several weeks of recovery. Patients were often left with scarring and a lengthy return to normal activity.
- Major surgery or invasive procedure
- General anaesthesia required
- Hospital stay of 1 to 5 days
- Recovery of 4 to 12 weeks
Dr. Anwer's approach at LPVI
Dr. Anwer closes the diseased vein from the inside through a pinhole under ultrasound guidance. No general anaesthesia, no surgical incisions, no hospital stay. Most patients walk out the same day and return to work the following morning.
- Outpatient, no hospital admission
- Light sedation or local anaesthesia
- Pinhole incision, no stitches
- Same-day or next-day recovery
Venous disease is progressive. Patients often wait years before seeking treatment, and by then the symptoms are significantly affecting their quality of life. Early minimally invasive treatment is straightforward, effective, and takes less than an hour.
Patient stories
What our patients are saying
5.0
Based on Google reviews
"Dr. Bilal very professional and awesome physician. My left knee pain went down from 9 to 3. Front staff, nurses, OR staff all were amazing and very professional."
"Brought my mother in law to get help with her knees. She literally could not walk. After procedure she walked to car with minimal discomfort. Each day is getting better and better. I rate the entire place 10 of 10."
"Fantastic doctor, very thorough, explained everything. Staff is outstanding!!! I first heard of them via Facebook and after looking more into it I saw they can treat shoulder pain too. I feel great after my procedure."
"Doctor Anwer and his staff is totally awesome, they are very kind and respectful. Dr. Anwer does amazing work. I love them all."
"Excellent staff and doctor! Excellent care and caring!!! I would recommend this clinic to anyone who is looking for a caring, professional medical team."
"My husband thinks very highly of the doctor. The entire experience from start to finish was professional and compassionate."
"Sabrena Cummings: Fantastic doctor very thorough explained everything. Staff is outstanding!!!"
"The Leg Pain Clinic is amazing!! I walked out with less pain than I walked in with! Dr. Anwar is amazing and I love his bedside manner!! I didn't want another knee replacement surgery and now I don't have to get one!!"
"Dr. Bilal very professional and awesome physician. My left knee pain went down from 9 to 3. Front staff, nurses, OR staff all were amazing and very professional."
"Brought my mother in law to get help with her knees. She literally could not walk. After procedure she walked to car with minimal discomfort. Each day is getting better and better. I rate the entire place 10 of 10."
"Fantastic doctor, very thorough, explained everything. Staff is outstanding!!! I first heard of them via Facebook and after looking more into it I saw they can treat shoulder pain too. I feel great after my procedure."
"Doctor Anwer and his staff is totally awesome, they are very kind and respectful. Dr. Anwer does amazing work. I love them all."
"Excellent staff and doctor! Excellent care and caring!!! I would recommend this clinic to anyone who is looking for a caring, professional medical team."
"My husband thinks very highly of the doctor. The entire experience from start to finish was professional and compassionate."
"Sabrena Cummings: Fantastic doctor very thorough explained everything. Staff is outstanding!!!"
FAQ
Common questions about Varicose Veins & Venous Disease
Yes. Varicose vein treatment is covered by Medicare and most major insurance plans in Houston when the condition is causing symptoms such as pain, swelling, or skin changes, and conservative treatments such as compression stockings have been tried first. Plans including BlueCross BlueShield, Aetna, Cigna, and United Healthcare are accepted at LPVI. Our team will verify your specific benefits before your consultation. Call us on 713-242-1139 to confirm your coverage.
Recovery from minimally invasive venous treatment at LPVI is one of its key advantages. Most patients return to normal daily activity the same day as the procedure. Walking is encouraged immediately. Compression stockings are worn for one to two weeks and heavy exercise is restricted for about one week. There is no hospital stay and no surgical recovery period. Dr. Anwer will schedule a follow-up ultrasound at four to six weeks to confirm the treated vein has closed as expected.
Varicose veins are a medical condition, not just a cosmetic concern. They are a sign that the valves controlling blood flow inside the leg veins are no longer working properly, causing blood to pool and pressure to build. Left untreated, venous disease progresses and can lead to leg ulcers, skin changes, and persistent swelling. When symptoms are present, treatment is often covered by insurance as a medically necessary procedure. Dr. Anwer treats the underlying venous insufficiency, not just the visible veins.
Venous disease is progressive. Without treatment, the affected veins continue to enlarge, symptoms such as leg heaviness, swelling, and pain typically worsen, and the risk of complications increases. Advanced venous disease can lead to skin changes around the ankles, venous ulcers that are difficult to heal, and in some cases superficial thrombophlebitis. Early minimally invasive treatment is straightforward and prevents the condition from reaching a more serious stage.
Traditional vein stripping involved surgically removing the affected vein under general anaesthesia, with a hospital stay and several weeks of recovery. Minimally invasive treatment at LPVI closes the diseased vein from the inside using a thin catheter inserted through a pinhole under ultrasound guidance. There is no general anaesthesia, no surgical incisions, no hospital stay, and most patients return to normal activity the same day. The results are comparable with significantly less discomfort and downtime.
Most patients notice an improvement in leg heaviness and aching within the first one to two weeks after venous treatment. Visible veins fade gradually over several weeks as the treated vein is absorbed by the body. Swelling typically reduces within the first few weeks. Dr. Anwer will arrange a follow-up ultrasound at four to six weeks to confirm the vein has closed and assess your overall response. The majority of patients at LPVI in Houston report significant symptom improvement within the first month.
Coverage
We accept most major insurance plans
Dr. Anwer treats varicose veins and venous disease at LPVI clinics in Houston and Webster, serving patients from Katy, Cypress, The Woodlands, Spring, and Humble. Treatment is minimally invasive, outpatient, and covered by most major insurance plans when medically necessary. Patients across Greater Houston choose LPVI because Dr. Anwer is Stanford Fellowship trained, personally reviews ultrasound imaging, and treats the root cause of venous disease rather than just the surface appearance.
Take the next step
Ready to treat your varicose veins without surgery?
Speak with Dr. Anwer about your varicose veins & venous disease. Same-day appointments available. Most insurance accepted.
This information is not a medical diagnosis. A consultation with Dr. Anwer will confirm your treatment options. Individual results may vary.