Great Medical Clinic! Wonderful and warm experience from the reception to diagnosis and treatment. Dr. Vinokur took time to go over the diagnosis clearly and oered several treatment options. Really appreciate and highly recommend.
PHLEBOLOGY is a branch of medicine concerned with the diagnosis, treatment and rehabilitation of venous diseases. Varicose veins require a qualified integrated approach, therefore, it should be carried out in a professional clinic by a phlebologist.
A narrow specialist conducts examinations, on the bases of which effective methods of treatment or surgical intervention at advanced stages of varicose veins of the legs are being prescribed.
Our team of Vein Specialists successfully applies the latest treatment procedures for varicose veins.
Varicose veins and Spider veins is a disease of the venous channels, characterized by impaired blood circulation and changes in valves. The disease is accompanied by an expansion of the walls and an increase in the length of the vein. The disease provokes stagnation of blood, the formation of a knot and requires a mandatory consultation with a doctor specializing in varicose veins.
According to statistics, about 30% of middle-aged and older people have varicose veins.
Often, the early stages of varicose veins are ignored, since quality of life is not yet impaired and the person is only concerned about a cosmetic defect. Later stages of chronic venous disease significantly reduce quality of life and require long-term treatment.
Take care of your health in advance!
One of the first symptoms that attracts attention is the expansion of small veins and venules in the form of asterisks (telangiectasia and reticular varicose veins).
There is a feeling of tightness and squeezing, often itching and burning in the legs and ankles, as well as dryness and peeling of the skin of the legs. These symptoms are due to gradually forming blood stasis, lack of oxygen in the tissues, as well as a delay in the removal of metabolic products from the tissues.
Edema is a common symptom of varicose veins: marks from shoes and gum socks remain on the skin. With a progressive deterioration in blood outflow, throbbing or aching pain, muscle spasms appear, and leg cramps may occur at night.
In advanced cases, in addition to these symptoms, the color (pigmentation) of the skin in the area of the legs and ankles changes to brownish. Sometimes local reddening of the skin develops and the risk of developing trophic ulcers in this area increases.
A trophic ulcer is an extreme degree of skin malnutrition and often occurs as a complication of varicose veins. The concept of “trophic” indicates that the ulcer arose as a result of malnutrition of tissues and the ability to self-heal is sharply reduced in the affected area. That is why trophic ulcers are extremely difficult to treat, and chronic infection in this area can lead to the development of dermatitis, eczema. In severe cases, the purulent process can spread deep into the tissues, affecting the subcutaneous tissue and muscles. Trophic ulcers occur in chronic venous insufficiency.
The primary diagnosis of varicose veins is primarily based on typical patient complaints and external manifestations:
- Heaviness in the legs;
- Rapid fatigue of the legs;
- The appearance of edema;
- Itching, burning, numbness, convulsions;
- Visible dilated veins (“asterisks”, varicose veins, swollen veins on the legs);
- Change in color and structure of the skin;
- Long-term healing ulcers.

The exact cause of the development of varicose veins cannot be established. However, factors have been identified that increase the risk of progression of varicose veins:
- Genetic predisposition. It is explained by the transfer of a non-standard gene, which is responsible for the structure of the vascular channels.
- Hormonal changes, such as during childbearing or menopause. In the body, the concentration of estrogen decreases and the level of progesterone increases. This leads to a decrease in the tone of the venous wall and blockage of blood vessels;
- Overweight, provokes slow blood circulation, increased pressure in the abdominal region;
- High concentration of sugar in the blood vessels damages the walls of the channels, creates a favorable environment for the formation of blood clots;
- Excessive consumption of alcoholic beverages provokes dehydration, blood cells thicken, blood clots form, blood exchange is disturbed;
- Prolonged physical activity on the lower extremities provokes a decrease in the tone of muscle tissues, blood flow to the cardiac system slows down, stagnation forms in the legs;
- Congenital abnormalities in the clotting of blood cells;
- Wrong diet, low concentration of vitamins E and C leads to weakening of blood vessels;
- Constant use of tight underwear provokes squeezing of the venous channels;
- Kidney disease;
- Chronic constipation. The disease leads to an increase in pressure in the intra-abdominal region, which provokes a disturbed outflow of blood;
- Frequent use of shoes with high heels, the muscle tissues of the lower leg do not move, stagnation is provoked;
- Hot season, frequent dehydration thickens the blood, increase the risk of blood clots;
- Diseases of the cardiovascular system, such as heart failure;
- Overdose of drugs that increase the clotting of blood cells;
- Surgery, blood loss during surgery increases the risk of blood clots.
Therapy for varicose veins must be started as early as possible, since heavily altered veins cannot fully perform their function and the disease will steadily progress. Treatment of varicose veins requires strict adherence to the doctor’s recommendations.

We encourage you to book an appointment with our phlebologist and be advised on the best treatment.
Our Phlebologist is a doctor with more than 18 years of experience who will help to overcome the underlying causes, symptoms and manifestations of varicose veins and completely get rid of unpleasant painful sensations, no matter how difficult the condition of the leg veins is and how varicose veins progress.

Unlike classic sclerotherapy, with TRAP (Three-Dimensional Regenerative Ambulatory Phlebotherapy) we do not treat the vein wall, we reduce their caliber making them stronger and more functional. Trap Phlebotherapy restores the natural diameter of the varicose vessel and regenerates its wall.
Trap Phlebotherapy can be performed both in therapy of an evident varicosity and of an initial suffering of the venous circulation of the lower limbs as well as in its prevention.
Trap Phlebotherapy works softer and demonstrates minimal range of complications. There is no pigmentation, new varices and capillaries after the procedure.
The treatment is performed in different regions of the limb since meiopragia (weakness of the tissues) is spread to all the venous walls of the superficial and perforating circulation.
The functional and aesthetic efficacy of TRAP is confirmed by the permanent disappearance of the vessels of the superficial circulation. This solution is well tolerated.
The treatment is carried out on an outpatient basis, is not painful, does not require anesthesia and allows a patient to immediately resume normal social and work activities.

SCLEROTHERAPY is a medical procedure used to eliminate varicose veins and spider veins.
This procedure involves injecting a solution directly into each affected vein that causes it to scar and collapse, forcing blood to reroute through healthier veins. The collapsed vein is reabsorbed into local tissue and eventually fades.
SCLEROTHERAPY does not require anesthesia and usually takes 15 minutes to an hour to complete. The number of injections depends on the number and size of veins being treated.

MINI-PHLEBECTOMY is a technique to remove varicose veins.
In this procedure, several tiny cuts (incisions) are made in the skin through which with the help of a small hook the varicosed vein is pulled toward the surface and removed.
The procedure is performed under local anesthesia and takes less than an hour to complete.
We offers a medical care for diagnostic, therapeutic, or preventive outpatient services, combining unique practices and the highest standards of service in its professional approach.
Great experience. They are very responsive and true to their word that pcr test result will be available within the day. Thank you!
Lyza Endico
Great experience! The staff is very friendly and helpful. I especially liked how easy it was to make an appointment and the time was respected. The doctor was patient and professional. Highly recommend this Clinic.
Ilona Petrovska









