Legs that burn, ache or throb at night but feel fine in the morning usually point to a circulation cause — most often chronic venous insufficiency. Blood that pooled in the leg veins during the day irritates nerves at night, when muscle movement no longer assists drainage. A venous duplex ultrasound confirms the diagnosis; treating the reflux typically resolves the night-time burning.
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The honest answer: a properly treated vein stays closed permanently — EVLA, RFA and VenaSeal all achieve durable closure of the diseased vein. What treatment cannot do is stop new veins from developing elsewhere over the years, since the underlying tendency remains. Periodic follow-up catches any new reflux early, when treatment is simplest.
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A venous Doppler examines the veins — the vessels returning blood to the heart — looking for reflux (the cause of varicose veins) and clots (DVT). An arterial Doppler examines the arteries supplying blood to the legs, looking for narrowing or blockage. Same ultrasound technology, entirely different systems and diagnoses — for varicose veins, heaviness or swelling, the correct test is the venous duplex.
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VenaSeal has the fastest return to sport of any vein procedure. Walking is immediate, light exercise resumes within days, and most patients are back to full training within about two weeks. Because VenaSeal uses adhesive rather than heat, there is no tumescent anesthesia and no compression stockings — the usual post-procedure restrictions simply don't apply.
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Varicose veins are not a women's issue: roughly 40% of men over 50 have some degree of chronic venous insufficiency. Men typically seek treatment far later — often only after skin damage or ulceration — which makes treatment more complex than it needed to be. The signs are the same: visible veins, heaviness, swelling, night cramps. Early duplex evaluation is quick and prevents late-stage complications.
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Tofes 17 is the referral-authorization form from your kupat holim that funds hospital treatment. For varicose veins, it means eligible patients — documented venous insufficiency (CEAP C2+) with symptoms — can receive EVLA at Shamir Medical Center at little or no direct cost. The path: duplex ultrasound and referral, request tofes 17 from your kupa, then schedule the procedure with Dr. Aronhime at Shamir.
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Before your first sclerotherapy session: no anesthesia is needed, the session takes about 30 minutes, and you walk out immediately after. Expect 1–3 sessions depending on the extent of the veins, with compression stockings worn afterwards. Results appear gradually over several weeks as the treated veins fade. Avoid sun exposure on treated areas and intense sport for a few days.
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Varicocele — enlarged veins around the testicle — affects about 15% of men and up to 35% of men evaluated for infertility. Treatment today is a choice between surgery and embolization: a catheter-based, incision-free procedure performed by an endovascular specialist under local anesthesia, with same-day discharge and success rates comparable to surgery. Dr. Aronhime performs varicocele embolization at Shamir Medical Center.
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Yes — summer vein treatment is fine. The "wait until winter" rule is a myth: heat does not affect outcomes, and modern procedures need far less compression than patients fear — VenaSeal requires no stockings at all. Waiting months for winter mainly means more months of symptoms. The one real summer consideration is sun protection over treated areas after sclerotherapy.
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Israeli insurance covers varicose vein treatment when it is medical, not cosmetic: documented symptoms (pain, heaviness, swelling, skin changes) plus reflux on duplex ultrasound. Pathways: tofes 17 from your kupat holim funds EVLA at a public hospital like Shamir; comprehensive supplemental insurance (shaban) can cover RFA privately. Purely cosmetic spider-vein treatment is not covered. Verify specifics with your insurer.
Israel Vein Center is one of Israel’s first clinics dedicated exclusively to minimally invasive vein treatment. Dr. Shimon Aronhime — Endovascular Surgeon, trained at Mount Sinai and Columbia University, New York.
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