Providence Heart Institute, Vein Center - Manito
Our team at Providence Vein Center has been treating varicose and spider veins for 20 years. We know no two cases are alike. Our wide range of treatment options allows us to tailor a plan especially for you and helps resolve the symptoms and cosmetic concerns often caused by varicose and spider vein problems.
Our Approach
At Providence Vein Center in Spokane, we take time to understand your symptoms, concerns and goals. Our vein specialists evaluate your condition and work with you to create a personalized treatment plan that fits your needs.
Your care may include advanced imaging, in-office procedures and follow-up support designed to help relieve symptoms, improve circulation and support your overall well-being.
We offer minimally invasive treatments for varicose veins, spider veins and other vein conditions. Many procedures are performed in our office with little or no downtime, so you can get back to your daily life as soon as possible.
Because some vein problems are not visible on the surface, we may use ultrasound to better understand what is causing your symptoms. From there, we build a care plan based on your screening, overall health and personal risk factors.
As part of Providence, our team can also coordinate your vein care with other providers when needed, helping you receive connected care that supports your health beyond your visit.
Our Services, Conditions and Treatments
Services
- Heart & Vascular Care
Treatments
- Endovenous Laser Ablation
- Microambulatory Phlebectomies (MAPS)
- Radiofrequency Ablation
- Sclerotherapy
- Varicose and Spider Vein Treatment
- Venaseal Closure System
Diagnostics
- Vein Screening Assessment
Insurances Accepted
- Aetna
- Aetna Medicare Advantage HMO/PPO
- Aetna PPO
- Asuris Northwest Health Medicare Advantage PPO
- Asuris Northwest Health PPO
- Asuris Northwest Health TRIWEST
- Blue Cross Of Idaho Health Service Medicaid
- Blue Cross Of Idaho Health Service Medicare Advantage
- Blue Cross Of Idaho Health Service PPO
- Cigna Medicare Advantage HMO/PPO
- Cigna PPO
- Coordinated Care Medicaid
- Evernorth PPO
- Ferry County Jail
- First Choice PPO
- First Health-Coventry PPO
- HealthSmart (Interplan) PPO
- Humana
- Humana HMO
- Humana PPO
- Interwest Health PPO
- Kaiser
- Kaiser Medicare Advantage
- Molina Medicaid
- Molina Medicare Advantage
- Naphcare
- Pacific Medical Center TRICARE
- Pacific Source Health Medicare Advantage-HMO
- Pacific Source Health PPO
- Premera
- Premera Medicare Advantage
- Providence Health Plan
- Providence Health Plan Medicare Advantage-HMO
- Regence Blue Shield Of Idaho Medicare Advantage PPO
- Regence Blue Shield Of Idaho PPO
- Regence BlueShield Of Washington Medicare Advantage HMO/PPO
- Regence BlueShield Of Washington PPO
- State Of Washington Department Of Corrections
- Stevens County Sheriff'S Office
- TriWest - Tricare
- United Behavioral Health Medicaid* * Medicaid product only for Idaho
- United Behavioral Health Medicare Advantage
- United Behavioral Health PPO
- United Healthcare
- United Healthcare Medicaid
- United Healthcare Medicare Advantage
- Wellcare Medicare Advantage-HMO
- Wellpoint Medicaid
- Wellpoint Medicare Advantage
Advanced Varicose and Spider Vein Treatment
If varicose or spider veins are causing discomfort, swelling or changes in how your legs look or feel, we’re here to help you find relief. Many treatments are performed right in the clinic and are designed to be as comfortable and convenient as possible. With a personalized care plan, you can feel confident knowing your treatment is focused on easing symptoms, improving circulation and helping you return to daily life with less downtime.
Endovenous Laser Ablation (EVLA) is a minimally invasive procedure used to treat varicose veins. During the procedure, laser energy is delivered through a thin fiber inserted into the affected vein. The heat causes the vein wall to collapse and seal shut. Over time, the body naturally absorbs the treated vein, and blood is redirected to healthy veins.
The procedure is typically performed in the office using local anesthesia and usually takes about 30 to 60 minutes. After treatment, patients are generally encouraged to walk and wear compression stockings as directed by their physician.
Microambulatory Phlebectomy (MAPS), also known as microphlebectomy or ambulatory phlebectomy, is a minimally invasive procedure used to remove larger varicose veins close to the surface of the skin. During the procedure, the provider makes a series of tiny punctures or incisions over the affected vein and removes the vein in small sections using specialized instruments.
The punctures are so small that they typically do not require stitches and are closed with adhesive strips. The procedure is performed in the office using local anesthesia, allowing most patients to return to normal activities within a day or two.
Radiofrequency Ablation (RFA) is a minimally invasive procedure used to treat varicose veins. Instead of laser energy, it uses radiofrequency energy to heat the vein wall, causing the vein to collapse and seal shut. Over time, the body naturally absorbs the treated vein, and blood is rerouted through healthy veins.
The procedure is typically performed in the office using local (tumescent) anesthesia and usually takes 30 to 60 minutes. After treatment, patients are encouraged to walk and wear compression stockings as directed by their physician.
Used to treat spider veins and small varicose veins, sclerotherapy is also performed in the office. The provider injects medication into the vein using a tiny needle. The medication damages the vein, causing it to collapse and shut. In time, the vein becomes less visible and eventually disappears. You may need just one, or several sessions, depending upon the type and number of veins being treated.
With sclerotherapy anesthesia is not needed. Most patients experience little discomfort, although the injections may cause a mild burning or stinging sensation for a few seconds. The treatment itself takes 20-30 minutes. You may experience minimal discomfort, along with bruising and discoloration. You can resume normal activities immediately.
VenaSeal™ Closure is a minimally invasive procedure used to treat varicose veins without heat. During the procedure, a specially formulated medical adhesive is delivered through a catheter into the affected vein, sealing it closed. Over time, the body naturally absorbs the treated vein, and blood is rerouted through healthy veins.
Because VenaSeal does not use thermal energy, it typically does not require tumescent anesthesia along the treated vein, reducing the number of needle sticks compared with thermal ablation procedures. Most patients experience little discomfort and can return to normal activities shortly after treatment. Depending on the physician's recommendations and whether additional vein procedures are performed, compression stockings may not be necessary after treatment.
Providence Heart Institute, Vein Center - Manito
1923 S Grand Blvd, Spokane, Washington 99203
Map & Directions
Frequently Asked Questions
Spider veins are a common vein condition caused by broken blood vessels, called capillaries. They appear on the surface of the skin and appear web-like and are typically red, blue or purple in color.
Spider veins form when one-way valves in the blood vessels no longer work properly, causing blood to clot instead of flowing back to the heart. While spider veins aren’t harmful, they can cause burning or itching and may make some people feel self-conscious.
Varicose veins are enlarged, bulging and twisted veins that are often darker in color than spider veins. They're typically close to the surface of the skin and are caused by valves within veins that are deeper in the leg. These valves may no longer function normally, resulting in blood pooling when calf muscles relax. This causes the veins to widen, making them more visible and uncomfortable. Varicose veins can be caused by injury, age, genetics, blood clot or other factors.
Symptoms may include pain, fatigue, heaviness, aching, burning, throbbing, itching or swelling in your legs. If left untreated, varicose veins can worsen over time.
Spider veins and varicose veins can affect women and men of any age, but they're most common in women who are of childbearing age or older.
Treatments typically cause minimal discomfort, most people can walk immediately after the procedure and resume their normal activities the same day – except for heavy lifting or strenuous exercise for about one week, or as directed by their doctor.
All procedures are performed in our clinics as outpatient visits. Providence Vein Center has three convenient locations in North Spokane, South Hill and Spokane Valley.
Many patients notice immediate relief of symptoms, such as reduced pain, minimized leg heaviness and reduced fatigue. The full benefits of the procedure may take 1–2 weeks. Individual results may vary.
While we treat varicose and spider veins year-round, many patients seek treatment during the fall and winter months. This minimizes sun exposure to the treated area and allows enough time for healing before warmer months.
During your vein screening, we'll review your insurance plan. Our vein center offers an initial screening and consultation at no charge. As with any health procedure, we recommend contacting your insurance company directly to confirm coverage and benefits.