Varicose veins may cause leg achiness, heaviness, fatigue, and disrupt your ability to sleep at night due to restless leg or cramps. The old treatment of vein stripping is obsolete. The standard treatment for venous insufficiency (veins whose valves are not working) is ablation with laser or radiofrequency. This treatment may be completed in the office and is usually covered by insurance. The recovery is quick and has minimal discomfort. It has proven results that are excellent.