2811 Tieton Drive,
Yakima, WA 98902 Map this address

(509) 575-8000

Vein Dynamics

Address: 1607 Creekside Loop, Suite 100 Map this address

VeinDynamics is a program of Yakima Vascular Associates. Yakima Vascular's board certified vascular surgeons and staff are dedicated to the therapeutic and cosmetic treatment of vein problems.

Varicose veins

Varicose veins are swollen veins on legs or ankles that look like grape clusters or large ropes. This unsightly condition occurs when the one-way valve in our veins fail, causing blood to back up in the vein creating pressure build-up. Twenty five million Americans suffer varicose veins, and women are more likely than men to develop varicose veins. Varicose veins can cause dull, aching pain and swelling that is generally worse at the end of the day or after long periods of standing or sitting. There are many factors contributing to varicose veins including heredity, pregnancy, hormonal changes, obesity, standing or sitting for long periods of time, aging or injury. For some people, untreated varicose veins can lead to skin ulcers, bleeding or inflammation (phlebitis).

Treatment options

Endovenous Laser Therapy (EVLT)

This minimally invasive treatment is a safe and highly effective for varicose veins. An endovenous laser is inserted into the greater saphenous vein through an entry point no larger than a needle point. As the laser is pulled out, it pulses and essentially closes the vein. The procedure is performed in a doctor's office and does not require general anesthesia. It lasts about 30-60 minutes with results typically seen after the first treatment. There is minimal pain and patients often return to work or their normal routine within a few days.


Microphlebotomy removes varicose veins through several tiny incisions. No sutures are needed to close the small incisions. The procedure is performed in the office with local anesthesia (numbing medication). There is almost no discomfort with this procedure.

Spider Veins

Spider veins are small, thread-like blood vessels near the surface of the skin. They typically occur in the legs or ankles and only measure 1-2 mm in diameter. They may be red or blue colored and often look like spider webs. Spider veins can be unsightly and may also cause aching in the legs, especially after long periods of standing or sitting.


A chemical solution is injected into the abnormal vein with a microneedle. This irritates the vein and causes it to collapse and fade away with time. Multiple treatments may be needed. There is almost no discomfort with this procedure.

Payment Options

Insurance may cover the cost of varicose vein treatment. Billing coordinators will assist in determining your insurance coverage. Most often, spider vein treatments are not covered by insurance. Information about the cost of eliminating spider veins is provided prior to treatment. Contact our office for pricing.

Our Providers

Dr Tanwani

Tekchand Tanwani, MD
General Surgeon

Dr. Tekchand Tanwani grew up in southern Pakistan in a small town about the size of Yakima. He earned a medical degree from the University of Karachi in Pakistan. He completed a residency in general surgery at Northshore University Medical Center in Long Island, N.Y. and is board certified by the American College of Surgeons and the American College of Phlebology.

Dr. Tanwani belongs to a family of physicians and considers medicine a noble and rewarding profession. He enjoys spending time with patients and educating them about their care, employing honesty and a passion for his work.

Dr. Tanwani moved to Yakima in 1998 and enjoyed the weather, community and the landscape so much that he and his wife decided to stay in Yakima and raise their two children here.

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