Does your job require you to stand all day? Do your legs feel achy, tired, heavy or even itchy at the end of the day? Did you know all of these are signs of vein disease? At Evansville Regional Vein Center, Dr. Manley and his staff not only want your legs to look good, but we want them to feel GREAT!

Relief is just a

phone call away.

clovis manley md vein specialist

Dr. Manley

Evansville Regional Vein Center

At Evansville Regional Vein Center as our name implies, we specialize in the treatment of varicose veins for patients throughout the Evansville, Newburgh, Henderson, Jasper regions. Including southern Indiana, south-west Illinois and northern Kentucky.  Whether you have minor "spider veins" on your legs or face or the most complicated bulging and painful veins on your legs, we can help!


Clovis E. Manley, MD, established the Evansville Regional Vein Center in 2006. The center operated as part of Déjà Vu Skin and Vein Center until 2014 when it assumed its current name. Déjà Vu continues to serve Tri-State area patients as a skin care and cosmetic vein care center at the same location as ERVC.


Please browse our website to learn about vein disease and the remarkable treatments that are available at the Evansville Regional Vein Center.  We look forward to helping you with your vein problems.

Understanding vein disease & learning about vein disease treatment

From a Preferred Vascular Surgeon in Newburgh & Evansville, IN

Vein disease is a very common disorder affecting tens of millions of Americans, both male and female. Throughout the last century patients with varicose veins were told to “just live with it” because the treatment, “vein stripping,” was risky, expensive, and often just made things worse.


Thankfully, the treatment of vein disease has progressed dramatically in the last 15 years. Today, even the most complicated patients can be safely and effectively treated in the modern vein center with little or no downtime. Treatments are office-based and there are no surgery center fees and no need for general anesthesia. A true revolution in medicine has changed everything for millions of patients.


Vein disease is a serious problem that can cause leg pain, tiredness, heaviness, itching, burning, numbness, and/or restless leg syndrome. Untreated, it can eventually lead to blood clots in the legs or venous ulcers on the ankles. It should not be ignored.

What are varicose veins?


Varicose veins are usually the result of the failure of one or more valves in a vein. This leads to increased pressure in the vein sometimes resulting in a large visible ropey-appearing vein on the leg. Large varicose veins are often a sign that one of the saphenous veins has a failure of its valves. This causes blood to flow down the leg into the bulging vein. When blood flows down a leg vein it is referred to as venous reflux. As time goes by and the pressure persists, the varicose vein will get larger and longer as it attempts to hold back the high venous pressure. Since the leg stays the same length, the varicose vein will first twist like into a snake-like appearance and can eventually curl into a ball of veins.


It is important to note that many patients have significant venous disease in one or more of their saphenous veins and do not have any visible varicose veins on the skin surface.

Symptoms/signs of vein disease


Symptoms are the subjective complaints that a patient mentions to his or her doctor.


Leg symptoms of vein disease include:


  • Pain or aching

  • Leg cramps

  • Tiredness

  • Heaviness

  • Numbness

  • Burning

  • Itching

  • Restless legs

  • Ankle swelling

  • One leg larger than the other

  • Rash on the lower legs

  • Pigmentation changes (discoloration)


These symptoms often get worse the longer a patient is standing or sitting and they may get better when the legs are elevated above the heart.


Probably the most interesting symptom of venous disease is restless leg syndrome (RLS). Many vein disease patients have RLS and it often goes away after treatment of their vein problems. Occasionally, the only symptom that some vein patients notice is RLS.


Signs are objective findings observed by the doctor.


Signs of vein disease include:




































































Telangiectasia--"spider veins" smaller than one millimeter in diameter. They may or may not indicate underlying vein disease.

Varicose veins--visible, dilated veins 3 millimeters or more in diameter. This is usually an indication of underlying saphenous vein reflux.

Reticular veins--"spider veins" one millimeter or more in diameter. They may or may not indicate underlying vein disease.

Hyperpigmentation--brownish discoloration anywhere from the calf to the ankle. It can start as small spots or it can cover large areas.

Edema--swelling of the ankles is a common sign of vein disease. In some vein disease patients one entire leg is larger than the other.

Corona phlebectasia--blue veins that appear on the ankles or feet. This is often the first sign that a patient is developing venous disease.

Lipodermatosclerosis--thickened/darkened skin in 

the area between the calf and ankle. This is almost always a sign of very advanced vein disease.

Venous ulcer--this is one of the worst complications of venous disease. It is caused when the pressure in the veins is so high that even the skin cannot resist it.

Please click to enlarge and read more about these actual Evansville Regional Vein Center patients: