Minimally invasive vein treatment from specialists in Hendersonville — minutes from Gallatin and the lake

Tired, heavy, aching legs? Visible veins that keep getting worse? At The Vein Guys – Hendersonville, we provide physician-led, minimally invasive vein treatment for patients across Sumner County and the greater Nashville area. Every procedure is performed by a board-certified physician, and every ultrasound is completed by a certified Registered Vascular Technologist (RVT) — so your diagnosis is precise and your care plan is built around you.

Whether you’re dealing with varicose veins, spider veins, or symptoms like swelling, cramping, and restless legs, we’ll help you understand what’s going on and what your options are — in plain language, with no pressure. Most major insurance plans are accepted, and we verify your benefits before treatment begins.

Your Hendersonville Vein Specialist: Dr. Chad Swan

Dr. Chad Swan, M.D., is board-certified in General Surgery, Vascular Surgery, and Thoracic Surgery. He has been performing minimally invasive vein procedures since 2002 and joined The Vein Guys in 2018. Dr. Swan previously served as Chief of Surgery at Hendersonville Medical Center and has been an active member of the Sumner County community for nearly two decades — mentoring students, supporting United Way of Sumner County, and speaking at local schools.

When you visit our Hendersonville office, Dr. Swan personally evaluates your condition, reviews your ultrasound results with you, and performs your procedure. You’re not being handed off to a technician or a mid-level provider for the procedure itself — that’s the standard of care we believe every patient deserves.

Symptoms That May Point to Vein Disease

Many people live with leg symptoms for years without realizing a treatable vein condition may be the cause. If you experience any of the following, a physician evaluation could help identify what’s going on:

• Leg heaviness or fatigue — especially after standing or sitting for long periods
• Swelling in the legs, ankles, or feet — that worsens through the day
• Aching, throbbing, or burning — in the calves or behind the knees
• Restless legs or nighttime cramping — disrupting sleep or comfort
• Visible varicose or spider veins — bulging, twisted, or web-like veins on the legs
• Skin changes near the ankle — darkening, itching, or texture changes

These symptoms can be signs of chronic venous insufficiency (CVI) — a condition where valves inside the leg veins don’t close properly, allowing blood to pool instead of returning to the heart. An in-office ultrasound can determine whether venous reflux is present and help guide your treatment plan.

Vein Treatment Available in Hendersonville, TN

All treatments at our Hendersonville office are minimally invasive, performed in-office, and designed to get you back to your routine quickly. Most patients return to normal activities the same day.

• Radiofrequency Ablation (RFA) — Venefit™ Procedure: A well-tolerated, ultrasound-guided procedure that uses gentle radiofrequency energy to close the diseased vein from the inside. Blood reroutes to healthy veins naturally. Performed in-office under local anesthesia with little to no downtime. The Venefit™ procedure is the primary thermal ablation treatment used at The Vein Guys.


• VenaSeal™ Closure System: A medical-grade adhesive is delivered through a small catheter to seal the affected vein shut. No heat, no tumescent anesthesia, and no compression stockings required afterward. VenaSeal™ is a non-thermal option that many patients find especially comfortable.


• Sclerotherapy: A solution is injected directly into spider veins or small varicose veins, causing them to collapse and fade over time. Often used to treat cosmetic spider veins or as a follow-up after thermal ablation of larger veins.


• Ultrasound-Guided Sclerotherapy: For veins that aren’t visible on the surface, ultrasound guidance allows precise injection into deeper feeding veins. This is often part of a comprehensive treatment plan for patients with both visible and underlying vein disease.


• In-Office Venous Ultrasound: Every diagnostic ultrasound at The Vein Guys is performed by a certified Registered Vascular Technologist — not a medical assistant or general sonographer. This matters because accurate mapping of venous reflux is the foundation of an effective treatment plan.

What to Expect at Your First Visit

Step 1 — Physician Evaluation. Your visit starts with a one-on-one conversation with Dr. Swan about your symptoms, medical history, and goals. No questionnaire handoff — your physician hears it directly from you.

Step 2 — Diagnostic Ultrasound. If indicated, a duplex venous ultrasound is performed the same day by our certified RVT. This painless scan maps blood flow in your legs and identifies whether venous reflux is present. Dr. Swan reviews the results with you in plain language so you understand exactly what’s happening.

Step 3 — Personalized Treatment Plan. Based on your evaluation and imaging, Dr. Swan outlines your treatment options, explains what each procedure involves, and builds a plan that fits your schedule and activity level. If your insurance requires a conservative management period before treatment, we walk you through that timeline clearly.

Step 4 — Treatment and Follow-Up. Procedures are performed in-office, typically in under an hour. Most patients walk out and return to normal activities the same day. We provide compression guidance, activity recommendations, and schedule any needed follow-up visits.

Insurance and Cost

Most major insurance plans — including Medicaid and Medicare — cover the diagnosis and treatment of vein disease when medical necessity is established. At The Vein Guys, we verify your insurance benefits before treatment so you know what’s covered and what to expect.

Many insurance plans require a conservative management period (typically 6 weeks to 3 months of compression stocking use) before approving procedures. We’ll explain this timeline upfront and help you stay on track so there are no delays when it’s time to treat.

If you have questions about your specific plan, call us at (866) 328-8346 and we’ll check your benefits before your first appointment.

Who We Serve

Our Hendersonville office sees patients from across Sumner County and Middle Tennessee, including people who work on their feet all day — nurses, teachers, retail and hospitality workers, warehouse and construction crews — and may not realize their leg symptoms are connected to vein disease. We also see patients during and after pregnancy, when hormonal changes and increased blood volume can trigger or worsen venous reflux.

If your legs hurt, feel heavy, swell by the end of the day, or show visible veins that are getting worse — it’s worth a conversation. A physician evaluation is the first step to understanding what’s going on.

Proudly Serving Hendersonville
and Surrounding Communities

The Vein Guys – Hendersonville provides vein care to patients throughout Sumner County and the greater Nashville area, including Gallatin, Goodlettsville, Madison, White House, Mount Juliet, Lakewood, Old Hickory, and surrounding communities. Our office is conveniently located off New Shackle Island Road with ample surface parking and an accessible entry.

Schedule a Vein Evaluation

The Vein Guys – Hendersonville

353 New Shackle Island Road, Suite 200A
Hendersonville, TN 37075

Parking & Access: Ample surface parking; accessible entry.