If you have any other questions, please contact us. If you have a medical
emergency, please dial 911.
How long before I can resume normal activities?
You will be able to walk immediately after the procedure. You may return
to work on the day after the procedure. You will be wearing prescription
stockings, which will apply gentle pressure to the veins that were treated,
in order to fully close them. These stockings must be worn for 3 weeks.
During this time, you should take it easy and refrain from heavy exertion,
such as running, skiing, weight lifting.
How much pain is involved?
Very little pain is involved. During the procedure, we will administer
local anesthesia injections, similar to when a dentist numbs your gums
before working on them.
What causes Bulging veins?
Veins begin to bulge when the valves inside the veins give out and begin
to leak. This allows blood to "leak" back down to your legs
and feet when you stand up, due to the effect of gravity. Over time, this
large volume and pressure of blood in the leg veins causes them to bulge
and become "varicose".
How long after the procedure should I see results?
Typically, you should see improvement within 2-4 weeks, but results do
vary from person to person.
What are the risks and side effects?
Vein procedures are extremely safe and risks/side effects are rare. Risks
and side effects include bleeding, infection, scarring, nerve damage,
persistent numbness, skin pigmentation.
Does insurance cover the procedure?
Varicose vein procedures are covered by Medicare and most PPO insurance
plans. You are advised, however, to check your individual plan. Spider
vein treatments are considered cosmetic and generally are not covered
by insurance plans.
Percentage of success verses failure?
Most patients (greater than 90%) have significant improvement of their
symptoms and varicose veins after completing a treatment course. Note
that, depending on the severity of disease, often more than one session,
and sometimes multiple sessions, are required.
What is the long term satisfaction?
In general, long term results are good. Keep in mind, however, that varicose
veins and chronic venous insufficiency are chronic conditions and do have
a tendency to recur in other areas of the leg. If you have varicose veins
now, then you will always have a propensity for getting them again in
the future. Also, varicose veins tend to be hereditary.
What type of procedure is needed?
There are several types of procedures that we perform at our vein center.
These are: Endovenous Laser Ablation (EVLA); Ultrasound-Guided Chemical
Ablation, also known as "Foam Sclerotherapy;" Ambulatory Phlebectomy;
Sclerotherapy. The type of procedure you will need will largely be determined
by the results of a complete Ultrasound Vein Mapping Study. This ultrasound
study, done in our Vascular Lab, examines the deep and superficial veins
in your legs and assesses for blood clots and for venous reflux (leaky
vein valves). It gives important information about the location and severity
of your vein disease.
Why do I need to wear the stocking post procedure?
After the veins are ablated, gentle constant pressure is required to keep
them closed as the healing process occurs. This is accomplished by prescription
compression stockings. Without this constant pressure achieved with the
stocking, the veins may not completely close, and the varicose veins may
not all go away. The typical strengths of compression hose used after
vein ablation are 20-30 mmHg or 30-40 mmHg. Knee-high or thigh-high hose
may be required, depending on the location of the treatment.
What is pigmentation and why does it sometimes occur after vein procedures?
When the veins are treated, blood often leaks out of them and into the
surrounding tissue and skin. This gives an appearance much like a bruise
(It is, in fact a bruise). The bruised area gets its brown/purple color
by the bilirubin in the blood cells. Your body eventually digests away
and removes this pigment. The rate at which the pigmentation resolves
differs from person to person, but can take anywhere from weeks to months.
Pigmentation is particularly notable in light-skinned individuals. Excessive
sun exposure in the weeks following your vein treatment can cause increased