Vein Center FAQs
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 and drive yourself
home. The only event in which you may not drive yourself home would be
if you choose to take a prescribed sedative prior to your procedure. In
that case you will need a caregiver to transport you to and from the appointment.
Part of your recovery consists of wearing compression stockings, to help
heal your veins, for 3 weeks. During this time, you should take it easy;
your provider will inform you of your ‘Dos and Don’t's’.
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 gum before
working on your teeth.
What causes “bulging” veins?
Veins begin to bulge when the valves inside are diseased, this means they
are not pumping blood back up to the heart and are pooling the blood in
your leg, due to the effects of gravity. Over time, this large volume
of pressure in blood begins to build up, causing your veins to bulge and
become “varicose”.
How long after this procedure should I see results?
Typically, you should see improvement within 2-4 weeks, please be advised
that results vary from person to person. Every body is different, each
patient’s condition is unique and requires different methods of
treatment. Your timeline to seeing results may be different than that
of someone else’s.
What are the risks and side effects?
Vein procedures are extremely safe and risks/side effects are rare. Our
team takes great measures in ensuring we do not cause risks or side effects
to occur. 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 versus 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 the disease, often more than one session
– sometimes multiple sessions, are required.
What is the long-term satisfaction?
In general, long-term results are good. Please 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. 3 and 6 month follow up appointments are a part
of each patient’s treatment plan, that way we can monitor how your
legs are doing and assess if further treatment is required.
How will I know what type of vein procedure I need?
After meeting with your provider, you will be sent to our Vascular Lab
for a Vein Mapping Ultrasound first. This ultrasound will examine your
deep & superficial veins, assess for blood clots and venous insufficiency;
This helps us discover which veins are diseased and are in need of treatment.
There are several types of procedures that we perform at our vein center.
These are: Endovenous Laser Ablation (EVLA), Radiofrequency Ablation (RFA),
and Ultrasound Guided Chemical Ablation (also known as “Foam Sclerotherapy”).
The type of procedures you have will be determined by the results of your
Vein Mapping ultrasound.
Why do I need to wear the compression stockings post procedure?
After the veins are ablated, gentle constant pressure is required to keep
them closed as the healing process occurs. This is accomplished with the
prescription compression stockings, an essential step in the treatment
process. Without this constant pressure, the veins may never completely
close, and the varicose veins may not all go away. Knee high or thigh
high hose may be required, depending on the location of treatment.
What is pigmentation and why does it sometimes occur after the vein procedure?
When the veins are treated, blood often leaks out of them and into surrounding
tissue and skin. This creates the appearance of a bruise (it is, in fact
a bruise). The rate at which the pigmentation resolves differ from person
to person but can take anywhere from weeks to months to resolve. Excessive
sun exposure in the weeks following your vein treatment can cause increased
pigmentation.