Are varicose veins dangerous?

 In some cases, varicose veins can lead to more serious health problems including sores or skin ulcers, bleeding, or blood clots. In most cases, this is an elective, non-emergent procedure. You will need to decide if the procedure is right for you. Due to the symptoms that varicose veins can cause, many patients will elect to have the procedure to help with the discomforts of the symptoms and to help prevent possible further damage to the system.

What is Endovenous Laser Ablation Treatment (EVLA)?
It is a minimally invasive procedure performed in our clinic. This procedure is a better alternative to the surgical vein stripping of years past. A small catheter is placed in the vein to insert the laser fiber into the affected vein. The laser fiber generates heat causing the vein to seal shut.

Can varicose veins return after EVLA treatment?
Current treatments for varicose veins have very high success rates. Over 90% of treated veins remained closed. Once the vein is treated, that vein will not come back. Over a period of years, however, more abnormal veins can develop because there is no cure for weak vein valves.

Is the procedure painful?
Patients report feeling little, if any, pain during and after the procedure. Most people state it is a 1 – 3 on a pain scale of 10.

Will the EVLA procedure require any anesthesia?
We will use a local anesthetic to numb the treatment area prior to the procedure. If needed, the physician may also give you a mild oral sedative to relax you.

How long does the procedure last?
The actual laser portion of the procedure takes approximately 15 minutes, though patients normally spend 45 minutes to one hour at the clinic due to normal pre- and post-treatment prepping.

Why can’t both legs be done on the same day?
We are limited to the amount of lidocaine (numbing medicine) that is used in the procedure. If too much is used, someone could have a reaction.

What happens to the treated vein left behind in the leg?
The vein simply becomes fibrous tissue and will gradually be absorbed by the body. Your body, naturally, reroutes the blood through the remaining healthy veins.

What happens to the blood flow if you close off my vein?
The vein being treated is already not working and is making other healthy veins take up the extra burden. Once the diseased vein is closed, these healthy veins can work more efficiently and will essentially improve your circulation.

What if I need the vein for bypass surgery in the future?
Enlarged diseased  veins are not appropriate for bypass surgery. Physicians will use healthy, much   smaller veins from other areas of your body.

Do I need a driver?
If you do not taken any oral sedation, you do not need a driver.  But, if ANY oral sedation is taken, we will require that a driver is present to pick you up after the procedure.

How quickly can I resume normal activity, i.e. work, exercise?
Patients are walking immediately following the procedure, and typically, resume normal activities within one day. We recommend that you stay active with a walking regimen of two 10-15 minute walks a day to avoid any complications. You may continue exercise classes and gym routines, as long as it is comfortable to you. Don’t work through any pain (discomfort), but allow it to be your guide. You may need to take it easy for a day or two. You cannot undo what we have done with the laser.

How long do I have to wear compression stockings?
For 7 days after treatment, during the daytime, we recommend wearing gradient compression stockings which offer the greatest amount of pressure. Compression stockings put helpful pressure on your veins. You cannot wear them too much.

Do I need to bring my compression stockings and shorts to each visit?
Yes, please bring your compression stockings and shorts to each visit. We ask that you bring old, loose fitting shorts. We use different medical products that may stain or get on shorts.

Do I need to wear undergarments or can I just use my undergarments as shorts?
Undergarments are not considered shorts. We ask that you please wear undergarments in addition to the shorts.

What if I don’t have shorts?
We have disposable paper shorts that are available for your use. Please wear undergarments under these shorts also.

What are the red, tender lumps forming on my leg(s) after the procedure?
These are what we call “SVT’s” (Superficial Venous Thrombosis). After the vein is treated, it is damaged. The body’s first response is inflammation – warm, red spots are common. In approximately 1 – 3 weeks, these spots will likely harden and feel like lumps or knots as they are healing. Eventually, these areas will decrease in size and tenderness. This is a normal response to the vein closing down.

How soon will my symptoms improve?
Many patients notice an immediate relief of symptoms such as pain, heaviness and fatigue. The full benefits of the procedure may take longer depending on the individual.

What happens if I need to travel within the time that is recommended not to travel?
We recommend avoiding extensive travel for 2 weeks. If it’s necessary for you to travel within the 2 weeks after a vein treatment, you will need to walk 10 minutes every 2 hours along the way and always wear your compression stockings when traveling.

Why are we doing another ultrasound?
Each time we do a procedure, things change and we need to know what we are working with each time you come in.

What is a “butler” and how much does it cost?
The butler is an apparatus that helps with the application of the compression stockings on your leg(s). We keep these in stock and are available for you to purchase or rent. If you choose to rent, you will pay for the butler in full, at the time of purchase. If you have kept the butler for the entire year, it is yours to keep. If you choose to return the butler within the year of purchase, you can receive a credit back for the months you didn’t use it.


Purchased butler in January Appx. $60.00 (12 months at $5/month)
Used butler until end of March $15.00 (used for 3 months at $5/month)
Returned butler for credit $45.00 (Receive credit for 9 months at $5/month)

Can I reschedule?

We have a 48 hours cancellation policy in place. We reserve the right to bill your account a $50.00 cancellation fee if you cancel within that 48 hours window. However, we know that emergencies do arise, and we determine whether or not to charge the fee on a case-by-case basis. The cancellation policy is in place because we do have time reserved for your appointment.

Who am I seeing?
Over the course of the treatment process, you will see Medical Assistants, Ultrasound Techs, Nurse Practitioner and/or the Physician(s). Each appointment will vary on the provider(s) you will see.

We realize that you do get accustomed to certain ultrasound techs. However, all of our ultrasound techs are extremely competent in what they do. Because of our schedule, you may not see the same ultrasound tech at each visit.

Please also note that our nurse(s) frequently perform sclerotherapy treatments. They are highly trained and competent to perform this procedure.


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