Q: I’d like to treat my varicose veins. Do I need referral from my general practitioner to have Endovenous Laser Ablation?
A: This depends on your insurance. If you are in an HMO, you most probably need a referral. If you have a PPO plan, more than likely you do not. Your plan type makes the difference.
Q: Are Varicose Veins from pregnancy because of weight gained? Or other factors?
A: During pregnancy’s first trimester, hormones are released causing relaxation of veins. This promotes blood to go in the wrong direction, which may cause varicose veins. The fact that most varicose veins appear during the first trimester suggests that it has more to do with hormones than with weight gained.
Q: What are the advantages of CO2 as an injectable for veins? What are the risks?
A: Foam sclerotherapy refers to mixing a sclerosant medication with a gas to make bubbles, and then injecting the veins. Most often air is used. CO2 , carbon dioxide, can also be used. CO2 is rapidly absorbed into tissues. In theory, CO2 gas might be safer. Clinically there no proof that using CO2 make foam sclerotherapy safer or better.
Q: My friend had sclerotherapy a few days ago, and now there are blisters around the area. Is this normal?
A: Your friend may be experiencing skin breakdown which can happen with any sclerotherapy. It will heal fully, but it must be treated properly. I would contact the doctor right away.
Q: I have spider veins in both thighs. What type of compression stocking should I wear?
A: You want to cover the affected area, so thigh-high or pantyhose style would work best. If the veins are small, you would use a 15mm Hg compression or 30mm for the best result. Measure with a soft measuring tape at ankle, mid-calf & maximum thigh circumference, and look at a sizing chart for your stocking brand to obtain the best fit.
Q: Can you have Sclerotherapy on veins on the hands or wrist or arms?
A:Yes, you can have sclerotherapy on your hands and wrists.
Sclerotherapy on arms is not advisable as you may need those veins for IV or blood draws.
Q: My doctor during a screening just I had lots of veins and sclerotherapy would take at least 4 treatments. I specifically asked him about the ankle and he just asked, “how afraid of needles are you?” I’ve read this area is difficult to treat.
A: Sclerotherapy can be very successful in the ankle area. The foot and ankle can be more sensitive than the calf and thigh because they are basically skin and bone, with little subcutaneous tissue to help absorb inflammation. In addition, there are tiny superficial nerves in this area. I prefer to treat an ankle in several sessions since aggressive sclerotherapy at the ankle can bring temporary swelling of the foot which is annoying for a patient. One must first be sure that all larger incompetent veins in the calf and ankle have been treated.
Q: Is there any chance of getting traveling blood clots after EVLT? I had it done in March. My leg feels better, even though I know I’m still healing. But the past couple of days I haven’t been feeling well. My chest is achy.
There is less than 1% chance of developing DVT after EVLT, and probably less in experienced hands. However, with your onset of symptoms, the prudent course would be to have a venous ultrasound to rule out DVT and subsequent traveling of the clot to your lungs (pulmonary embolism) which occurs occasionally after a DVT.
Q: Why is it necessary to wear Compression Stockings after Sclerotherapy?
A: Compression is thought to be helpful after sclerotherapy for several reasons: to help in keeping the treated vessels collapsed, and to promote their faster healing and disappearance. Compression is also thought to offer an additional protection – besides ambulation and activity — against deep vein clotting, as it prevents stagnation of blood. At least one good study showed better cosmetic results for patients who wore compression stockings after sclerotherapy.
Q: I have prominent dark blue veins that appear across my chest and my arms. They are not in pain but i find them unsightly. Is there any treatment or procedure that can diminish them?
There is no reason one should have to suffer with the presence of unsightly veins anywhere on the body; they can absolutely be treated.
The typical treatments for chest and arms would be laser treatment and/or injection sclerotherapy, both of which have excellent results. Your vein specialist may recommend one treatment or the other, or a combination.
Q: How many times can you safely have your veins done in the same leg?
A: There is not a limit to the number of treatments or procedures which may benefit varicose veins in one leg. This condition is progressive and new varicosities form as time goes on. With our current minimally invasive approach, repetitive treatment as veins develop is superior to fewer invasive procedures.
Q: It is possible to cure or remove the varicose veins in my arms? I had sclerotherapy done already.
A: Varicose veins on the arms are quite rare. Prominent normal veins can be confused with varicose veins.
If the affected veins are varicose, one failed trial of sclerotherapy may not mean sclerotherapy using additional techniques would fail.
Surgical excision remains an option, but I would first make sure that the veins are abnormal and varicose, and I would consider alternate sclerotherapy methods.
Q: I had an EVLT procedure done on the left leg 2 weeks ago, and then the right 1 week ago. I usually go to the gym twice a week but I haven’t gone since my visits. When can I begin exercise again?
A: I usually tell patients to wait a week, but as listen to your body. Take it easy if there is discomfort.
Q: Could hot water from a spa or hot shower or cold water in a pool negatively affect my vein treatment results? How long should I refrain from the hot tub and pool?
A: We recommend a week of avoiding hot tubs after sclerotherapy . This is based on a study that showed better cosmetic results after sclerotherapy for patients who wore compression stockings. Hot water has the opposite effect of compression, so we ask patients to refrain from it and continue to wear stockings for a week.