Varicose Veins Treatment Procedure

The No-Surgery, No-Scar Way to Treat Varicose Veins

Traditionally, a painful surgery has been the only effective treatment option for varicose veins, but thanks to improvements in medical technology and knowledge new techniques have been developed that are minimally invasive and virtually pain-free.

This quick laser procedure leaves no scars and can be performed in the doctor’s office in less than one hour. First, the doctor will use an ultrasound to map out the affected veins and then apply a local anesthetic. A thin laser fiber is then inserted through a tiny entry point, usually near the knee. Laser energy is then delivered to seal each faulty vein.

Walking immediately after the procedure is not only okay, it is encouraged! Normal daily activities should be resumed as soon as possible, however rigorous activities like gym workouts should be avoided for a few weeks. You may experience some minor soreness and bruising but any discomfort can be treated with over-the-counter, non-aspirin pain medication as needed.

Evlt is a Tremendously Safe And Effective Procedure

Endovenous Laser Treatment Patient Information

Before Treatment: You may eat or drink as usual before this procedure, but you must avoid alcohol and caffeine. It is best to stay hydrated at the time of the procedure, so drinking plenty of fluids is advised. You will need to bring a support stocking with you to the clinic as well as comfortable, loose-fitting clothes to be worn over the stockings and bandages. You may also wish to bring ibuprofen to be used after the procedure.

Men are asked to please not wear boxer shorts and all patients are advised that underwear may be stained or discolored by the antiseptic prep solution. It is recommended that you arrange transportation home from the procedure. For one week prior to the treatment, you will be asked not to take aspirin or other blood thinners.

The EVLT Procedure: The EVLT procedure takes about one hour to perform. Upon your arrival at the doctor’s office, you’ll be asked to change into a medical gown. As we explained above, the vein to be treated will be mapped out using ultrasound and a cleaning solution will be used on the leg. Sterile drapes will be placed around the treatment leg and a local anesthetic applied to the entry site.

A needle will then be placed through the skin into the center of the vein. You may feel the wire, but it likely won’t be painful. A sheath will be placed over the guide wirein the correct position in the vein found using ultrasound. A laser fiber will then be placed inside the sheath and more anesthetic will be applied to the treatment area.

The laser will then be turned on and pulled back along the vein, using heat energy to close the channel as it recedes. The laser is only on for about 2-3 minutes total and, after it is removed, the entry point will be bandaged.

Immediately After Treatment: Support stockings will be placed around the leg to apply pressure to the treatment area. You will be encouraged to get up from the table and walk for about five minutes to promote circulation and to ensure that the stockings or bandage wraps are comfortable.

The First 48 Hours: During the first 48 hours the stockings must be left on continuously, although patients will be encouraged to walk and resume normal activities. Patients should avoid prolonged periods of standing or sitting with their legs down: when sitting, the legs should be elevated. Ice can be applied to the treatment area – over the bandages – to reduce swelling for 15 minutes every 1-2 hours, and patients are encouraged to drink plenty of non-alcoholic beverages during your recovery to avoid dehydration.

48 Hours – One Week Following Treatment: After 48 hours, patients can remove their bandages briefly to take a warm shower. Bruising around the treatment site is normal and usually clears within two weeks. It can also be treated with ice. Varicose veins at this point will likely already be noticeable smaller, but patients shouldn’t despair if they have not disappeared yet as they will continue to regress over the next eight weeks.

Patients are required to continue wearing their support garment from morning to night until their first follow up with their surgeon after about one week. Tightness over the vein is normal and it may feel like a pulling muscle, but patients are encouraged to continue walking and engaging in light exercise in order to reduce tightness.

1-8 Weeks Following Treatment: The vein branches should continue to shrink or disappear during this time and patients will be allowed to return to their full activities. Stiffness and minor swelling can occur, but will progressively improve over the course of a few weeks. A support stocking may still be necessary for some patients and this will be discussed at your follow-up appointment. After eight weeks patients are reassessed to check progress and see if additional treatments are necessary.


Vein Disorders

Varicose veins are a result of pressurization of small veins located below the skin. The cause of this pressurization is incompetent valves within veins themselves. This does not allow the normal antegrade (forward) flow...

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