Compression Stocking Therapy

Diagnostic Venous Ultrasound Imaging

EndoVenous Laser Treatment (EVLT)

Sclerotherapy

Laser treatment of spider veins

Compression Stocking Therapy

Wearing compressions may be a conservative therapy for the treatment of varicose veins. The use of compression stockings is usually included in conjunction with other varicose veins treatment. Compression stockings are available in many styles and compression levels. Your physician will advise you on the proper style and compression level and provide instruction about when and length of time to wear your stockings. To ensure your compression stockings work they must fit properly. Consult your compression stocking retailer to find the correct size.

Diagnostic Venous Ultrasound Imaging

Ultrasound imaging (also called ultrasound scanning or sonography)  is a procedure that produces pictures of the inside of the body using high frequency sound waves. These pictures are shown on a monitor in real time. The monitor displays the internal body structure and its movement. The ultrasound can show the blood moving through the veins. Ultrasound imaging may be used to examine internal organs and body parts to detect physical abnormalities or functional abnormalities. Ultrasound imaging is most commonly known for its use in pregnancy, where it is used to evaluate the fetus. Other common uses of ultrasound imaging include evaluation of blood flow through the veins and arteries and the detection of blood clots. 

Duplex ultrasound (also called Doppler ultrasound) imaging is ultrasound imaging that uses a Doppler which can measure the blood flow through veins and arteries.  This special technique is used to evaluate the health of the valves in the veins and can determine in which direction the blood is flowing.

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EndoVenous Laser Treatment (EVLT)

Endovenous laser therapy (EVLT) is the latest innovation in the treatment of varicose veins. EVLT is the preferred method of treatment utilized by the Laser Vein Center for Excellence. This minimally procedure is the alternative to the traditional vein stripping surgery which involves long recovery periods and unsightly scars. EVLT uses the modern technologies of endovascular techniques combined with Laser technology to affectively treat varicose veins without surgery. The procedure is performed under local anesthesia in the doctor’s office with no scarring. Patients may return to normal activities immediately after the procedure with a relatively pain-free recovery period. 

Prior to the procedure, patients may be instructed to take medication to relax them during the procedure. EVLT treatment usually takes about 30 minutes to complete. After the affected leg is washed with an antiseptic solution, the leg is scanned using the ultrasound to locate and map the affected vein.  The access sight is identified and is numbed using a local anesthetic. A needle is inserted into the vein and a wire is passed through the needle into the vein. The needle is removed and a special tube, called a sheath, is inserted over the wire and into the vein. After proper location of the tip is confirmed using the ultrasound a thin laser fiber is inserted through the sheath. While slowly withdrawing the sheath, laser energy is applied to the vein causing it to heat up, shrink, collapse, and seal shut. Blood flow will be redirected through healthy veins. The sheath and laser fiber is removed and the puncture wound is covered with a band aid type dressing.

Compression stocking is immediately donned and patients are required to wear them for several days.  Patients are encouraged to walk and return to normal activity immediately. Patients are released as soon as the procedure is completed with instructions to return for a follow-up visit in a few days. Patients may experience some minor bruising of the leg. Any discomforts may be relieved by taking over-the-counter non-aspirin pain relievers. Unsightly veins and leg discomfort will begin to diminish after the procedure.

Frequently Asked Question about EVLT

What are the benefits of endovenous laser therapy for varicose veins?

·     EVLT is a simple procedure

·     Performed under a local anesthetic. Patients are awake during the procedure.

·     Minimal risk of infection.

·     Short treatment time with no down time for recovery.

·     Minimal pain and bruising.

·     Normal activities are resumed immediately.

·     Documented excellent results.

What happens to my blood flow after the vein is shut down?

Varicose veins affect only the superficial veins. Your legs have numerous other veins that take over automatically to allow the blood to flow properly.

Are there any side effects or potential complications of the procedure?

There are no known long term side effects. Complications are rare and minimal. They nay include perforation of the vein, thrombosis, embolism, phlebitis, hematoma, infection, numbness, and burns to the skin. Talk with your physician about these potential complications.

How successful is this procedure?

EVLT is a relatively new procedure, however early results have been extremely good. Success rates have been reported to be as good as the traditional surgery. Ask your physician about their success rates. 

Sclerotherapy

Sclerotherapy is often used to treat small varicose veins and spider veins. It requires a tiny needle inserted into the vein and a sclerosant agent injected. This agent will seal the vein and it will dissolve. Sclerotherapy does not require any anesthetic or recovery period. This treatment usually takes 20 – 30 minutes and may require several sessions to completely treat all the affected veins.

Laser treatment of spider veins

The use of laser light energy can be utilized for the treatment of small spider veins. This procedure requires no anesthetic and is often performed by a supervised technician in the office. The laser energy is introduced through the skin and is absorbed by the spider veins causing them to coagulate and dissolve. This treatment usually requires several sessions to complete. It also may be used in conjunction with sclerotherapy.