VARICOSE VEIN THERAPY
Varicose veins have damaged valves, which cause them to appear as enlarged, twisted, dark purple or blue veins that are usually protruding on the surface of the skin. Pregnancy, weight gain, aging, prolonged sitting or standing, genetics, hormones, blood clots, and trauma are all causes of varicose veins. With treatment, symptoms associated with varicose veins such as burning, swelling, throbbing, aching, and a feeling of heavy or tired legs can be eliminated. Varicose vein disease does not improve without treatment.
It is imperative to undergo an examination to determine the underlying cause of varicose vein disease and obtain a proper diagnosis. Dr. Centeno’s assessment may include a physical exam, Doppler screening, and a duplex ultrasound test. Doppler screening and duplex ultrasound allow Dr. Centeno to hear the valves, study the blood flow, and determine which valves are damaged.
There are three basic methods of treatment for varicose veins: surgical removal, chemical solutions, and thermal damage with a laser. The thermal damage method includes Endovenous Laser Treatment (EVLT).
ENDOVENOUS LASER TREATMENT (EVLT)
To begin, a local anesthesia is injected into the area to be treated. Next, under sterile conditions, a small laser catheter is inserted into the saphenous vein and threaded to the damaged valve. The saphenous vein is located on the inside of the leg, and runs from the ankle to the groin. The catheter is slowly withdrawn and pulses of laser light are sent into the vein, which heats the vein from the inside and causes it to collapse and close. Once the vein has closed, the catheter is removed and a stocking is applied to reduce bleeding and bruising.
Be sure to let us know if you smoke, have a tendency to form unusual scars, have a history of bleeding, clotting disorders, or blood clots, have had a miscarriage, or of any previous treatments for this condition. If you have taken Accutane®, you will need to wait for a period six to eighteen months from your last dose to schedule your treatment. You must discontinue using Aspirin, Ibuprofen, St. John's Wort, hormone replacement therapy, oral contraceptives and Vitamin E for one to two weeks before and a few days after your treatment. Stop smoking for at least two weeks before and two weeks after your treatment, as nicotine can impair circulation and healing. Those with certain medical conditions such as AIDS, hepatitis, or other bloodborne diseases, circulatory problems, heart conditions, or diabetes may be advised against treatment.
On the day of your appointment, do not wear lotion, sunscreen, make-up, or any other skin product on the area being treated. If you shave your legs, you should do so no sooner than three days before your appointment. Bring your compression stocking to all office visits and wear as directed.
After treatment, it is normal for the area treated to be pink or slightly red. You may experience mild discomfort for up to two to four weeks and may have some bruising and swelling, though the severity varies greatly. EVLT patients will be prescribed painkillers to alleviate discomfort. Ice packs may be used as necessary. To help with healing, you should walk briskly twice a day for 20-minute intervals during the first week following treatment. You need to wear compression stockings or a leg compression dressing for up to two weeks. You may shower after two days with the compression dressing. You should wait two weeks before returning to exercises that include squatting or jogging.
Vein disease is a progressive condition that may require maintenance treatments to achieve the results you desire. The improvement is usually 80% over the original appearance and may last for several years.
Click below to view a presentation about the procedure, preparation and post surgery details.
