Varicose Vein Treatment FAQs

Q.  Who suffers from varicose veins?

A. Varicose veins are actually quite common and affect up to 30% of the population. They are more often seen in women who have had children although there is also a strong genetic component as well. Most patients with varicose veins have either a mother or father with a history of varicose veins. Patients that are obese and have spent long hours standing can also have a higher incidence of varicose veins as well.

Q.  What can be done to prevent the symptoms from varicose veins?

A. Aside from weight loss, there really is no way to prevent varicose veins. Compression stockings can ease the symptoms of vein disease for some people, however the majority of patients may find them uncomfortable and search out more of a long term solution. Patients should see a physician who specializes in the treatment of varicose veins. There are a multitude of same day treatment options for vein disease today,  as opposed to the “old vein strippings” that are rarely needed or performed these days.

Q.  What happens when you see a vein doctor?

A. Most initial office evaluations begin with a careful history and physical exam. Photographs are often taken of the leg with the varicose veins. A painless ultrasound is then typically done which allows the doctor to identify where the problem is and help to cater the treatment.

Q.  What treatments can the doctor offer for varicose veins?

A. The most common form of treatment in contemporary practice is either laser ablation or radiofrequency ablation of the varicose vein. This procedure is typically done in the office without sedation or anesthesia. A small needle is inserted into the vein after the skin is numbed and a catheter (about the size of a piece of spaghetti) is placed in the vein. The area around the vein is numbed and the catheter is then turned on which treats the entire vein. There is minimal discomfort during the procedure and after the procedure is over the leg is donned with a compression stocking.

Q. How long will I need to wear my compression stockings?

A. The physician will recommend on average 3-5 days post procedure to help the healing process. Compression is important for proper healing to occur.

Q. Do men get varicose veins?

A. Men and women both get varicose veins.

Q. Does insurance cover varicose veins?

A. Varicose veins are a true health concern. Depending on vein size and symptoms the patient is afflicted with, insurance can cover the procedures. An ultrasound will determine facts that the insurance company will use in determining coverage.

Q. Is there downtime associated with vein treatments?

A. No. Patients are encouraged to walk and return to normal activity the same day. The only exception to that is when you are involved with strenuous activities,  your doctor can determine whether or not you should return to those activities immediately or wait. 

Q. Can varicose veins return?

A. Varicose veins do not return, however blood can reroute into healthy veins and sometimes those healthy veins can develop into varicose veins. Normally that process can take anywhere from  5-7 plus years to develop, fortunately they can be treated again at that time. A yearly ultrasound is suggested to encourage healthy blood flow continues to and from your lower extremities.