Regarding spider vein treatment, how many sessions do I need?

A: If you have a couple of minor spider veins, one session is adequate. Otherwise, usually you need at least two sessions. If you have many spider veins you may need more sessions.

Is the procedure painful?

A: Spider vein injection: no / minimal pain. Laser vein ablation: You will feel pressure associated with injection of a local anesthetics around the varicose vein.

Can I shower after vein treatment?

A: Yes you can take shower with warm water but you have to have the treated leg covered with plastic sleeve to avoid wetting the wrappings, if you have any.

Can I do exercise after vein treatment?

A: Yes you can exercise after vein treatment except for heavy lifting and Sauna.

Why do I have to use compression stockings after vein treatment?

A: By using the compression stockings, the patient feels better and comfortable after procedure. It is very important to wear compression stocking after procedure for the best closure result.

What do I expect after spider vein treatment?

A: Initially after injection, you may feel a little burning / itching on your legs. You can still see your spider veins but becoming erythema (redness), and some little bumps (urticaria) which will fade away quickly. This redness lasts several days before it gradually disappears. If you spider veins are large, such as reticular veins, the veins first become red and then very dark before disappearing. This course may last several months and it varies between individuals. Sometimes you may see some bruise and little pigmentation which will eventually disappear. If you see new spider vein web after reticular vein injection or any varicose vein closure, you may have a condition, called telangiectatic matting. The precise cause of telangiectatic matting remains unknown. It usually appears about 4 weeks after sclerotherapy and resolves spontaneously in 3 to 12 months.

My leg is swollen after longtime standing or sitting, do I have a blood clot (DVT) in my legs?

Although patients with DVT can have swollen leg, they may also have other symptoms such as very painful leg. This is often an acute situation. Sometimes if it is chronic DVT, it is very hard to differentiate. Our physician can quickly diagnose DVT with duplex ultrasound.

How to prevent new spider and/or varicose veins?

A: You can do several things to prevent/slow the process of getting new /more spider and varicose veins. 1. Avoiding long time standing / sitting; 2. Walking / jogging 30 minutes daily; 3. Wearing compression stockings during the day; 4. Elevating your legs several times a day; 5. Avoiding overheating and crossing your legs; 7. Avoiding high pressure in your abdomen for any long period, such as heavy lifting or chronic cough and constipation.

Are my spider / varicose veins recurrent after treatment?

A: The treated veins rarely recur. However you may develop new varicose or spider veins later. Therefore their prevention is very important.

When should I have spider and/or varicose vein treatment?

A: You should have spider veins treated when they are easily visible prior to getting big. If you wait too long for treatment, it will take more time for the spider veins to disappear after treatment and is more expensive to treat.  It is better to have the spider vein injection in winter time if you can because you may have to wear compression stockings for best result. Because varicose veins can result in some complications such as thrombosis, skin color change, ulcers, and lymphedema (a medical condition with swollen leg with fewer effective treatment options), it is better to treat varicose veins before the complications develop.

Is the treatment covered by my insurance company?

A: Vein problem on the legs is a medical condition if you suffer from the discomfort, such as burning, itching, muscle cramps, heavy and tired legs, pain, swelling swollen when standing / sitting for prolonged periods. The treatment for this condition is covered by your insurance company. However, if you have asymptomatic small spider and thread veins, your insurance company may not cover the treatment for spider veins only.

Why do I get spider and varicose veins on my leg?

A: It is not clear what causes the etiology of spider and varicose veins. However there are several factors that can contribute to your vein problems: such as genetics, prolonged periods of standing / sitting, pregnancy, and anatomy of the superficial venous system.

How do you treat spider veins and varicose veins?

A: According to the current guideline from American College of Phlebology (currently American Vein and Lymphatic Society (AVLS)), varicose veins, great, and small saphenous veins, are closed with thermal ablation (such as minimally invasive laser ablation) and branch varicose veins are closed with sclerotherapy and / or microphlebectomy. The closed veins will then disappear gradually. Regarding spider and/or thread veins, the sclerotherapy is still the better method with excellent results and very minimal pain.

I have spider and varicose veins on my legs, are they normal and treatable?

A: Although it is very common to see spider / thread veins on the legs, it is NOT normal. It can indicate defective venous return and elevated venous pressure in your legs. You may have varicose veins (dilated veins > 3 mm with reflux). However it is a treatable problem. Our physician can offer high quality of vein management with optimal results.