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What to Expect

patient consultationDuring your first visit a comprehensive venous assessment will be done by a physician. This assessment includes a carefully focused venous history, with particular attention to your symptoms and concerns along with your past medical history.

You will then undergo a detailed venous physical exam mapping out the location and types of veins involved. Part of the examination is done using Doppler ultrasound imaging. This helps assess the venous anatomy, vein valve function and direction of flow. The ultrasound examination will include the deep venous and superficial venous systems to determine if the veins are open and to localize any venous reflux.

Based on the findings from the history, physical exam and Doppler ultrasound, an individualized treatment plan will be formulated and outlined to you. If this plan includes a procedure, such as endovenous laser therapy, this will be scheduled at the time of the initial appointment.

Conservative therapy may be recommended to include a medical grade compression stocking. If so, our staff may measure you for a compression stocking, or a prescription will be given and you will be referred for a custom fitting. You will be given printed information about the therapy options and plan.

You will be advised that you may experience some mild discomfort during your procedure. A prescription for EMLA cream can help reduce any discomfort you may experience. The cream will be placed on your skin the day of the procedure.

Click here for instructions on how to use Numbing cream

Pre-Visit Reminders

Patient Registration Forms

Save time the day of your visit. Download and complete one of the following forms:


For Radiofrequency or Endovenous Laser Ablation

Please remember to bring your compression stocking and arrange for someone else to drive you home. You can start driving again the day after the procedure. The procedure will be explained to you, including the risks and benefits of the procedure, and you will be asked to sign an informed consent form.

After changing into disposable shorts we will get you in a comfortable position on the examination table. Your leg will be prepped for the procedure and the local anesthetic will be administered. After the treatment we will help you put on your compression stocking. You’re ready to walk out of the office!

Click here for detailed instructions on Radiofrequency or Endovenous Laser Ablation


For Ambulatory Phlebectomy

Please remember to bring your compression stocking with you and arrange for someone to drive you home you can start driving again the next day. The procedure will be explained to you, including the risks and benefits of the procedure, and you will be asked to sign an informed consent form.

After changing in disposable shorts we will get you in a comfortable position on the examination table, your leg will be prepped for the procedure and the local anesthetic will be administered. After the treatment we will help you put on your compression stocking. You’re ready to go home.

Click here for detailed instructions on Ambulatory Phlebectomy


For Sclerotherapy

Please remember to bring your compression stocking with you (at your consultation we will provide you with a prescription for the compression stocking and a list of providers). The procedure will be explained to you, including the risks and benefits of the procedure, and you will be asked to sign an informed consent form.

After changing into disposable shorts we will get you in a comfortable position on the examination table. The sclerotherapy injections will be administered and afterwards one of the staff will help you to put on the compression stocking. You’re ready to go home!

Click here for detailed instructions on Sclerotherapy


For VenaSeal Closure

You can drive yourself to and from the appointment. The procedure will be explained to you, including the risks and benefits of the procedure, and you will be asked to sign an informed consent form.

After changing into disposable shorts, we will get you in a comfortable positon on the examination table. Your leg will be prepped for the procedure and local anesthetic will be administered. After the treatment, your leg will be wrapped in an ace bandage. You’re ready to walk out of the office.

Click here for detailed instructions on Venaseal Closure


Follow-up Visit

For vein ablation and closure procedures, follow up visits will be scheduled for 1 week, 6 weeks, and 3 months after the procedure(s). For ambulatory phlebectomy and other procedures, follow up visits will be schedule for 1 week and 1 month after the procedure(s).

During the follow up, if necessary, another ultrasound examination will be done to make sure the treated vein(s) has (have) closed completely. At the same time we will check your healing process and answer any new questions that you may have. Please make sure you wear your compression stocking for the full period advised by your physician. This is crucial for a successful outcome of your treatment.


Insurance

We accept most medical insurance plans, now including Medicaid and Husky Healthcare. Our office will contact the insurance company and handle the entire process of obtaining the required prior authorization before your procedure.

Many insurance companies cover the treatment of vein disease that is associated with substantial pain and other complications. However, individual insurance companies may limit the types of therapy that are covered and require prior authorization or a specific treatment plan.

Most insurance companies require a certain period of conservative treatment, such as the use of medical-grade compression stockings, exercise and the use of non-steroidal anti-inflammatory drugs (NSAIDs). This treatment can be effective in alleviating the debilitating symptoms caused by varicose veins.

If this treatment fails, then therapy such as Radiofrequency, Endovenous Laser ablation, VenaSeal closure and/or phlebectomy and sclerotherapy can be considered. As there are so many insurance plans with different criteria for payment, we invite you to discuss your coverage with our well-trained office staff.