Spider veins are like varicose veins, but smaller and closer to the surface of the skin. Often they are red or blue in appearance and can look like tree branches or spider webs with their short, jagged lines. They can be found on the legs and can cover very small or very large areas of skin.
Visual symptoms like bulging or rope-like varicose veins can be signs of vein disease. However, vein disease can be present in individuals with no visible symptoms. Less noticeable signs include:
  • Fatigued, heavy-feeling legs
  • Leg pain, especially caused by periods of prolonged standing or sitting
  • Swollen ankles, especially at the end of the day or after periods of prolonged standing or sitting
  • Itching, cramping, burning or tingling in the legs and/or feet
  • Discoloration of the skin
  • Leg cramps that wake you up at night
  • Burning
Vein disease is diagnosed through a physical examination and a venous ultrasound.
An interventional radiologist specialisd in vascular interventions is the best person as he has better knowledge about the Doppler scanning and results are better when done on liver venous mapping.
An interventional vascular interventional radiologist is a minimally-invasive specialist. These physicians are experts in performing target treatments using imaging guidance. Interventional radiology procedures, including endovenous ablation, often replace more invasive surgical procedures. They are generally easier for the patient because they involve no large incisions, less risk of surgical infection, less pain and shorter recovery times.
We treat both men and women, typically between the ages of 25 and 75, with a variety of medical issues. The majority of our patients present with one or more of the following:
  • Severe leg pain or swelling
  • Bulging, rope-like varicosities
  • Leg cramping, often during the night or after periods of prolonged standing or sitting
  • Aching, throbbing, itchy, numb, burning or fatigued legs
  • Cosmetic vein concerns on legs
Most insurance companies recognize vein disease as a valid medical expense and will cover the cost of the treatment after a period of conservative therapy. If you are experiencing any symptoms of vein disease, it is worthwhile to find out whether your insurance will cover the treatment cost and to what extent.
During your initial consultation, we review your clinical and medical history and discuss your concerns and expectations. Once we gauge your symptoms, we recommend a comprehensive ultrasound to map your veins and diagnose any venous reflux disease. Then you will be explained in detail the problem and the treatment. Step by step procedure and the investigations requires for the laser treatment and discuss the results of your diagnostic test, as well as your treatment.
Endovenous LASER ablation and Sclerotherapy is a minimally-invasive treatment option for patients who suffer from painful and unsightly varicose veins. This technique offers a high success rate of 98% and significant advantages over traditional methods. The entire procedure, from start to finish, takes about an hour and brings very little to no pain. Using ultrasound guidance, your physician will insert a small optic fiber into the varicose vein. Once the laser is activated, it heats the vein; then, as the laser is removed from the vein, it closes the vein. Once the vein is closed, the blood that was circulating though the impaired vein is naturally rerouted to other healthy veins.
We provide you with a dedicated patient coordinator. Our Coordinator will be your first point of contact and will serve as the ongoing liaison between physician and patient. This coordinator is available to help schedule appointments and obtain insurance approvals. Prior to your endovenous ablation treatment, you will be required to purchase prescription-strength compression stockings. It is important to have your prescription filled a week prior if required by your insurance company for laser. Keep you Doppler and blood investigations ready along with insurance approvals if any.
Endovenous ablation is a procedure that takes about 60-90minutes Endovenous ablation uses laser energy or radiofrequency delivered in a thin wire to treat the underlying cause of the varicose veins. Performed under ultrasound guidance, the procedure uses strictly local anesthetic.
Prior to the procedure you will be given spinal anesthesia to numb your body fromumbilicus downwards to both legs. A mild sedative, to help you relax without putting you to sleep. You will be awake and comfortable during the procedure. We will mark your vein using ultrasound to prep you for the procedure. During the procedure, the area of the leg affected is locally anesthetized or numbed, and a small catheter / cannula / needle is inserted in the leg above the ankle. Next a thin wire LASER is inserted into the catheter and negociated upto groin under ultrasound guidanceThe LASER is then withdrawn from the body, which closes the impaired vein, and a small dressing will be placed on your insertion site. Your body will naturally use other healthy veins to return blood to the heart. We will help you put on your compression hose, and then you may get dressed. You will be asked rest in the hospital for that night for spinal anesthesia reasons and monitoring and will be discharged next day. You can leave the hospital walking.
Without the complications of more invasive surgery, results of endovenous ablation have been extremely favorable, with success rates as high as 98%. Endovenous ablation will normally treat the cause of most varicose veins; however, in some cases patients may require additional therapies or procedures to complete the treatment plan. Often this additional treatment is sclerotherapy, which will be decided after two months followup if required.
Following your endovenous ablation procedure, you must wear your compression stockings and dressings for the first 24 hours to help healing and decrease swelling. After 24 hours, you may remove the stockings and dressing to bathe and sleep; however, you must wear the compression stockings at all other times over the course of one month. You may resume normal activity the next day of your procedure, but no strenuous or heavy lifting for two weeks. Mild soreness may last for seven to 10 days.
You need to take proper ulcer management dressings and care, soon you will see the would getting better and dries with proper wound care.
You may have pain in your legs, swelling, redness, and warmth. You may notice some discolouration or bluish discolouration along your medial aspect of the leg and some numbness above the ankle. All these are expected and normal and expected post procedure. They are temporary signs and symptoms and will wean off with time of 2 weeks and soon you will see the change. All your bulging will slowly disappear and get absorbed and the skin colour gets better with time.
Usually the follow-ups are two days post procedure, after one week, one month, 3 months, 6 months and one year.
  • Regular walking and leg exercise
  • Wearing stockings during the day, mostly while walking, standing, travelling and cooking
  • Leg elevation while sleeping with a pillow underneath the legs and while sitting.
  • No continuous standing or sitting at a stretch- change of posture and leg movements

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