When you arrive to your initial visit to the USA Vein Clinics, you will be given several registration forms to fill out, unless you have already pre-filled all the forms electronically. You will be asked for your ID card and your insurance card, so please remember to bring them with you. Your picture will be taken for our files. Once you are taken back to your exam room, your doctor will review your study with you. You will be invited into one of our spacious exam rooms, where you will be asked to change into a disposable material-like dark-blue gown and slippers so the doctor will be able to examine your legs. After the initial examination, we will take photos of your legs, and you will then be taken into the Ultrasound Room, an even larger room where a diagnostic study will be performed.
The initial ultrasound study may take up to an hour, so please have a snack or a meal prior to coming in for your initial visit. Please make sure to drink plenty of fluids, as your study will be done in a standing position, and it is very important that you hydrate yourself appropriately. Our staff will offer you bottled water as well.
Our friendly reception desk staff will provide you with the appropriate instructions as to the following discuss your diagnosis and treatment plan with you during this time. Any questions you may have about your condition will be answered by your doctor at this time as well.You can expect to be in our office for about an hour and a half during this initial visiting steps. They will schedule your next appointment.They will supply you with compression wear if needed, or they will make sure that you have all the prescriptions and recommendations that you have discussed with the doctor. If your condition requires treatment, you will be instructed to begin conservative therapy, if you have not done so in the past. Conservative therapy includes frequent leg elevation, avoidance of prolonged standing, weight loss, exercise, constant wear of class III compression stockings (that you were provided with during your Initial Visit). Depending on your insurance policy, you will be asked to come back in six or twelve weeks. At that time you will tell your doctor whether this conservative therapy was effective.
The skilled Ultrasonographer prepares a comprehensive venous flow map, which illustrates the way blood flows through the network of veins in your legs. This map gives the doctor a detailed view of where the problems are located.
You may have had some relief from the conservative treatment, however a definitive treatment for severe superficial venous insufficiency is Endo-venous laser treatment (EVLT). During this visit, your doctor will develop a customized treatment plan for you and discuss the estimated number of treatments you will need.
Your EVLT visit is quite a short visit, so you can plan your day accordingly. You can eat and drink prior to the treatment. You can plan to go back to work or to your normal daily activities right after the procedure. In fact, you will be encouraged by your doctor to walk.
This is what to expect during the procedure: after numbing your skin, a very thin laser catheter is inserted into your diseased vein. When the laser is on, the catheter is withdrawn from your vein, sealing the vein shut. To prevent any irritation from the laser heat, we inject a solution of saline water with Lidocaine (like in a dentist’s office) around the treated vein. Once the vein is treated, compression stockings or bandages are applied to your leg, so please bring comfortable shoes with you (crocks, sandals, slippers are recommended). You will be asked to wear compression stockings for up to 4 weeks after the treatment to ensure success of the treatment.
Again, our friendly receptionist will schedule you for a short fifteen minute post-procedure visit usually a few days after the EVLT, which will include another Ultrasound examination to ensure the perfect closure of the treated vein/s.
After your treatment is completed, you will be asked to come back three, six and/or twelve months later for your follow up visits.
It is very rare that the treated veins will become insufficient again if you follow your doctor’s instructions and provide adequate compression for four weeks after the procedure. However, since you are already predisposed to venous insufficiency, you may notice that other veins in your legs may become abnormal over time.Therefore, follow up visits are very important to recognize and prevent such problems before they start developing into an active disease of severe venous insufficiency. The follow up visits will be scheduled at your convenience. Preventive care is as important as the treatment, so please help us help you.
Learn more about EVLT, the most advanced treatment