Call us at: 412-373-9580
2550 Mosside Blvd, Ste. 105, Monroeville PA

Frequently Asked Questions

Are these procedures covered by insurance?

Vein treatment and the diagnostic tests are usually covered by insurance, provided it is medically indicated. All insurance plans require patients to follow conservative management for several months, consisting of compression hosiery, lifestyle modification (weight loss, exercise), increase in activity and leg elevation.

What can I do about spider veins?

Spider veins are a good indicator that problems lie ahead. In 85% of cases, spider veins are usually caused by an underlying increase in pressure in the veins that feed them. Once the cause of this pressure increase is treated, the little veins may disappear. Those that don’t can be treated with Sclerotherapy, causing them to collapse and disappear, or by Laser.

Do these spider veins come back?

Spider veins are likely to recur if the underlying cause is not treated. Spider veins can also be associated with hormone levels, such as during pregnancy or with hormone replacement therapy.

What causes varicose veins?

Varicose veins are the result of venous reflux disease. This results in increased pressure against the wall of the vein. The end result is elongation and dilatation (increased diameter) of the superficial veins. They become tortuous, unsightly, and sometimes they can rupture, develop clots or bleed spontaneously. Most often, they are hereditary and are worsened by prolonged standing or sitting, tall stature, obesity, pregnancy and leg trauma. Blood clots can also develop, a condition known as Superficial Thrombophlebitis (SVT).

What are the Greater Saphenous Veins (GSV)?

These are the longest superficial veins of the legs. They run inside the legs from the sole of the feet up to the groin, where they connect to the deep veins. The GSV is commonly the culprit in the condition known as Venous Reflux Disease, and is the most commonly treated vein.

What is DVT (Deep Vein Thrombosis)?

DVT is a blood clot which forms in one of the deep leg veins, which constitute the main venous channels draining blood from the legs back to the heart. They do so by the combined activity of walking, leg movements during sleep and breathing. A DVT is a serious, potentially life-threatening condition that can develop in healthy adults as a result of immobility, such as during a two-hour flight. DVT can also occur following general anesthesia, hip, knee or abdominal surgery, as a complication to cancer, or during the third trimester of a normal pregnancy.

What complications and symptoms are commonly attributed to venous disorders?

  • Small red or blue veins along the thigh, knee, leg or ankles
  • Burning, aching or swelling of the leg with menstruation
  • Bulging, rope-like blue or green veins
  • Ankle swelling that worsens as the day progresses
  • Brown skin discoloration in the ankle and/or area of the legs above the ankle
  • Inflammation, redness, pain or swelling below the knees
  • History of ulceration or an active ulcer or sore above the ankles
  • History of superficial thrombophlebitis (a clot in a surface vein with inflammation of the overlying skin, also called SVT)
  • History of Deep Vein Thrombosis (a clot in a deep vein, also called DVT)
  • History of Pulmonary Embolism (a clot in the lung, also called PE)
  • Bursting pain in the legs with prolonged sitting or standing

Are these procedures painful and how much pain will I be in afterwards?

Every patient’s pre-existing conditions and pain tolerance are different. The procedure is similar to going to the dentist: you walk in, you walk out. A series of local injections are administered to numb the area and while you may experience some mild discomfort, most patients confess the pain was not as bad as they thought it would be. Afterwards, you may experience tenderness and discoloration along the injection site. It is not necessary for patients to take anything more than two Tylenol to alleviate pain.

Will I need to take time off work?

You will be able to resume most normal activities immediately following your procedure. Unless your job requires prolonged sitting or standing, you may return to work the same day. For the first 48 hours, it is recommended that you avoid prolonged immobility and heavy lifting (over 25 lbs.). If your job requires these things, you will be given an excuse from work. You should walk frequently (5 minutes out of every hour) and elevate your legs when possible, especially if you had swelling before the procedure.

When will I be allowed to travel?

Air travel is restricted for the subsequent 4 weeks. Car travel is allowed after the first week, provided you can stop and walk for 5-10 minutes every hour.

How long do I wear the compression on my legs following treatment?

The amount of time the compression wrap is required to remain on varies by procedure, size of the vein treated, and size/stature of the patient. This is determined on the date of treatment. When the compression wrap is allowed to be removed, you must then wear compression stockings for several months (except in bed) to assure vein closure.