Sclerotherapy before endovenous laser vein treatment?
My doctor said my vein is too large to have sclerotherapy performed first, is this true?
Question: I have a few visible spider veins on my lower leg that I want treated with foam sclerotherapy. However, the doctor wants me to do endovenous laser treatment before the sclerotherapy. According to him, my vein is way too large and if I do the sclerotherapy first, they will reappear. Is this true?
Answer: The short answer is yes. If the veins you want treated are too large, the sclerosant, regardless of agitating it or not, will simply wash out of the treated area. Additionally, if the veins you want treated are tributaries of larger veins that are abnormal, then the sclerotherapy will also fail because of the build up of pressure in the larger veins. You can certainly try the sclerotherapy first. But usually this is a waste of time and money. You can liken it to pulling leaves off a tree to trim it.
Leg Cramps There are many reasons for muscle cramps. A lot of people experience them because of a deficiency of certain key elements such as potassium and magnesium. Others, particularly those that live in warmer climates such as Arizona, experience cramps due to dehydration. A large number of patients I consult, flat out do not…
Read MorePregunta: yo tenía EVLT por otro doctor de la vena y resolvió la mayor parte de mi dolor. Cuatro semanas después de que tuve escleroterapia con espuma, mi dolor regresó. En realidad, ha empeorado. Un mes post, me pongo 30-40 mm medias diarias, pero aún así me duele mucho. Veo a mi médico en un…
Read MorePregunta: el calcetín de compresión de rodilla alta está pellizcando la parte superior de mi rodilla y dejando marcas doloridas (muescas). Mi trabajo requiere que me quede todo el día. Tengo venas de araña en mis tobillos y en el costado de mi pantorrilla exterior. ¿Debo seguir gastando la media aunque sea incómodo?
Read MoreQuestion: I had EVLT by another vein doctor and it resolved most of my pain. Four weeks after I had foam sclerotherapy, my pain returned. Actually, it has worsened. One month post, I wear 30-40 mm stockings daily, but still I hurt SO much. I see my doctor in a month, any thoughts about what…
Read MoreQuestion: The knee-high compression sock is pinching the top of my knee and leaving sore marks (indentations). My job requires me to stand all day. I have spider veins in my ankles and on the side of my outer calf. Should I continue to wear the stocking even though it’s uncomfortable?
Read MoreQuestion: I went to a doctor in Glendale and finished all my Sclerotherapy injections and have had 2 EVLT (endovenous laser therapy) procedures, a vein ligation and a microphlebectomy for spider veins, all of which I wore 20-30 mmHg compression thigh-high hose for 2-3 weeks. After I had laser treatments on my legs, I was…
Read MoreQuestion: I live in Tucson, Arizona and had VenaSeal done by a doctor here. Should I have pain and swelling after my VenaSeal procedure was carried out? It was purported to be painless compared to radiofrequency ablation (RFA).
Read MoreQuestion: I don’t know who to turn to. I take Furosemide and it doesn’t seem to be helping as fast as it should be. Do I need to see a podiatrist or do I need to get a referral to go see a specialist? I’ve been off work for 2 and 1/2 months from total…
Read MoreQuestion: My wife has had multiple ultrasounds. One ultrasound tech found a bad perforator at 5mm, but they wanted to do open surgery. Another ultrasound tech from the Dr she wanted to use who does laser and RF could not find the perforator. What to do?
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Cabbage not always an “Irish” food, but beneficial for varicose veins Whether you’re one of the 34.5 million Americans who claim Irish ancestry or not, celebrating Saint Patrick’s Day has some potential health benefits! When the Irish immigrated to the United States, they found beef brisket was inexpensive, and nutrient dense cabbage was affordable and…
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