What To Expect On Treatment Day

The Day of Your Procedure

  • Come well hydrated to your procedure. This will make the procedure easier as your veins are best seen under ultrasound when hydrated. You may eat and take any prescribed medications as you normally do, fasting is not required.
  • Blood thinners such as Coumadin (Warfarin), Aspirin, Plavix, Xarelto, Eliquis, or Pradaxa do not affect the procedure and should be continued as prescribed – unless told otherwise by your provider.
  • On the day of your procedure wear comfortable clothes, slip on shoes and a light sweater as the procedure room is often cool. You will change into surgical shorts which we provide for the procedure. Tight “Skinny” jeans are not recommended as we will be placing a bandage around your leg after the procedure.
  • Your medical grade compression stockings may be required post-procedure. Please bring these with you and we will help you get them on after your procedure. If compression is required, you will need to wear these for a minimum of one-week post-procedure.

Sedation

  • In order to minimize risk and to accelerate your recovery time, general anesthesia will not be used during your vein procedures. We do offer our patients Valium (diazepam) which will help you relax and will likely may you sleepy. If you choose this sedation method, you will need to arrange for someone to drive you home.
  • We will soon be offering nitrous oxide (laughing gas). This is often used at dental offices to provide a calm, relaxing experience. Patients describe the gas offering them a light, tingling, relaxing or floating feeling.
  • Nitrous oxide has been proven with over 100 years of use to be safe, and will wear off in minutes allowing you to return to normal activity
  • Nitrous oxide is not covered by insurance and will be an additional charge.
  • Sedation is not required for vein treatment and is used only at the request of the patient.

After the Procedure

  • After the procedure you will walk yourself out of the procedure room, change back into your clothes, and immediately resume your normal daily activities.
  • Make sure to walk or lightly exercise throughout the day following your procedure. We recommend 10 minutes of leg movement every hour for the first few days after the procedure (walking, biking, stairs).
  • Avoid the following for 7 days post procedure: Heavy strenuous lifting, swimming/soaking in water.
  • Your legs will be wrapped with a compression dressing/bandage after your procedure. Wear it for the first 24-48 hours. After that time you may remove the dressing yourself, or you can wait and have it removed at your follow-up ultrasound if it is scheduled within the following few days.
  • If you have been told to wear compression stockings you are to wear the stockings 24 hours a day for the first 2 days on the treated leg. After the first 2 days, you may take them off at night and to shower. If there is bleeding when you remove your compression stockings, elevate your leg, hold pressure for 10 minutes then re-wrap with a compression bandage or compression stocking. Continue to wear the stockings during the day for a total of 7 days from your procedure.

THINGS TO REMEMBER

  • Regular physical exercise is recommended in the days following your procedure.
  • Analgesics such as Tylenol, Advil (Ibuprofen) and Aleve are recommended for post procedure discomfort.
  • It is normal to experience tenderness and some bruising along the areas where local anesthesia was administered, especially if you are on a blood thinner.
  • A pulling or “rope like” sensation is common and will go away over time.
  • Numb areas of the skin are common after the procedure and will go away with time.
  • As varicose veins shut down, you may experience tenderness, lumps, nodules, or burning. This is normal and will go away over time. If you are able to take Ibuprofen we recommend this to improve these symptoms. Warm compresses are also recommended.
  • Your one-month follow-up is scheduled specifically to address any symptoms/concerns which have not gone away since your procedures. Please refer to our website at www.heartofdixieveincenter.com to review the FAQ section. If you have a question or concern which is not listed here, please do not hesitate to call us at 435-251-2900 and a member of the vein team will be happy to assist you.  

CALL IMMEDIATELY if you experience any of the following:

  • Severe pain preventing return to normal activities
  • Shortness of breath or chest pain
  • Unusual sudden increase of swelling in the treated limb
  • Recurrent bleeding which does not stop with compression