Q: How do vein problems
begin?
A: There are several known factors including pregnancy,
female hormones (especially progesterone) obesity, heredity
and "standing all day at work" type jobs. For
reasons as yet unknown, varicose veins develop more
frequently on the left side.
Q: How do I know if I have a
varicose vein problem or a spider vein problem?
A: Close your eyes (while standing) and feel your legs. If
you cannot feel the veins, you have a spider vein problem.
If you can feel the veins, and they push in easily but
spring right back out, you have a varicose vein issue.
Q: Can lasers be used for all vein
problems?
A: The lasers Dr. Johnson uses are very effective for spider
veins, but lasers have a limited role when they are the only
treatment for leg veins. Lasers can only destroy what they
can "see." To prevent new problem veins from
forming, the deeper high pressure veins that feed the
surface have to be eliminated and those are invisible to the
laser. If not properly eliminated, new veins can form around
the old ones and then you're likely to have those issues
again.
Q: Do I have to be put asleep for
vein care treatments?
A: No, most varicose vein procedures can be done with local
anesthesia, plus (if needed) some sedation by mouth. Even
some larger veins can be removed without general anesthesia.
Q: Do I have to stay off my feet
for an extending period of time?
A: No, all procedures are done on an outpatient basis,
you're actually encouraged to walk
Q: I've heard about
microphlebectomies, can you tell me more about that?
A: Microphlebectomies are tiny incisions through which
varicose veins are carefully removed. The procedure can be
time consuming because of the amount of small incisions
needed. The good news is that this is a simple procedure
requiring minimal expense and with very few complications.
Q: What about Endovenous Laser
Closure (ELAS) of the saphenous vein, are all varicose vein
patients good candidates for this?
A: No, closure is used only with patients that suffer from
reflux in the greater saphenous vein (the major outside
thigh vein). Patients that cannot be treated with endovenous
closure of the saphenous vein include:
1.) Recurrent varicose veins
2.) About half the veins that result from reflux in the
short saphenous vein (behind the knee)
3.) Varicose veins that are unrelated to saphenous vein
reflux.
Q: Is my treatment done here in
Twin Falls or do I have to go elsewhere?
A: The treatment is provided in our procedure room at
our local office.
Q: What about Insurance Coverage?
A: Doctors and insurance companies know that
varicose veins are medical issues. Medicare and some
insurance companies have certain criteria that must be met
before they will consider reimbursement.
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