Vein Center request_appointment
Home_nav General_Information Services Our Physicians Midwest_Heart_Specialists Contact FAQs
We are happy to answer your questions

In the event you are unable to find the answer to some of the frequently asked questions from the list below, please feel free to call our team of experts to learn more about our vein services. We are happy to answer your questions or schedule an appointment.

Vein Centers of Midwest Heart Specialists
801 S. Washington Street, Edward Heart Hospital, 4th Floor
Naperville, IL 60566
630-281-2670

MAP

How do I know if I have vein disease?

What should I expect at my first appointment?

What type of diagnostic testing if any, will be performed to assess my venous complaints?

By the end of the day my legs hurt — will this treatment make my legs feel better?

How many appointments will be needed to complete venous treatment that may
be indicated?


How will I know if my insurance company will cover the recommended treatment?

Does the procedure hurt?

What are the complications of vein treatment?

How many treatments will I need?

What can happen if varicose veins are not treated?

Will the veins come back?

Will I have to take time off from work?

Do I have to wait until after my final pregnancy?

How soon will I see an improvement?

What are the side effects from treatment?

Do you use saline?

How is this treatment different from stripping?


How do I know if I have vein disease?
Most people either experience symptoms or recognize an abnormal vein. Many veins can be seen by looking at the size and color of the vein at the skin surface. Occasionally, the diseased vein may be deeper in the leg and not visible thorugh the skin. As a result, paying close attention to other symptoms is important in diagnosing vein disease. Symptoms include cramping, aching, burning, itching, soreness or “tired” or “restless” legs.

What should I expect at my first appointment?
At your first visit you will be seen and evaluated in consultation by the physician. Your medical history and current complaints will be addressed and your legs will be examined. The physician will perform a “quick” or limited venous ultrasound scan of your leg(s) to help him determine the extent of your venous disease.

What type of diagnostic testing if any, will be performed to assess my venous complaints?
If indicated, your physician will order a full diagnostic ultrasound mapping of your leg(s). This study will clearly demonstrate your venous anatomy and confirm the diagnosis of your venous disease. This ultrasound will be scheduled here in the vein center with our vascular ultrasound technologist and physician. Expect this appointment to be approximately 60-90 minutes.

By the end of the day my legs hurt — will this treatment make my legs feel better?
Yes. When you have vein disease, the incompetent veins hold used up blood. This deoxygenated blood causes symptoms such as pain, heaviness, aching, cramping, swelling, restlessness and fatigue. As the incompetent veins are closed, the body reroutes the blood to healthier veins, improving circulation and eliminating symptoms.

How many appointments will be needed to complete venous treatment that may be indicated?
The extent of your venous disease and results of your ultrasound mapping will
determine the appropriate treatment plan for you. The vein center offers treatments including endovenous laser ablation, injection sclerotherapy and outpatient ulcer/
wound care. All treatments are performed during a series of office visits.

How will I know if my insurance company will cover the recommended treatment?
A treatment plan will be submitted to your insurance company for determination of coverage prior to scheduling any treatment. Some insurance companies have specific criteria that must be met prior to their review process. We will facilitate this process but ask that you review your policy and contact your insurance company with questions specific to your plan.

Does the procedure hurt?
A local anesthetic is injected before the laser procedure and ultrasound guided injections. During the surface vein treatments, no local anesthetic is needed due to the use of a very small needle. Your legs will be mildly tender from the treatment and you will have some bruising. Some patients may experience stinging from the injections. This can be alleviated with ice compresses and over-the-counter pain medication.

What are the complications of vein treatment?
Sclerotherapy and endovenous laser therapy have rarely been associated with any serious complications when properly performed. Common minor complications of these procedures include bruising, itching, tinglng, tenderness and tightness in the treated leg. These post-treatment symptoms can occur up to two weeks after treatment.

How many treatments will I need?
During the consultation, your physician will recommend a treatment plan after the ultrasound examination. An estimate can only be given since people respond differently to treatment. You can only receive an estimate once you have met with the physician for a consultation.

What can happen if varicose veins are not treated?
Generally the veins worsen over time. If untreated, symptoms such as minor pain and restlessness will increase and will result in limitations in walking and cramps during sleep. Eventually, they can lead to open sores on the foot and tissue loss.

Will the veins come back?
Once you have completed your treatment process, the treated veins are closed and reabsobed by the body. Unfortunately, venous insuffiency is a disease of the venous valves and you may continue to develop incompetent veins. We recommend that patients come back annually for follow up treatment to minimize the progression of the disease.

Will I have to take time off from work?
If the laser procedure is recommended, you will be asked to take the day of the procedure off. After any of the subsequent appointments, you may return to work.

Do I have to wait until after my final pregnancy?
No. We recommend that women have their veins treated between pregnancies. It will slow progression of the disease and possibly prevent symptoms during subsequent pregnancies.

How soon will I see an improvement?
Treating vein disease correctly will involve multiple appointments. During the treatment process, your legs will look worse due to bruising, swelling and healing. You might notice slight improvement during treatment but will not see total improvement until several weeks after your treatment has been completed.

What are the side effects from treatment?
Most common are bruising from the procedures and swelling from the inflammation caused by the treatments. There is a small percentage of the population at risk for discoloration from the treated veins. The discoloration is temporary but will take several months to resolve.

Do you use saline?
No, we use Sodium Tetradecyl Sulfate (STS), an FDA-approved medication for sclerotherapy. STS is much more effective and less painful than saline.

How is this treatment different from stripping?
Stripping surgery removes segments of veins through incisions and requires general anesthsia. Postoperative discomfort may necessitate prescription pain medications and several days off of work. With this approach, tributary branches may be left behind which increases the risk of reoccurrence. Endovenous laser treatment and ulrasound-guided sclerotherapy can safely remove all abnormal branches without anesthesia, incisions or prolonged time off of work. Duplex ultrasound can identify all vein branches contributing to your problem and help us provide a more comprehensive approach to your vein disease.
Copyright