Q: What are venous insufficiencies?
A: Venous insufficiencies occur when the valves in your veins malfunction, causing blood to pool rather than return efficiently to your heart. This pooling can lead to the formation of spider veins, reticular veins, and varicose veins.
Q: What are the differences between spider veins, reticular veins, and varicose veins?
A:
- Spider Veins: Very small veins (<1mm diameter) visible on the skin’s surface.
- Reticular Veins: Slightly larger veins (1-2mm diameter) that lie beneath the skin’s surface.
- Varicose Veins: Large, twisted veins (>2mm diameter) that bulge from the skin’s surface.
Q: How does TMSC treat spider veins?
A: We use two main methods:
- Transcutaneous Laser Therapy: A non-invasive laser targets and closes off spider veins without incisions.
- Sclerotherapy Injection: A fine needle injects a sclerosing solution (like Sclerodex) that causes veins to collapse and fade over time.
Q: What does the sclerotherapy procedure involve?
A:
- A fine needle injects a sclerosing agent into the vein.
- The solution irritates the vein lining, causing it to collapse and form scar tissue.
- Over time, the vein fades away as it is absorbed by the body.
- The procedure typically takes 15-30 minutes depending on the number of veins treated.
Q: Can reticular veins also be treated with sclerotherapy?
A: Yes, if the reticular veins are superficial. For larger or deeper reticular veins, we use ablative therapy guided by an ultrasound exam.
Q: What is ablative therapy and when is it used?
A:
- Ablative Therapy uses heat to damage and close off problematic veins.
- It’s used when veins are too large or deep for sclerotherapy, particularly for reticular and varicose veins.
- An ultrasound helps determine the best approach and ensures precise treatment.
Q: How are varicose veins treated at TMSC?
A:
- First, an ultrasound confirms the presence of reflux in the saphenous veins.
- The primary treatment for varicose veins is ablative therapy, which uses heat (via laser or radiofrequency) to seal off the vein.
- This redirect blood flow to healthier veins, reducing symptoms and improving appearance.
Q: What are the risks or side effects of these treatments?
A: While minimally invasive, treatments may carry minor risks like bruising, swelling, or temporary discomfort at the injection or treatment site. Our medical team will discuss all potential risks during your consultation.
Q: How long is the recovery time after treatment?
A:
- Laser Therapy and Sclerotherapy: Recovery is typically quick. Most patients resume normal activities shortly after treatment, although some might experience minor swelling or bruising.
- Ablative Therapy: Recovery is also swift, with most patients returning to normal activities within a few days. Your vascular surgeon will provide specific aftercare instructions.
Q: How many treatments will I need?
A: The number of sessions depends on the severity and extent of your venous insufficiencies. Some patients may see results after one session, while others might require multiple treatments for optimal results.
Q: What should I expect during a consultation at TMSC?
A:
- A thorough examination and ultrasound to assess vein condition.
- A detailed discussion of treatment options tailored to your needs.
- Answers to your questions regarding procedures, recovery, and outcomes.
- A personalized treatment plan outlining next steps.
