Ask the Doctor
If I have sclerotherapy of reticular veins and spider veins, how long do I have to wait to see the results?
By Rodolfo Farhy – Follow me on Google+ A. There is a lot of variation depending on the size of the veins, the solution concentration and the own individual response. In general we understand that sclerotherapy starts to work immediately, however takes time for the body to go thru the inflammatory process and then the resolution and elimination […]
By Rodolfo Farhy – Follow me on Google+ A: There are many factors to consider. If you have symptoms, i.e: pain, cramps, tiredness, swelling, restless legs syndrome, episodes of phlebitis or bleeding from the varicose veins then you should consider treatment. If there are absolutely no symptoms then they can be monitored and treat when they […]
Is it possible to have new varicose veins on my legs after I had laser ablation of the great saphenous vein?
Rodolfo Farhy – Follow me on Google+ A: The answer is YES. Unfortunately some practitioners only treat great saphenous veins with laser and that is all they do. However in the majority of the patients there are more sources of reflux (abnormal veins) that if they are left untreated will dilate and become new varicose veins. It […]
My legs hurt after flying in airplanes. The symptoms are more common with long flights. Should I wear compression stockings?
By Rodolfo Farhy – Follow me on Google+ A: Certainly compression stockings will help for your leg discomfort. You should have an evaluation of your vein circulation, quite likely you have venous reflux and at the Heart and Vein Center we can help relieve that pain.
By Rodolfo Farhy – Follow me on Google+ A: Properly done endovenous laser ablation usually does not cause pain more than few weeks after the procedure. Occasionally if the treated vein is large patients might have discomfort for a bit longer. Numbness is usually symptoms that the nerve that runs next to the vein has been affected. […]
By Rodolfo Farhy – Follow me Google+ A: An ambulatory phlebectomy is a procedure usually performed in a doctor’s office using local anesthesia. First, a local anesthetic fluid is injected into the area of varicose vein clusters to be treated. The doctor then uses a small scalpel or needle to puncture the skin next to the […]
By Rodolfo Farhy – Follow me on Google+ A: It might be because there is underline venous insufficiency. A lower extremity venous Doppler interpreted by a Vein specialist can answer that question. Occasionally might be due to low concentration of the sclerosing solution and higher concentration should be used.
My father has heart problems but he has large varicose veins, is it safe for a heart patient to have the veins treated? Could this treatment have too much risk?
By Rodolfo Farhy– Follow me on Google+ A: For the most part it is very safe to do vein treatments on patients with heat disease. What is important to know is if the vein problem might in part secondary to his heart disease or not. Here is when having a Cardiologist who is also a […]
By Rodolfo Farhy – Follow me on Google+ A: You do not have to wear compression when you are in bed and you have your legs elevated.
By Rodolfo Farhy – Follow me on Google+ A: Venous reflux/insufficiency is a circulation problem. It is not an “esthetic” problem or a “skin problem”. Certainly you need a physician who can understands well the circulation in the legs and also the rest of the body, since the abnormal leg circulation might be due to […]
By Rodolfo Farhy – Follow me on Google+ A: It is better not to have direct sun exposure for at least 1-2 weeks after sclerotherapy. The risk is skin staining and neo-vascularization (new vessels formation).
By Rodolfo Farhy – Follow me on Google+ A: More often than none the bulging veins in the feet are due to venous reflux/insufficiency of the leg veins and/or perforators. In order to treat those feet veins we need to eliminate the reflux that is coming from above. Once the “upper” sources of reflux have […]
I recently had EVLT on my right leg; Do I have to wear my compression stockings all day long? Can they be removed if I sit for example?
By Rodolfo Farhy – Follow me on Google+ A: Ideally you should only remove them to sleep and to shower/bath for the first 7-10 days. You can be more lenient afterwards. There might be some variations on these recommendations depending the specific case. Your doctor will be able to tell you more specific