Heart and Vein

Ask the Doctor

If I have sclerotherapy of reticular veins and spider veins, how long do I have to wait to see the results?

Posted on September 3, 2013 in Ask the Doctor

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 […]


Do all varicose veins need to be treated? Is it dangerous to leave them untouched?

Posted on August 13, 2013 in Ask the Doctor

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?

Posted on August 8, 2013 in Ask the Doctor

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?

Posted on August 1, 2013 in Ask the Doctor

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.


Is it common to have pain in the thigh 4 months after endovenous ablation?

Posted on August 1, 2013 in Ask the Doctor

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. […]


What is ambulatory phlebectomy?

Posted on July 23, 2013 in Ask the Doctor

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 […]


Why is that sclerotherapy sometimes does not eliminate spider veins?

Posted on July 23, 2013 in Ask the Doctor

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?

Posted on July 23, 2013 in Ask the Doctor

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 […]


Do I have to wear compression stockings when I go to bed? My feet hurt the next day.

Posted on July 23, 2013 in Ask the Doctor

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.


Who is the best specialist to do my EVLA?

Posted on July 23, 2013 in Ask the Doctor

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 […]


What is the risk of sun exposure after sclerotherapy?

Posted on July 23, 2013 in Ask the Doctor

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).


What is the best treatment for bulging veins in the feet? Foam sclerotherapy?

Posted on July 23, 2013 in Ask the Doctor

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?

Posted on July 23, 2013 in Ask the Doctor

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