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Vein Care

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After Laser Closure, Microphlebectomy, Sclerotherapy

Services

 
Why Missouri Vein Care?
All of our procedures are done with micro-incisions using a small needle. And injections are also accomplished with a very tiny needle. There is essentially no visible scarring, leaving the best result possible. Normally you can return to work and your normal routine the very next day. We know that being off work can create stress, and we will work with you to minimize missing any time off. Let us know what your job requirements are, and we will work with you to get you back to work ASAP.

We are focused on patient comfort at Missouri Vein Care. We take many steps to ensure your comfort. Before and during the procedure, we provide relaxation medication in both pill and IV form to ensure your comfort. You may have “conscious sedation” meaning you will be relaxed and comfortable during your treatment. You can carry on a conversation, tell stories or some people prefer to take a nap. It’s up to you – let us know what you prefer. During the laser treatment, a numbing solution is used for comfort. At Missouri Vein Care, we take pride in making your experience a comfortable and positive one. There may be mild discomfort as the treated veins complete the process of closing off. Tylenol is usually all that is needed for discomfort. After treatment, our patients may also take Ibuprofen for several days to minimize inflammation and promote healing.

Frequently, before approving coverage for actual vein treatment, many insurers require a physician supervised stocking trial period that may last from 2 weeks to 6 months depending on your insurer. Unfortunately, some insurers cover only partial treatments, and some insurers cover none at all. Listed under Health Tips are some conservative treatments for you to discuss with your primary care provider and for you to try.

Wearing medical grade stockings for a period of one week after laser procedures is very important to ensure permanent closure of the laser treatments. There are several different styles of sock butlers stocking application aids to help put on and pull up compression stockings available at most pharmacies.
There is now a special adhesive available that successfully holds up the stocking and keeps them from rolling down.

We want you to walk daily beginning the day of your procedure. You can begin exercising the next day, but we recommend that you refrain from high-impact aerobics or resistance weight lifting for one week. Ask us if you have more questions about this.

This is a process that can take several weeks to months for all your veins to close down and completely disappear. This will vary depending on your individual vein condition.

Complimentary Vein Screening

Your Complimentary Vein Screenings consists of a review by our staff of your symptoms and concerns followed by a screening ultrasound. A vein care nurse with give you an overview of vein conditions and current therapies. You can then discuss with the doctor or nurse what can be done to improve your vein condition. Unless already complete, the staff will measure you for compression stockings, which are used after treatments to speed recovery and which most insurance companies require that you try before they approve treatments.

You should allow 30 minutes to complete the screening, but some patients have more questions and may need up to 60 minutes. During your visit, you can also discuss questions concerning payment options with our financial staff.

Physician Consultation

One of our Vein Care Board Certified physicians will review your ultrasound results, medical history, examine your vein condition, and discuss treatment options with you. A consultation visit takes approximately 60 minutes and is billable to your insurance. If you have questions for the financial staff, you may need more than 60 minutes.

Venous Duplex Ultrasound

This non-invasive diagnostic test is performed in our office by registered vascular technologists and allows examination of the deep and superficial vein circulation of the legs. This ultrasound exam takes 60 minutes and is billable to your insurance. It is required before insurance approval of vein treatments and allows the physician to complete your plan of care. Follow up ultrasounds after vein treatments take 30-60 minutes of time.

Laser Closure of Abnormal (Refluxing) Veins

This is performed in our office and the treatment takes less than an hour. You should count on about 2 hours time in the office. This is performed with local anesthetic and treatment does not require general anesthetic. Because treatments do not hurt, after treatment you will be able to resume normal activities including work, exercise and chores immediately. For some people, taking the day off from work makes sense; ask our team when you are here. Most patients do just fine without relaxation medicine, but we have this available for those who prefer to have it. If you have relaxation medicine, you will need a driver and we recommend that you take the day off from work. People usually notice improvement in their symptoms within the first week, and the success rate is over 98%. You will need to wear compression stockings during the day for one week after treatment.

  • Outpatient procedure performed in our office.
  • Takes less than an hour.
  • Immediate relief.
  • No downtime. You can return to your normal activities immediately.
  • No scarring.
  • No need for general anethesia, though we offer comfort measures at your request.
  • High treatment success rate.
  • Faster recovery and better clinical and cosmetic results than other treatments available today.

With the CoolTouch CTEV laser treatment, you can easily be free from these symptoms almost immediately with a simple, virtually pain-free office-based procedure. Many people have put off treatment for their varicose veins thinking they would have to face vein stripping, which is a major surgery requiring hospitalization, general anesthesia, several weeks of recovery time, and results in significant scarring, pain and other potential risks and complications.

Now there is no reason to postpone treatment and continue enduring the pain, discomfort and unsightly disfigurement that is often caused by varicose veins

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Micro-phlebectomy

Performed in the office, under local anesthesia, this non-surgical procedure allows for the removal of bulging varicose veins through small needle sites in the skin and provides a quick resolution of symptoms and unsightly veins. Micro-phlebectomy takes approximately 45-60 minutes, and you should count on about 2 hours in the office. We recommend taking the day off if you have this procedure. Because it doesn’t hurt, it allows patients to be back to normal activity the next day, including work, exercise and chores. The doctor will let you know at consultation if this is the best method to treat your veins. You will be asked to wear compression stockings during the day for a week after treatment.

Ultrasound Guided Sclerotherapy – Spider Vein Treatment

This non-surgical procedure for eliminating small varicose and spider veins takes 60 minutes and is performed in the office by our team of sclerotherapy nurses and physicians. Sclerotherapy works by injecting a special solution into the problem veins causing them to close down and disappear. The nurses use magnification to identify and inject the spider veins, and may also use a special light to image and treat the problem veins under the skin not readily visible to the eye. The doctor may use the ultrasound to image other veins which need treatment.

Patients have the option of receiving numbing cream or numbing spray before the treatment, and this procedure is virtually painless. Patients can immediately resume regular activity. You will be asked to wear compression stockings during the day for 2-3 days after treatment to help close the veins off.
You can go to work immediately after treatments.

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Surface Spider Vein Laser Treatment

This non surgical treatment uses laser energy to close down spider veins. The effectiveness can be increased with the use of sclerotherapy, and our team will use special imaging systems (Veinlite transillumination) to identify problem veins feeding into the spider veins so they can be treated.

You can go to work immediately after treatments.