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1. What are varicose veins? What are spider veins?

To best understand these terms you should simply measure the diameter of the veins. The diameter of a spider vein is not more than 0.5 mm. The size of reticular veins are from 0.6 to 2mm. If the diameter is more than 2 mm then it is varicose vein. Most people think spider veins are only a cosmetic problem but their presence is a factor in the developing vein disease.

2 . What is the biggest mistake in the treatment of varicose veins?

The biggest mistake is to treat varicose disease without understanding the reason for its appearance. The professional diagnosis plays crucial role developing the proper treatment. The examination includes an ultrasound examination and a consultation with experienced doctor. Unfortunately, many patients try to correct only the cosmetic component of the vein disease with sclerotherapy.

3 . Can the visible varicose veins cause bigger problems?

Yes. It may present with symptoms such as pain, discomfort in the legs, fatigue, burning, itching, heaviness, swelling, or anxiety. These symptoms significantly reduce the daily quality of your life. Larger varicose veins can lead to further complications such as hyperpigmentation of the skin, ulcers or thrombosis.

4 . When do you need treatment for varicose veins?

After a thorough examination, a physician should sit down and talk with you about visible and invisible varicose veins in your body and best form of treatment for your individual symptoms. The longer you wait, the more the disease will progress and that may lead to pigmentation, decreased nutrition of the skin and possible formation of venous ulcers, as well as serious complications such as blockage of the veins (thrombosis) or even life-threatening situations like embolism. The earlier the treatment starts the more likely the disease can be controlled.

5 . Should I be concerned if I have varicose veins on my legs but no symptoms?

Even if you do not have typical pain or other symptoms of varicose veins, you should consult with the experienced physician to prevent possible risks of complications of varicose veins.

6. If I have no protruding veins, but only spider veins do I have varicose veins?

Yes, especially if you have symptoms of venous disease.

7. If I am concerned only about spider veins should I undergo a full ultrasound examination?

Yes. Spider veins are only the visible part of venous disease. Undergoing an ultrasound will show if you have deeper vein problems.

8. Can I treat varicose veins without surgery?

The answer to this question is individual for each patient. Some alternatives are possible but most modern treatment forms do not use a scalpel anyway, are practically painless and allow the patient to immediately return to their daily schedule.

9. What if my friends had a negative experience in the treatment of varicose veins?

When a patient hears such stories from friends or relatives they may develop negative perception of varicose vein treatment. In these cases it is most important to find a highly qualified doctor that you can trust. At IMED Vein Clinic a doctor will sit down with you, discuss your leg history, while letting you know about treatment options and possible results with opportunity for you to ask all questions.

10 . If my vein is closed during treatment, where does the blood go?

The leg venous system consists of superficial veins (which are much more prone to varicose veins), deep veins and perforating veins (the short bridge between the superficial and deep veins). The superficial veins collect blood from the superficial tissues and bring it to the deep venous system. 85-90% of the normal venous flow passes through the deep veins. Any excess of the venous blood in the superficial veins is discharged into the deep veins due to the presence of the perforating veins. After treatment, the deep veins will assume the entire flow and add 10% that superficial veins carry.

11. What kind of anesthesia is used?

Currently varicose veins can safely treated under local anesthesia. This allows for the treatment of nearly all patients and especially elderly patients.

12. How long after the procedure should I remain in the clinic?

After the procedure you will be under observation for about 30 minutes. Afterwards you will be able to drive and go home or immediately return to work. After sclerotherapy you can return to your usual schedule immediately.

13. How often do I need to come for treatment of varicose veins?

In most cases it is impossible to perform one procedure to achieve effective results for varicose veins. The doctor determines the course of treatment based on each individual case. After the treatment is completed, you will schedule visits to the clinic to monitor your results after 1, 3 and 12 months.

14. How long must I wait before able to play sports?

Following the procedures only moderate walking is recommended. You can do everything that does not cause you pain but you should avoid strenuous physical activity, weight lifting and abdominal exercises for about two weeks.

15. When can I go back to work?

In most cases, you will be able to return to a normal work schedule the same day.

16. How can I prevent varicose veins?

The best way to prevent the disease is to lead a healthy lifestyle. Exersise, eating right and controlling your weight will help reduce the risk of venous disease.

17. Which sport is the best for the prevention of varicose veins?

The most beneficial effect on the health of your veins is walking at a moderate pace for 30-40 minutes, cycling and swimming.


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