patient resources

Pre-Procedure Information

Endovenous Ablation (EVLT/VenaSeal)

Fasting is not required prior to endovenous therapy. Adequately hydrate before the procedure. Avoid alcohol and caffeine-containing products.
REMEMBER to bring the prescribed compression stockings to your appointment.
Wear comfortable, loose fitting clothing, that can be easily donned over the stockings and/or compression bandages.
For men — NO boxer style underwear, as this may interfere with the procedure.
Anti-inflammatory medications will be required following the procedure. Please purchase ibuprofen (Advil, Motrin) OR naproxen (Aleve) prior to your appointment. Discuss with the treating physician if you are allergic or unable to take the aforementioned medications.
Driving following the procedure is not advisable. Please arrange for transportation after your treatment.

Post-Procedure Care Instructions

Immediately After Treatment

Upon completion of your procedure, compression stockings will be applied. The stockings are to be worn continuously for the first 48 hours, even at night.
An anti-inflammatory medication - Ibuprofen (Advil, Motrin), OR Naproxen (Aleve) - is recommended for 7-10 days following treatment, even in the absence of pain/discomfort. Follow the medication-specific dosing instruc-tions.
Ice packs can be used to sooth pain over the treated veins. Apply over the compression stockings for 15 minutes, every 1-2 hours.
You are encouraged to remain active following treatment. However, avoid strenuous activity (weightlifting, long-distance running) for 1 week.
Avoid prolonged sitting or standing. When sitting, it is best to elevate the treated leg.
Caffeine consumption can be resumed.
Refrain from driving immediately following treatment.
An anti-inflammatory medication - Ibuprofen (Advil, Motrin), OR Naproxen (Aleve) - is recommended for 7-10 days following treatment, even in the absence of pain/discomfort. Follow the medication-specific dosing instruc-tions.

48 Hours to Two Weeks After Treatment

The compression stockings can be removed to shower. Continue to wear the stockings for another 2 weeks, only during the day.
You are encouraged to walk and resume regular daily activities.
Refrain from long-distance air travel and/or lengthy car rides for 2 weeks following treatment.

What to Expect

Bruising along the treated vein is normal.This typically clears within 2 weeks.
Tightness or discomfort are part of the healing process.
The treated veins may become firm and tender. This will gradually im-prove.
Discolouration can occur along the site of treatment. Over time, this will fade.
If you experience redness or tenderness over the treated vein, continue to take anti-inflammatory medications. Ice packs or warm compresses can beused for comfort.
Varicose veins will become less prominent over of period of 8 weeks. Any residual veins can be treated with sclerotherapy injections.

Post-Procedure Care Instructions

Immediately After Treatment

Upon completion of your procedure, compression stockings will be applied. The stockings are to be worn continuously for the first 48 hours, even at night.
An anti-inflammatory medication - Ibuprofen (Advil, Motrin), OR Naproxen (Aleve) - is recommended for 7-10 days following treatment, even in the absence of pain/discomfort. Follow the medication-specific dosing instructions.
Ice packs can be used to sooth pain over the treated veins. Apply over the compression stockings for 15 minutes, every 1-2 hours.
You are encouraged to remain active following treatment. However, avoid strenuous activity (weightlifting, long-distance running) for 1 week.
Avoid prolonged sitting or standing. When sitting, it is best to elevate the treated leg.
Caffeine consumption can be resumed.
Refrain from driving immediately following treatment.
An anti-inflammatory medication - Ibuprofen (Advil, Motrin), OR Naproxen (Aleve) - is recommended for 7-10 days following treatment, even in the absence of pain/discomfort. Follow the medication-specific dosing instruc-tions.

48 Hours to Two Weeks After Treatment

The compression stockings can be removed to shower. Continue to wear the stockings for another 1 week, only during the day.
You are encouraged to walk and resume regular daily activities.
Refrain from long-distance air travel and/or lengthy car rides for 2 weeks following treatment.

What to Expect

Bruising along the treated vein is normal.This typically clears within 2 weeks.
Tightness or discomfort are part of the healing process.
The treated veins may become firm and tender. This will gradually improve.
Discolouration can occur along the site of treatment. Over time, this will fade.
If you experience redness or tenderness over the treated vein, continue to take anti-inflammatory medications. Ice packs or warm compresses can be used for comfort.
Varicose veins will become less prominent over of period of 8 weeks. Any residual veins can be treated with sclerotherapy injections.

Note:

Endovenous chemical ablation can be associated with hypersensitivity or allergic reactions, which are typically mild.
This is characterized by an itchy, red rash, localized to the treated leg.
Contact your treating physician if you have any concerns.

Pre/Post-Procedure Care Instructions

Prior to Treatment

Bring compression stockings for application following treatment.
Wear loose, comfortable clothing.
Refrain from applying lotions, oils, self-tanners, etc. on the day of treatment.
There are no restrictions with respect to driving following your appointment.

Following Treatment

Upon completion of your procedure, compression stockings will be applied. The stockings are to be worn continuously for the first 48 hours, even at night.
After 48 hours, the stockings can be removed to shower. Continue to wear the stockings for another week, only during the day.
You are encouraged to remain active following treatment. However, avoid strenuous activity (weightlifting, long-distance running) for 3 days.
To minimize the risk of skin discoloration and infection, avoid sun-exposure and immersion in water (bath, hot tub, spa, river/lake/ocean, etc.) for 7 days. Showering is acceptable.
Refrain from shaving your legs for 3 days.
Refrain from waxing your legs for 10 days.
Bring compression stockings to all future followup appointments, in the event further sclerotherapy is undertaken.

What to Expect

Treated veins may appear more prominent, before fading.
Bruising may occur at sites of injection. This will resolve after a few weeks.
Discolouration at treatment sites infrequently lasts more than a year. Avoid iron supplementation around the time of sclerotherapy to minimize this risk.
The treated veins may become firm and tender. This will gradually im-prove. Anti-inflammatory medications and warm compresses can be used, for comfort.