Follow-up Appointment Protocol: Endovenous Laser Ablation (EVLA)
What should I do before my follow-up appointment?
- Do not shave your legs or apply cream for one day prior to and the day of your follow-up appointments. No tanning within two weeks of the treatment date. Do not take aspirin or blood thinners 3 days prior to procedure. Do not take Tetracycline or Minocin 10 days before or after sclerotherapy. Eat a snack one hour prior to your treatment. Bring shorts to wear during the procedure and slacks to wear out of the office. Sclerotherapy will only be performed if necessary.
What should I do after my sclerotherapy treatment?
- Keep stockings on continuously for the first 72 hours. Only take off stockings to go to the washroom or for showers. After the first 72 hours wear your stockings from morning to night for another 7 days (ideally, take a quick 5 min shower and then put them on before doing the rest of your morning routine). Compression stockings help decrease bruising at the sclerotherapy sites.
- To Prevent Pain, Bruising & Persistent Discolouration
- Please continue to take 5 pellets of Arnica™, 3 times per day and one 500mg Bromelain tablet twice per day for 11 days after the procedure to reduce pain, swelling and bruising. Also, Drink atleast 2 liters of water per day to promote healing, reduce bruising and prevent discolouration.
- Elevate your leg on a couch or stool and apply a gel pack three times daily, 10 minutes at a time to the bruised and painful areas. After each application of the gel pack, apply the Arnica Gel™ on the bruised areas.
- Please purchase generic Ibuprofen tablets (not Advil™) and take 600 mg three times daily orally for seven days after the procedure date. Ibuprofen may be purchased at any pharmacy.
- It is preferable to avoid sun exposure after the procedure. It is mandatory to apply a strong sunblock SPF 40 to 50 (available here) at sites of bruising or discolouration if there is any sun exposure.
- Apply Creamy Cleanser for sensitive skin twice per day to site of varicose veins and rinse off. Apply Complex Cu3 Intensive Tissue Repair Crème 3-5 times per day, to treated areas. If itchy then apply greater than five times per day. If any irritation occurs discontinue use and call office.
- You can resume normal daily activities excluding exercise today. You can resume exercising in 2 days. You can shower in the morning but no hot baths, hot tub, sauna and jacuzzi for 2 weeks after sclerotherapy.
- Bruising, local swelling and some tenderness are normal after treatment, but please feel free to call the office if you have any questions or concerns.
- You will not notice an immediate improvement. Clearance of varicose veins and discolouration usually occurs over a 2-10 week period and in some cases may take up to 12 weeks.
Endovenous laser ablation (EVLA) is also known as endovenous laser treatment (EVLT). The two terms are interchangeable and refer to the same treatment.
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