1, 6, 2020

What to Expect After Saphenous Vein Ablation


After a vein ablation procedure, such as radiofrequency or laser ablation, it is normal for your leg to feel swollen. The swelling is the fluid that was placed around the vein called a tumescent anesthetic. You will feel the swelling in the location where the vein was treated. If the vein in the thigh was treated, your thigh will feel swollen. If the vein on the back of your calf was treated,  the calf will feel swollen. The tumescent will slowly be absorbed by the evening or the next morning.

Applying gauze inside of your stocking

Apply Gauze Inside of Your Stocking

Sometimes, the tumescent will leak out from the tiny needle puncture sites. For this reason, we will apply gauze inside of your stocking. At night before going to bed, reach in and pull out the gauze and throw it away. It only takes one drop of blood to make the gauze look blood-tinged. This is also normal and nothing to worry about.

Before going to bed, remove the ace bandage that overlies your stocking. You will wear the stockings overnight (for 72 hours to be exact). If your stocking causes foot pain or leg pain, or numbness in the toes, please remove your stocking during the night and sleep without it. It may be too tight. Call us in the morning so we can further advise.

What to do when the leg feels sore and achy?

leg feels sore and achy

On the evening of the procedure, your leg may also feel sore and achy. When it starts to throb, get up and walk. This usually helps it to feel better. Ibuprofen or Tylenol are helpful to reduce discomfort. You can also apply ice, by placing ice in a zip lock bag and applying the cold to the sore areas on the leg. You do not need to sleep with your legs elevated, but may do so if this is more comfortable.

When you are sitting for longer periods, such as watching a movie at night, elevate your legs.

To avoid blood clots, walk frequently throughout the day. A rule of thumb is to walk at least 30 minutes, twice a day. There is no limit to walking. After your procedure, you will be asked to walk 30 minutes around campus prior to getting into your car. This will help get the blood circulating and stimulate the tumescent to be absorbed.

What to Expect After Saphenous Vein Ablation2021-11-05T10:57:18-07:00

11, 2, 2015

Dr. Bunke Explains Non-surgical Varicose Vein Treatments on San Diego News


Vein Stripping is a thing of the past! Watch La Jolla Vein Care’s Dr. Bunke on San Diego Living explain alternative non-surgical vein treatments to the outdated vein stripping surgery!  The episode was aired yesterday, February 10th, on CW’s Channel 6. As Dr. Bunke explains, a common misperception about varicose vein treatment is that vein stripping surgery is still used as the main method used to treat varicose veins. The truth is, vein stripping surgery is nearly obsolete, with endovenous ablation being considered as the standard of care for treatment of the great saphenous and small saphenous veins. There are other treatment methods such as ultrasound guided foam sclerotherapy for the branching, bulging veins at the surface of the skin.

This news segment provides animations about how these vein treatments work.

For the endovenous ablation, specifically radiofrequency ablation of varicose veins, also known as the Venefit procedure (previously called VNUS Closure) is described. Dr. Bunke explains that a thin, flexible tubing called a catheter is placed inside the diseased vein. Radiofrequency energy is delivered to heat the vein and seal it shut. The body will gradually dissolve the treated vein. The blood is directed through other healthy veins.

A foam sclerotherapy animation is also shown. Foam sclerotherapy involves injecting a foamed medicine into the vein that will cause it to collapse, shrink and eventually dissolve.

These varicose vein procedures are minimally invasive and can be performed in the office without general anesthesia and almost immediate return to normal activities.



Dr. Bunke Explains Non-surgical Varicose Vein Treatments on San Diego News2015-02-11T20:06:34-08:00

15, 4, 2011

Radiofrequency Technology: The Next Wave for Treating Varicose Veins

laser vein ablation

Endovenous laser vein ablation therapy (EVLT) uses a tiny catheter to seal incompetent veins shut.

La Jolla Vein Care is excited to introduce the VNUS Closure procedure to its patients. This procedure is also known as radiofrequency ablation (RFA). The procedure is minimally invasive—and it’s an advanced alternative to laser treatment. The result? Better outcomes with less pain and less bruising. In particular, this procedure is beneficial when there is venous insufficiency present in the Greater Saphenous and Small Saphenous veins, making it clear that the next wave of technology for vein treatment is here—and it’s at La Jolla Vein Care.

This is another picture, of before and after treatment with radiofrequency ablation in combination with foam sclerotherapy at La Jolla Vein Care.

Radiofrequency Technology: The Next Wave for Treating Varicose Veins2021-11-04T00:22:19-07:00
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