What to Expect During a Vein Treatment Consultation

In a phone call, we’ll help you identify symptoms of venous disease. When you come in, a specialist will meet with you to discuss problems or issues associated with venous disease. We will ask you questions regarding any symptoms you may currently be experiencing and any treatments you may have already tried—for example—resting, elevating your legs, medications tried, compression stockings used, and/or any previous treatments you may have had relating to venous disease.


Vein conditions are diagnosed by Artemis through painless ultrasound imaging to observe the flow of blood through the veins. Ultrasound screening will determine if there is a venous reflux in specific locations within the diseased vein. If a patient needs to proceed with a laser procedure, next steps include a formal venous mapping of all the veins in their lower extremities, filling out pre-authorization forms from the patient’s insurance company, and finally, scheduling the laser procedure.

Conservative treatment

We at Artemis Colorado – Vein & Cosmetic Center recommend that anyone diagnosed with this condition do at least a three-month trial of wearing compression stockings with a minimum pressure of 12 to 18 mmHg. You can find these at local pharmacies, sports equipment retailers and online. Many patients find that compression stockings work so well and they experience such improvement of symptoms and performance that further treatment is not necessary.

For others, long-term use of compression stockings doesn’t work well. Fortunately, there are other options. These include weight reduction to a body mass index (BMI) of 35 or less, and leg elevation. Calf-pump muscle exercises—designed to improve muscle strength and ankle flexibility—are also important.

To see what these exercises for venous disease look like, check out the YouTube video “Build Calf Strength for Better Vein Health, Calf Exercises” by Lewis Sellers, MD:

Say Good-bye to Painful and Unattractive Veins

When these measures don’t provide relief, the next step may be Endovenous Laser Ablation. 

The procedure name is a mouthful, but it’s actually a gentle way to fix what can become a serious problem. We know many people put off treating their veins because they think it’s a bloody and painful procedure, but nothing could be further from the truth. Today this treatment involves a laser that causes minimal discomfort, offers a quick recovery, and has a complication rate less than 1%. If your doctor prescribes this treatment, you will be surprised at how easy it is. On the day of the procedure you can eat a light meal. Medication for pain and anxiety is offered, but most patients don’t take anything and go about their day after the procedure. That’s because the method is minimally invasive: Using an ultrasound, the vein is visualized and the skin is marked for access. A small hollow needle is inserted into the vein and a laser fiber is inserted through the needle along the length of the vein. Using local tumescent anesthesia, fluid is gently injected under the skin, making the procedure painless. The laser is turned on and the length of the vein is ablated as the fiber is pulled back.

At Artemis Colorado Vein & Cosmetic Center we use the state-of-the-art CoolTouch CTEV™ laser because it is the best. The instrument gets its name from its unique properties. It is a 1320nm wavelength laser that targets water molecules. Using this laser creates less heat then other lasers, hence the “cool touch.” We are able to achieve success with less pain, less bruising, and faster recovery than any other laser available.

After the procedure, the leg is place in compression, which is worn for 48 hours. You may resume normal activity immediately, but we don’t recommend strenuous exercise. Compression stockings are worn for two additional weeks. Some mild bruising and pain is to be expected, but that is part of the healing process. Most patients usually only require Ibuprofen for pain.

After the laser ablation it is sometimes necessary to return for phlebectomies or ultrasound guided sclerotherapy – for more info on those procedures, click here. Also, you will have at lease one final ultrasound to confirm that all treatment was successful without complications.

Do you still have questions? Check out our FAQ’s or click the contact us button below!


Spider vein and varicose vein conditions are considered a medical condition under certain conditions and are either fully or partially covered by most insurances, including Medicare. It’s important to choose your treatment wisely. Artemis Colorado – Vein & Cosmetic Center has become one of the most highly respected centers of its kind dedicated to the office-based treatment of venous disease. For more information on payment options, click here.