Dr. Adam Goldman

So you go home and you're wearing an ACE bandage.

So what we do in our clinic, we do an ACE bandage.

And the next day, you take it off, shower, and put the compression stocking on.

So you want to wear the compression stocking.

We recommend at least three days.

And if the leg feels absolutely fine after three days, you can take it off and leave it off for now.

If you're still feeling sore or still swollen...

You want to wear that stocking for a few more days.

So let's say you need four days, five days.

And the larger the vein, the more superficial, the more likely it's going to be kind of achy and sore afterwards because you can imagine it's more inflamed and it's better to wear the stocking while that happens.

It feels better because it holds the vein in place so you're more comfortable with the stocking on as well as it's helping the healing process and making sure the vein doesn't reopen because that can happen.

The blood can force its way back through.

So you want to keep the pressure on it

in the short term so that it stays closed.

So then it depends on the insurance, on the patient.

So if someone has a lot of superficial varicose veins, a lot of big, giant, bulging veins, often after we close the feeding vein, we will wait a couple of weeks before doing the second part.

The reason being

that by waiting and you wear the compression stock.

Also, if you have that problem, like, you know, that bad, we're trying to make, so if you can imagine, if you have this blood constantly flowing into these superficial veins, they're going to get bigger and bigger and bigger, and they're not going to go away.

So sometimes if it's not too far gone, after we close the feeding vein, because we eliminated the blood supply to those superficial veins, they will decrease in number and size, which makes the second part much easier.