Tick-Tock: Reasons to Get Your Varicose Veins Treated Now!

Tick-Tock: Reasons to Get Your Varicose Veins Treated Now!

Be Free from Chronic Varicose Vein Pain Before Summer

Cool Weather is the Best Time to Have Varicose Veins Treated

Timing is critical when considering varicose vein treatment.

Let me be brutally honest.

Contrary to popular belief, varicose veins aren’t just cosmetic.

They are a medical problem – especially when they cause symptoms. Complications like phlebitis, bleeding and sores and ulcers can result from neglected varicose veins.

Those are the only reasons that insurance companies get involved at all.

So, what ‘s my point?

Fixing the veins in your legs always requires compression support stockings.

That’s what makes this article so timely.

Summer is not the best time to do this in Pittsburgh.

That’s because hot and heavy compression stockings are usually required after vein treatments.

With modern minimally invasive techniques, the hot stockings are what people complain about the most with the entire process.

The few numbing pinches required during these office procedures make the whole thing virtually pain free for most people.

The truth is that it’s really quick and nearly effortless.

You’re in and out.

You can resume normal activities right away.

Afterwards, your legs may have some bruising which is unsightly when wearing shorts or a bathing suit.

That goes for both the tiny spider veins and the larger varicose veins as well.

Although normal activity is recommended after modern minimally invasive varicose vein treatments, strenuous activity may have limited for a while for comfort reasons.

However, even running a marathon the day after a treatment would not mess up your results.

Aggressive activities too soon may just make you more uncomfortable than if you refrained from vigorous exercising right away.

Varicose Vein Treatments Can Take a Series of Procedures

Most people with varicose veins don’t realize that vein removal is a process.

Because many different veins on the surface and underlying veins are involved, it often takes a series of treatments.

These treatments are usually spaced a few weeks apart to get the best results.

For example, in most people the great or small saphenous veins in your legs are involved. These are the two veins that were stripped in the past.

The painful and debilitating stripping procedure is no longer performed.

Instead those veins are usually eliminated by heating them or cauterizing them. This is most commonly done with laser or radiofrequency.

In a previous article, I have discussed three new FDA methods of treating varicose veins without heat.

These newest methods of closing the saphenous veins include using glue, a proprietary foam called Varithena, and mechanics chemical ablation or MOCA.

The time-tested methods are laser and radiofrequency.

They are equally effective.

Both can be done in about thirty or forty minutes under local anesthesia.

Most people who have had both laser on one leg and radiofrequency closure on the other, prefer radiofrequency because laser usually hurts much more for a few weeks.

With radiofrequency, most people don’t even require any pain medicine or anti inflammatories.

Now for the Secret Truth About Varicose Vein Treatments

Advertisements about leg vein treatments will not mention the following hidden secret about varicose vein removal.

Closure of the saphenous veins alone with laser or radiofrequency alone is almost never enough.


Because the varicose veins that you see on the surface of the skin will not disappear with those treatments alone.

Many times, those surface bumpy veins will get smaller.

However, these vein bumps are connected to other veins through many side branches.

The remaining negative pressure in the remaining varicose veins will act like “suckers” and keep blood flowing through them.

Don’t think of the varicose vein as branches off of the saphenous veins.

They are not like the branches that come off of the trunk of a tree.

That analogy is not correct.

Instead think of those branch veins as a vast network like a subway system.

In time, the varicose veins will enlarge. The larger the varicose veins are, the quicker and more certain this will happen.

In addition, sometimes theses varicose veins will clot off after the saphenous veins are closed.

For these reasons, many vein specialists will recommend that the saphenous veins be treated at the same time as the saphenous closure.

The alternative approach is to treat them within a couple of months when they become smaller (if they don’t clot off first).

The Benefit of Having the Veins in Your Legs Treated Now

One of the most common things that my patients in Pittsburgh say after learning this is,” I wish that I would have come sooner.”

Pay close attention to the following financial reason not to put off your varicose vein surgery.

Insurance companies are cutting back coverage for varicose veins at a rapid rate.

Routine cosmetic varicose veins are no longer covered by most insurance companies.

One reason for this is massive abuse by doctors when requesting coverage for patients.

Varicose veins no matter how big they are must have symptoms to be covered.

Insurance companies all require that medical management be tried first.

That means weeks to months of heavy, hot and uncomfortable support stockings.

Corners are being cut.

The backlash from the insurance companies is that all varicose veins are not covered anymore.

Medicare is currently discussing an option to stop paying for painful varicose for ten states including Pennsylvania.

My advice is that if you have painful varicose veins, get them covered now before insurance companies no longer cover it!

Get Varicose Vein Disease Treatment in Pittsburgh as Soon As Possible

As a vein expert and authority in the field of venous disease, take my word for it.

I see unhappy patients every week who put it off. Neglecting these large veins can result in disabling chronic pain and suffering.

Vein disease is progressive.

That means that each day you delay treatment is another day in which your condition will worsen.

Not – maybe.

Not – if I ignore it, maybe it will go away.

Even though the varicose veins you already have now are enough of a problem, trying to ignore them can allow serious side effects such as clots, swelling, and ulcers to occur.

Seek treatment sooner rather than after avoid these kinds of debilitating consequences inevitably happen.

Fixing your vein issues now will enable you to maintain your active lifestyle and the good health of your circulation.


Timing of your varicose vein treatments is very important.

By that I mean both short term (the weather) and long term (your insurance coverage).

By reading this article you have learned that most people wish that they would have come for their initial consult sooner.

Avoid that regret of having waited too long to get your treatments started (and finished before summer).

If you start now, you can be vein free for summer.

Have your legs look and feel great again.

More importantly, the veins in your legs will be healthy once more.

Being proactive can prevent phlebitis (blood clots in varicose veins), sores and ulcers, and permanent hyperpigmentation (brown color changes of the lower legs).

Ah dear reader, don’t procrastinate any longer.

We take your varicose veins seriously.

Call us now before you change your mind at 724-969-0600 to take the first step towards healthy and good looking legs again.

About The Author

Dr. John Happel

Dr. John Happel has been in practice as a surgeon since 1986 in the Pittsburgh region. He specializes in vascular surgery and has subspecialized in the treatment of varicose and spider veins since 1999. Dr. Happel is board certified in vascular surgery and recertified in vascular surgery in 2012. He was chosen in 1985 to fulfill the position for the vascular surgical fellowship at the world renowned Mayo Clinic.