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Answers to Frequently Asked Questions

Helpful information from The Vein Center at Wilmington Surgical

Wilmington Surgical Associates

Am I a candidate for vein treatment?

Anyone with varicose veins and vein disease is likely a candidate for treatment. Today’s advanced treatment options provide a great result without surgery. Using minimally invasive techniques means tiny incisions, no general anesthesia, much lower risk and little or no recovery time and downtime. Our doctors at The Vein Center at Wilmington Surgical Associates will discuss the most appropriate treatment options for you following careful diagnosis of your veins.

What is venous reflux disease?

With venous reflux disease, also known as venous insufficiency, the tiny valves in the veins in the legs that regulate the flow of blood in a single direction back to the heart have weakened. These damaged valves allow small amounts of blood to seep back down and pool in the veins in the legs. Left untreated, venous reflux can cause more serious problems over time.

What is venous insufficiency?

Venous insufficiency is another term for venous reflux disease. See above definition. 

What are varicose veins?

Varicose veins are veins that are swollen, unattractive and often uncomfortable, usually occurring in the legs. Varicose veins, and often smaller spider veins, are related to venous reflux disease, (see above).

What are spider veins?

Spider veins appear as red, blue or purple sunbursts on the skin surface, but most typically occur on the face, legs or ankles. On their own they are more a cosmetic concern than a health risk alone, but can be an early sign of venous insufficiency and can cause itching, burning or aching. Spider veins can be found alone or in combination with varicose veins.

Do I need my primary doctor to refer me to The Vein Center at Wilmington Associates?

Depending on your insurance, a referral from your physician may be needed, but it isn’t generally required of people with PPO insurance. Because spider veins are considered an aesthetic, non-medical concern, treatment is entirely elective and also requires no physician referral.

What can I expect to happen during my first visit?

Plan to arrive early to complete paperwork. You can save time by downloading and completing your paperwork prior to your appointment. During the visit you will have an ultrasound screening of your legs. Thereafter, one of our vein physicians will discuss the findings and your next steps, including recommendations for the most appropriate minimally invasive treatment.

How many treatments will I need to resolve my vein problem?

While treatment sessions generally take between 40 and 90 minutes, there is no way to confidently predict how many visits you will need until you’ve been evaluated and diagnosed. The extent of venous insufficiency has a direct relationship with how many and what kind of treatments you are likely to need.

How long should I expect it to take to recover?

Spider vein patients resume all normal activities immediately with no downtime. The majority of patients treated for varicose veins walk out of the office and return to normal daily activities, including work, within two days. While the amount of post treatment pain varies from one patient to another, most require only Tylenol or ibuprofen for any discomfort. Complete recovery, including resolution of bruising, takes from 4-6 weeks. Detailed written and verbal instructions will be provided to each patient both before and after treatment.

Will my insurance plan cover my procedure?

Most PPO insurance will cover treatment for medically significant venous insufficiency. However, check with your carrier to make sure, because some carriers do not cover varicose vein procedures. But remember that we offer third-party financing and accept major credit cards.

Do you offer online appointment scheduling?

You can request an appointment online here. Our staff will confirm your appointment several days in advance.

What are my payment options?

Medically significant venous insufficiency is covered by most insurance plans. In order to be eligible for coverage, there are requirements that must be met, including recommended time wearing compression hose. We accept major credit cards.


Have additional questions? Please don’t hesitate to give us a call at (910) 787-1007. You can also reach out to us via our online contact form or request an appointment.