Venous Foaming with Varithena

What is Varithena?

Varithena is a minimally invasive treatment that uses a medical grade foam to force spasm and closure of a poorly functioning vein. Varithena is often used in combination with radiofrequency ablation to ensure that the entirety of the faulty vein is treated.

Varithena or venous foaming is safely and conveniently performed in our Madison office. The goals of treatment are to reduce symptoms, such as aching, swelling, skin irritation and discoloration. Treatment also aims to reduce the risk of complications from chronic venous insufficiency such as ulcerations and blood clots.

Varithena Before & After Varicose Vein

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Pre-Procedure Instructions

  • Increase your fluid intake 24 hours prior to the procedure.
  • Eat a light breakfast the morning of your procedure.
  • Arrange for someone to drive you to and from the procedure.
  • Please arrive 30 minutes prior to your scheduled appointment time.
  • If you have compression stockings, please bring the with you the day of your procedure.
  • Please wear loose fitting pants (sweatpants if possible)

Procedure expectations

On the day of your procedure, you will check in at our Madison office. Once checked-in, our staff will bring you back to our venous suite. One of our friendly vein assistants will perform all necessary preparations. Once ready to begin the procedure, your treating physician will inject a local anesthetic to numb the area. He or she will then gain access to your vein, using a needle which will feel similar to getting blood drawn. Your physician will then inject the foam-based medication directly into the affected veins. The foam will displace the blood and allow the medication to close off and collapse the problematic vein(s). The number of injections required will depend on the extent and location of your problematic veins. Your doctor will carefully assess and treat each affected vein during the procedure. Once finished, a bandage and s compression wrap will be placed on your treated leg.

Post procedure Instructions

  • Return to normal activities however refrain from any strenuous activities or heavy lifting until follow up appointment with physician
  • Ambulate at frequent intervals, at least 30 minutes daily
  • Do not sit or stand for long periods
  • Wear compression bandage for 48-72 hours. You may cover it with a plastic bag/cling wrap before shower. Follow by compression stockings for at least 2-4 weeks
  • If the compression bandage becomes painful or very tight at any particular spot, cut a small slit in the bandage to loosen it or unwrap and re-wrap it. The bandage should not be digging into the skin
  • Following the ablation procedure, you may notice clear or pink tinted clear liquid seeping from you puncture site through the bandage; this is rare however it is not cause for concern. Please call the office if you notice a significant amount of red blood. Tenderness and Pulling Sensation in certain areas are normal, post procedure
  • No swimming pools, hot tubs, lakes, or ocean until after follow up appointment
  • Take analgesics (Tylenol) as needed per physician’s orders
  • Return for follow-up scheduled ultrasound (2nd Floor) and site check with Doctor (1st Floor), as scheduled.



Varithena Pre-Procedure Instructions

thumbnail of Varithena post-procedure instructions

Varithena Post-Procedure Instructions