THE VEIN CENTER at PORT WASHINGTON Renato B. Berroya, M.D., FACS, FACPh

Office Information

Renato B. Berroya, M.D., FACS, FACPh

The Vein Center at Port Washington
639 Port Washington Blvd
Port Washington, NY 11050

Phone: (516) 883-2212
Fax: (516) 767-7064

Email us at pwveincenter@yahoo.com

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Office Hours

Mon - Thurs: 9 AM - 5 PM*

Fri: 9 AM - 4 PM*

*Though the office is open, testing and procedure appointment times vary.

ENDOVENOUS LASER TREATMENT (EVLT) DISCHARGE INSTRUCTIONS

Your leg was wrapped with compression bandages. These are to remain clean, dry, and in place for 48-72 hours, as per the Doctor’s instruction.
It is advisable to wear the compression stocking days and nights for two days. The stocking can be removed temporarily to bathe or shower only. Thereafter, use the stocking during the day only for 4 weeks if you are going back to work or school or plan to do prolonged walking or standing. Stockings help move the blood to the heart, prevent pooling in the treated leg, therefore, there are less chances of blood clots or significant swelling.
Normal activities can be resumed immediately after the effect of Valium (diazepam) or sedative has completely subsided. Avoid strenuous, vigorous, or high impact activities, like step aerobics, running, sports, etc. for two weeks. Avoid squatting and heavy lifting for two weeks. These activities can cause swelling, pain, and may reopen the vein. Sexual activities may be resumed whenever comfortable.
Avoid prolonged sitting or standing during the first week, because it will cause pooling of blood in the leg. Even simple wiggling of the toes or changing position helps the blood flow. It is advisable to walk everyday or use a stationary bicycle for one week.

Riding in a car is okay. In cases of very long rides, get out and walk hourly. DO NOT DRIVE on the day of the procedure, and for up to 24 hours if the EVLT was performed on the right leg.
Avoid hot baths, saunas, whirlpools, and other hot environments for the first week because it may reopen the vein.
May return to work or school after 24 hours. Resume regular and normal diet as tolerated. Resume all medications that were taken before the procedure.
Use moisturizing cream two or three times a day as it helps prevent skin dryness and itchiness. This works better after bath or showers.
It is important to be evaluated 3, 6, and 12 months and yearly after your EVLT.
The recovery from EVLT is usually trouble-free. It is normal to feel a tightening or pulling sensation for 5 to 7 days. To minimize this discomfort, we strongly recommend the following medications after the procedure:
IT IS REQUIRED THAT YOU TAKE ADVIL OR MOTRIN (IBUPROFIN), AS INSTRUCTED BELOW, WHETHER OR NOT YOU ARE EXPERIENCING DISCOMFORT.

Medication	Dose	Time	Instructions
Advil or Motrin [Ibuprofen]	400 mg. to 600 mg.	3 times a day, with meal.	For 7 - 10 days.
Extra Strength Tylenol	Caplet	3 caplets, every 8 hours.	For pain, no more than 6 caplets/2 an hour, no more than 5 days.
Levaquin	500 mg.	One tablet, once a day.	Day before procedure, and day of procedure.
Vitamin C (optional)	1 gram or two 500 mg. caplets	2 times a day	For 10 days
Vitamin E (optional)	1,000 I.U.	1 time a day	For 10 days
Arnica (optional)	Cream	Apply on skin on inner thigh	3 or 4 times a day for 10 days
Arnica tablet (optional)	Tablet	Chew one tablet every hour for 8 hours first day, then one tablet four times a day.	For 14 days.
Bromelain	500 mg.	1 tablet 4 times a day.	1 hour before or after meal, for 14 days.

PLEASE SPEAK TO THE DOCTOR IF YOU ARE ALLERGIC TO ANY OF THESE MEDICATIONS.

RISKS AND COMPLICATIONS OF EVLT
The risks and complications of EVLT are rare, temporary, and self limited. It may include:

WHEN TO CALL THE DOCTOR (516) 883-2212

Call the Doctor immediately if you are experiencing any of the following:

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