Dr. Mehall’s Blog Venous Insufficiency Video

The corporate name for UPSVIS clinics is Superior Imaging Specialists PC, which will appear as the business name within the online payment portal.
Online Payment Portal

Frequently Asked Questions

Do I need a referral?

No, you can call and make an appointment for your first consultation without a referral. You are also welcome to arrange a visit through your primary care.

Will my insurance company cover my office visits, and will you bill them first?

Yes, most insurance companies will pay for office visits, which are considered medical visits. (Blue Cross/Blue Shield, Medicare, United Health Care, to name a few.) Yes, our office staff will process your bills through your insurance company first, and then bill you for any co-pay.

What will my first visit be like?

We typically start our visits with a detailed medical history, asking the important questions about general medical health and then focusing on your particular vascular and venous issues and symptoms, such as swelling, pain, and visible varicosities. The exam typically includes the taking of photos and measurements for documentation and to delineate treatment progress.

In many patients we then perform specialized venous ultrasound imaging to look at not only the venous anatomy and presence or absence of clots, but to look at venous valve function and it’s impact on blood flow and varicose vein development, playing a large role in the development of a personalized and focused treatment plan.

Will I need to wear compression hose/stockings?

Depending on your level of venous disease and insurance requirements and considerations, you may have to wear compression stockings for a period of time. In the past and still today, the first line of attack for varicose veins may include daily usage of compression hosiery. Again, if you are diagnosed with venous disease on your first visit, the staff may discuss compression hose treatment options.

What causes spider veins on my legs?

There is no one cause of spider veins. Each individual has different living conditions and lifestyles that may contribute to the formation of spider veins. Factors such as exposure to extreme temperature changes, wind and sun damage, use of oral contraceptives, hormonal issues (typically in women), aging, obesity, smoking, alcohol use, as well as a genetic predisposition, are among the many causes.

Will my insurance cover sclerotherapy?

Because spider veins are often considered as a cosmetic issue, sclerotherapy is usually not covered by most insurance agencies. However, we do provide free consultations for patients interested in sclerotherapy. Our providers will give you a diagnosis of your spider or varicose veins and an estimated cost for your sclerotherapy treatment. Expect to pay either $125.00 or $250.00 per session, depending on your veins.




Take any regular medications the day of your procedure; sclerotherapy does not require you to take any pre-operative medications. You may also eat a normal breakfast or lunch the day of this procedure; sclerotherapy does not require you to fast at all. Before the procedure, our nurse will take a look and mark up your spider or varicose veins. This will determine how much sclerosing solution will be used. The nurse will then prepare you for your procedure in one of our treatment rooms.

  • Please inform us if you take blood thinners such as Coumadin (Warfarin), aspirin, or Plavix, although this typically does not affect your procedure. We ask that you stop taking these medications four days prior to your procedure.


Your treated area will be wrapped in an elastic bandage, which you will need to leave on for two to three days to minimize bruising and swelling. You should elevate your legs for two to four hours following your procedure, as well as take two twenty-minute walks for the next several days. While walking is strongly encouraged, we do ask that you refrain from any stressful or pounding activities, such as weight lifting or aerobics for one week. You may also be asked to wear compression stockings for a short period of time.

Venous Ablation and Microphlebectomy


Before any treatment, spend some time talking to our doctor about what to expect, the pre- and post-operative directions, and how to wear compression stockings. No matter your treatment, here are some guidelines to prepare:

  • Do not apply moisturizer on the day of treatment.
  • Wear loose slacks, trousers, or sweatpants and sandals or loose shoes to allow for the thickness of the bandages and compression garments.
  • Be prepared to wear graduated compression garments (stockings) continuously for typically 24-48 hours after your treatment.
  • While walking is highly encouraged, we will ask you to refrain from heavy physical activity like running, cycling, or weight lifting for one week. Walking on a treadmill will be fine.
  • Talk with your provider if you plan to travel on a flight greater than four hours within the first six weeks post-procedure.
  • Please inform us if you take blood thinners such as Coumadin (Warfarin), aspirin, or Plavix. We may ask that you stop taking these medications four days prior to your procedure.


  • You will be asked to walk immediately following your procedure and will also be asked to take at least two twenty-minute walks per day in the several days following the procedure. While walking is strongly encouraged, we again ask that you refrain from stressful, pounding activities like weightlifting or aerobics for one week.
  • Some bruising or soreness is fairly typical 3-7 days following your ablation procedure and is usually well-controlled simply with oral nonsteroidal anti-inflammatory medications.
  • Following endovenous ablation, with or without microphlebectomy, the leg will be wrapped in an elastic bandage for 24-48 hours, after which you will be asked to wear a compression stocking on the treated leg for seven days, from morning until bedtime. Along with walking, the stocking promotes good flow through the normal, untreated veins of the leg and keeps treated veins collapsed while they permanently close down.
  • All patients who are treated with ablation are typically seen in follow-up at The Vein Clinic in 2-3 weeks.



After thrombolysis or pharmacomechanical thrombolysis, you may be discharged the same day or you may spend an evening in the hospital to allow for observation or perhaps initiation of blood clotting medications. Most patients will be sent home on some type of anti-clotting medication. This is to prevent clotting while the lining and valves of the veins are given time to heal. Blood-thinning medications are usually continued for a minimum of six weeks following treatment.

Most patients are also started on a special compression stocking that encourages blood flow upward through the leg and helps prevent pooling of blood. Normal activity is also strongly encouraged, as muscular activity helps to pump blood through the veins of the legs.

Most patients will be seen in follow-up within the first week or two in The Vein Clinic.

We are now introducing virtual vein screenings that can be taken from the comfort of your own home, if you are interested in having a vein screening click on the link below. We are excited to help!

We Look Forward To Working With You.