Sclerotherapy is a minimally invasive and highly effective outpatient procedure known as the “gold standard” for eliminating varicose and spider veins. Patients have described it as relatively painless, therefore not requiring anesthesia and typically experience very few side effects. Some experience minor discomfort that lasts for only a few minutes but can resume normal daily activities immediately. An ultrasound can determine if there are underlying causes that need to be addressed before the procedure begins as well as the number, size and location of veins injected.
Additionally, depending on the degree of the problem, the number of treatments may vary. Prior to the procedure create and bring a list of all medications you are taking, including over‐the‐counter medications and avoid using lotion on your legs.
How does Sclerotherapy work?
During the procedure a small syringe with a fine needle is used to inject a medication called sclerosant directly into the vein. Sclerosant irritates the lining of blood vessels, causing them to swell and collapse. Blood flow is rerouted to healthy neighboring veins as the irritated vein turns into scar tissue and is absorbed into your body. The procedure takes approximately 15 minutes with visible results, although some veins may call for more than a single injection.
What to expect post procedure
Patients are able to return to their regular daily activities following the procedure. We recommend walking for at least 10 minutes post procedure, although strenuous activity should be avoided for several days. Compression stockings are recommended for treated areas to improve blood flow and recovery for at least one to two weeks. Some patients experience bruising and skin discoloration at the injection site, which usually disappears within months. If you experience soreness in the treated leg, it typically dissipates in a day or two. Avoid anti‐inflammatory drugs for at least 2 days. Showering is permitted with cool water using mild soap.