Sclerotherapy Treatment for Spider Veins

spider veins lateral knee

You have been recommended to have sclerotherapy injections. Spider veins and reticular veins of the legs are most commonly treated with sclerotherapy. Sclerotherapy involves an injection of a medication into the vein.  This will cause the vein to collapse and gradually fade away. Sclerotherapy has been used to treat spider veins for decades, but newer solutions such as AscleraTM allow for spider veins to be treated with minimal discomfort and immediate return to activities. Vein specialists rarely use saline solutions these days, because alternatives solutions are less painful and better tolerated. Sclerotherapy is preferred by most vein specialists over laser because spider veins often have underlying ‘feeder veins’ that can easily be treated with sclerotherapy, but are not addressed by laser. Many people will require more than one treatment session for optimal results. The national average is 2 to 5 treatment sessions. Treatment sessions are often spaced a month apart, but your health care provider will help determine your customized care plan. Wearing compression stockings after treatment will improve results.

For larger veins, the medication may be turned into a foam, this is referred to as foam sclerotherapy. Foam sclerotherapy is similar to sclerotherapy of spider veins but instead of a liquid solution, a foamed-solution is injected directly into the vein via a small needle. The solution can be seen on ultrasound monitoring which allows it to be directed into nearby varicose veins painlessly. The veins will seal shut, and gradually be broken down by the body.

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What should I expect on my treatment days?

Injecting Foam Sclero

Sclerotheraphy Injecting Foam Sclero into vein

You will sign your consent form then change into shorts provided by the office. We will clean your skin with alcohol.  The sclerosant medication will then be injected into your veins with a fine needle.  After your treatment, we will help you into your compression stockings, then you will walk for 30 minutes prior to getting in your car.  It is normal for your legs to be achy and tender to the touch after treatment