Sclerotherapy, the gold standard of treatments for smaller unsightly veins, involves injecting veins with a safe painless solution that causes the body to collapse and then absorb the vein without harming the rest of your body. Tiny needles are used, and complications are extremely unusual. Serious complications such as severe allergic reactions are extremely rare. Common side effects are temporary and mild. These include slight stinging during injection, temporary skin discoloration or tenderness, and a blush near injected areas (matting). The treatment involves no significant limitations or downtime, and the patient may go immediately back to work following their appointment.Compression stockings are then used to make sure that the vein walls stay collapsed. Following the procedure, you may notice slight bruising or swelling which should go away within a couple of weeks and also pigmentation which could last up to a couple of months. Heat and aspirin is recommended to reduce the swelling and the lumps can be removed at a later office visit. This procedure will remove unwanted veins but it will not prevent future veins from becoming a problem. Patients generally experience a 40 percent improvement in the appearance of spider veins after each sclerotherapy treatment. Depending on the patient’s condition and desired results, between two and six sclerotherapy sessions (each typically less than thirty minutes), spaced 4-6 weeks apart are needed to achieve optimum results.. The results are long lasting.
It is important to walk regularly to encourage good circulation after you have had sclerotherapy. You should not participate in any strenuous activity for the initial days after your treatment. This procedure will remove unwanted veins but it will not prevent future veins from becoming a problem.
What is Visual Sclerotherapy?
A common treatment for removing the small varicose veins known as spider veins is a procedure known as Visual Sclerotherapy. During this procedure, veins are injected with a sterile chemical called Sclerosant. This chemical irritates the lining of spider veins, thereby causing them to become inflamed and hardened. Once this occurs, these spider veins will fade away over time. This results in blood circulation being carried out through healthy veins located deeper in the tissues. A patient should notice an improved appearance and less pain in the legs after undergoing Visual Sclerotherapy.
How it’s Performed
Visual Sclerotherapy is typically performed as outpatient surgery, and takes place in a physician’s office. During this procedure, skilled physicians use ultra-fine needles in order to reduce the amount of pain that is felt during this operation. After surgery, the veins that were injected will automatically spasm. They will eventually close themselves off permanently, and this process can take anywhere from a few days to two weeks to complete. During the healing process, patients are required to wear compression stockings. Wearing these stockings helps keep the affected veins empty, thereby minimizing blood clots from forming.
Some patients require more than one session to completely get rid of their spider veins. In most cases, anywhere from two to four sclerotherapy sessions are required to entirely eliminate their appearance. Whenever multiple sessions are needed, these should be spaced from four to six weeks apart for best results.
During a sclerotherapy session, a physician may use a vein lite to help with the injections. This is because injections should be given into incompetent and feeder reticular veins. It is often difficult to see these particular vessels with the naked eye, so the use of a vein lite is therefore required. Failing to inject feeder vessels decreases the effectiveness of this procedure and may sometimes result in improvements that only last for a short time. Allowing feeder veins to close themselves off permits doctors to direct their efforts toward the remaining spider veins in subsequent treatment sessions.
Patients sometimes notice light swelling or bruising immediately after this procedure. This normally subsides within two weeks. There may also be an unusual pigmentation that often lasts for up to two months. To alleviate the side effects of sclerotherapy, patients are advised to take an over-the-counter pain reliever and apply heat to the affected area. Wearing the compression garment as advised tends to reduce the amount of pain and swelling a patient experiences. Regular exercise promotes healthy healing, and walking is especially effective in helping patients recover. Physicians typically recommend people return to their normal activities as quickly as possible after having Visual Sclerotherapy.
While Visual Sclerotherapy can be effective at removing unsightly spider veins, it will not prevent them from reoccurring in the future. Patients may find themselves needing to undergo Visual Sclerotherapy again if they become plagued by spider veins at a later time.
ULTRASOUND GUIDED FOAM SCLEROTHERAPY:
Ultrasound Guided Sclerotherapy is a safe and highly effective procedure that eliminates diseased veins that have traditionally required surgical removal.
Ultrasound guided sclerotherapy is used for the treatment of deeper veins that cannot be seen or felt and for larger superficial veins. Using ultrasound, a solution is injected into the veins causing the vein walls to collapse. Compression stockings are then used to make sure that the vein walls stay collapsed. Ultrasound guided sclerotherapy requires expert knowledge that conventional sclerotherapy does not. Once again, as the larger veins are treated, smaller spider and reticular veins will often disappear. The advantages are no scarring and smaller veins disappear.
Ultrasound guided sclerotherapy improves the safety, accuracy and efficacy when injecting large varicose veins. The ultrasound accurately maps the veins to be injected and helps guide the needle tip to the targeted vein. The sclerosing agent is then injected into the vein by continuous monitoring and also helps the phlebologist control the direction of the injection. Ultrasound guided sclerotherapy should only be performed by a phlebologist who has undergone specialized training, and is experienced in the procedure. We use micro foamed detergent type sclerosants for the procedure, such as polidocanol. UGS makes it possible to easily treat the large trunk veins that are left after an endovenous laser ablation. It is also very useful to treat the large complex varices that can develop after vein stripping. Varicose vein disease is ongoing and even after an endovenous ablation procedure, patients sooner or later will probably develop collateral veins UGS makes it possible to easily treat these reoccurrences, before they become more of a problem, like phlebitis, ulcers, or dermatitis. We like to see all of our patients yearly after they have been treated for chronic venous insufficiency. UGS makes it easy to treat a small varicose vein if any have developed.
Ultrasound guided sclerotherapy is performed right in our clinic by one of our experienced doctors. The solution used at Varicose Vein Surgeons does not contain saline to keep patient discomfort to a minimum. No local anesthetic is necessary. The doctor uses the ultrasound to guide the tiny needle directly to the vein in question. Once the needle hits the right location, the solution is gently pumped into the vein. The entire procedure may take just a few minutes to complete, depending on the number of veins to be treated at one time.
Normal activities can be resumed the same day, although patients should not engage in any aerobic activities for a few days after treatment. Discomfort is minimal after the procedure, due to the non-invasive nature of the treatment and the compression stockings that are typically worn directly after the procedure and for a few days afterward.