Sclerotherapy for Varicose Veins
Sclerotherapy is a safe and effective, minimally invasive, non-surgical treatment for varicose veins and spider veins, mostly in the legs.
We use a sterile needle to inject a special solution into your varicose vein or spider vein. The solution used, called a sclerosant, irritates the targeted vessel, causing it to swell and eventually shrink, making it look and feel better.
This in-office treatment works well for many people, especially on smaller varicose veins. Recovery is quick, but repeat treatments may be needed based on the duration of those treatable varicose veins.
What are the advantages of sclerotherapy?
- No anesthesia. With enough compression from the bandage on the vein, there is little pain. Compression also may help with bruising and swelling.
- Good results for most people. Sclerotherapy works especially well on smaller varicose veins. A session may get rid of an estimated 50% to 80% of injected veins. In about 10% of cases, sclerotherapy doesn’t work. If this happens, we can try different solutions or a different method, such as laser therapy.
- Fairly quick results for small veins. Spider veins usually respond to treatment in three to six weeks, but it may take three to four months for slightly larger veins.
- With successful treatment, varicose veins or spider veins won’t reappear. However, you may need treatment for new varicose veins that form.
Who needs to have sclerotherapy treatment?
Sclerotherapy may be appropriate for people with varicose veins or spider veins, but it’s not for everyone.
Before the procedure, you’ll meet with us, your WellNest MD doctors, who’ll decide if you qualify for sclerotherapy.
You may be not eligible for sclerotherapy if you:
- Have an active blood clot in leg called Deep Vein thrombosis or Superficial vein thrombosis
- Are pregnant. You’ll have to wait at least three months after delivery before you can have sclerotherapy
- Unable to get out of bed
- Breast feeding /lactating mother
- If you have large or advanced diseased veins
- You can still get sclerotherapy if you take birth control pills
- If you’ve had a blood clot in the past, you may be able to have sclerotherapy, depending on what caused the clot and how serious it was
- In most cases, your provider won’t do sclerotherapy on a vein you might need for future surgical bypass procedures, such as the saphenous vein for heart bypass surgery
- We will talk with you about how successful we think sclerotherapy treatment will be for you. Some people with high expectations are disappointed with their results. Knowing what to expect can help you avoid feeling disappointed. You should also know that results aren’t immediate. You won’t walk out of your provider’s office looking like a leg model.
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