Are there restrictions after Sclerotherapy?
No. After Sclerotherapy all normal activities may be resumed, without any limitations. There is no need for leg elevation or any specific exercise program. Compression hosiery may be required, for a one to a few weeks after Sclerotherapy.
How many Sclerotherapy treatments are required?
The number of treatments required depends upon the number and extent of unwanted veins. Usually a vein will respond after one treatment. However, because there is a limit to the quantity of sclerosant that can be administered during any one treatment, if there are numerous veins present, several treatments may be necessary. The number of Sclerotherapy treatment sessions required will be estimated at the time of your initial consultation.
How often are Sclerotherapy treatments performed?
If more than one treatment session is required, they can be scheduled at intervals of 24 hours.
How will I feel after Sclerotherapy?
You should not feel any different after Sclerotherapy and you may immediately resume normal activities. Many patients schedule their Sclerotherapy treatment during their lunch break and may return to work after leaving the office.
Is any testing necessary prior to Sclerotherapy?
Sometimes ultrasound testing is necessary to determine the extent of the varicose veins as well as the condition of the deeper veins that may not be visible. The need for such testing is based upon Dr Green’s findings at the time of your initial examination. Testing is recommended when indicated – it is not routinely ordered for everyone, avoiding unnecessary expenses. In the presence of uncomplicated spider veins, testing is rarely necessary before having Sclerotherapy.
Should I wait until after I have all of my pregnancies before treating my veins?
No, but this is a common misconception. There is no need to wait until having all of your anticipated pregnancies before beginning Sclerotherapy. In fact, it is wise to treat varicose veins and spider veins prior to pregnancy; otherwise, they usually become more apparent and more symptomatic as pregnancy progresses.
Are there any side effects associated with Sclerotherapy?
Sclerotherapy, as with any medical intervention, has the potential for unwanted side effects. Fortunately, serious side effects from Sclerotherapy are rare. The most common change associated with Sclerotherapy is temporary discoloration along the course of the treated vein. It appears as a tan or brown line and should be expected, to some extent, in almost everyone who is treated by Sclerotherapy. It disappears spontaneously, but can take months or longer. Less commonly, dilated capillaries or redness can develop adjacent to treated spider veins. These usually fade spontaneously and only uncommonly persist. A rare complication is the development of an erosion or ulcer at a treatment site, which can take weeks to months to heal, often resulting in a scar.
Is laser treatment an option instead of Sclerotherapy?
Vascular lasers that target blood vessels transdermally – that is, by shining light through the skin – are used to treat Dilated Capillaries (‘broken’ blood vessels, i.e., red, threadlike, that frequently appear on the nose, cheeks and often on the legs). They are sometimes used to treat Spider Veins. However, Sclerotherapy is, usually more effective than laser for the treatment spider veins (blue or purple vessels that are wider than capillaries), wherever they appear. For further information about laser treatments see Laser Treatment of Vascular Lesions. There are vascular lasers and radiofrequency devices that target and remove varicose veins intraluminally – also known as Endovenous Ablation (EVA) – through a catheter that is placed within the vein. These procedures have all but replaced vein ligation and stripping to remove the Saphenous Veins that course along the inside of the leg and thigh (Great Saphenous Vein) and the back of the leg (Small Saphenous Vein). EVA, unlike vein ligation and stripping, is minimally invasive and can be done with almost no interruption in normal activities. For further information see Endovenous Ablation or Varicose Veins.
Is Endovenous Ablation an option instead of Sclerotherapy?
Sometimes. The introduction of Endovenous Ablation has made the need for surgery very rare. For varicose veins that are present along the posterior (back) of the leg and along the medial (inside) of the leg and thigh, Endovenous Ablation is often the treatment of choice. However, for most other varicose veins and their branches, Sclerotherapy remains a treatment of choice.
Why should I be treated by Dr. Green?
Dr Green has successfully treated thousands of women and men by Sclerotherapy. He has extensive experience treating – and managing problems associated with – varicose veins and spider veins, and has written and lectured extensively on this problem. Dr Green personally evaluates each person – this is not left to assistants. Most importantly, Dr Green administers all Sclerotherapy injections – these injections are never left to anyone else.