- Who is a candidate for Sclerotherapy?
- How is Sclerotherapy done?
- What should you do before Sclerotherapy?
- What are possible side effects of Sclerotherapy?
- What happens after Sclerotherapy?
- How effective is Sclerotherapy?
Q. Who is a candidate for Sclerotherapy?
A. To ensure you’re a good candidate for Sclerotherapy, we will have you visit our office and have an initial consultation. This complimentary consultation will determine if Sclerotherapy is right for you and will depend on your overall health of the area needing treatment. You will not be eligible if you are currently pregnant, if you have had a blood clot in the past, this will be a determining factor based on the reason for the clot.
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Q. How is Sclerotherapy done?
A. Sclerotherapy treatment is the process of using a fine needle to inject a solution (generally a salt solution) directly into the vein. The solution may cause some mild discomfort and/or cramping for a couple minutes. The treatment takes about 30-45 minutes. During our consultation we’ll determine how many veins will need treatment. The procedure takes place in our office and does require no aerobic activity for a few days following the procedure.
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Q. What should you do before Sclerotherapy?
A. Our office will consult and advise you on preprocedure procedures. Prior to your treatment, you’ll want to avoid certain medications, herbs & dietary supplements. The treatment areas should be free of lotions and it is advised that you avoid aspirin and other anti-inflammatory drugs for 48-72 hours before your treatment. Again, all will be discussed and instructions provided during your consultation.
Q. What are possible side effects of Sclerotherapy?
A. After your procedure you may encounter certain side effects such as itching and/or raised red areas at the injection site which may last for a few days. Bruising in the same area can last for several days or weeks depending on your body.
You may experience spots or brown lines at the vein site. Typically, they will disappear within three to six months. Neovascularization – the development of tiny new blood vessels – may occur at the injection site. These veins can appear days or weeks after the procedure, but should fade within 3-12 months without further treatment.
The solution injected may result in an allergic reaction during the procedure, but it is rarely serious. A minor allergic reaction will cause itching and swelling. We will want to know if you have a history of allergies during your consultation to determine if you have a greater chance of experiencing an allergic reaction.
Q. What happens after Sclerotherapy?
A. Post treatment of Sclerotherapy will allow you to resume your normal daily routine and you will be able to drive yourself home. While walking is encouraged we don’t want you to do aerobic activities for a few days. You will be instructed to wear support hosiery to “compress” the treated veins. If you have had treatment before and have compression hosiery, please bring these with you. Support stockings are not heavy enough to provide adequate compression. We will recommend compression hosiery to purchase.
Following the injections, avoid aspirin, ibuprofen, or other anti-inflammatory drugs for at least 48 hours. Tylenol may be used if needed.
Also, you should avoid the following for 48 hours after treatment:
- Hot baths
- Whirlpools or saunas
- Direct exposure to sunlight
Q. How effective is Sclerotherapy?
A. Studies have shown that less than 10% of patients treated, do not respond to the injections at all. As many as 50%-80% of the treated veins may be removed with each Sclerotherapy treatment. While the success rate is high with treated patients, there is no guarantee. In general, spider veins respond within 3-6 weeks with larger veins responding in 3-4 months. If your veins have responded to the treatment, they will not reappear. However, new veins may appear in the future at the same rate which may require future treatments.
*Treatment results vary person to person.