What is Sclerotherapy?

Sclerotherapy is a procedure to treat uncomplicated and cosmetically undesirable veins.  It involves the injection of a chemical irritant into the affected veins, which removes the fine cluster of veins.  Large varicose veins are not treatable with sclerotherapy.

Who cannot have sclerotherapy?

Anyone who is pregnant, nursing, or who has a history of the following medical problems are NOT candidates for sclerotherapy:  clotting disorders, phlebitis, lupus, Raynaud’s phenomenon, peripheral vascular disease, miscarriage within the past year, blood clots in legs, heart or brain.

What to expect?

A very small amount of the chemical irritant is injected into the vein at several points with a small, fine needle.  The sclerosing solution causes an inflammatory reaction in the veins that causes the inner surfaces of the vein to stick together.  Compression therapy is applied to keep the vein collapsed following injection.  In time, the vein scars down, and dissolves naturally, and is absorbed by the body.

Why compression is important?

Firstly, compression reduces the chance of deep vein thrombus, or deep clots.  Secondly, it increases  sclerosant contact with the vessel, making the procedure more effective.  Thirdly, it reduces the chance of leaking of the solution around the vessel which can cause inflammation.  Lastly, it decreases the chance of pigmentation,  and bruising or thrombosis/thrombophlebitis at the injection site.

What are the most common side effects and possible complications?

Allergic reaction to sclerosant, tape or bandages; staining of skin from blood being trapped in vein; inflammation around vein from leaking solution outside vessel; brown discoloration where vein used to be; bruising; hematoma; itching, pain; warmth; blood clot at injection site; deep vein thrombosis.

Patient Counseling Information

You must wear compression hose (30-40 mm HG) for 72 hours continuously following your procedure and for another 10 days during the daytime to follow.  Compression hose should be thigh high or full panty. Avoid heavy exercise, saunas, sunbathing or hot baths for 3 days following your procedure.  Walking is encouraged.  No long plane flights or periods of prolonged sitting for the first 2 weeks following your procedure.  If you develop a hard, painful, raised knot near the area that was treated, do not panic, but return for follow up promptly. Should you develop any sudden, unexpected shortness of breath, go to the emergency room immediately.
Price is $250 per 1st ampule/sclerosant or first ½ hour.  Each additional ampule or 1/2hr is $250