Sclerotherapy is a medical procedure used to eliminate varicose veins and spider veins.

If you have unsightly leg veins that are cosmetically bothersome, then sclerotherapy is an option. In our experience the sclerosant Asclera produces the best results with the fewest side effects. For best results, we inject both medium-sized reticular and spider veins. We do require a consultation prior to treatment and treatments are usually not covered by insurance.

For those patients with symptomatic veins that cause the legs to ache and swell, referral for ultrasound is necessary prior to any treatment.

Sclerotherapy is a medical procedure used to eliminate varicose veins and spider veins. Sclerotherapy involves an injection of a solution is generally a salt solution directly into the vein. The solution irritates the lining of the blood vessel, causing it to collapse and stick together and the blood to clot. Over time, the vessel turns into scar tissue that fades from view.

What is Varicose and Spider Veins

Varicose veins can cause itching, pain, cramping, and discoloration. Spider veins are smaller and less severe than varicose veins. Varicose veins are more common in women than in men, although anyone can get them.

An estimated 20 percent of adults will be affected by varicose veins at some point in their lives. More than 270,000 sclerotherapy procedures were done in the United States in 2016.

Sclerotherapy is performed in the doctor’s office by a dermatologist or a surgeon and requires that you do not do any aerobic activity for a few days after the procedure. The number of veins injected in one session depends on the size and location of the veins, as well as the general medical condition of the patient.

How Sclerotherapy Is Done

In most cases of sclerotherapy, the salt solution is injected through a very fine needle directly into the vein. At this point, you may experience mild discomfort and cramping for one to two minutes, especially when larger veins are injected. The procedure itself takes approximately 15 to 30 minutes.

What to Do Before Sclerotherapy

Prior to sclerotherapy, you should avoid certain medications. Talk to your doctor about all medicines (including over-the-counter drugs, herbs, and dietary supplements) you are taking. If you need to take an antibiotic before sclerotherapy, contact your doctor. No lotion should be applied to the legs before the procedure. Some doctors recommend avoiding certain anti-inflammatory drugs for 48-72 hours before sclerotherapy. Ask your doctor for more information on certain medications due to your own needs.


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