Sclerotherapy is an outpatient therapy for the treatment of varicose veins and spider veins in the lower extremities. The treatmentinvolves a chemical solution being inserted into the blood vessels in order to eliminate them from view.

The procedure is rapid, and usually requires less than one hour to finish. Afterthe procedure is finished, patients are instructed to wear compression hosiery for a period of time in order to compress the treated veins. Patients are generally able to resume their normal activities right away.

Both males and females can receive sclerotherapy treatment.

How Does Sclerotherapy Treatment Work?

Sclerotherapy is normally performed in a doctor’s office. A 23% sodium chloride solution is inserted directly into the problem veins with a very fine syringe, causing minimum discomfort to the patient. sometimes, a mild local anestheticsuch as lidocaine may be added to the solution. The sodium chloride solution irritates the inner lining of the blood vessels, causing them to swell and adhere. The blood flowing through the varicose or spider veins is redirected to normal blood vessels; the problem veins are eventually replaced by scar tissue, which becomes nearly invisible over a few weeks.

How Well Does Sclerotherapy Treatment Work?

Most patients respond well to sclerotherapy, with 50%-80% of their varicose or spider veins being reduced or eliminated after only one treatment. It normally takes 3-6 weeks for the solution to show an effect, with larger veins taking up to four months to fade. For many patients, between two and four sessions are sufficient to attain the desired outcome; patients with milder cases may only require one or two treatments. Once varicose veins have been eliminated, they do not recur, although new varicose or spider veins may occur in other areas of the leg.

In a few cases (less than 10%), varicose veins are unaffected by the therapy, and an alternate form of treatment (such as laser therapy) must be attempted.

What are the Side Effects?

The side effects of sclerotherapy are nominal, and generally include mild soreness or cramping. With larger varicose veins, a hard, lumpy area may develop which fades over several months. Redness may also appear around the injection sites, which normally heals in a few days. Brown lines or spots in the area are also not uncommon and clear up quickly.

More serious side effects are unlikely, but if you develop anydoctor’s office. A 23% sodium chloride solution is inserted directly into the problem veins with a very fine syringe, causing minimum discomfort to the patient. sometimes, a mild local anesthetic such as lidocaine may be added to the solution. The sodium chloride solution irritates the inner lining of the blood vessels, causing them to swell and adhere. The blood flowing through the varicose or spider veins is redirected to normal blood vessels; the problem veins are eventually replaced by scar tissue, which becomes nearly invisible over a few weeks.

How Well Does Sclerotherapy Treatment Work?

Most patients respond well to sclerotherapy, with 50%-80% of their varicose or spider veins being reduced or eliminated after only one treatment. It normally takes 3-6 weeks for the solution to show an effect, with larger veins taking up to four months to fade. For many patients, between two and four sessions are sufficient to attain the desired outcome; patients with milder cases may only require one or two treatments. Once varicose veins have been eliminated, they do not recur, although new varicose or spider veins may occur in other areas of the leg.

In a few cases (less than 10%), varicose veins are unaffected by the therapy, and an alternate form of treatment (such as laser therapy) must be attempted.

What are the Side Effects?

The side effects of sclerotherapy are nominal, and generally include mild soreness or cramping. With larger varicose veins, a hard, lumpy area may develop which fades over several months. Redness may also appear around the injection sites, which normally heals in a few days. Brown lines or spots in the area are also not uncommon and clear up quickly.

More serious side effects are unlikely, but if you develop any of the following symptoms, you should contact your physician immediately:

1. Sudden inflammation of the leg;

2. Inflammation or red streaking in the groin area

3. Ulcers which form around the injection site.

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