Sclerotherapy: Treatment for Spider Veins and Reticular Veins
Sclerotherapy is a minimally invasive procedure that to treat uncomplicated spider veins and reticular veins. Sclerotherapy involves the injection of a solution (sclerosing agent) into the affected veins. Sclerotherapy is well-proven and has been in use since 1939. Sclerotherapy is a minimally invasive treatment.
Pricing:
*Consultation & 1st RX (1 vial) $275
*Follow Up treatments per vial $150
*Consultation & NO treatment $100
After Treatment
Wearing compression stockings (23 to 32 mm Hg) is imperative to enhance the efficiency for 3 weeks after treatment. You must bring compression stockings with you to your treatment.
What is sclerotherapy?
Sclerotherapy is a medical procedure that treats varicose veins and spider veins, usually on your legs. Your healthcare provider uses a needle to inject a special solution into your varicose vein or spider vein. This chemical solution irritates your blood vessel lining, making it expand, stick together and form a scar. This closes off your vein, making it look and feel better (https://my.clevelandclinic.org/health/treatments/6763-sclerotherapy).
Who needs to have sclerotherapy treatment?
Sclerotherapy may be appropriate for people with varicose veins or spider veins, but it’s not for everyone.
Before the procedure, discuss with our vascular specialist who’ll decide if you qualify for sclerotherapy.
You’re not eligible for sclerotherapy if you:
• Have an active deep vein thrombosis or superficial vein thrombosis (blood clot).
• Are pregnant. You’ll have to wait at least three months after delivery before you can have sclerotherapy.
• Breastfeeding
• Unable to get out of bed.
https://my.clevelandclinic.org/health/treatments/6763-sclerotherapy
Procedure Details
Sclerotherapy involves injecting a solution directly into varicose or spider veins.
What happens before sclerotherapy?
Before your sclerotherapy treatment, you should avoid certain medications. Follow these guidelines:
• Antibiotics such as tetracycline or minocycline (Minocin® or Dynacin®) may make your skin stain if you take them seven to 10 days before or after sclerotherapy. Ask your healthcare provider about other antibiotic medications you may take or ask for safe guidelines for stopping these medications. Tell your provider if you need to take an antibiotic before invasive procedures.
• Don’t take aspirin, ibuprofen (Advil® and Nuprin®) or other anti-inflammatory medications for 48 hours before and after sclerotherapy. These medicines may get in the way of the action of the sclerosing agent or make you bleed more. It’s ok to take acetaminophen (Tylenol® or Panadol®). Ask your provider for specific instructions before you stop taking any medication.
• Prednisone (Rayos® or Sterapred®) makes the sclerosing agent less effective. Ask the provider who prescribed your prednisone if you can safely stop taking it for 48 hours before your sclerotherapy treatment.
https://my.clevelandclinic.org/health/treatments/6763-sclerotherapy
Key points to remember before sclerotherapy:
• Medication review: Consult your doctor about any medications you are taking, especially blood thinners like aspirin or ibuprofen, and potentially adjust dosage or temporarily stop them before treatment.
• Recent illnesses or medical conditions, such as a heart condition or a history of blood clots.
• No shaving or lotion: Avoid shaving or applying lotion to the legs the day of treatment.
• Hydration: Drink plenty of water before the procedure to support circulation.
• Clothing choice: Wear loose, comfortable clothing that allows easy access to the treatment area (preferably shorts).
During the procedure
• You lie on your back with your legs slightly raised. A member of your health care team cleans the area to be treated. Then your care provider uses a small needle to slowly put solution into the vein.
• The solution, usually a liquid, works by irritating the lining of the vein, causing it to swell shut and block the flow of blood.
• Some people feel minor stinging or cramping when the needle goes into the vein. Tell your provider if it hurts a lot. Pain might result from the solution leaking from the vein into the tissue around it.
• After removing the needle, your provider applies pressure to the area and massages it to keep blood out of the vein and to spread the solution. The provider might tape a pad onto the injection site to keep pressure on the area before moving on to the next vein.
• The number of shots depends on the number of veins being treated.
Key points to remember after sclerotherapy:
• Compression stockings: Wearing compression stockings (23 to 32 mm Hg) is imperative to enhance the efficiency for 3 weeks after treatment to help reduce swelling and promote healing.
• Activity restrictions: Avoid strenuous exercise, heavy lifting, and prolonged standing or sitting for the first few days
• Heat avoidance: Limit exposure to hot baths, saunas, or hot tubs for a few days after treatment (may increase swelling or bruising)
• Walking: Gentle walking is encouraged to promote blood flow.
• Monitor for side effects: Be aware of potential side effects like bruising, discomfort, and mild swelling at the injection sites.
• Follow-up appointment: Attend scheduled follow-up appointments with your practitioner to assess healing and discuss further treatment if necessary.
Results
• Results of sclerotherapy for small varicose veins or spider veins usually show in 3 to 6 weeks. Larger veins might take 3 to 4 months. However, you might need more than one treatment to get the results you want.
• Veins that respond to treatment generally don’t come back. But new veins can appear.
• Your health care provider might ask you to return for a follow-up visit about a month after the procedure to see the results. You might need more sessions. Generally, you need to wait about six weeks before having another sclerotherapy session.
https://www.mayoclinic.org/tests-procedures/sclerotherapy/about/pac-20384592
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