At the Vein Treatment Center sclerotherapy, or ‘injection therapy’, is the most common treatment for spider and varicose veins on the legs. During treatment, a mild chemical solution is injected into the incompetent vein or capillary. The sclerosing agent irritates the walls of the vessel, causing it to collapse. The body then reabsorbs the vein and blood is re-routed to a healthy vein, restoring proper venous circulation in the area. We use all forms of sclerotherapy, alone or in combination, depending on what will give the individual patient the results they desire with the least discomfort.
Advancements in technology have revolutionized sclerotherapy.
- Instrumentation. Polarized magnification, transillumination and infrared lighting has made sclerotherapy safer and reduced the number of treatments needed. These various forms of illumination enable us to see deeper veins more clearly, making visible veins that are hidden from the naked eye. By passing a special high intensity light or infrared light through the skin’s surface we are able to locate and inject the deeper source of your spider veins. Deeper varicose veins are seen using ultrasound to determine the location of the where to inject the faulty valves enabling us to restore healthy vein function.
- Painless ‘Cryo’ Sclero
Unique to sclerotherapy at The Vein Treatment Center is cooling cryotherapy to numb the skin before you are injected. The cryotherapy machine delivers short bursts of super-cooled air to numb the skin and reduce inflammation during the injections. This results in a more comfortable procedure, faster cosmetic results, and faster healing time.
No one solution is right for every vein problem that is why The Vein Treatment Center uses all the latest sclerosing agents, alone or in combinations where appropriate; Polidocanol, Sodium Tetradecyl Sulfate (STS), Glycerine, Hypertonic Dextrose, Hypertonic Saline. Certain sclerotherapy solutions can be made into a foam consistency and used for larger varicose veins
What to expect during treatment
A single sclerotherapy treatment session involves 40-45 injections in order to collapse the spider veins in one area. Patients used to describe the injections as feeling like a pinprick or mosquito bite, but now our treatment is painless as we have recently introduced a cryotherapy element that cools the skin and numbs it at the injection site during the treatment. The number of treatment sessions required varies from patient to patient, depending on the number of veins treated, ability to heal, and the level of cosmetic perfection desired.
Following injections, the leg is wrapped with an elastic bandage for one or two hours to help keep the vein closed. Normal daily activities can commence immediately after treatment. Compression stockings may need to be worn for 1-3 days after the treatment of large veins only. The veins treated will close and blood from the faulty veins will be rerouted to a healthy vein. If you have a lot of veins of varying sizes and locations, you will require multiple treatment sessions.
Many of our patients come for sclerotherapy treatments once a week as there schedule permits; some come for all the necessary treatments within the span of a few days (intensive schedule). It depends entirely on the patient’s preference, but we do advise that the intensive schedulegives patients the best and fastest results.
All forms of sclerotherapy treatment have the same post treatment instructions and recovery.
What are spider and varicose veins?
Spider veins, or telangiectasias, are those tiny purple and red blood vessels found most commonly on the thighs or lower legs of women. They are hereditary and can form anywhere on the leg, from the top of the thigh to the ankle. Occasionally, spider veins appear on the face.
Varicose veins are larger. They can appear raised with a bluish color and can become quite painful. Although spider veins and varicose veins carry blood, they are not part of the venous valve system. A simple office procedure called Sclerotherapy is performed by our doctor for patients in our region to permanently eliminate or minimize your spider veins and varicose veins.
What is Sclerotherapy?
The Sclerotherapy treatment was developed in the 1920’s. During the procedure, a sclerosing solution is injected into the vein through a micro-needle. The tiny needle generally causes very little pain. The sclerosing solution causes the vein to blanch (turn white), then gradually disappear. A typical treatment may last for 15 – 20 minutes and consist of multiple injections. Injection Sclerotherapy may eliminate the need for an invasive surgical procedure.
Will Sclerotherapy work on my veins?
Prior to treatment, our physician will review your complete medical history to determine how long you have had a problem with your veins and the severity of the problem. We need to know if the problem is exacerbated by physical activity and if there has been any prior surgery or treatment on your veins. The doctor may test to determine if the venous system is affected. If it is, surgery may be advised before Sclerotherapy is attempted. If the area to be treated can be saved, Sclerotherapy will be recommended.
What are Sclerotherapy treatments like?
First, we thoroughly cleanse the area to be treated with alcohol. Then we mark the veins to be treated while you are standing.
The larger veins are usually treated first. Using a tiny syringe fitted with a micro-needle, your physician will inject a small amount of sclerosing agent into the vein. Sclerosing solution displaces the blood within the vein. It then causes irritation to the lining of the vein, making it swell shut. The needle is withdrawn and pressure to the area is applied immediately. While each vein may require several injections, most disappear in 2 weeks to 2 months.
Most Sclerotherapy patients report little if any discomfort. A few may experience a mild burning sensation when we inject the solution, but it stops in a few seconds.
Are there other vein treatments besides Sclerotherapy available?
Today’s new medical lasers provide a safe and effective non-surgical treatment option for the removal of some spider veins. Advanced laser treatments deliver a precise dosage of energy to each vein. During your treatment, light energy is delivered through a special laser handpiece to the targeted vein, in a series of brief pulses. The light energy is absorbed by the blood vessels, but not the surrounding tissue. This heat absorption causes a coagulation of the blood vessel, which is subsequently absorbed by your body.
How many Sclerotherapy treatments will I need?
Usually more than one treatment is required. In most cases, about 50 – 70% of the treated vessels will be gone for good. However, new veins may appear and additional treatments are generally required for optimum results. These treatments may be in 3 week intervals.
What is recovery from Sclerotherapy like?
After our doctor performs Sclerotherapy, you may be asked to wear special heavy-duty stockings to help keep pressure on the veins. This will reduce bruising and help keep the treated veins closed. Bruises around the treated areas usually disappear after the first week. A tan or brownish pigment may persist for 6 – 8 weeks when larger veins are involved. Occasionally, small clots can develop at the injection site. These are not a cause for concern and may be removed to allow healing to progress.
Patients are generally encouraged to resume normal activities immediately. We do ask that you refrain from vigorous activities for the first 24 hours. Walking is encouraged because it increases blood flow through the other veins. Although your final results may not be apparent for several months, most patients experience a 60% – 80% improvement.