Sclerotherapy

Sclerotherapy is a medical procedure that treats spider and varicose veins. A sclerosing agent is injected into the vein, which irritates the lining, causing it to collapse and fade. Over time, the treated veins are reabsorbed by the body, and blood reroutes through healthier veins, improving circulation and appearance.

Sclerotherapy is ideal for individuals with small to medium varicose or spider veins who are in generally good health. It’s not recommended for pregnant individuals or those with active blood clots. A vein specialist can determine your suitability after evaluating your vein condition and overall medical history.

Most sclerotherapy sessions take 30 to 45 minutes, depending on the number and size of veins treated. It’s a non-surgical, outpatient procedure, meaning patients can return home or even to work shortly afterward. Some individuals may need multiple sessions for complete treatment, spaced a few weeks apart.

Sclerotherapy is generally well tolerated. Patients may feel a mild sting or cramp at the injection site, but the discomfort is brief. After treatment, it’s normal to experience temporary bruising or swelling. Compression stockings are usually recommended post-procedure to support healing and improve outcomes.

Initial improvements may be visible within a few weeks, but full results can take up to two months as the treated veins gradually collapse and are reabsorbed. For optimal outcomes, multiple sessions might be necessary, particularly when treating larger veins or a greater number of problem areas.

While sclerotherapy is generally safe, mild side effects like redness, bruising, or temporary darkening of the skin may occur. Rare complications include blood clots, allergic reactions, or inflammation. Choosing a certified professional significantly reduces risks and ensures correct technique and proper aftercare protocols.

Yes, sclerotherapy can complement other vein treatments like laser therapy or radiofrequency ablation. It’s often used to treat residual veins after primary vein procedures. Combining methods may enhance results depending on your condition and the extent of vein damage. A consultation can determine the best approach.

Sclerotherapy is usually preferred for deeper or larger veins, while laser therapy is better for smaller surface veins. Both treatments are effective and can be used separately or together. Your provider will suggest the most suitable option based on your vein type, skin sensitivity, and treatment goals.

Sclerotherapy is often categorized as cosmetic when used for spider veins or minor varicose veins. However, if the veins cause discomfort, swelling, or other symptoms, it may be deemed medically necessary. Insurance coverage varies depending on the classification, so patients should consult their provider and insurer beforehand.

Before your session, avoid applying lotion to your legs and inform your doctor of any medications. Afterward, wear compression stockings, avoid direct sunlight, and stay active with light walking. Refrain from hot baths or strenuous exercise for a few days to ensure proper healing and effective vein closure.