Sclerotherapy is a technique to treat small and medium size veins by injecting a small volume of irritant into a vein, ultimately causing it to close up over time. Ultrasound guidance can be used for injection of medium size deeper veins which cannot easily been seen on the skin surface. Oftentimes sclerotherapy is required to treat remaining veins after a patient receives radiofrequency ablation of the main feeder vein in the leg.

How is the procedure Performed?

A tiny needle is used to inject an irritant solution directly into the vein. The solution irritates the lining of the vessel, causing it to close down. Over time, the body will absorb the treated vein and it will disappear. Most patients only describe mild discomfort during the procedure.

What Can I Expect After Sclerotherapy?

After sclerotherapy is performed of medium size veins, medically prescribed compression stockings may need to be worn for a short period following the procedure. These compression stockings improve outcomes by compressing the veins closed, which improves the effectiveness of the injected irritant. Directly after injection, for a few days, the area may be red and irritated, which is a normal outcome. After days to weeks, the veins will respond to treatment and begin to disappear over time.

How many sessions will I need?

Sclerotherapy is a tiered treatment approach and typically multiple treatment sessions are required depending on the extent of disease. There is a set limit on the volume of irritant that can be injected in one session, requiring up to 2-3 sessions to fully treat the legs.

How Much Does Sclerotherapy Cost?

Sclerotherapy for medium sized and deeper veins may be covered by your insurance. Oceana Vein Specialists are experts in dealing with insurance companies and ensuring coverage before procedures are performed. Sclerotherapy for surface spider veins is typically considered a cosmetic procedure, and is thus typically not covered by insurance.


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