Sclerotherapy for Varicose and Spider Veins
Sclerotherapy is a minimally invasive treatment used for selected spider veins and varicose veins. During the procedure, a sclerosing solution is injected into the targeted vein, irritating its inner lining and causing it to close. Over time, the treated vein may gradually become less visible as the body absorbs it. The suitability of sclerotherapy depends on the size, location and type of vein being treated.
Sclerotherapy has been used for many decades. The choice of treatment should be based on clinical assessment and the patient's individual needs.
Sclerotherapy includes an infusion of a solution into the vein which disturbs the inner lining of the vein, making it break down and remain together, and the Blood Clot. Over the long haul, the vessel transforms into scar tissue that blurs from view.
Sclerotherapy is a demonstrated technique that has been being used since the 1930s.
Candidates for Sclerotherapy
Before sclerotherapy, a qualified healthcare professional will assess your symptoms, medical history and the veins to be treated. Depending on the clinical findings, an examination or ultrasound assessment may be recommended to determine whether sclerotherapy is appropriate.
Sclerotherapy is generally postponed during pregnancy. Certain medical conditions, including some clotting disorders or a history of blood clots, may affect whether the procedure is appropriate. Inform your treating specialist about your medical history, medications and any previous episodes of thrombosis before treatment.
If you may need a vein for a future bypass procedure, inform your treating specialist before sclerotherapy. The treatment plan should take into account the potential future use of the vein and the patient's overall medical needs.
How Sclerotherapy Is Done
During sclerotherapy, a healthcare professional injects a sclerosing solution into the targeted veins using a fine needle. Some patients experience temporary stinging, discomfort or cramping during the injections. The duration of the procedure varies depending on the number, size and location of the veins being treated.
The number of veins treated during one session depends on their size, location, the treatment plan and the patient's individual clinical circumstances.
Sclerotherapy is commonly performed as an outpatient procedure. After treatment, patients are generally encouraged to walk, while strenuous exercise and other activity restrictions should follow the treating clinician's specific instructions.
What to Do Before Sclerotherapy
Preparation for sclerotherapy depends on the planned procedure and the patient's medical history. Tell your treating specialist about all medicines, supplements, allergies and topical products you use. Follow the clinic's instructions regarding skin care before treatment, and do not stop prescribed medication unless your healthcare professional advises you to do so.
Some medicines may affect bleeding risk or require consideration before sclerotherapy. Whether to adjust any medication depends on the medicine, the patient's medical history and the planned procedure. Discuss pain relievers, anti-inflammatory medicines and blood-thinning medicines with your treating clinician before making any changes. Do not assume that a particular medicine must be stopped for a fixed period or is suitable for everyone.
Side Effects of Sclerotherapy
No Major Side effects. You might encounter specific incidental effects after sclerotherapy. There are milder impacts, for example, tingling, which can keep going for a couple of days after the technique. Likewise, you might encounter raised, red regions at the infusion site. These ought to vanish inside a couple of days. Swelling may likewise happen around the infusion site and can last a few days or weeks.
Other Sclerotherapy Side Effects Include:
Treated veins, particularly larger ones, may temporarily feel firm or lumpy. These changes can take weeks or months to improve, depending on the size of the vein and the individual's response to treatment.
Brownish discoloration or pigmentation may develop along treated veins. It often fades gradually over several months, although it can persist in some individuals.
Small new blood vessels may appear near the treated area after sclerotherapy. This is sometimes called matting. These vessels may fade over time, but some can persist or require further assessment or treatment.
Contact your treating clinician if you experience persistent or worsening pain, increasing swelling, significant skin changes, or a sore at an injection site. Seek urgent medical assessment for sudden or substantial leg swelling or pain. Difficulty breathing, chest pain or facial or throat swelling requires emergency medical attention.
Rare complications can include allergic reactions, skin ulceration or tissue injury, and blood clots. Your clinician should explain the relevant risks based on the type of sclerotherapy planned.
These include:
What Happens After Sclerotherapy
Most patients can return to many normal daily activities after sclerotherapy, depending on the procedure and how they feel. Follow your clinician's advice about driving, walking, work and exercise, particularly if additional medication or treatment has been used.
Your clinician may recommend compression stockings after sclerotherapy, depending on the type of veins treated and the treatment plan. Follow the recommended compression level and duration, and check that your stockings fit correctly.
After sclerotherapy, ask your treating clinician which pain-relief medicines are appropriate for you. Do not start, stop or change prescribed medicines without medical advice.
Likewise, you ought to keep away from the accompanying for 48 hours after treatment:
The results of sclerotherapy vary according to the type and size of the veins treated, the sclerosing agent used and the individual's response. Some veins become less visible after treatment, while others may require additional sessions. Avoid quoting a fixed success rate unless it is supported by a reliable clinical source that defines the treatment outcome and follow-up period. On these occasions, various infusions can be attempted.
Improvement after sclerotherapy occurs gradually and varies between individuals. Smaller veins may respond sooner than larger veins, which can take several weeks or months to improve. Treated veins may remain closed, but new varicose or spider veins can develop over time. Additional treatment may be considered if clinically appropriate.
Sclerotherapy may be an option for selected spider veins and varicose veins following clinical assessment. The appropriate treatment depends on the vein's size and location, symptoms and individual medical history. At Citi Vascular Centre, patients can consult a qualified specialist to discuss suitable treatment options, potential risks, expected recovery and follow-up care.
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