Font Size: Increase | Decrease

How is sclerotherapy used to eliminate varicose veins?

This question was asked in Irvine, California and has 7 answer(s) as of 02/05/2013.
How does sclerotherapy get rid of varicose veins?


Doctors Answers (7)

Sclerotherapy is used to treat small varicose veins and spider veins. The medication is injected into the abnormal vein. It works by destroying the inner layer of the vein wall which causes the vein to collapse and eventually disappear.

Sclerotherapy is used by injecting a medicine in the veins. the medicine is an irritant that causes the veins to close or shut and then they are slowly absorbed into the body.

Sclerotherapy works by creating inflammation inside of the vein in an effort to get the vein walls stick together and close. It is a process and usually requires 1 to 3 sessions to be effective. If there is an underlying source for the varicose veins, it should be addressed before addressing the varicose veins. Residual veins may be treated by this method, and if there is no underlying source identified, then sclerotherapy may be used to treat the varicose veins. It is very effective in treating smaller varicose veins. It can be used to treat larger varicose veins, but chances are higher that you will get permanent discoloration. Chances are also higher with larger veins that the vein will reopen over time.

Sclerotherapy, the gold standard for the treatment of varicose veins, involves injecting veins with a safe painless solution that causes the body to collapse and then absorb the vein without harming the rest of your body. Tiny needles are used, and complications are extremely unusual. Serious complications such as severe allergic reactions are extremely rare. Common side effects are temporary and mild. These include slight stinging during injection, temporary skin discoloration or tenderness, and a blush near injected areas (matting). The treatment involves no significant limitations or downtime, and the patient may go immediately back to work following their appointment. Compression stockings are then used to make sure that the vein walls stay collapsed. The procedure will remove unwanted veins but it will not prevent future veins from becoming a problem. . Depending on the patient's condition and desired results, between two and six sclerotherapy sessions (each typically less than thirty minutes), spaced 4-6 weeks apart are needed to achieve optimum results. The results are long lasting.

By injecting small volumes of a medication which causes the varicose veins / spider veins to shrink and get absorbed by the body. The name of the medication is either Polidocanol or sodium tetradecyl.

Sclerotherapy causes destruction of the cells that line the inner lumen of the veins, causing a "Chemical Phlebitis", subsequently, the blood in contact with the segment of the treated vein, congeals and forms a clot which adheres firmly. The compression associated with each sclerotherapy treatment, collapses the treated vein to reduce it's size. Over the course of time, several months, the body absorbs these veins, and they disappear from view. Often, the physician can drain the trapped blood, this; reduces the discoloration and speeds up the healing process.

Sclerotherapy is the injection of a liquid (chemical sclerosing agent) into a small to medium sized vein, that causes the vein to close and be reabsorbed by the body over time. Larger varicose veins are usually treated with more potent treatments including lasers delivering energy through a fiber optic catheter inserted into the vein under ultrasound guidance, or micro-phlebectomy which physical removes prominent large surface veins though a 1mm opening in the skin Sometimes ultrasound guided sclerotherapy using a foamed sclerosing agent can be used to treat varicose vein. These procedures can all done in the office with immediate return to normal activities.

Disclaimer: The information found on this website is intended to be general medical information; it is not a medical diagnosis or medical advice. Specific medical advice can only be given with full knowledge of all of the facts and circumstances of your health situation. You should seek consultation with a doctor familiar with your medical condition. Posting a question on this website does not create a doctor-patient relationship. All questions you post will be available to the public; do not include confidential information in your question.