Answers

Replied on 9/16/2010

By: Vanish Vein and Laser Center  |  Dr. John Landi, FACS, RPVI, RPhS
Medical Director, Diplomate Am. Board of Phlebology
Naples, FL

Sclerotherapy works usually in one of two ways-displacing the blood in the vein to cause it to seal and later dissolve or clotting the blood in the vein first which will lead to resorption of the vein. So sclerotherapy can cause clotting but this is in only superficial veins. It would be unusual for sclerotherapy to cause clots in deeper veins. Sclerotherapy can be done in someone with a blood clotting disorder but it would carry increased risks. I have done sclero in several such patients without any major problems but it has been more difficult to clear all of the spiders. I would recommend you confer with a hematologist before commencing treatment.

Replied on 11/16/2009

By: Laser Vein Center  |  Thomas Wright M.D. F.A.C.P. RVT
O'Fallon, MO

The intention of sclerotherapy is to create inflammation within the lining of the vein, causing it to collapse and seal closed. This process frequently involves trapping and subsequent clotting of small amounts of blood within the involved vessel, which the body slowly reabsorbs over time. This process is perfectly normal, and is not dangerous. The dangerous types of blood clots are called "deep vein clots", these vessels are all superficial, and very small. I have not experienced difficulties with patients who have clotting disorders, again because the treated areas are very superficial, and involve small vessels. However, common sense would dictate that we would simply exercise more caution, and be more conservative with someone who has a known clotting disorder, depending on what type it is.

Replied on 11/10/2009

By: VeinSolutions - Austin  |  Emery W. Dilling, M.D.
Jeffrey M. Apple, M.D., F.A.C.S.
Austin, TX

Sclerotherapy routinely causes clots in the veins treated, but these are not dangerous. The only danger is if the chemical gets into the deep system in a concentrated form and causes damage and clots to the deep veins. This is exceedingly rare, although I know of no studies demonstrating safety of sclerotherapy for individuals with hypercoagulability disorders (diseases in which the blood clots too easily).

Replied on 11/3/2009

By: Miller Vein  |  Jeffrey H. Miller, M.D.
Novi, MI

The short answer is sclerotherapy is very safe. Blood clots in the superficial veins (the ones being treated) are usually not problematic unless extensive.

Replied on 11/2/2009

By: Vein Specialty Medical Clinic, Inc.  |  Khalil Fattahi M.D.
Board Certified, American Board of Phlebology
Campbell, CA

First we should separate clotting in superficial veins versus clotting in deep veins. Clot formation in sclerotherapy targeted superficial varicose veins and even spider veins is expected and is part of the treatment, not a complication. In fact the name of same type of medication that we use here in US, is ThromboVar (meaning cLot in Varice) in France. VeinClots in superficial veins of legs is not dangerous and cannot lead to pulmonary embolization per se. Normally, clots (trapped blood) in superficial veins that are treated with sclerotherapy are removed by simple procedures about 1-3 weeks after sclerotherapy. Clotting in the deep vein system is referred to DVT (deep Vein thrombosis) and is a risk and complication of any leg surgery or other treatments, which can lead to life threatening pulmonary embolization specially in the case of deep vein clots at thigh and groin levels. With proper sclerotherapy, risk of DVT is very slim and estimated at less than 1/10,000 (when done by experienced phlebologists).

Replied on 11/2/2009

By: General Vascular Surgery Group  |  Michael D. Ingegno, M.D.
San Leandro, CA

By definition sclerotherapy causes clotting of the targeted veins injected. This is the desired effect to close off the dysfunctional veins. Generally these clotted veins cause no problems, but it does aleviate symptoms and unsightly veins. There may be contraindications to injection sclerotherapy in patients with clotting disorders i.e hypercoaguable states.

Replied on 11/2/2009

By: The Vein Treatment Center of NJ  |  Dean H. Wasserman, MD, FACS, RVT, FACPh
Paramus, NJ

Sclerotherapy can cause a blood clot if the injected vein is not adequately compressed. Thus a purpose of post sclerotherapy compression usually in the form of hose and active walking is to prevent extensive clotting.

While the words "Blood Clot" can be scary, there are all types and with injections, this usually indicates surface veins. Superficial clots are usually not associated with traveling to the heart/lungs, and in the hands of an astute and experienced Phlebologist, deep vein
clotting should be almost only theoretical.

Furthermore, human survival is dependent upon blood clots- as health clots in the face of surgery or trauma are the natural mechanism for preventing hemorrhage.

In the event of an individual with a pre-existing clotting disorder, and/or someone who is on a hematologic medication, safety is determined by the type and severity of the disorder as well as the scope of planned sclerotherapy. So each case must be individually
determined.

Replied on 11/2/2009

By: Vein Centers for Excellence of Kansas City  |  Craig I. Schwartz, D.O., FACOS, FICS
Kansas City, MO

The intention of sclerotherapy is to create inflammation within the lining of the vein, causing it to collapse and seal closed. This process frequently involves trapping
and subsequent clotting of small amounts of blood within the involved vessel, which the body slowly reabsorbs over time. This process is perfectly normal, and is not dangerous. The dangerous types of blood clots are called "deep vein clots", these vessels are all superficial, and very small. I have not experienced difficulties with patients who have clotting disorders, again because the treated areas are very superficial, and involve small vessels. However, common sense would dictate that we would simply exercise more caution, and be more conservative with someone who has a known clotting disorder, depending on what type it is.
Very truly yours,

Replied on 11/2/2009

By: Vein Specialists Institute  |  Kenneth H. Jesser, M.D.
Palm Desert, CA

Blood clots are always a risk with sclerotherapy, though of minimal risk
usually. Specific risks with blood clotting disorders should be assessed by
your health care provider.

Replied on 11/2/2009

By: Makris MD Interventional Radiology Center  |  Angelo N. Makris, M.D.
Oak Brook, IL

What you are saying is true and a known complication of sclerotherapy.
However, in experienced hands, it is safe even in patient's with a
clotting disorder.

Replied on 11/2/2009

By: VeinSolutions - Minneapolis  |  Christopher F. Roland, M.D., F.A.C.S.
William R. Omlie, M.D., F.A.C.S.
Timothy Jon Gavin, M.D., F.A.C.S.
C. Phifer Nicholson, M.D., F.A.C.S.
Howard L. Saylor III, M.D., F.A.C.S.
Edina, MN

Sclerotherapy can cause pockets of trapped blood (which can be drained),
but this is very superficial and doesn't typically cause further
problems. It is very rare for a patient to get a DVT (deep vein clot)
from sclerotherapy. We do have our patients walk around for about 10
minutes directly following a treatment. The reason for this is to get
the blood circulating and flush out any of the solution from the deep
veins if it were to accidentally end up in the deep veins.

Replied on 11/2/2009

By: Dr. Edward G. Mackay, Vein & Circulation Specialist  |  Edward G. Mackay, M.D.
St. Petersburg, FL

Clot forms in the vein after treatment but the chance of it traveling is
very low. Clots that form in undamaged veins are not "attached" so
therefore more likely to travel. But even still superficial veins of
the legs which get clots very seldom travel. If someone has a clotting
tendency they need to discuss that with their physician before having
treatment. They may want to give blood thinners first depending on the
type of clotting disorder.

More Questions on Sclerotherapy

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What kind of painkillers are you given before the procedure? (18 answers)
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will insurance cover sclerotherapy? (15 answers)
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Can I have Sclerotherapy on my nose? (15 answers)
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How long does it take to see spider veins vanish after Sclerotherapy? (14 answers)
How long does it take to see spider veins vanish after Sclerotherapy? Is there any hope the veins will disappear after more time has gone by?

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Can you do Sclerotherapy on veins on the hands/wrist/arms? (14 answers)
Is it possible to do sclerotherapy on veins on the hands/wrist/arms?

Can Sclerotherapy make a difference on the spider veins in the ankle area? (14 answers)
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can you go in a hot tub after sclerotherapy and how long do you have to wear the stocking for? (14 answers)
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Can sclerotherapy be used on all skin types? (14 answers)
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Can dermatologists perform Sclerotherapy? (13 answers)
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Is it all right to shower the day after a Sclerotherapy treatment? (13 answers)
When can I remove the bandages?

How long will it take for me to recover from Sclerotherapy? (13 answers)
Will the length of time be longer then two weeks?

How long after the procedure do I have to wait before I can tan? (13 answers)
How long after the procedure do I have to wait before I can tan?

Is there a treatment to diminish the appearance of dark blue veins in the chest and arms? (13 answers)
i have very prominent dark blue veins that appear across my chest and my arms. they do not cause pain but i find them very unsightly and wanted to know if there is any treatment or procedure that can diminish the look of these veins?

Will sclerotherapy treatments stop restless leg syndrome? (13 answers)
Will this procedure stop restless legs and is it possible I will be able to do without the medication for restless legs?

Why is it necessary to wear Compression Stockings after Sclerotherapy? (13 answers)
Why is it necessary to wear Compression Stockings after Sclerotherapy?

How long after Sclerotherapy can you get in the sun? (12 answers)
How long after Sclerotherapy can you get in the sun?

Are there any complications involved with Sclerotherapy? (12 answers)
Are there any complications such as skin wounds after Sclerotherapy?

Should I avoid any specfic vitamins/supplements before or after Sclerotherapy? (12 answers)
Should I avoid any specific vitamins/supplements before or after sclerotherapy?

Is blistering around the injection site a side effect of Sclerotherapy? (12 answers)
My friend had sclerotherapy a few days ago, and now she has blisters around the area that was treated. Is this a normal side effect? She said her specialist never mentioned anything about possible blisters.

Can sclerotherapy be used on the wrists? (12 answers)
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Will being on birth control pills affect Sclerotherapy treatments? (12 answers)
I've heard that birth control pills can have an effect on the vein walls, softening them and causing problems. Is this true? Could being on the pill then create problems with sclerotherapy?

Is Sclerotherapy safe for people who bruise easily? (12 answers)
I haven't had it evaluated by a doctor, but I do bruise extremely easily and the bruise usually stays for at least three weeks, even for a minor bump. Is this something I should have checked before undergoing sclerotherapy?

Can Sclerotherapy cause blood clots? (12 answers)
I’ve heard that occasionally, small lumps of clotted blood can be felt after sclerotherapy. Aren’t blood clots quite dangerous?

Is Sclerotherapy the best for broken veins in the ankles and foot area? (12 answers)
Is Sclerotherapy the best for broken veins in the ankles and foot area? Is there a better procedure for this area of the body?

Can spider veins cause the feeling of heaviness in the legs? (12 answers)
What options are available for the treatment of spider veins?

Is it safe to do sclerotherapy in the summer? (12 answers)
Is it safe to do slerotherapy in the summer?

Injections (11 answers)
I want to inject some minor veins/spiders, they are branches of a great sph. vein that is now closed; but doctor won't inject ANY veins before closing sph. vein on the calf first,but I prefer not to touch it as it's not symptomatic. Any 2nd opinions?

I have been having foot problems after Sclerotherapy, couldit be related to the procedure? (11 answers)
After having sclerotherapy 6 weeks ago, now I am having intense pain in my foot and am having trouble walking on it. is this normal? The physician says it is not related to the sclerotherapy or vein stripping i had done on same leg.

Does wearing high heels result in spider veins around the ankles (11 answers)
I’m worried about my circulation.

Can I take allergy medicine after Sclerotherapy? (11 answers)
I had the procedure 2 days ago. Today my GP prescribed MethylPrednisolne, 4mg for allergies. Is this safe to use?

I have bruising from Sclerotherapy injections that I had 8 weeks ago is this normal? (11 answers)
It has been 8 weeks since I had spider and 1 surface blue vein injected by vein surgeon. I still have black blue spots and the surface vein looks worse, will this correct itself or do i need more treatments/ new doc??

Will alcohol affect my upcoming sclerotherapy? (11 answers)
I've heard that drinking can dilate blood vessels. Will this affect my sclerotherapy procedure? Should I stay away from alcohol for a certain amount of time? I normally have 1 or 2 drinks 3 or 4 times per week.

How many months after sclerotherapy is it safe to become pregnant? (11 answers)
How long do sclerotherapy chemicals stay in the bloodstream?

After sclerotherapy treatment more spider veins appeared (11 answers)
It's been 2 weeks since my first sclerotherapy treatment, and the area that was injected has new spider veins?

can you tan after having the Sclerotherapy procedure? (10 answers)
I had the procedure done, but I was not told if I could tan.

Will I have to avoid hot or cool water after Sclerotherapy? (10 answers)
Could hot water from a jacuzzi or hot shower, or cold water in a swimming pool, negatively affect my vein treatment results? How long should I refrain from the hot tub and pool?

Is sclerotherapy safe to have while pregnant? (10 answers)
I have a spider vein on my cheek, can I get it treated now or should I wait until I have the baby?

Is sclerotherapy best treatment for a bunch of spider veins? (10 answers)
My thighs are basically covered in a network of spider veins. If I choose sclerotherapy, will each tiny vein have to be injected? Are there any other options?

Does Sclerotherapy have to be repeated? (10 answers)
Will sclerotherapy permanently get rid of spider veins, or will I have to keep getting treatments forever?

How is polidocanol related to Sclerotherapy? (10 answers)
I've heard conflicting accounts. What exactly is polidocanol?

How long does it take for Sclerotherapy to work? (10 answers)
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Sclerothrapy during menstrual cycle. (10 answers)
Is it ok to do sclerotherapy during menstrual cycle?

How soon after microphlebectomy can sclerotherapy be begin? (10 answers)
How soon can sclerotherapy begin after a microphlebectomy?

How long does it take to show an improvement after the Sclerotherapy is performed? (9 answers)
How long does it take to show an improvement after the Sclerotherapy is performed?

Is sclerotherapy safe for those with Celiac Disease? (9 answers)
Does the sclerotherapy solution contain any gluten? I want to avoid any bad reactions.

Are there certian medications I should avoid before Sclerotherapy? (9 answers)
I am taking a number of medications for high blood pressure and was wondering if it is safe to have sclerotherapy or if another treatment would be better.

Is it common to need repeat sclerotherapy treatments? (9 answers)
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Can sclerotherapy be performed on hemorrhoids? (9 answers)
Is this a possible treatment method for hemorrhoids?

Is it ok to use moisturizing CREAM/LOTIONS containing Vitamin E on areas treated with Sclerotherapy? (9 answers)
Is it ok to use moisturizing creams or lotions containing Vitamin E on areas treated with Sclerotherapy? I've heard that you shouldn't take vitamin E supplements/internally during sclerotherapy, but I'm unsure about externalproducts..

Why can't you get sclerotherapy done when pregnant? (9 answers)
Why can't you get sclerotherapy done when pregnant?

At home remedies for pain in legs? (9 answers)
I had large veins done and also spider veins with 3 or 4 treatments about 1 year ago.
Now I am having sharp pains in the veins in my legs everyday. My legs are still very tender.
Any at home remedy for this, no money left.

Will the spider veins come back? (9 answers)
Approximately how long after treatment do your legs stay clear of spider veins?

Treating an open wound from schlerotherapy (9 answers)
The Dr. re-injected a vein, and the solution didn't enter. The next day the injection site had blisters and then later drained onto the stockings. Two weeks later the open wound was treated with antibiotics, and four months later it's still open, ugly, dark, and keloidish. How would you treat the wound & the scar?

Painful spot and hematoma (8 answers)
I had sclerotherapy 1 week ago. Painful, swollen, hematoma(black) is blood trapped? There is also redness and new blue veins around the spot. Went to a dermatologist and he said it would take 2 months to heal. I'm afraid it wont heal nice and there will be pigmentation. Are there alternative treatment options?

What to do for numbness and tingling in calf and ankle after vein stripping? (8 answers)
I have 7 cuts in my leg between knee and ankle from vein stripping and 3 above...I have just awful tingling and numbness esp. at inner ankle, but all cuts and areas are sensitive 6 months after the surgery. What do I do? adductor tenditis too-


How long does it take for the hard spots and bruising to go away after sclerotherapy for spider veins? (8 answers)
How long does it take for the hard spots and bruising to go away after sclerotherapy for spider veins?

I was told there would be minimal bruising and it would go away in six to eight weeks. Is this true and could you have scars afterwards?

Is this signs that Scelerotherapy did not work? (8 answers)
I had sclerotherapy on several reticular veins for the 2nd time about 1 month ago. At times the veins bulge during the day, but other times look flat. Is this part of the healing process or does this mean that the sclerotherapy did not work? Thanks.

Is there a way to prevent spider veins? (8 answers)
My mother and sister both have spider veins on their thighs and knees. Is there anything I can to do prevent spider veins as I get older?

When will Asclera, the new Sclerotherapy treatment, be available? (8 answers)
I heard that Asclera (Polidocanol) was recently FDA approved. When can patients expect this sclerant to be widely available in the US?

Is it safe to breast feed while undergoing Sclerotherapy? (8 answers)
How long does the Sclerosing agent remain in bloodstream after procedure? I had it done while breast feeding and was told to just disregard and continue. How long does sclerosing agent remain in bloodstream?

How soon after sclerotherapy can I play tennis, run, and dance? (8 answers)
How soon after sclerotherapy can I play tennis? run? dance?

How long after treatment can I wait to have a second treatment? (8 answers)
My doctor told me not to wait longer than 5 weeks. I am going on vaction during that time and want to relax in the sun. Can I wait longer between treatments?

Bruising and staining after sclerotherapy treatment, will bleaching cream fade this? (8 answers)
Will a bleaching cream used twice daily (hydroquinone) fade the staining left after sclerotherapy ? How long will I have to use it? I have a few areas that are very, very noticeable after 4 months bruising as well.



Veins are still there after having sclerotherapy. (8 answers)
I have had 3 treatments of sclerotherapy at Kaiser because of leg pain associated with 22 years of teaching and standing. The ugly veins are still there and the doctor says to wear compression stockings and live with them. Do I have to?

When can I begin running after sclerotherapy? (8 answers)
Is there any requirements or restrictions before starting any physical activity after sclerotherapy?

Having big/swollen legs related to varicose veins? (8 answers)
Is the increase in size of my legs, particularly in my calves related to having varicose veins? How will I know? And if sclerotherapy will help?

What is the difference between Sclerotherapy and Foam Sclerotherapy? (7 answers)
I'm looking to treat my spider veins with Sclerotherapy, but have no idea what the difference between foam and traditional sclerotherapy are.

Do I have to wear compression stockings for a week after having poly sclerotherapy? (7 answers)
I have noticed more veins surfacing after wearing these uncomfortable compression stockings for 4 days. I had the poly sclerotherapy done not the foam sclerotherapy.

Veins on my ankles and the back of my legs (7 answers)
About a year ago I have large veins taken care of and the scelerotherapy done on spider veins. Now I have bunch of veins all around my ankles and some back on my legs. Is it because I laid in the sun when I was a teenager all the time?

I developed phlebitis after foam sclerotherapy in my great saphenous vein in my calf. (7 answers)
I developed phlebitis after foam sclerotherapy in my great saphenous vein in my calf. Why does my leg still ache several months after?

Foam was accidentally injected into my great saphenous vein (calf)causing phlebitis. The vein is shutting down but my leg aches all the time and I have lots of new veins in my foot and ankle that ache. Can my foot and ankle be treated?

I now have brown lines on me from the needle insertion. Why did this happen? (7 answers)
After having scerotherapy, I now have brown lines on me from the needle insertion. Why did this happen?

The brown lines are the length of a needle

I quit with the procedure, I don't know what is causing this?

Doesn't seem ike the Sclerotherapy process is working lately (7 answers)
I've been to two vein removal places in Dallas for sclerotherapy. Lately, the process is not working.

The area has become darker and used to really only show up during my period. Now it's there all the time. I want to know if laser might work instead. It's becoming embarrassing to show my legs and I wear shorts a lot during the year.

How soon after sclerotherapy for spider veins can you safely treat those same areas with a laser? (7 answers)
I've had four sclerotherapy treatments for clusters of spider veins that have not improved. I was wondering if laser therapy would be more beneficial, but I did not want to go too soon after my last sclerotherapy session.

Wound care for skin ulcer caused after the sclerotherapy (6 answers)
An ulcer formed after sclerotheraphy and got infected. I took antibiotics and it still wasn't healing right. The Dr. had to get in there and got rid of the bad tissue, but it's still bleeding a day later. It's bleeding through the unna boot and wrap. Is this normal?

Is Sclerotherapy safe while taking Accutane? (6 answers)
Does the drug affect this procedure?

Is sclerotherapy effective on both spider and varicose veins? (6 answers)
I have both spider veins and varicose veins, and I was hoping to find a treatment that works on both. Is sclerotherapy effective for varicose veins?

What is foam sclerotherapy? (6 answers)
What exactly is foam sclerotherapy, and is it more effective than traditional sclerotherapy?

Post scleratherapy edema (6 answers)
I had 3 sclera sessions over 5 weeks. After the 3rd one, the saph vein in the lower leg was accidentially blocked. Now I am getting a large indentation, just above the ankle where the sock is. Why the swelling? Should saph vein be treated?

Vein Insufficiency and have received 3 different opinions. Is sclerotherapy a reasonable solution? (6 answers)
I was diagnosed with severe vein insufficiency but received 3 different opinions on how to treat it. My legs do not have visible varicose veins but I have a "mild" case of spider veins. Is sclerotherapy a reasonable solution for treatment of pain and appearance?

How long after the Sclerotherapy treatment will I see the results? (6 answers)
Would I see the results right away after Sclerotherapy treatment? If not, when wil the bruises go away? Is it normal to still see all my treated veins after 10 days?

Ulcer treatment options and healing duration to minimize scarring? (6 answers)
I had Sclerotherapy 3 weeks ago, and have an ulcer on the shin. It's closed but has an inflamed red border, uneven edge, dark black deep scab in center, a few mm depth (scab gets moist in shower, rub of danger). I'm treating it with: mepilex silicone bandaid and compression hose. Any other options? How long to heal? Will there be any scarring?

If am on a birth control pill (Ortho Tri-Cyclen). can I still undergo sclerotherapy? (6 answers)
I have heard that it is not safe to be on birth control pill and get sclerotherapy done, but I need to get this done, and I can't stop taking the pill!

I had 3 scleratherapy treatments over about a 5 weeks time frame. I developed severe leg pain near the inner ankle after the third treatment. (6 answers)
I went back to the doctor and he did an ultrasound. He said the saphenous vein was completely blocked in the lower area. He said some of the small veins that were treated were connected, so that is why. I continue to have intermittent pain in the leg?

Is it ok to have an MRI with contrast injection (for a torn hamstring) 2 weeks after receiving foam Asclera injections for spider veins in same leg? (6 answers)
I am scheduled for an MRI with contrast (by injection) for a hamstring tear and lesion, this will be done 10 days after I have Asclera Sclerotherapy injections in the same leg (thigh and calf). Is there any conflict with these 2 treatments & agents?

can sclerotherapy cause an eye infection? (6 answers)
I hand sclerotherapy on the backs of my hands. A few weeks after I got a really bad eye infection in both of my eyes that I have had for about 3 months and still have. Could it be related? Can the solution travel to my eyes? Thanks!

What solutions are more likely to cause telangiectatic matting and hyperpigmentation? (6 answers)
I cannot tolerate STS due to severe telangiectatic matting that never goes away without treatment. Are there other solutions less likely to cause these problems?

How will I know if the vein will vanish or fade after sclerotherapy? (5 answers)
It's been two weeks and any bruising that I had has faded. My legs look like they did before sclerotherapy. The vein behind my knee still hurts when i stand. i had sclero before and there were more obvious signs of fading. is there still a chance to improve?

Muscle Pain, Tendernous, and Spasms after Sclerotherapy (5 answers)
I had my right leg treated 4 days ago & since day 1 I have experienced muscle pain & tenderness in my calf. Occasionally, I have muscle spasms & today my ankle hurts as though it is sprained. It has been difficult to walk. Is this normal or serious?

Trapped blood keep coming back in my varicose veins (5 answers)
I had EVLT followed by sclerotherapy for my variocose veins. I developed large amounts of trapped blood in the treated veins. How many times should you have to keep aspirating the blood. It keeps coming back after 4 attempts relieve hard lumps?

How long after sclerotherapy can tissue necrosis occur? (5 answers)
Can a slough appear 1 week after sclerotherapy treatment, or would you see & feel signs of it sooner?

Is it okay if some of the clotted veins are not drained during sclerotherapy? (5 answers)
The doctor drained them, but there is one on my wrist that is hard and goes up my arm. Even though he meant to do just the wrist, this one is hard to see, but I can feel it. Is that okay?

Large veins around eyes making it look like a black eye. (5 answers)
My granddaughter has large veins around that sometimes make her look as if she has a black eye. What is some possible treatments?

What are these gray patches all over my legs where I had injections and where I had telangiectatic matting? (5 answers)
They're not purple. They're not red. They're gray. No visible veins, just kind of cooky looking. Will they go away?

Foam sclerotherapy following EVLT (5 answers)
I've had EVLT performed on both GSV's and both LSV's. How do you know if you need sclerotherapy foam on other veins and tributaries. Do these have to be incompetent to have this done? The EVLT was not performed on the lower portion of any of these veins.

Should I avoid taking Adderall prior and after Sclerotherapy? (5 answers)
Should I avoid taking Adderall prior and after Sclerotherapy?

Is new vein development after sclerotherapy preventable? (4 answers)
After sclerotherapy, I always have a burst of new ones develop. Is this preventable? I used to have spider veins only on my thighs but they disappeared after having treatment only to be replaced by new ones on my lower legs (which looks worse).

Sclerotherapy for labia varices? (4 answers)
I had a radiologist do sclerotherapy with x-ray dye for labia varices. Is it normal to feel hard rounded lumps deep into the labia post procedure. I feel the lumps are NOT LOCATED where the vein was.Will this resolve and how long does it take?

Which veins get injected with sclerotherapy? (4 answers)
Which veins get injected with sclerotherapy for varicose veins treatment? Is it the bulging ones or the ones inside the leg that we don't see that are varicose? Thank you!

I had sclerotherapy treatment in Feb 2011. Despite following directions to the letter, my spider veins are back. Why? (4 answers)
I had sclerotherapy treatment in Feb 2011. Despite following directions to the letter, my spider veins are back. Why?

Should I be worried about a dark purple vein that's still active? (4 answers)
I received sclerotherapy from a plastic surgeon's office for spider veins. The lady said a very visible dark purple vein behind my knee could not be treated because it is still an active vein. Should I be worried about underlying vascular problems?

How long does it usually take for the spider veins to go away? (4 answers)
I had injections done and it doesn't look like any of the spiders went away. This was a month ago. When can I expect to see a change. Also, is it safe to have this done while on Accutane?

Worried that removing a spider vein will affect other body functions? (4 answers)
I have big spider vein from the legs to breasts including arms and stomach. Doctors say they can be vanished. But, I'm worrying whether or not removing them will affect the other body functions and cause new problems?

Which antibiotics should be avoided when getting Sclerotherapy? (4 answers)
Which antibiotics should be avoided when getting sclerotherapy? And how long before and after the procedure should they be avoided? Are tetracyclines the only ones that cause staining or do others?

Post sclerotherapy, extreme pain, posterior knees (4 answers)
If there was an untreated, localized ameoba infection, at the time of sclerotherapy treatment for spider veins, could this have caused ameoba cysts in knee, thus reason for ongoing pain still felt after almost two years later?

Visible under eye veins (4 answers)
I have veins below my eyes that are very visible through the skin. Is this type of therapy an option? What would the risks be, and if this is not an option, what treatment do you recommend? It is a hereditary condition I have had all my life.

Is vasculitis a possible side effect of sclerotherapy? (3 answers)
Is vasculitis a possible side effect of sclerotherapy?

New large veins appeared after sclerotherapy. (3 answers)
I had sclerotherapy a week ago and I noticed that new large veins appeared that weren't there before, and that the treated ones haven't fully disappeared yet. Is it a side effect of sclerotherapy? What seemed to cause the problem? Thanks.

Medical Data to support repeat ultrasound quided sclerotherapy (3 answers)
My insurance carrier recently changed its policy. It used to grant 3 sclerotherapy sessions, now they state repeat sessions are not medically indicated. However, this is not listed in their policy on varicose veins. I need data to fight this.

Can sclerotherapy be used to remove an external hemorrhoid? And can a vein clinic perfom this procedure? (3 answers)
Can sclerotherapy be used to remove an external hemorrhoid? And can a vein clinic perfom this procedure?

Blue visible veins all over my body? (3 answers)
I recently just noticed that all of my veins are visible all over my body, including a few in the chest area....is this normal? I'm currently on Accutane too.

Dan sclerotherapy cause numbness in hands? (3 answers)
I had Sclerotherapy done on my hands. The doctor did many viens. My hands look great. But sometimes at night my hands feel numb or during the day one of my fingers feels numb. Is it temporary? Is it okay to have numbness? Thank you!

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