How many foot veins are safe to inject at one time? Can too much sclerotherapy cause damage?

Answers from doctors (8)


Vein Specialists of Arizona

Published on Mar 23, 2018

You should minimize injecting foot veins and resolve any venous reflux issues higher in the leg first- too much sclerosant in the feet can cause necrosis.

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Answered by Vein Specialists of Arizona

You should minimize injecting foot veins and resolve any venous reflux issues higher in the leg first- too much sclerosant in the feet can cause necrosis.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Aug 19, 2013

Usually, physicians don't inject foot veins because the risk of having the sclero go somewhere where it shouldn't be is higher than in other parts of the body. Have you had an ultrasound of the legs to find out if there are other sources of varicose veins that could be feeding those veins in your foot? It would be recommended if that hasn't been done. Seek a physician who is accredited by the American College of Phlebology for treatment.

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Answered by Intermountain Vein Center

Usually, physicians don't inject foot veins because the risk of having the sclero go somewhere where it shouldn't be is higher than in other parts of the body. Have you had an ultrasound of the legs to find out if there are other sources of varicose veins that could be feeding those veins in your foot? It would be recommended if that hasn't been done. Seek a physician who is accredited by the American College of Phlebology for treatment.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Aug 19, 2013

Too much sclerotherapy can give you seizures. Your doctor should know the safe limits. Be sure to find a board-certified vein specialist who has experience in both performing this procedure and treating delicate areas like the feet.

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Answered by Cosmetic Vein Centers of Texas

Too much sclerotherapy can give you seizures. Your doctor should know the safe limits. Be sure to find a board-certified vein specialist who has experience in both performing this procedure and treating delicate areas like the feet.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Aug 18, 2013

In our practice we treat foot veins very cautiously. The decision to inject and the number of veins to inject really is up to the clinician doing the treatment. Of course, you have a say as well.

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Answered by Vein Clinic of North Carolina

In our practice we treat foot veins very cautiously. The decision to inject and the number of veins to inject really is up to the clinician doing the treatment. Of course, you have a say as well.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Aug 16, 2013

If you are treating fine spider veins in the feet they can be treated safely by an experience practitioner. If they are blue/fine red many can be safely treated. At times we treat one foot at a time if extensive due to time and volume of solution. If the veins to be treated are bulging varicose veins, I, as a surgeon, will remove these with microphlebectomy. This is an office procedure under local anesthetic. I would do half the foot at one time to allow the circulation to "regroup." The main thing is to have a comprehensive consultation with a Board Certified Vascular trained surgeon who specializes in these procedures. This should include ultrasound to rule out any underlying vein problems.

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Answered by Vein Specialties of St. Louis

If you are treating fine spider veins in the feet they can be treated safely by an experience practitioner. If they are blue/fine red many can be safely treated. At times we treat one foot at a time if extensive due to time and volume of solution. If the veins to be treated are bulging varicose veins, I, as a surgeon, will remove these with microphlebectomy. This is an office procedure under local anesthetic. I would do half the foot at one time to allow the circulation to "regroup." The main thing is to have a comprehensive consultation with a Board Certified Vascular trained surgeon who specializes in these procedures. This should include ultrasound to rule out any underlying vein problems.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Aug 15, 2013

The amount of veins that can be injected depends on the kind of solution being used as well as the concentration of the solution. There is always a risk from anything that we inject. Also, I usually use less solution with the first treatment to ensure that it is tolerated, and then more can be used with further treatments. My limiting factor for sclerotherapy is usually not the amount of solution used but the time spent.

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Answered by Vanish Vein and Laser Center

The amount of veins that can be injected depends on the kind of solution being used as well as the concentration of the solution. There is always a risk from anything that we inject. Also, I usually use less solution with the first treatment to ensure that it is tolerated, and then more can be used with further treatments. My limiting factor for sclerotherapy is usually not the amount of solution used but the time spent.

Published on Jul 11, 2012


More About Doctor Laser Vein Center

Published on Aug 15, 2013

You can have an unlimited number treated at once. The bigger concern is the strength of the sclerosant being used. If either too strong a sclerosant or an circulation anomaly exists in the feet, there is always a chance of ulceration or skin break down from sclerotherapy.

Answered by Laser Vein Center (View Profile)

You can have an unlimited number treated at once. The bigger concern is the strength of the sclerosant being used. If either too strong a sclerosant or an circulation anomaly exists in the feet, there is always a chance of ulceration or skin break down from sclerotherapy.

Published on Jul 11, 2012


South Palm Cardiovascular Associates

Published on Aug 15, 2013

Depends on your anatomy and assessment.

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Answered by South Palm Cardiovascular Associates

Depends on your anatomy and assessment.

Published on Jul 11, 2012


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