I had my first scleropathy session 7 weeks ago, why do I have intermittent leg aches?

I had my first 'minor' scleropathy 7 weeks ago. It was very painful. A salt solution was used. A week after the procedure, I continue to have a dull intermittent ache behind my knees and down my shins. Legs were fine before treatment. Is this normal? Will this pain away? Approximately when?

Answers from doctors (9)


Vascular Institute of Chattanooga

Published on Apr 17, 2020

This is not a common result of sclerotherapy but can occur. It could also be unrelated to the procedure and maybe another cause for pain. You should be evaluated by a medical provider.

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Answered by Vascular Institute of Chattanooga

This is not a common result of sclerotherapy but can occur. It could also be unrelated to the procedure and maybe another cause for pain. You should be evaluated by a medical provider.

Published on Jul 11, 2012


The first week you might feel uncomfortable but after the week you should be fine.

Answered by Yasser Salem M.D., F.A.C.S. (View Profile)

The first week you might feel uncomfortable but after the week you should be fine.

Published on Jul 11, 2012


Artery and Vein Specialists of Idaho

Published on Jul 25, 2014

This can be seen while the treated veins begin to close. A saline solution, however, does not work nearly as successful as a specialized solution called Asclera or STS, which is given only by a trained phlebologist. As for pain, it should go away over time. Speak to your treating physician about this; he may prescribe a medication or suggest an over-the-counter medication that will reduce your discomfort.

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Answered by Artery and Vein Specialists of Idaho

This can be seen while the treated veins begin to close. A saline solution, however, does not work nearly as successful as a specialized solution called Asclera or STS, which is given only by a trained phlebologist. As for pain, it should go away over time. Speak to your treating physician about this; he may prescribe a medication or suggest an over-the-counter medication that will reduce your discomfort.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Jul 01, 2014

Don't have saline injected. See a vein specialist.

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Answered by Cosmetic Vein Centers of Texas

Don't have saline injected. See a vein specialist.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Jun 30, 2014

With the hypertonic saline yes. Find a physician who is accredited by the American College of Phlebology and you have better treatment results. That saline solution is very ineffective. Most accredited physicians used polidocanol. It is safer, less painful, and much more effective in closing down the veins.

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Answered by Intermountain Vein Center

With the hypertonic saline yes. Find a physician who is accredited by the American College of Phlebology and you have better treatment results. That saline solution is very ineffective. Most accredited physicians used polidocanol. It is safer, less painful, and much more effective in closing down the veins.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Jun 28, 2014

We have not used "saline" solutions for many years because it is more painful to inject. You should be seen at your doctors office so they can look below the surface with ultrasound/transillumination for possible areas of trapped blood which are easily removed. Our clinic also uses compression stockings which helps with the healing process and massaging with a bruise/healing cream such as Dermaka or Arnica several times per day. It does take time to heal as the veins have to be "reabsorbed" by the body and it can take weeks. However, you should not have so much discomfort.

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Answered by Vein Specialties of St. Louis

We have not used "saline" solutions for many years because it is more painful to inject. You should be seen at your doctors office so they can look below the surface with ultrasound/transillumination for possible areas of trapped blood which are easily removed. Our clinic also uses compression stockings which helps with the healing process and massaging with a bruise/healing cream such as Dermaka or Arnica several times per day. It does take time to heal as the veins have to be "reabsorbed" by the body and it can take weeks. However, you should not have so much discomfort.

Published on Jul 11, 2012


Lone Star Vein Center

Published on Jun 27, 2014

Difficult question to answer with limited info. I would definitely have an in depth conversation with your provider and discuss further. Sclerotherapy for spider veins only? Or Echo guided sclero for varicose veins? If you say
your legs felt fine before then I assume you mean spider veins? If so, no you should not be in pain now after the treatment. I would not say that is a normal outcome.

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Answered by Lone Star Vein Center

Difficult question to answer with limited info. I would definitely have an in depth conversation with your provider and discuss further. Sclerotherapy for spider veins only? Or Echo guided sclero for varicose veins? If you say
your legs felt fine before then I assume you mean spider veins? If so, no you should not be in pain now after the treatment. I would not say that is a normal outcome.

Published on Jul 11, 2012


Heart and Vein Center

Published on Jun 26, 2014

If your practitioner is using saline injections, then I am sure that he/she still uses a telegraph instead of emails and that he/she drives a horse instead of a car. Saline is a very old cheap way to do sclerotherapy.
You need to be seen by a Vein Specialist that uses and is trained with 21st Century techniques.

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Answered by Heart and Vein Center

If your practitioner is using saline injections, then I am sure that he/she still uses a telegraph instead of emails and that he/she drives a horse instead of a car. Saline is a very old cheap way to do sclerotherapy.
You need to be seen by a Vein Specialist that uses and is trained with 21st Century techniques.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jun 26, 2014

You should not be having leg pain 7 weeks after a sclerotherapy treatment. Sclerotherapy with saline could be painful but should not last 7 weeks. I would obtain a venous ultrasound to rule out any cause of the pain such as superficial or, less likely, deep venous thrombophlebitis.Follow up with your treating physician.

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Answered by Vanish Vein and Laser Center

You should not be having leg pain 7 weeks after a sclerotherapy treatment. Sclerotherapy with saline could be painful but should not last 7 weeks. I would obtain a venous ultrasound to rule out any cause of the pain such as superficial or, less likely, deep venous thrombophlebitis.Follow up with your treating physician.

Published on Jul 11, 2012


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