My ankle is slightly puffy and cold after having two sclerotherapy sessions, what should I do?

After my 2nd sclerotherapy session my left ankle has been slightly puffy and feels cold. The cold goes up to the back of my lower calf. I wear compression hose daily, yet it doesn't seem to help the cold feeling. What can I do about this?

Answers from doctors (9)


Intermountain Vein Center

Published on Dec 09, 2013

A follow-up appointment is necessary for any treatment done on veins. Go back to your treating physician and discuss your symptoms with him or her.

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Answered by Intermountain Vein Center

A follow-up appointment is necessary for any treatment done on veins. Go back to your treating physician and discuss your symptoms with him or her.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Nov 07, 2013

This is a discussion you should have with your treating physician.

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Answered by Cosmetic Vein Centers of Texas

This is a discussion you should have with your treating physician.

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Nov 06, 2013

I can't guess what the cold feeling relates to. Duplex ultrasound is advisable to rule out DVT in the posterior tibial veins. Continue to ambulate with stockings until your doctor checks this.

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Answered by Arizona Vein Specialists

I can't guess what the cold feeling relates to. Duplex ultrasound is advisable to rule out DVT in the posterior tibial veins. Continue to ambulate with stockings until your doctor checks this.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Nov 06, 2013

You need to be reevaluated by ultrasound to see if there is a deeper issue going on. It is difficult to say what the issue is without know what type of sclerotherapy you had. Was it deeper with foamed solutions, or simply smaller spider veins on the surface. If your Sclerotherapist isn't able to examine you, you should seek a second opinion from an vascular surgeon who specializes in vein treatment.

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Answered by Vein Specialties of St. Louis

You need to be reevaluated by ultrasound to see if there is a deeper issue going on. It is difficult to say what the issue is without know what type of sclerotherapy you had. Was it deeper with foamed solutions, or simply smaller spider veins on the surface. If your Sclerotherapist isn't able to examine you, you should seek a second opinion from an vascular surgeon who specializes in vein treatment.

Published on Jul 11, 2012


South Palm Cardiovascular Associates

Published on Nov 06, 2013

See the doctor who did performed sclerotherapy on you. He/she should be notified about your symptoms and should work to ensure they are managed properly.

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Answered by South Palm Cardiovascular Associates

See the doctor who did performed sclerotherapy on you. He/she should be notified about your symptoms and should work to ensure they are managed properly.

Published on Jul 11, 2012


More About Doctor Laser Vein Center

Published on Nov 05, 2013

Continue to wear the compression stockings and follow up with the doctor who did your sclerotherapy.

Answered by Laser Vein Center (View Profile)

Continue to wear the compression stockings and follow up with the doctor who did your sclerotherapy.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Nov 05, 2013

Sclerotherapy around an ankle can cause swelling because the skin in that area is thin and the irritation from the injections can contribute to swelling. This will resolve over time. The cold sensation is more difficult to explain, but is probably due to some local nerve irritation. Apply warm compresses and try NSAIDS. This should resolve over several weeks. If it doesn't improve then follow up with your treating physician.

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Answered by Vanish Vein and Laser Center

Sclerotherapy around an ankle can cause swelling because the skin in that area is thin and the irritation from the injections can contribute to swelling. This will resolve over time. The cold sensation is more difficult to explain, but is probably due to some local nerve irritation. Apply warm compresses and try NSAIDS. This should resolve over several weeks. If it doesn't improve then follow up with your treating physician.

Published on Jul 11, 2012


Veins etc. at Comprehensive Cardiovascular Consultants

Published on Nov 05, 2013

Puffiness is expected after sclerotherapy. Wait another day or two and if it has not subsided, give your doc a call.

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Answered by Veins etc. at Comprehensive Cardiovascular Consultants

Puffiness is expected after sclerotherapy. Wait another day or two and if it has not subsided, give your doc a call.

Published on Jul 11, 2012


Americas Vein Centers - Southborough

Published on Nov 05, 2013

These symptoms need to be evaluated by your treating physician.

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Answered by Americas Vein Centers - Southborough

These symptoms need to be evaluated by your treating physician.

Published on Jul 11, 2012


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