My treated veins are smaller but still rope-like after VNUS closure and sclerotherapy. Should I return to my doctor?

I had VNUS closure and sclerotherapy on both legs 8 weeks ago. Although the treated veins are getting smaller, they still appear/feel rope-like. How long should I wait before I return to my doctor? Is what I'm experiencing normal?

Answers from doctors (6)


Lafayette Regional Vein & Laser Center

Published on May 13, 2016

In some instances, it takes weeks to months for the varicosities to shrink to the point they are no longer felt. If you are not having symptoms, yet share these concerns, you can always visit your doctor to see if you are healing as expected. Sclerotherapy is a fickle treatment option that is generally considered highly effective in experienced hands. It takes longer for results vs.ambulatory phlebectomy, where the veins are gently removed. Call your doc and see if what you are experiencing is normal for your pattern, and certainly if you are having ongoing symptoms.

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Answered by Lafayette Regional Vein & Laser Center

In some instances, it takes weeks to months for the varicosities to shrink to the point they are no longer felt. If you are not having symptoms, yet share these concerns, you can always visit your doctor to see if you are healing as expected. Sclerotherapy is a fickle treatment option that is generally considered highly effective in experienced hands. It takes longer for results vs.ambulatory phlebectomy, where the veins are gently removed. Call your doc and see if what you are experiencing is normal for your pattern, and certainly if you are having ongoing symptoms.

Published on Jul 11, 2012


More About Doctor Laser Vein Center

Published on May 10, 2016

That sounds right on track for your postoperative recovery. I would give it another month or two; you may need additional treatment.

Answered by Laser Vein Center (View Profile)

That sounds right on track for your postoperative recovery. I would give it another month or two; you may need additional treatment.

Published on Jul 11, 2012


Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

Published on May 10, 2016

At some point, you should follow up with the treating physician. The contracted veins will feel ropy, and in lean patients, may be a problem as they are palpable under the skin.

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Answered by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

At some point, you should follow up with the treating physician. The contracted veins will feel ropy, and in lean patients, may be a problem as they are palpable under the skin.

Published on Jul 11, 2012


Advanced Vein Center

Published on May 10, 2016

I think it's normal, but I suggest you go back to your treating physician and have him or her check the area and perform any tests, if necessary.

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Answered by Advanced Vein Center

I think it's normal, but I suggest you go back to your treating physician and have him or her check the area and perform any tests, if necessary.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on May 10, 2016

As a vascular trained surgeon, I typically remove the varicose veins at the same time as the closure. This is done through tiny punctures (microphlebectomy) and cosmetically heals very well. We reserve sclerotherapy for smaller reticular or spider veins. Injected veins do take time to be reabsorbed by the body, which is why I prefer microphlebectomy.

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Answered by Vein Specialties of St. Louis

As a vascular trained surgeon, I typically remove the varicose veins at the same time as the closure. This is done through tiny punctures (microphlebectomy) and cosmetically heals very well. We reserve sclerotherapy for smaller reticular or spider veins. Injected veins do take time to be reabsorbed by the body, which is why I prefer microphlebectomy.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on May 10, 2016

What you are experiencing is normal. Following a closure procedure, the treated veins will contract and get hard, and then soften over time. Following sclerotherapy, the larger veins will also get hard. Wet warm compresses to the areas will help, as will ibuprofen.

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Answered by Vanish Vein and Laser Center

What you are experiencing is normal. Following a closure procedure, the treated veins will contract and get hard, and then soften over time. Following sclerotherapy, the larger veins will also get hard. Wet warm compresses to the areas will help, as will ibuprofen.

Published on Jul 11, 2012


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