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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?
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.
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.
This is a discussion you should have with your treating physician.
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.
Puffiness is expected after sclerotherapy. Wait another day or two and if it has not subsided, give your doc a call.
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.
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.
These symptoms need to be evaluated by your treating physician.