Sclerotherapy is a minimally invasive treatment in which a medication is injected into selected small veins, causing them to collapse and gradually fade. It is commonly used for spider veins and small varicose veins.
Patients with aching, swelling, larger varicose veins, or skin changes may need venous ultrasound first to check for underlying reflux.
Symptoms patients may notice
- Visible spider veins or small varicose veins
- Mild aching, burning, itching, or heaviness
- Cosmetic concern from red, blue, or purple veins
- Recurrent visible veins after prior treatment
How we evaluate this condition
- Vein and skin examination
- Assessment for deeper venous insufficiency when symptoms suggest it
- Discussion of realistic expectations and number of sessions
Treatment and care options
- Sclerosing injections for appropriate small veins
- Compression stockings after treatment when recommended
- Additional sessions for best cosmetic and symptom improvement when needed
- Treatment of underlying reflux if present