Sclerotherapy Treatment for Veins

Sclerotherapy is the most common treatment of spider veins and smaller varicose veins.

Sclerotherapy provides results patients desire, with faster recovery and less pain. Using sclerotherapy treatment, spider veins typically begin to fade within 2 to 3 weeks and most are totally gone by 4 to 6 weeks. Larger veins or ones of the foot or ankle may take longer, up to 2 to 3 months or so, to resolve.

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During sclerotherapy a tiny needle is inserted into the spider or varicose vein and sclerosant is injected into the blood vessel. After injection, the chemical solution causes irritation of the vein wall, causing it to spasm. Clotting of the vessel ensues and the body’s natural inflammatory response takes over with eventual reabsorbing of the vessel over time, leading to its disappearance. The clots within the spider vein do not move or travel via the circulation and therefore are of no health concern.

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VISUAL SCLEROTHERAPY

Visual sclerotherapy is used to treat small, red or blue spider veins and reticular veins. It involves injecting sclerosant into the vein using a very small needle. The amount and concentration of solution injected depends on the size and extent of the spider veins. The goal is to cause damage to visible veins, without damaging surrounding structures. Often, one can visually see the spider veins closing off and disappearing instantly.

ULTRASOUND-GUIDED SCLEROTHERAPY

Ultrasound-guided sclerotherapy can treat deeper veins that are underneath the skin at various depths. These are sometimes referred to as tributary or perforator veins. Often ultrasound guided sclerotherapy treats veins that feed abnormal varicose or spider veins. The foam has been proven to increase the strength of the treatment. In severe cases, perforator veins could be the cause of a venous ulcer. Our doctors are experts at using ultrasound to guide the needle and medication into its desired location.

FOAM SCLEROTHERAPY

Sclerotherapy using a foam is sometimes used. The advantage is the foam tends to cling to the inside lining of the vein which allows more time for the medication to injure the vein walls. In larger veins, the volume and brisk flow of blood washes liquid away quickly, making for less effective treatment. But foam clings to the walls of the veins, avoiding the washing away effect that liquid is subject to.

Foam is also very safe as it quickly dilutes when it gets to the deeper venous circulation. It becomes dilute and ineffective in the larger deeper and central veins.

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What Can I Expect From My Sclerotherapy Treatment?

A short ultrasound study is performed as part of the initial examination to determine if certain conditions exist such as venous reflux. If present, these issues will be addressed at the initial consultation and a treatment plan will be discussed to achieve optimal results.

Compression stockings are used after sclerotherapy to aid healing and provide better results. Multiple sclerotherapy treatments are commonly necessary to eliminate all spider veins. Treatments usually occur 4 to 6 weeks apart, but can vary based on each patient.

If your veins need treatment, request an evaluation with our expert vein doctors. Our board-certified specialists will take the time to answer your questions about sclerotherapy. We will create an individualized plan to help you get the best results.

Call 210-934-3613 today to schedule your appointment.

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I highly recommend Hamilton. I received care for varicose veins in my left leg at the Sugar Land Clinic. I was attended by thoroughly professional staff from check-in forward. Covid guidelines were followed by all. Procedures were performed by Dr Hamilton and PA Meghan Ong. Both are highly skilled, personable and time efficient. — Steve S.

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Dr. William Parker is an incredible doctor!!!! He is honest, personable, professional, and truly cares about treating your condition in the best way possible! I'm extremely happy with his services provided! Thank you, Dr. Parker!!!! Your passion for your profession shows exuberantly!!!!!!! You staff is just as awesome as you are!!!!! I felt like family! All around great experience! – Mel G.

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Dr. Hamilton and all his staff are attentive, courteous, and patient. I have not had to wait more than 10 minutes for any appointment. He takes time to explain any procedure and answer all questions. I couldn't ask for a better experience from any doctor. – Carlos G.

Read Our Patient Reviews from Google

I was very nervous at first, but the staff is awesome. they are very comforting and made sure I had no discomfort throughout the entire procedure. I would strongly recommend them. I finally went to them after being misdiagnosed. 10 yrs ago if I only known sooner. I thank my new doctor for recommending them. – Mikey L.

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I was apprehensive about the procedure and processes until I met the doctor and staff! The service was professional, caring, and friendly. The process was not as frightful as my imagination had prepared me for! Was it painful? They used a topical numbing solution that helped. Do understand that the veins in my legs looked like an internal image of the venous system you might find on WebMD! So imagine how much work the doctor had in front of him! They have healed nicely and I have more to undertake but I look forward to completing the process soon. I must add that for 6 months I drove 4.5 hours each way to have this doctor treat my problem legs! That alone says a great deal about his talent and methods! – Regina S.

Read Our Patient Reviews from Google

I am pretty active and at the beginning of the stay at home we were walking 3 mi a day. But in retrospect and learning what I know today I have been exhibiting some pretty classic signs of vein disease for several years. And it caught up to me as one day I was walking and the next day I was hobbling around the house with some cramping like feeling in my leg. I got referred to Hamilton Vein. The experience with the ENTIRE staff was excellent. They were friendly, caring, professional and efficient. They are very good at what they do!! – Buckeye