Sclerotherapy of Telangiectasias or Spider Veins in the Lower Limb a Review

Sclerotherapy for Varicose and Spider Veins

Sclerotherapy is a medical procedure used to eliminate varicose veins and spider veins. Sclerotherapy involves an injection of a solution (mostly a salt solution) directly into the vein. The solution irritates the lining of the blood vessel, causing information technology to collapse and stick together and the blood to clot. Over time, the vessel turns into scar tissue that fades from view.

Sclerotherapy is a proven procedure that has been in use since the 1930s.

Candidates for Sclerotherapy

Prior to sclerotherapy, you volition have an initial consultation with a dermatologist or vascular medicine specialist who will determine if you're a good candidate for the procedure.

You lot are not eligible if you are meaning. You can have sclerotherapy if you take birth control pills. If you have had a blood clot in the by, your eligibility will be decided on an individual basis, and will depend on the overall health of the surface area needing treatment too every bit the reason for the clot.

Veins that are potentially usable for hereafter heart bypass surgery will more often than not not be considered for sclerotherapy, unless they are already deemed unusable.

How Sclerotherapy Is Done

In virtually cases of sclerotherapy, the salt solution is injected through a very fine needle straight into the vein. At this indicate, you may experience mild discomfort and cramping for 1 to two minutes, particularly when larger veins are injected. The process itself takes approximately 15 to 30 minutes.

The number of veins injected in ane session depends on the size and location of the veins, equally well every bit the general medical condition of the patient.

Sclerotherapy is performed in the doctor's office past a dermatologist or a surgeon and requires that you lot do not do whatever aerobic activity for a few days after the procedure.

What to Do Before Sclerotherapy

Prior to sclerotherapy, you should avoid certain medications. Talk to your doctor near all medicines (including over-the-counter drugs, herbs, and dietary supplements) yous are taking. If you need to take an antibiotic before sclerotherapy, contact your doctor. No balm should be applied to the legs before the procedure.

Some doctors recommend avoiding aspirin, ibuprofen (such as Advil, Motrin, and Nuprin) or other anti-inflammatory drugs for 48-72 hours before sclerotherapy. Tylenol, however, should not affect this procedure.

Side Furnishings of Sclerotherapy

Yous may experience certain side effects subsequently sclerotherapy. There are milder furnishings, such as itching, which can concluding for ane or two days after the procedure. Besides, you may experience raised, crimson areas at the injection site. These should disappear inside a few days. Bruising may also occur around the injection site and can last several days or weeks.

Other Sclerotherapy Side Furnishings Include:

• Larger veins that have been injected may become lumpy and hard and may require several months to dissolve and fade.
• Brown lines or spots may appear at the vein site. In most cases, they disappear within three to six months, just they may also concluding indefinitely.
• Neovascularization -- the development of new, tiny blood vessels -- may occur at the site of sclerotherapy treatment. These tiny veins tin appear days or weeks later on the process, but should fade within 3 to twelve months without further treatment.

Should whatever of the following side effects occur, contact your dr. immediately. These include:

• Inflammation inside five inches of the groin
• A sudden onset of a bloated leg
• Germination of modest ulcers at the injection site

Allergic reactions to the fluid that's injected may occur at the fourth dimension of the injection and are rarely serious. If y'all have a history of allergies, you have a greater adventure of experiencing an allergic reaction to the agents. A small allergic reaction will crusade itching and swelling. To avoid any serious complications, your doctor will likely test the agents on a pocket-size expanse earlier applying the solutions to a larger area.

If you have any concerns or questions following this procedure, you should contact your doc.

What Happens After Sclerotherapy

Afterwards sclerotherapy you lot volition exist able to drive yourself dwelling house and resume your regular daily activities. Walking is encouraged.

You will be instructed to wear support hosiery to "shrink" the treated vessels. If you lot have compression hosiery from previous treatments, you are encouraged to bring them with yous to be sure they still take acceptable compression. Department store back up stockings will not be adequate if a heavy compression stocking is needed. Your doctor's office tin can recommend where to purchase heavy compression stockings.

Following the injections, avoid aspirin, ibuprofen, or other anti-inflammatory drugs for at least 48 hours. Tylenol may be used if needed.

Also, you should avoid the post-obit for 48 hours after treatment:

• Hot baths
• Hot compresses
• Whirlpools or saunas
• Straight exposure to sunlight

Showers are permitted, but the water should exist libation than usual. The injection sites may exist done with a balmy soap and tepid water.

Sclerotherapy Effectiveness

Studies have shown that equally many as 50%-fourscore% of injected veins may be eliminated with each session of sclerotherapy. Less than x% of the people who take sclerotherapy do not reply to the injections at all. In these instances, different solutions can exist tried. Although this procedure works for almost patients, in that location are no guarantees for success.

In full general, spider veins respond in three to six weeks, and larger veins respond in 3 to 4 months. If the veins reply to the treatment, they will non reappear. Nonetheless, new veins may appear at the aforementioned rate as earlier. If needed, you may return for injections.

Insurance Coverage for Sclerotherapy

Insurance coverage for sclerotherapy varies. If your varicose veins are causing medical issues such equally pain or chronic swelling, your insurance may offer reimbursement. If you are pursuing sclerotherapy for cosmetic purposes simply, your insurance carrier most probable will not provide coverage. You should discuss your concerns with your physician. If you lot have questions, phone call your insurance company, which may request a letter of the alphabet from your doc concerning the nature of your treatment and medical necessity.

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Source: https://www.webmd.com/skin-problems-and-treatments/cosmetic-procedures-sclerotherapy

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