Varicose Veins

These treatments are designed to eliminate small superficial veins in the legs.  Sclerotherapy is the most common and, generally, the most effective treatment method.  The procedure is performed by injecting small amounts of a sclerosing agent (hypertonic saline, glycerin, sotradechol, or Asclera [polidocanol]) into the affected veins.  This causes the walls of these small vessels to collapse and ultimately disappear.  Following treatment, compression stockings must be worn and exercise must be avoided for a period of one week.  Usually, 2-3 treatment sessions are required for optimal results.  This procedure is used to treat smaller veins near the surface of the skin that are purplish in color.  It is not meant for the larger deep blue colored veins that bulge out when standing.  V beam laser can be utilized to address tiny veins; it can be used alone or following sclerotherapy treatments to eliminate any small lingering vessels.

Timing is important when considering this procedure.  After sclerotherapy, veins may appear darker for a period of days or weeks, and as mentioned above, compression stockings must be worn for a week afterwards.  Due to these considerations, it is generally better to schedule this treatment during the fall, winter, or spring when it is easier and more comfortable to wear concealing hose or slacks.

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