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Varicose Veins treatment by sclerotheraphy

Introduction


Sclerotherapy is a medical procedure used to eliminate varicose veins and spider veins. Sclerotherapy involves an injection of a solution (generally a salt solution) directly into the vein. The solution irritates the lining of the blood vessel, causing it to swell and stick together, and the blood to clot. Over time, the vessel turns into scar tissue that fades from view.
Sclerotherapy is a well-proven procedure and has been in use since the 1930s.


How Sclerotherapy Is Done


In most cases, the salt solution is injected through a very fine needle directly into the vein. At this point, you may experience mild discomfort and cramping for one to two minutes, especially when larger veins are injected. The procedure itself takes approximately 15 to 30 minutes.

 

The number of veins injected in one session varies, and depends on the size and location of the veins, as well as the general medical condition of the patient.


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


 

What to Do Before Sclerotherapy


Prior to vein injection, you should avoid certain medications. Talk to your doctor about all medicines (including over the counter drugs, herbs, and dietary supplements) you are taking. If you need to take an antibiotic before sclerotherapy, contact your physician. No lotion should be applied to the legs before the procedure.
Some physicians recommend avoiding aspirin, ibuprofen (i.e. Advil, Motrin, and Nuprin) or other anti-inflammatory medications for 48-72 hours before sclerotherapy. Tylenol, however, should not affect this procedure.


 

Side Effects of Sclerotherapy


You may experience certain side effects after sclerotherapy. There are milder effects, such as itching, which can last for one or two days after the procedure. Also, you may experience raised, red areas at the injection site. These should disappear within a few days. Bruising may also occur around the injection side and can last several days or weeks.

 


Other sclerotherapy side effects 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.
Neovascularization -- the development of new, tiny blood vessels -- may occur at the site of sclerotherapy treatment. These tiny veins can appear days or weeks after the procedure, but should fade within three to twelve months without further treatment.
Should any of the following side effects occur, contact your physician immediately. These include:

 


 

Inflammation within five inches of the groin.
A sudden onset of a swollen leg.
Formation of small ulcers at the injection site.
Allergic reactions to the sclerosing agents may occur at the time of the injection and are rarely serious. If you have a history of allergies, you have a greater chance of experiencing an allergic reaction to the agents. A minor allergic reaction will cause itching and swelling. To avoid any serious complications, your doctor will likely test the agents on a small area before applying the solutions to a larger area.
If you have any concerns or questions following this procedure, you should contact your doctor.

 

 

 

 

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