LEG VEINS - SCLEROTHERAPY

Treatment of Leg Blood Vessels

Sclerotherapy is a technique involving the injection of fluid into veins to eliminate unwanted blood vessels of the legs. Occasionally the injection is combined with laser therapy. The Lyra laser is the latest advance in this area.

What substance in injected into the veins?

Hypertonic saline, a concentrated salt solution is used for superficial veins, and or aethoxy-sklerol for deeper veins. The fluid is introduced into the blood vessel with a very fine needle. The fluid irritates the blood vessel wall causing it to contract. Gradually over the next three to four weeks the blood vessel is re-absorbed and disappears. Commonly asked questions

How successful is sclerotherapy?

Sclerotherapy of fine veins is usually very successful with most vessels disappearing completely. Sometimes a laser is used in conjunction with this treatment and multiple treatments may be necessary. If deep varicose veins are present then the patient may require a Doppler ultrasound study and perhaps surgical intervention.

Where is the procedure performed?

Treatment usually only takes 15-20 minutes and is done in Dr Lanzer’s rooms as an out-patient. There is no down-time and patients can resume normal activities afterwards.

What risks are involved with the procedure?

Risks are minimal and may include bruising, crusting, infection, or swelling of the ankles. Pigmentation or inflammation of the veins may occur but usually settles within a few weeks. Sometimes a network of tiny pink blood vessels develops. This can be treated as well. Very rarely ulcers have been reported that heal with a flat scar. A deep vein thrombosis after injection of the deep veins has also been reported, especially if patients sit for long periods after an aethoxysklerol injection. Most people however are able to return to work immediately, although one would expect redness and inflammation to last one or two days.

What happens after the procedure?

If deep veins have been injected, you will need to wear compression stockings (eg leg support stockings, any brand with lycra support can be used although Grade 1 or Grade 2 graduated compression would be best), keep mobile and make sure you do not sit for more than 30 minutes at a time for the rest of the day.

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