The treatment of choice to eliminate varicose and spider leg veins.

Varicose or Spider Veins

Eliminate varicose and spider veins!

Sclerotherapy, a proven medical procedure that has been in use since the 1930s, is used to eliminate varicose and spider veins.  During the procedure a solution is injected 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 considered the treatment of choice for spider leg veins. The treatment is minimally invasive. The procedure also can improve related symptoms such as aching, swelling, burning and night cramps. Treated veins tend to fade within a few weeks,

Frequently Asked Questions

The treatment is minimally invasive. The procedure also can improve related symptoms such as aching, swelling, burning and night cramps. Treated veins tend to fade within a few weeks, although occasionally it may take up to two months to see the full results. In some instances, several sclerotherapy treatments may be needed.

Full length compression hose 20-30 mm hg can be purchased on Amazon and need to be brought into the appointment.

Must be worn for 4 days and 4 nights.

Sclerotherapy is performed in the office and does not require anesthesia. The procedure can take 15 minutes to an hour to complete depending on the extent of the damaged veins. Patients lie on their back with their legs slightly elevated. After the treatment area is cleaned with alcohol, the provider uses a very fine needle to inject a solution directly into the vein.

There may be some mild discomfort and slight cramping for one or two minutes. The solution causes the treated vein to collapse, forcing blood to be rerouted through healthier veins. The collapsed vein is reabsorbed into local tissue and eventually fades.

Prior to the procedure, your provider will perform an assessment to examine your veins and review your medical history.

Your provider will want to know about your medical history including:

-Smoking or oral contraceptive use, as these, can increase your risk of blood clots


-Medications or supplements you take, especially aspirin, nonsteroidal anti-      inflammatory drugs (NSAID), blood thinners or antibiotics

-Recent illnesses or existing medical conditions, such as heart condition

-Previous treatment for spider and varicose veins and the results of the treatment

-If you take NSAIDs, aspirin or blood thinners, your provider will instruct you to stop taking the medication for a certain amount of time before the procedure to reduce chances of bleeding. Tylenol should not affect this procedure.

After your procedure, you may be asked to rest on your back for a few minutes. Your doctor will be checking the injection sites for any immediate side effects. You will be up and walking within a few minutes. It is important to move your legs to prevent the formation of blood clots and maximize treatment results. It is required that you do not do any aerobic activity for a few days or one week after the procedure.

You’ll also want to avoid sun exposure to the treated areas during the first few days. The inflammation caused by the injections combined with sun exposure can lead to dark spots on your skin, especially if you already have a dark skin tone.

You will be instructed to wear compression stockings and or bandages over the treatment area for one to three weeks to maintain pressure on the treated veins. Raised red areas may appear at the injection sites and should disappear within a few days. Brown lines or spots on the skin may be seen at the injection sites. In most cases, they disappear within three to six months. Bruising may occur around the injection site and can last several days or weeks.

Spider veins will generally respond to sclerotherapy within three to six weeks, and larger veins respond within three to four months. Veins that have responded to treatment will not reappear. However, if new veins appear over time, you may return for additional injections if needed.

You will have a follow-up visit scheduled with your provider about a month after the procedure to check the procedure’s success and decide whether further sessions are needed. Generally, you need to wait four to six weeks before undergoing another sclerotherapy session.

Studies of vein treatment options for varicose and spider veins have indicated an overall success rate of 50 to 80 percent in eliminating treated veins.