How will I know if I am a candidate for sclerotherapy?
After the initial consultation with a specialist only can be decided. But in general You are not eligible for sclerotherapy if you are pregnant, breastfeeding, or bedridden. You have to wait at least three months after delivery . Yes you have to give the proper history of medications Prior to sclerotherapy as certain medications should be avoided. Do not take aspirin, ibuprofen or other anti-inflammatory medications for 48 hours before and after sclerotherapy, because these medications may interfere with the action of the sclerosing agent or increase bleeding. Tetracycline or Minocin, both antibiotics, may possibly cause a staining of the skin if taken 7 to 10 days before or after sclerotherapy. medications may interfere with the action of the sclerosing agent or increase bleeding. Tylenol is permitted. Ask your doctor for specific guidelines before discontinuing any medication. Prednisone decreases the effect of the sclerosing agent. So inform your doctor who has prescribed your prednisone if it can be safely discontinued for 2-3 days.before the sclerotherapy
How is sclerotherapy done?
After the topical skin anaesthesic at local site ,the solution is injected directly into the blood vessel, using very fine needles. . At this point, you may experience mild discomfort and cramping for one to two minutes, The number of veins injected in one session is variable, depending on the size and location of the veins, and the patient’s overall medical condition.The procedure takes almost 15 to 30 minutes. Multiple injections of dilute sclerosant are injected into the abnormal surface veins of the involved area . That part is then compressed with either stockings or bandages that they wear usually for two weeks after treatment. Patients are also encouraged to walk regularly during that time.
How successful is sclerotherapy in treating varicose and spider veins?
Sclerotherapy works well for most patients.. A few (less than 10 percent) of the people who have sclerotherapy do not respond to the injections at all. In general, spider veins respond to treatment in 3 to 6 weeks, If the veins respond to the treatment, usually they will not reappear. However, new veins may appear over time. If needed, you may return for injections.
What are the complications of sclerotherapy?
Side effects of sclerotherapy may include: milder effects like Raised red areas ,Brown lines or spots on the skin, Bruising around the injection site , itching may occur which all settle with time. Rare Complications, include venous thromboembolism, visual disturbances, allergic reaction, thrombophlebitis, skin necrosis, and hyperpigmentation, small ulcers at the injection site.
What are the guide lines After Sclerotherapy?
After sclerotherapy you will be able to drive yourself home and resume your regular daily activities. Walking at regular interval is recommended. support hosiery to “compress” the treated vessels is recommended. Avoid few medication like aspirin, ibuprofen and other anti-inflammatory medications. you should avoid heat from any sources like Hot baths,Hot compresses steam and saunas Direct exposure of sunlight for 48 hours after treatment