Sclerotherapy treatment of varicose veins

Sclerotheraphy is a form of vein treatment that applies a special chemical substance called sclerosant through a very thin needle directly into the vein. This method "seals the bad vein", and may also help to remove swelling, fatigue, and improve leg cramps. The medical literature shows that up to 50% – 80% of injected veins may be eliminated after one or two expert sessions of sclerotherapy. Less than 10% of patients do not respond to the injections and are offered alternative solutions.

In general, spider veins respond to treatment in three to six weeks. Veins that do respond to the procedure usually will not reappear. However, new veins can later surface at the same place and may require additional injections.


Sclerotherapy is usually nearly painless or causes mild discomfort because it uses the thinnest needle. The size and location of the veins determine the number of injections in one session. The duration of one session on average is 30 minutes. Treatment usually needs to be repeated. (On average from 3 to 6 sessions).The patient need to wear compression stockings after each session to maximize sclerotherapy’s results.

The result of these procedures may significantly improve blood circulation and eliminates abnormal looking spider veins and slow down further the progression of the disease.

What is sclerosant?

Sclerosant – is special substance introduced into the diseased vein. The chemical works by irritating the inner layer of the veins-causing it to swell and narrow, until its walls are sclerosed or "glued".

At IMED Vein Clinic we use only the FDA approved sclerosant. The amount prescribed is carefully monitored by the physician and injected depending on the stage of the venous disease and the patient's own sensitivity to drugs.

Patient preparation:To begin, anti-inflammatory medications like aspirin and ibuprofen should not be taken 48 hours before sclerotherapy. Tetracycline, an antibiotic, should not be taken 2 weeks prior. No lotion should be applied before the procedure.

The Procedure

Initially, the skin of the treated area is treated with special antiseptic.

A sclerosant is injected through a very fine needle directly into small varicose veins and spider veins.

Post-procedure: After the treatment, the patient will need to wear compression stockings and avoid aspirin, ibuprofen or other anti-inflammatory medications for at least 48 hours. Thermal procedures and direct sunlight on the injected areas should be avoided for at least a week.

Showers are permitted, but the water should be cooler than usual. The injection sites may be washed with a mild soap and tepid water.

Patients will be able to resume their daily activities immediately. Walking is encouraged.

Post procedure appearance can include: itching, raised red areas, minor skin reaction, and bruising at the injection site. These should disappear within a few days.

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  • Microsclerotheraphy: For the smallest diameter veins thus used on spider veins.
  • US guided: This high-tech procedure occurs under the ultrasound guidance. This allows reaching areas that are difficult to visualize.
  • Foam sclerotherapy: This is a very effective method. The sclerosant is mixed with air into a foam substance that increases it effectiveness in the larger veins.

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map395 E Dundee Rd Ste 150, Wheeling, IL, 60090

map7804 W College Dr #3N, Palos Heights, IL, 60463