Injection sclerotherapy for veins
Ultrasound Guided Sclerotherapy
Sclerotherapy Injections for veins
Injections of sclerosing agents (substances that cause the vein walls to collapse and scar together) are the most common injection treatment for veins offered at The Vein Clinic.
Liquid sclerotherapy is used for treating smaller varicose veins and spider veins.
Foam sclerotherapy is a modification of the technique whereby air or physiological gases (oxygen/carbon dioxide) are mixed with the sclerosant agent to form a “foam”.
Foam sclerotherapy has been proven to be more effective over liquid in treating larger incompetent veins. Foam sclerotherapy injections for larger veins are usually guided by ultrasound, to ensure accurate placement within the target vein maximising efficacy and minimising the risk of complications.
Injections for Veins: What to expect?
Sclerotherapy injections for varicose veins performed under ultrasound are similar in discomfort to what you experience having a blood test. Usually discomfort is minor and well tolerated. Usually between 1-10 needle entry points will be required depending on the extent of your vein problems.
Sclerotherapy injections for spider veins involves a finer needle and the experience is much like a mosquito bite. The number of injections required is usually far more than that for varicose veins and may be between 10-100 per treatment session. Many patients are surprised to learn that spider vein treatments are generally more difficult and painful than the larger varicose vein treatments.
Following spider vein sclerotherapy compression stockings are usually worn continuously (day and night) for 5-7 days and following varicose vein sclerotherapy for 14 days.
The wearing of compression stockings following cyanoacrylate injections is usually only for 3 days (if at all).
It is a requirement that patients walk for 20-30 minutes immediately following treatment and for 20-30 minutes each day for the next 2 weeks. This helps prevent complications such as DVT (deep vein thrombosis) and promotes the opening of collateral pathways for blood to return to the heart in healthy veins..
Sports,Gym & other activity:
Walking and gentle exercise only is advised in the first week following treatment. In the second week other exercise may be gradually introduced “as tolerated”. In general terms after 2 weeks most people can return to normal (for them) activity.
Recovery is however like most things in medicine is individual and depends on the extent of treatment, type of treatment performed, patients pain threshold, extent of inflammation after treatment, compliance with stockings and other medications prescribed after treatment, patients general health and healing capacity.
If you're unable or unwilling to take anti-inflammatory tablets after treatment your recovery may be more prolonged.
Cosmetic improvement after varicose vein treatment is largely instant and marked improvement soon after treatment is the norm. Sometimes however several treatments may be required and gradual improvement will usually be seen after each treatment.
With spider vein treatment however results take time and cosmetic appearances may in fact be worse for up to 3 mths following treatment and the full effect of treatment may not be shown for up to 12 months.
About The Vein Clinic
Dr Luke Matar and The Vein Clinic Perth specialise in minimally invasive and non-surgical treatments for varicose veins, spider veins and venous reflux. Vein experts around the world now recognise these treatments as the new “standard of care”, for the removal of varicose veins. Unlike with vein surgery, your everyday life will not be affected by your treatment.
The Vein Clinic offers a large variety of treatments for varicose veins, and Dr Luke Matar will always provide a through ultrasound and clinical assessment, to help you fully understand the underlying causes of your vein problem. Varicose veins are caused by venous reflux, and it’s important to address the underlying cause to avoid recurrence of your symptoms.
Once you have received a clear diagnosis, Dr Matar will assist you to to make a well informed decision about your treatment.
In addition to treatments based on injections for veins, The Vein Clinic also offers techniques using laser for veins, and other minimally invasive vein surgery options including Clarivein(™) and Venaseal(™) - hyperlink.