Sclerotherapy before endovenous laser vein treatment?
My doctor said my vein is too large to have sclerotherapy performed first, is this true?
Question: I have a few visible spider veins on my lower leg that I want treated with foam sclerotherapy. However, the doctor wants me to do endovenous laser treatment before the sclerotherapy. According to him, my vein is way too large and if I do the sclerotherapy first, they will reappear. Is this true?
Answer: The short answer is yes. If the veins you want treated are too large, the sclerosant, regardless of agitating it or not, will simply wash out of the treated area. Additionally, if the veins you want treated are tributaries of larger veins that are abnormal, then the sclerotherapy will also fail because of the build up of pressure in the larger veins. You can certainly try the sclerotherapy first. But usually this is a waste of time and money. You can liken it to pulling leaves off a tree to trim it.
Question: I have spider veins on my legs and they really hurt to the touch. Can that be dangerous to my health? Answer: In the large picture, pain associated with spider veins is not life threatening. It would be worthwhile to have an evaluation by a qualified provider to see if these spider veins are…Read More
I am scheduled for a right leg radiofrequency ablation. I have venous insufficiency in the saphenous vein and have had a blood clot before. Question: In 2006, I underwent an artificial lumbar disk implant. This failed causing artificial disk to move into the spine. While surgeon removed the artificial disk implant, he nicked the liac…Read More
My doctor said my vein is too large to have sclerotherapy performed first, is this true? Question: I have a few visible spider veins on my lower leg that I want treated with foam sclerotherapy. However, the doctor wants me to do endovenous laser treatment before the sclerotherapy. According to him, my vein is way…Read More
I’m having the same pain that I had before my ablation procedure, except it is in a different new location. How long will this go on? Question: It’s been 2 months since my GSV endovenous laser ablation procedure. I have the same pain that I had before the procedure, except it’s in a new location.…Read More
I recently had the VNUS procedure done (both legs, multiple veins). Is it normal to have open, circular wound with redness and slight weepiness? Question: All of the other areas are healing nicely, but the area on my shin (a bit off center) has a much larger wound. It has been quite red in the…Read More
Question: How big of a size do compression stockings come in? Answer: Compression socks should be comfortable and supportive. If the stockings are making your symptoms worse, it is likely that they do not fit you correctly. There are numerous companies that make standard sized compression stockings. Some make 7 to 8 different sizes. Additionally,…Read More
Question: WHAT CAN I DO TO GET RID OF MY VARICOSE VEINS? Answer: There are numerous options to treat varicose veins. Some are considered medically necessary, while others are strictly cosmetic. Larger veins are treated in a myriad of ways depending on the provider you consult with and their proficiency in a given intervention. The…Read More
Question: I knelt down the other day and injured the large varicose vein over my knee. It bruised quickly and felt very sore, so I put a pressure bandage on it. Since then, the vein bruise has spread and is now about 12″ up my thigh. It is very red, and I’m not sure what…Read More
Question: What treatment options are available for my CVI? I can’t sit or stand in one place and I have heavy, aching legs all of the time. I started to have achy, heavy leg feelings about a month after I sprained my right ankle and scratched my left knee last April. I was diagnosed with…Read More
Question: During the EVLT laser procedure I really didn’t feel well, especially when the laser was on. I felt dizzy and the smell of “burning” freaked me out. Even after I was done, it took me couple hours to feel normal again. Is that normal? Answer: The “odor” and sometimes a taste is normal during…Read More