Sclerotherapy: Background, Etiology, Indications



Samer Alaiti, MD, RVT, RPVI, FACP Clinical Associate Professor, Department of Dermatology, Keck School of Medicine of the University of Southern California; Medical Director, Miracle Mile Medical Center for Dermatology and Cosmetic Surgery, Inc

Samer Alaiti, MD, RVT, RPVI, FACP is a member of the following medical societies: American Academy of Dermatology, American College of Phlebology, American College of Physicians-American Society of Internal Medicine, American Society for Dermatologic Surgery, American Society for Laser Medicine and Surgery

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Mark E Krugman, MD Assistant Professor of Plastic Surgery, Clinical Professor of Otolaryngology-Head and Neck Surgery, University of California at Irvine School of Medicine

Mark E Krugman, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Society of Plastic Surgeons, American Academy of Facial Plastic and Reconstructive Surgery, American Society for Aesthetic Plastic Surgery, American Society for Laser Medicine and Surgery

Disclosure: Nothing to disclose.

Chief Editor

Jorge I de la Torre, MD, FACS Professor of Surgery and Physical Medicine and Rehabilitation, Chief, Division of Plastic Surgery, Residency Program Director, University of Alabama at Birmingham School of Medicine; Director, Center for Advanced Surgical Aesthetics

Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, American Society for Reconstructive Microsurgery, Association for Academic Surgery, Medical Association of the State of Alabama

Disclosure: Nothing to disclose.

Additional Contributors

Shahin Javaheri, MD Chief, Department of Plastic Surgery, Martinez Veterans Affairs Outpatient Clinic; Consulting Staff, Advanced Aesthetic Plastic & Reconstructive Surgery

Shahin Javaheri, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Society of Plastic Surgeons

Disclosure: Nothing to disclose.


The authors and editors of Medscape Drugs & Diseases gratefully acknowledge the contributions of previous authors Laurence Z Rosenberg, MD; Jorge I de la Torre, MD, FACS; Gary D Monheit, MD; and John D Kayal, MD; to the development and writing of this article.


Sclerotherapy Treatment for Varicose and Spider Veins


Sclerotherapy uses injections from a very fine, thin needle to improve the cosmetic appearance of spider veins, treat small varicose veins in the legs, and relieve related symptoms such as aching, burning, swelling and cramping. Each treatment session typically results in elimination of 50 to 80 percent of the injected veins.

Tell your doctor if there's a possibility you are pregnant and discuss any recent illnesses, medical conditions, allergies and medications you're taking, including herbal supplements and aspirin.

You may be advised to stop taking aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), iron supplements, or blood thinners several days prior to your procedure. Do not apply lotion to your legs before or after sclerotherapy. Leave jewelry at home and wear loose, comfortable clothing.

Since you may be asked to wear a gown, you may want to bring a pair of shorts to wear during the procedure.

Sclerotherapy is a minimally invasive treatment used to treat varicose and spider veins. The procedure involves the injection of a solution directly into the affected veins, causing them to shrink and eventually disappear.

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Sclerotherapy is used to improve the cosmetic appearance of spider veins and to relieve some of the symptoms associated with spider veins, including aching, burning, swelling and night cramps. It is the primary treatment for small varicose veins in the legs.

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Tell your doctor about all the medications you take, including herbal supplements. List any allergies, especially to local anesthetic, general anesthesia or to contrast materials. Your doctor may tell you to stop taking aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) or blood thinners before your procedure.

You may be asked to stop taking iron supplements.

Tell your doctor about recent illnesses or other medical conditions.

Ask your doctor about antibiotic medications you may be taking or ask for safe guidelines for discontinuing these medications.

No lotion should be applied to legs before or after sclerotherapy.

You should wear comfortable, loose-fitting clothing to your exam. You may be given a gown to wear during the procedure.

You may want to bring a pair of shorts to wear during the procedure.

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The procedure uses a very fine, thin needle to inject a sterile sclerosing solution into the small veins.

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When the sclerosing solution is injected directly into the spider or varicose veins, it irritates the lining of vein, which causes it to swell and stick together. Over time, the vessel turns into scar tissue that fades from view.

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This procedure is often done on an outpatient basis. However, some patients may require admission following the procedure. Ask your doctor if you will need to be admitted.

Using a very fine needle, your interventional radiologist will inject the vein-dissolving solution into the varicose and spider veins. As the procedure continues, you will feel small needle sticks and possibly a mild burning sensation. The number of veins treated in one session varies, and depends on the size and location of the veins.

The procedure is usually completed within 30 to 45 minutes.

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You may experience a cramping sensation for one to two minutes when larger varicose veins are injected.

After the treatment you will be instructed to wear support hosiery or wraps to “compress” the treated vessels.

You may experience certain side effects after sclerotherapy. Larger injected varicose veins may become lumpy and/or hard for several months before resolving. 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, but can be permanent about five percent of the time.

Bruising may occur around the injection site and can last several days or weeks.

In general, spider veins respond to sclerotherapy in three to six weeks, and larger veins respond in three to four months. If the veins respond to the treatment, they will not reappear. However, new veins may appear over time, and if needed, you may return for additional injections.

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The interventional radiologist can advise you as to whether the procedure was a technical success when it is completed.

Your interventional radiologist may recommend a follow-up visit.

This visit may include a physical check-up, imaging exam(s) and blood tests. During your follow-up visit, tell your doctor about any side effects or changes you have noticed.

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  • Each sclerotherapy session typically results in elimination of 50 to 80 percent of the injected veins.


  • Any procedure where the skin is penetrated carries a risk of infection. The chance of infection requiring antibiotic treatment appears to be less than one in 1,000.
  • Risks include the formation of blood clots in the veins, severe inflammation, adverse allergic reactions to the sclerosing solution and skin injury that could leave a small but permanent scar.

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Large varicose veins do not respond as well as small ones to sclerotherapy. A few (less than 10 percent) of people who have sclerotherapy do not respond to the injections at all. In these instances, different solutions or a different method, such as cutaneous laser therapy, may be attempted.

You will not be able to undergo sclerotherapy treatment if you are pregnant, breastfeeding, or are bedridden. You must wait at least three months after giving birth before you can be considered for this procedure.

Often, phlebectomy is used with a more comprehensive treatment plan, including additional procedures such as endovenous catheter ablation that use radiofrequency or laser energy.

Patients should discuss their individualized treatment plan with their interventional radiologist.

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Additional Information and Resources

This page was reviewed on January 23, 2019


Sclerotherapy Cost, Recovery, Complications & Side Effects


  • During the sclerotherapy procedure, a health care professional injects chemicals into smaller veins, which damage the inner lining and produce a clot. As the clot is reabsorbed, the vessel is permanently obliterated.
  • The choice of the chemical sclerosing agent and its physical form depend on the size of the vessel to be treated.
  • Treatment of the correct vessels can improve the symptoms of venous insufficiency.
  • Small superficial vessels are often destroyed for cosmetic reasons.

What is sclerotherapy?

Sclerotherapy is a medical procedure whereby a chemical, the sclerosant, is injected into a vein to entirely obliterate it. The sclerosant damages the innermost lining of the vessel (the endothelium), resulting in a clot that blocks the blood circulation in the vein beyond. Veins carry unoxygenated blood from the peripheral tissues back to the heart.

Since the venous blood pressure in the veins is low, the blood is pumped by forward by contractions of the heart. To prevent back-flow, most veins have valves that only allow blood only to flow in the direction of the heart. When these valves become incompetent, veins become enlarged and bulging (varicose).

Smaller veins that feed these varicose veins can also become enlarged and appear as red or blue spider veins in the skin. Varicose veins can lead to a chronic swelling condition of the leg called venous insufficiency. Venous insufficiency predisposes a person to leg swelling, blood clots, and skin ulceration.

Even more frequently, damaged veins are manifested as unsightly spider veins. The destruction of these types of veins can be desirable both medically and cosmetically.

In some patients treated with sclerotherapy, dark discoloration of the injected area may occur (hyperpigmentation). This usually happens because of disintegration of the red blood cells in the treated blood vessel. In the majority of cases, this discoloration will completely go away within 6 months.

Another potential problem is the formation of new spider veins near the area that was treated with sclerotherapy. This can happen in some patients, but these new vessels also typically disappear within 6 months.

Rare complications may include the formation of an ulcer around the injection site or the formation of small blood clots in the small surface veins (superficial thrombophlebitis).

Learn more about varicose vein treatment options »

Is sclerotherapy safe?

All medical procedures have risks that should be considered carefully prior to embarking on a particular treatment. Since sclerotherapy is frequently used to treat cosmetic problems, untoward and dangerous side effects ought to be fully explained to the patient.

Does sclerotherapy hurt?

Because this procedure requires injections through the skin, it is not a painless procedure. Some chemicals that are injected (sclerosants) are more ly to cause pain than others. If the sclerosant is deposited outside the vein inadvertently, this is often more painful.

Is sclerotherapy an effective treatment for varicose veins and spider veins?

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Sclerotherapy is an effective technique to obliterate or collapse veins. Other techniques include surgical removal of the offending vein, endovenous laser destruction (fiberoptic-transmitted laser light) and, for very small vessels, percutanous laser light or intense pulsed-light exposure are also effective.

Who is a good candidate for sclerotherapy?

Those with venous insufficiency who have disease that is poorly controlled with compression stockings and who are not obese are ideal candidates for sclerotherapy.

To determine if sclerotherapy obliteration is ly to be of benefit, the site of the defective vein is identified as well as the venous drainage pattern.

Healthy people who complain of unsightly superficial veins of small caliber (4 mm or less) are also candidates for sclerotherapy.

How do people prepare for the sclerotherapy procedure?

Patients are screened using special ultrasound techniques to determine the site of venous disease prior to treatment. In situations where there is only a small area of spider veins, this is rarely done.

An average adult has about ________ square feet of skin. See Answer

How are sclerotherapy injections administered?

There are now two FDA-approved sclerosants available, sodium tetradecyl sulfate (a detergent) and polidocanol (Asclera). For small veins, hypertonic saline is occasionally used. Depending on the size of the vein to be treated, the sclerosant may be administered as foam. A needle of the appropriate caliber is inserted into the vessel to be treated, and the chemical is injected.

What is the recovery time for sclerotherapy?

This is an outpatient procedure and the patient leaves the office on the same day of treatment.

What aftercare is needed following a sclerotherapy procedure?

Patients should wear compression dressings for one to three weeks after treatment. A follow-up visit within two weeks to enable the evacuation of blood clots in larger veins can improve the prognosis and the appearance.

What are the benefits of sclerotherapy?

For patients with venous insufficiency, treatment can be beneficial by improving venous blood flow and limiting chronic swelling. For those with cosmetic complaints, their appearance can be improved.

What are risks, side effects, and complications of sclerotherapy?

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Sclerotherapy risks, side effects, and complications include hyperpigmentation, temporary swelling, capillary dilation (telangiectatic matting), pain from the injection, localized hives, tape compression blister, tape compression folliculitis, and recurrence, vasovagal reflex, localized hair growth (hirsutism), skin death (cutaneous necrosis), allergic reaction, superficial thrombophlebitis, arterial injection, pulmonary embolism, deep vein thrombosis, nerve damage, and migraine headaches.

Does insurance cover the cost of sclerotherapy?

Although insurance companies differ in their coverage and preapproval is always helpful, the treatment of venous insufficiency is usually covered. The treatment of cosmetic problems including spider veins is rarely covered.

Spider & Varicose Veins: Causes, Before and After Treatment Images See Slideshow

Medically Reviewed on 4/19/2018


Gibson, Kathleen, and Krissa Gunderson. “Liquid and Foam Sclerotherapy for Spider and Varicose Veins.” Surg Clin N Am (2017): 1-15.

Goldman, Mitchel P. “My Sclerotherapy Technique for Telangiectasia and Reticular Veins.” Dermatol Surg 36 (2010): 1040-1045.

Weiss, Margaret A., et al. “Consensus for Sclerotherapy.” Dermatol Surg 40 (2014): 1309-1318.




Sclerotherapy involves injecting a chemical solution directly into the varicose or spider vein. The solution causes the vein walls to swell, stick together and seal shut, stopping the flow of blood. As a result, the vein fades within a few weeks.

Varicose veins are caused by weak or damaged valves in the veins. The heart pumps oxygen-rich blood to the body through the arteries. Veins then carry the blood from the body back to the heart. As your leg muscles squeeze, they push blood back to the heart from your lower body against the flow of gravity.

Veins have valves that act as one-way flaps to prevent blood from flowing backward as it moves up your legs. If the valves become weak, blood can leak back into the veins and collect there, causing veins to enlarge and become varicose.

Spider veins can develop from weak or damaged valves as well. They can also be caused by hormone changes, exposure to sun and injuries.


If you are considering sclerotherapy, you will meet with a dermatologic surgeon for a consultation to discuss your cosmetic goals and to determine if sclerotherapy is the best approach to meet your needs. Your surgeon will examine the veins you would treated, and will also examine you for evidence of more serious venous problems. Photographs may be taken for before and after results.

You will also discuss your medical history, including previous surgeries, present and past health problems, medications, and nutritional and herbal supplements you are taking or have taken at some time.

If you decide to have sclerotherapy, your doctor will give you specific instructions to follow before surgery. Your doctor will also review any medications you regularly take and tell you if you need to stop taking them before treatment.

Your doctor may recommend that you wear compression stockings after sclerotherapy to help with healing and decrease swelling. You will be told where you can buy them before your procedure.


Sclerotherapy does not require anesthesia and is typically performed in your dermatologic surgeon's office. The procedure takes about 15 to 30 minutes, but the exact length of time depends on the size of the area and the number of veins being treated.

Depending on its size, a single vein may have to be injected more than once. Treatment must be performed weeks or months apart. Multiple veins may be injected during one treatment session.

During the procedure, you'll lie on your back with your legs slightly elevated. Your doctor will cleanse the area to be treated before inserting a solution into the targeted vein with a fine needle. The solution causes the vein walls to swell, stick together and seal shut, stopping the flow of blood. As a result, the vein fades within a few weeks.

You may experience some minor stinging or cramps when the needle is inserted into the vein. Be sure to tell your doctor if you have any discomfort.

After the injections, your doctor will apply compression and massage the treated area to keep blood the injected vein and disperse the solution. A compression pad may be taped onto the injection site to keep the area compressed.


After the procedure, it is important to walk around to prevent the formation of blood clots in your legs. Most people return to their normal activities on the same day.

Your doctor will give you specific instructions to follow for recovery, including:

  • Avoid sun exposure to the treated areas for two weeks after the procedure. 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.
  • Wear compression stockings to maintain compression on the treated veins.

Side Effects

Sclerotherapy is a simple and typically safe procedure. However, as with any procedure, it does carry some risk and may cause side effects.

Temporary side effects that may occur at the injection site include:

  • Stinging or pain at the sites of injection
  • Swelling of the ankles or feet, or muscle cramps

These side effects usually occur when hypertonic saline solution is used.

  • Red, raised areas at the injection sites

These are similar to hives and should disappear within a day or so.

  • Brown lines or spots on the skin at the injection sites

Darkened areas may result when blood escapes from treated veins. They are probably formed from iron in the blood. These dark areas occur more often in patients who have larger veins or patients who tan easily. In most cases, they disappear within a year, but sometimes they last longer.

  • Groups of fine red blood vessels near the injection sites of larger vessels

About one-third of patients develop groups of vessels, especially on the thighs. Most disappear by themselves, some need additional injection treatments or laser therapy, and a few vessels may not disappear with treatment.

  • Small, painful ulcers at treatment sites, which may develop immediately following treatment or after a few days

These occur when some of the solution escapes into the surrounding skin or enters a small artery at the treatment site. They can be successfully treated, but it is important to tell your dermatologist immediately if they develop.

Bruises usually occur after laser treatments and are probably related to the thinness of blood vessel walls. They usually disappear in a few weeks. Occasionally, bruising occurs after sclerotherapy.

  • Allergic reactions to sclerosing solutions

Although allergic reactions are uncommon, they can be treated. Inform your dermatologist immediately if you do experience an allergic reaction.

  • Inflammation of treated blood vessels

This is very unusual but can be treated with medications such as aspirin, compression, antibiotics or heat.

  • Lumps in injected vessels

Lumps are caused by coagulated blood. They are not dangerous and may be drained by your dermatologist a few weeks after injection.

  • Burning with discoloration of the skin


What Is Sclerotherapy, and How Effective Is It? | CVR Blog


A quick injection into your veins can provide long-lasting relief for varicose and spider veins.

Since at least the 19th century, sclerotherapy has been used to treat chronic venous insufficiencies. Particularly effective against spider veins, it’s a proven course of treatment that offers immediate relief and positive, long-term results.

When preventative care and other noninvasive treatments fail, sclerotherapy is an ideal solution for most patients with spider veins. However, any medical procedure, it’s important to have a solid understanding of the process before making a final decision. Here’s what you need to know.

The Basics

Put simply, sclerotherapy involves an injection of a solution, the sclerosant, directly into the affected vein.

Generally composed of a salt-based compound, the solution damages the inner lining of the vein, creating a small clot.

After the vein collapses, the clot re-enters the bloodstream, the treated vein is reabsorbed into the surrounding tissue, and blood is rerouted through healthier surrounding veins.

Sclerotherapy is a non-invasive outpatient procedure that usually takes no more than 30 minutes. Once treatments concludes, patients are able to drive themselves home and resume normal activities, though most patients should wear compression garments over the treated vein, avoid prolonged sun exposure, and refrain from aerobic exercise for several days after the procedure.

How Sclerotherapy Helps

Sclerotherapy can effectively treat 50 to 80% of damaged veins with each session, while fewer than 10% of patients report no improvement in their condition. For patients suffering from spider veins, it can alleviate pain, significantly reduce swelling, and promote circulation. By lessening swelling, it can also eliminate unsightly bulging of the veins against the skin.

Possible Complications

While most spider vein cases respond well to sclerotherapy, some patients may require multiple rounds of treatment before seeing improvement. If pain and inflammation remain after three to four weeks, another injection may be necessary.

As a noninvasive procedure, sclerotherapy carries fewer complications than a more invasive alternative, but some patients may experience some minor side effects.

The most common include pain, itching, bruising, and inflammation at the site of the injection, but slight discoloration of the skin and hives are possible in some cases.

Most of these symptoms should last for much longer than several days.

Know Your Options

While sclerotherapy is an effective and appropriate therapy for many patients, different conditions and circumstances may require different approaches.

Today, there are a wide variety of minimally or non-invasive treatment options for venous disorders available, ranging from simple lifestyle changes to laser and radiofrequency ablations and phlebectomies.

If you’re struggling with spider veins, or any chronic venous insufficiency, schedule an appointment with a qualified vein specialist today to determine which procedure is best for you.


Venous Disease Sclerotherapy


Sclerotherapy is a medical procedure used to treat varicose veins and “spider veins.” During sclerotherapy, the physician injects a solution directly into the affected vein.

The solution irritates the lining of the vessel, causing it to swell and stick together. Over time, the vessel turns into scar tissue that fades from view.

Sclerotherapy is a well-proven procedure and has been used since the 1930s.

How is sclerotherapy done?

Sclerotherapy is performed in a doctor’s office. The treatment area is cleansed. The solution is injected directly into the blood vessel, using very fine needles. 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.

How successful is sclerotherapy in treating varicose and spider veins?

Sclerotherapy works well for most patients. It is estimated that as many as 50 percent to 80 percent of injected veins may be eliminated with each injection session. A few (less than 10 percent) of the people who have sclerotherapy do not respond to the injections at all. In these instances, different solutions or a different method, such as laser therapy, may be tried.

In general, spider veins respond to treatment in 3 to 6 weeks, and larger veins respond in 3 to 4 months. 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.

Before the procedure, you will have an initial consultation with a vascular specialist who will evaluate your eligibility for sclerotherapy. You are not eligible for sclerotherapy if you are pregnant, breastfeeding, or are bedridden.

You must wait at least three months after delivery before you can be considered for this procedure. You can have sclerotherapy if you take birth control pills. If you have had a blood clot in the past, your eligibility will be determined on an individual basis, and will depend on the extremity and the cause of the clot.

Veins that are potentially usable for future surgical bypass procedures (such as the saphenous vein for coronary artery bypass graft surgery) will generally not be considered for injection, unless they are already deemed unusable.

Will my insurance cover sclerotherapy?

Insurance companies do not provide coverage for sclerotherapy when it is performed for cosmetic reasons. Some insurance companies cover sclerotherapy for specific medical conditions.

Your insurance company may request a letter from your physician concerning the nature of your treatment. Please contact your insurance provider to verify coverage before you consider the procedure.

If you have questions about the cost of the consultation, treatment or stockings, please call the Patient Financial Advocate.

Last reviewed by a Cleveland Clinic medical professional on 05/10/2019.

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Sclerotherapy: Uses, side effects, and recovery


Sclerotherapy is a form of treatment where a doctor injects medicine into blood vessels or lymph vessels that causes them to shrink. It is commonly used to treat varicose veins or so-called spider veins.

The procedure is non-surgical, requiring only an injection. It can also be used to treat blood and lymph vessel disorders that cause these vessels to form incorrectly.

Sclerotherapy uses an irritating solution called a sclerosant, which is injected directly into a vein or lymph vessel. The solution irritates the vessel, causing it to swell. This swelling cuts off the flow of blood or lymphatic fluid and the vessel shrinks.

Various forms of sclerotherapy have been around since the 19th century, but techniques have improved in recent decades.

In this article, we take a look at the uses of sclerotherapy, what to expect from this treatment, as well as during the recovery period.

Share on PinterestSclerotherapy may help to reduce the appearance and symptoms of varicose veins.

Sclerotherapy is most often used to treat varicose veins. Varicose veins are also known as chronic venous insufficiency.

Varicose veins occur when the veins swell and bulge, usually in the legs. This is due to weak vein walls that, in turn, weaken the vein valves. As a result, blood pools up the veins, causing them to swell and look different.

Varicose veins may be painful and can cause skin issues, including rashes. By shrinking the veins, sclerotherapy reduces the effects of vein damage, making varicose veins less visible and less painful.

Sclerotherapy is also used to treat some other conditions, including:

  • Malformed lymph vessels. These are vessels that carry lymphatic fluid or lymph, which helps the immune system fight infections.
  • Hemorrhoids. Sclerotherapy may be used when other treatments fail. Hemorrhoids occur when blood vessels, surrounding the rectum, swell and become irritated, causing pain and making bowel movements uncomfortable.
  • Hydroceles. A hydrocele is an unhealthy development of fluid in a body cavity. Hydroceles are common in the testicles.

Not everyone who has spider veins or another condition that can be treated with sclerotherapy needs to have the procedure. People should discuss their symptoms and treatment options with their doctor to decide if it is necessary.

Other treatments may be more affordable and less invasive. Hemorrhoids, for example, often respond well to nonprescription treatments. This can include lifestyle changes, such as eating more fiber and not straining when having a bowel movement.

People with spider veins should consider sclerotherapy when:

  • the veins are painful
  • the legs are sore or feel heavy
  • the skin on the legs or feet is patchy or dry
  • there is a rash near the veins

Sclerotherapy requires a consultation with a doctor to assess the problematic vein or lymph vessel. Sclerotherapy for spider veins is usually performed in the office of a dermatologist or a vein specialist.

The procedure does not usually require anesthesia or any special preparation. People should follow the doctor’s instructions before surgery since it might be necessary to avoid lotions or oils beforehand.

During the treatment, the person lies on their back with their legs up. A doctor cleans the area, then inserts a small needle into the vein. The needle may pinch.

The doctor injects the vein with an irritating solution. The individual may feel burning, tingling, or nothing at all.

When the injection is complete, the doctor will massage the area to prevent blood from re-entering the vein. The individual may need to wear a pad or compression stockings in the area.

In most cases, someone will need follow-up treatment to collapse a vein fully. If there are several varicose veins, numerous treatments may be the only way to get rid of them.

After the treatment, people should remain active to prevent blood clots from forming. Most will also need to avoid sunlight, which can cause dark spots on the treated area.

Some people experience tenderness or bruising at the site of the injection, but recovery is otherwise relatively easy.

Sclerotherapy is a safe procedure. It is a less invasive and risky option than surgery, as it does not require anesthesia.

Research suggests that it effectively removes spider veins in 75–90 percent of cases, but typically requires multiple treatments. When sclerotherapy does not work, additional treatments, including surgery, may be needed.

The most common negative reactions to sclerotherapy include bruising, redness, and pain near the injected vein. About a third of people develop small branches of blood vessels surrounding the injected vein. These vessels usually disappear on their own.

Less frequently, an individual may experience allergic reactions to the solution, burning in the vein, and changes to skin color.

Tiny air bubbles from the needle can also get into the bloodstream, causing changes in vision, headache, and nausea.

Very rarely, a blood clot can form in the treated vein. Blood clots can travel to areas of the body and become life-threatening if left untreated. If a blood clot moves, it can cause an embolism.

People should seek emergency treatment if they experience chest pain, difficulty breathing, or dizziness after having sclerotherapy.

Insurance coverage for sclerotherapy depends on whether an insurer judges the procedure to be medically necessary.

When spider veins are only a cosmetic concern, insurance might not cover the procedure. Some insurers may require people to try other procedures before trying sclerotherapy, such as cryotherapy to freeze the veins.

When sclerotherapy is used for another condition, such as hemorrhoids, it is covered if it is medically necessary. This may require a doctor to show that other treatments have failed or that sclerotherapy is ly to be the safest and most effective treatment.

Not all malformed veins require treatment. When there are no other symptoms, it is safe to monitor the veins to see if they get worse or begin causing other symptoms.

Lifestyle changes can prevent the veins from getting worse and prevent the development of new varicose veins. Other treatment strategies may include:

  • cryotherapy or freezing the veins
  • laser therapy, using light to fade the veins
  • vein ablation, using heat on a malformed vein
  • closing the vein with surgery
  • surgically removing the veins in severe cases

Sclerotherapy is usually a minor, noninvasive procedure to fix troublesome veins. The outlook for people after sclerotherapy is good since serious side effects are rare and it is effective.

People who are concerned about the risks and benefits of sclerotherapy should discuss the procedure with a doctor and consider seeking a second opinion. It is also wise to contact an insurer to learn whether the procedure is covered.


Spider Vein Treatment in Cincinnati with Sclerotherapy


Sclerotherapy is a procedure which involves injecting a solution into the veins that are causing problems. The solution irritates the lining of the vein walls, leading to their collapse. They eventually scar over.

This forces the blood that was passing through the veins to take a new path and travel to veins that are healthier. With time, the veins that collapsed and scarred over are absorbed by the body and the appearance of the veins gradually disappears.

Sclerotherapy is a popular spider vein treatment in Cincinnati and elsewhere, and for good reason.

Most people use sclerotherapy to treat small varicose veins and spider veins. It is a state of the art yet minimally-invasive treatment that produces unbelievable results. Not only does sclerotherapy remove the appearance of the vein, but it can also help a person who is dealing with symptoms because of their veins. The symptoms can include swelling, aching, and itching.

The only way to determine if this underlying problem exists is by performing a diagnostic ultrasound. The assessment is overall more accurate and reliable in being ultrasound guided. 

One of the reasons why people sclerotherapy for spider vein treatment and search for the best sclerotherapy in Cincinnati is because of how quickly it produces results. Most people will notice their veins fade within as little as one to six months. In some cases, it may take up to a couple of months to see results. 

Multiple spider veins can be treated with only one sclerotherapy treatment session. Some might see results after their first sclerotherapy treatment, but some might need multiple treatments to get the results that they want.

The length of the treatment session is different for different patients because it is affected by the number of veins being treated and the size of the area being treated. Treatment sessions typically last between 20 and 40 minutes.


After receiving treatment, some patients may experience some temporary side effects such as bruising, stinging, swelling, or discomfort especially at the treatment area. These side effects are mild and typically resolve within a few weeks of a treatment session. It is usually recommended for patients to wear compression stockings for at least two weeks after a treatment session.

This supports proper healing and prevents blood clots. Many patients are able to return to normal activities soon after a sclerotherapy procedure. In order to discourage the formation of blood clots, patients are encouraged to walk and move around daily. Strenuous activities, heavy lifting, and/or vigorous exercise are not recommended for at least two weeks after vein treatment.

The more you know about sclerotherapy before having the procedure done, the more ly it is you will be happy with the end results. Sclerotherapy is something that’s performed in the comfort of our office in Cincinnati. You don’t need any type of anesthesia.

Sclerotherapy is any other treatment in that there are minor risks of complications. With that being said, it’s a tried and true procedure, and there’s not a lot of preparation on your part for sclerotherapy. Our expert is going to examine you and make sure that you are a good candidate for the procedure and then you can move forward with planning for your spider vein treatment.

If you find yourself searching “best sclerotherapy near me” or “sclerotherapy treatment near me” in the Cincinnati area, Rejuveination might be exactly what you are looking for! RejuVeination specializes in vein treatments. We strive to provide our patients with the most phenomenal end results. We can say that we specialize in vein treatment because our vein doctors exclusively work on veins all day, every day.

Make an appointment at Rejuveination in Cincinnati to get started with spider vein treatment. Sclerotherapy could work for you. Contact our office today to schedule a consultation and learn more!