Treatment for Leg Veins

Dr. Irwin and Rita Bauer, RN provide sclerotherapy treatment for leg veins.

What is Sclerotherapy?  Sclerotherapy is a procedure performed to improve the appearance of telangiectasias (small superficial blood vessels) and sometimes small blue reticular veins in the legs.  A small needle is used to inject a concentrated sugar solution (glycerin) into the telangiectasias and reticular veins.  This solution irritates the lining of the blood vessel causing the lining to scar together (sclerose) and block the blood flow through the vessel.  The blocked blood vessel then becomes smaller and the appearance of the blood vessel becomes less obvious over a period of weeks to months.  A compression bandage is applied at the end of the procedure.  The glycerin solution contains lidocaine and is much less painful than the older saline solution.  Please let your provider know if you have a Lidocaine allergy/sensitivity.

Do leg vein treatments work for everyone?  The potential benefits of the treatment of leg veins with Sclerotherapy include the possible improvement in the appearance of telangiectasias and reticular veins.  The majority of persons who have leg vein treatments performed will be cleared of their telangiectasias after 1-4 treatments, or at least see good improvement.  Unfortunately, there is no guarantee that leg vein treatments will be effective in every case.  Approximately ten percent of patients who undergo leg vein treatments have poor to fair results.  (“Poor results” means the veins have not totally disappeared after six treatments.)  In rare instances, the veins may become worse after leg vein treatments.

How long will my Sclerotherapy treatment take?  You should be prepared to be in the office for about an hour to allow adequate time for the nurse to position you, have the procedure done, and go over post procedure instructions.

How many treatments will I need?  The number of treatments needed to clear or improve the condition differs from patient to patient, depending on the extent of telangiectasias and varicose veins present.  One to four or more treatments may be needed; the average is two to three.  After your initial series you will need maintenance treatments, every one to four years, to maintain your results.  Since your legs will look worse for approximately one month, and improvement occurs over 2-3 months, you should wait a minimum of 3 months between appointments.

A medical evaluation of your leg veins is required before treatment.  If you would like to schedule an evaluation, please call 206 215 6600