Second Round of Sclerotherapy and Veins are Larger/Bluer/Firmer? (photo)

Following sclerotherapy there can be chemical phlebitis, as is expected since an irritant solution (sclerosing solution) has been introduced into the reticular, spider and varicose veins This takes time to heal (3-6 months) and sometimes if it is very painful requires treatment with ibuprofen, Phlebitis PAk and rarely drainage with a timy puncture. Time will heal these and it is essential to use compression stockings for 3-6 months.

Those veins look like varicose veins, some are smaller to be consistent with reticular veins. The sclerotherapy has caused clotting , can be also called superficial vein thrombosis . The clots with continue to resolve over months and gradually disappear, but it is a long drawn out process. I would not puncture and extract clots which some physicians might do, it does not remove the clots completely so it is not a great option. When I see veins that are bigger I recommend micro phlebectomy... more