Sclerotherapy: Q&A
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Sclerotherapy on Slightly Bulging Leg Veins?
I am wondering if having sclerotherapy on slightly bulging leg veins on shins (not varicose--I have been told they are athletic veins) would be successful--or if it is only successful on spider veins. The nurse who plans on doing the treatment will use a foam solution (detergent) and will use a light to find the veins. Feedback would be greatly appreciated.
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8 Doctor Answers |
Asked by
Jamby
in portland, or
+2
Varicose Veins
Varicose veins are common in distance runners, because the peak pressure on the valves can lead to valvular incompetence. I suggest finding a member of the american college of phlebology (ACP) who understands treating more than just spider veins. You may need an ultrasound study of your veins to see if the valves in these veins are faulty. Depending on the size, they can respond to foam sclerotherapy, which is sometimes done under ultrasound-guidance. Another...
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+2
Varicose veins
Atheletic veins?? these are varicose veins, if they are big then you need a workup to make sure the vein valves are working well.
Excision and ligation is better than sclerotherapy in large veins. Sclerotherapy works but can cause a lot of inflamation and discomfort. Excision is done through a small incision. Large varicose veins are also treated with endovascular laser or endovascular ultrasoundthat delivers energy to destroy the inside wall of the vein and causes it to collapse and...
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Baltimore Plastic Surgeon
+2
Sclerotherapy
If the veins are not too large, sclerotherapy should be effective. It may take multiple treatments to achieve the result however. Athletic legs don't preclude the possibilithy of vericosities.
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Sclerotherapy for leg veins
It is always a safe approach to first check the venous system, when veins are large, raised, bulging, to make sure that there is not a reverse connection between the superficial and deep systems of the veins. This is done by Duplex ultrasound. Many vascular surgeons, some dermatologists and plastic surgeons also do this. If there is not a reverse flow problem, than there is a higher level of comfort to proceed ahead with treatment.
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Sclerotherapy on shins - very effective
These are areas where the skin is thin - on the bony part of the shin (medially) and on the muscular side (lateral aspect) where these veins cross over the tibia. It is very painful to do microphlebectomy here whether the vein is small or moderate in size or large and bulging and I avoid microphlebectomy here at all cost because it is very painful - therefore, I used sclerotherapy here regularly as it is nearly painless and very well tolerated and effective. You can call it whatever you want...
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+1
Small caliber varicosities can be effectively treated with sclerotherapy
If these veins are isolated vessels (you don't see other spider veins on the ankle, etc), they can be very effectively treated with sclerotherapy. I agree with using a foamed solution-- as the increased contact time with the vein wall will give you better result than with with a liquid solution. You should wear compression stockings for 1-3 weeks afterwards to ensure optimal resolution of the veins. Foam sclerotherapy is an advanced technique-- complications...
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Sclerotherapy options for large varicose veins
Sclerotherapy should be effective on these veins, but I would recommend performing these procedures with a knowledgeable surgeon who is a diplomate of the American Board of Phlebology.
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