now that you have had a recurrence. And it looks like there are more than just spider veins. I think you would be best served by visiting a vein speciality and getting a venous reflux ultrasound to look for an underlying cause and look for better options for a long term solution.
hello the normal progression of sclerotherapy occurs over 3 to 6 months. In the first several weeks bruising aching and bumps is quite normal. it's very difficult to see your results especially before six weeks. at this point patience is key to see what happens if you're still concerned please see your vein specialist
if this is the only vein. I think sclerotherapy would do a nice job. I am would only say that if there are multiple abnormal veins in the legs I would recommend a venous ultrasound the confirm there isn't a causal venous reflux.
developing venous disease after orthopedic injury is quite common sometimes related to small blood clots sometimes related to direct injury to the vein I think you need a venous reflux ultrasound to determine the cause after which treatments can be better Tailored
hand veins including yours are not often truly vericose. Sclero is likely to be a short term solution. The real issue is loss of fat in the hands. A more Durable option is fillers such as radiesse to restore the hand structure.