Dr Kemp and the Staff at The Leg Vein Doctor are amazing. I could not be happier with the results and would highly recommend treatment to anyone. Accessibility and location of clinic is excellent also.
I would recommend getting sclerotherapy for these spider veins. As mentioned before it is the gold standard treatment option. You may need two or three sessions to see a substantial improvement (80%). Bear in mind that you will require a maintenance or top up treatment every few years.
Yes, an ultrasound examination is a necessity post treatment in order to determine that the targeted vein has been successfully occluded. We scan EVLT patients one week after treatment when they come in for their UGS then we recall them for review appointments and a scan at 3 months, 6 months and 12 months post treatment to ensure that there has been no recurrence.
Medical literature has shown the results are improved in patients who do wear compression stockings. I generally recommend that patients wear compression therapy stockings for at least a week to 10 days post direct vision sclerotherapy treatment. I generally recommend that patients do not take off their stockings as they are notoriously difficult to get back on. However I see no harm in you rolling down your stockings to apply cream or to itch a scratch.
As previously mentioned by a colleague above, medical literature solidly shows that the results of sclerotherapy are improved if the patient wears compression stockings in a compliant fashion. There is a wide variety of options available and it can be over whelming which is why most clinics do provide a fitting service. In which they can help you navigate the best style and brand along with ensuring it is the correct size. The most important variable however is strength of compression. Following varicose veins procedures such as Endovenous Laser Ablation, Radio Frequency Ablation and Ultrasound Guided Sclerotherapy I advocate the use of Class 2 30 mmHg strength stockings. These are almost always thigh high to ensure compression on the entire leg. For direct vision or microsclerotherapy on spider veins or reticular veins our clinic still predominately uses 20-30 mmHg however we have the option of knee high stockings and less firm 15-20 mmHg strength for small areas of treatment. Report
