Pain after sclerotherapy. Is this normal?

Question

I had scylotherapy 4 weeks ago on the front of my shin for a moderate vein I still have pain in my ankle and inner part of my knee and thigh, can you advise if this is normal ?

Michael Nguyen, MD · Answer

Please see your provider for follow up if you are concerned and discomfort continues since this is not normal at this point in time. If not able to see your provider right away, it is very important that you are seen still, might also need ultrasound evaluation to make sure everything is healing properly and that there is no complication post treatment. All the best,

John Landi, MD · Answer

It is not normal to have pain weeks after sclerotherapy.  You may have trapped bllod causing discomfort.  You should follow up with your treating physician and an ultrasound may be indicated.

Faisal Siddiqi, MD · Answer

Without knowing some of the finer details of your procedure, there are some situations where discomfort can linger after sclerotherapy.  Some of the important details to know are whether the pain extends to areas outside of where you received injections?  Did the session entail any foam sclerotherapy? Additional things to note are any areas of redness, tenderness , or swelling in the leg (whole vs specific areas) by physical examination. I encourage my patients to reach out directly to me with any concerns and come in for a quick visit so I can get a visual on the problem.   In most circumstances, there are easy solutions to help with areas of local phlebitis (inflammation of the vein).  I would encourage you to schedule your follow up with the treating clinic and be seen (if you have not done so already).   Ideally, any issues that are leading to slower healing and cosmetic improvements can be addressed. Thanks!

Brian Heeringa, MD, FACS · Answer

Pain after sclerotherapy is typically very minimal.  Occasionally when used for larger veins, patients can develop retained coagulum where blood works its way back into a treated vein and then coagulates.  When that happens, it causes tenderness along the course of the treated vein but that does not sound like what you described.  Pain in your ankle and your knee from sclerotherapy in your shin don't sound like typical symptoms and you should speak with your physician

Pain after sclerotherapy. Is this normal?

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