Post sclerotherapy treatment

After 10 weeks of sclerotherapy onoarge veins at the base of the back of my thigh, just above my knee, I'm still experiencing lumps and knots and quite often mild sensitivity. I wear compression stockings for about 9 hours every day. Should the veins be drained?

Doctor Answers 5

Venasmart compression stockings after sclerotherapy

Its quite possible you will need evacuation of any clots in your superficial veins. Continue to use compression. I recommend Venasmart compression stockings for my patients. 


Dr. Karamanoukian
Los Angeles

Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Post sclerotherapy clots.

Hard areas are very common following sclerotherapy treatments and the larger the vein treated the greater the chance of this happening.  I usually drain these areas anywhere from 2 to 6 weeks post treatment so you should definitely  have these evacuated.

John Landi, MD
Naples General Surgeon
5.0 out of 5 stars 5 reviews


Thank you for your question in regards to sclerotherapy. Lumps and pigmented areas are common after sclerotherapy and typically will resolve on their own. Although continuing to wear your compression helps, if tenderness is present, it would be best to follow up with your provider. To be sure, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 182 reviews

Trapped blood

"lumps and nodes" of trapped blood are very often happen after sclerotherapy. It is matter of time and those always resolve. However, if those bother you (tender, pigmentaion, etc) you can ask vein specialist to evacuate using a needle.

Vahe Melkonyan, MD
Sherman Oaks Phlebologist
5.0 out of 5 stars 2 reviews

Nodules along a treated vein

Post-sclerotherapy, one may develop microthrombi within the vessels which feel firm and lumpy.  These are not serious thrombi.  Wearing your compression stocking is helpful and this should resolve over time.  Good luck.

Payman Kosari, MD, FAAD
Charlotte Dermatologic Surgeon
5.0 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.