Will Hand Sclerotherapy Affect my Hand Function?

We don't know the long term effects of hand sclerotherapy.  I've been doing sclerotherapy for over 25 yrs and i (like most docs) still won't do it in the hands yet.  Those veins are just too important to be messing around with.

I am not aware of hand function being limited by sclerotherapy of hand veins. Certainly, some patient with medical conditions such as diabetes and circulatory problems such as Raynaud's, Scleroderma, Dermatomyositis and Lupus would not be good candidates.  Some physicians, such as myself, would prefer making the veins less obvious with the use of fillers than obliterating structures that could be useful for medical reasons such as intravenous infusions for emergency or medical treatment.

This is not a common procedure and from the limited information available, it does not appear to impair hand function. However, the development of a complication such as ulceration with infection has the potential for an adverse reaction and compromise of hand function.

Hand function is based on muscular and neurologic innervation and properly functioning arteries suppled in a duplicate way by the radial and ulnar arteries. Most people have a complete arch where the 2 arteries cross each other and can take over for another. The deep veins of the hand are critical but are not treated by sclerotherapy.What you see visually on the hands are the superficial dorsal veins and treating them by microphlebectomy or sclerotherapy or a combination of BOTH will NOT affect hand function. 

The treatment of hand veins is certainly only a cosmetic issue although I have had a massage therapist whose abnormal  veins on her thumb interfered with her work.  I have over the last 15 years treated many hand veins with excellent cosmetic results and no functional loss.  I use sclerotherapy for the smaller veins and laser ablation for the larger cord like veins. Both forms of treatment work very well, are well tolerated and have high patient satisfaction.

sclerotherapy on the dorsum of the hands is highly effective but takes many months to see dramatic results.  your hand function should not be changed in any way besides the treated veins being sensitive afterwards and until their resolution.

Cheers

This is an unusual procedure generally limited to other parts of the body.  Also, hand veins tend to be bigger and sclerotherapy works better in smaller veins with slower blood flow going through them so the irritant has time to cause inflammation in the vein lining and then it scars down.  If the injection misses the vein it can cause tissue loss, open wounds, scarring and thus possibly funtional problems.  I would doubt that if you spoke to a hand surgeon, they would bless this idea.