Will Hand Sclerotherapy Affect my Hand Function?

Doctor Answers 7

Hand Sclerotherapy is a cosmetic procedure - Buffalo Niagara, NY

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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. 

Sclerotherapy will not affect hand function.

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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.

John Landi, MD
Naples General Surgeon

Short answer, no.

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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.


Craig Crippen, MD
Kelowna Physician

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Hand sclerotherapy is still not done by most sclerotherapy docs.

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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.

David Hansen, MD
Beverly Hills Dermatologic Surgeon
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Sclerotherapy for hand veins

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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.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
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Complications from hand sclerotherapy

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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.

Hand sclerotherapy (vein injection)

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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.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 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.