Can a Medical Assistant Administer Sclerotherapy?

Doctor Answers 15

Should a non-physician perform sclerotherapy?

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This is a common situation encountered by many patients.  They visit a physicians office because of their desire to have a physician perform the treatment only to be told that the doctor does not perform the treatment in question. 

I would recommend that for most varicose vein treatments, an experienced physician should perform the treatments.  These are not benign treatments without risks, there are serious consequences to mistakes that can occur with injection.  Only a very experienced nurse should ever be a substitute for sclerotherapy injections and it should only be happening on patients with small spider veins.

Kelowna Physician

Sclerotherapy by a Medical Assistant

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Depending upon the laws for specific states, medical assistants are allowed to do any procedure that their supervising physician feel they are capable of doing. In fact, some medical assistants can be quite experienced in this procedure and may do a better job than a physician who is not as skilled. In my office all sclerotherapy injections are done by a physician with greater than 25 years' experience. I recommend making sure you choose a very experienced injector.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews


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While the use of Medical Assistants has increased in doing some procedures, sclerotherapy, Fillers, Botox etc.

I believe these are invasive medical procedures that the physician needs to evaluate and treat.

If your physician is too busy then find someone that can spend the time and establish a physician patient relationship.

Samir Shureih, MD
Baltimore Plastic Surgeon

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Medical Assistant performing Sclerotherapy

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I recommend checking with your state laws as to whether this falls under the MAs practice guidelines and I would highly encourage the MA to follow the letter of the law.

David V. Poole, MD
Altamonte Springs Plastic Surgeon


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While the laws vary by state, MAs are often allowed to preform minor procedures as the do them under the supervision of the physician.  This may be direct (him in room) or via in office training and achievement of competency as deemed by the physician.

Can medical assistant administer sclerotherapy?

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Only doctors, trained PAs and NPs may administer Sclerotherapy.  It is important that you make sure that the doctor is trained and knows how to use the product appropriately.

Victoria Karlinsky, MD
Manhattan General Surgeon
4.7 out of 5 stars 26 reviews

Depends on state regulations.

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Medical assistants are, in the current medical atmosphere, doing more and more medical procedures.  Each state had regulations as to who can do what.  Medical assistants consists of physician assistants, nurse PA's, nurses and medical technicians.  All of them need to work under a physician's supervision. If you to have sclerotherapy done by a medical assistant then you should inquire about their training and experience.  If you are uncomfortable with them then ask for treatment by the doctor.

John Landi, MD
Naples General Surgeon

Choosing a vein specialist for sclerotherapy

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I would recommend a board certified surgeon who is a diplomate of the American Board of Phlebology (Vein Surgery).

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Medical Assistants and Invasive Procedures

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I recommend that since you are paying 'physician rates' to get a procedure like sclerotherapy, that you stick with a Board Certified physician, nurse practitioner or physician assistant. Having said that, each State has its own rules.

The law varies by state, but I would not recommend

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The law varies by state, but I would not recommend as sclerotherapy is a more advanced procedure than it may appear, and if you go to a board-certified dermatologist you are more likely to have complete clearance in fewer sessions.

Brian E. Dubow, MD
Beverly Hills Dermatologic Surgeon

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.