I Had Scleratherapy Done Around my Ankle, Which is a Sensitive Area. It is Still Swollen After 3wks?

It is tender and sore to touch around the ankle. Is it because it is a sensitive area and takes longer because of ankle movement?

Doctor Answers 7

Ankle swelling after sclerotherapy

The recommendation from Board Certified Phlebologists (vein specialists) like myself is to get an urgent Doppler ultrasound evaluation to make sure you don't have a deep vein clot.

Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Ankle Sclerotherapy

While the ankle does tend to be a bit more sensitive to sclerotherapy treatment, any sensitivity or soreness should have diminished after 3 weeks. As a sclerotherapy and vein expert, I recommend you see your doctor for a follow-up to ensure there is no more serious complication at play here.

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 25 reviews


I would highly recommend that you see your provider for follow-up as enough time has past to still be experiencing pain.  

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Sclerotherapy pain

I would expect that the soreness and tenderness would be gone by now.  I would have the area evaluated by the doctor that did the treatment to ensure no complications, such as infection or blood clots.  It may just be continued inflammation (i.e. phlebitis) as the veins respond to the treatment, but all of this is typically gone by 3 weeks.  There are more nerves in the region of the foot and ankle than there are in the leg, so the risk of persistent nerve pain is higher when the ankle and foot are treated.

Joel Gotvald, MD, FACS
Austin Vascular Surgeon
5.0 out of 5 stars 2 reviews

Probably due to continued irritation.

The most sensitive area for sclerotherapy seems to be around the ankles probably because there is only skin and bone there and not enough fat to serve as a cushion.  Because of this I have found sclerotherapy to be uncomfortable in this area but I have not seen the soreness last for 3 weeks post treatment.  I would be concerned that there is a reason for the continued soreness such as a clotted vein ( superficial or localized deep vein phlebitis) or skin sensitivity secondary to leakage of the sclerosing solution into the surrounding tissue.  You should follow up with your treating physician.

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

Sensitivity 3 weeks after sclerotherapy

There are several different agents used for sclerotherapy all are irritants and work by causing an inflammatory reaction to the lining of the spider vein.  Most of the localized sensitivities are usually gone by 2 weeks.  If it is persisting then you may want to be evaluated by your physician. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Ankle still very swollen after sclerotherapy was done

At three weeks out your swelling should be well gone. I would suggest you follow up with your treating physician for an evaluation. You might have been more sensitive to the solution used for the sclerotherapy (there are many kinds so I'm unsure what was used), but after three weeks, swelling should have resolved.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 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.