Hard Bruised Lump After Sclerotherapy

Its been 2wks since 1st sclero, I have a hard bruised lump on back of thigh - should I get this gently drained asap or wait until follow up apptmt May 26? Thank you

Doctor Answers 9

Sclerotherapy follow up

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
We routinely see patients after sclerotherapy for varicose veins and if there are lumps that are painful, we perform an urgent venous Duplex scan to exclude DVT - which is rare but a known side effect of sclerotherapy. 

Try heat first.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Sclerotherapy for varicose veins can lead to hard lumps but for spider veins hard lumps usually do not occur in the veins.  Spider veins tend to form a bluish discoloration from the clotted blood within the vein.  Sometimes these "lumps" post sclerotherapy are due to the solution having been injected outside of the vein.  Initially I would try warm compresses to the area and take an NSAID.  If this doesn't improve the problem then see your treating physician for possible evacuation.

John Landi, MD
Naples General Surgeon

Hard Lump after sclero should be drained

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

What you are describing sounds like a coagulum-- trapped blood inside a collapsed vein, which can happen after sclerotherapy of larger veins.  Rest assured these are not concerning, but they should be drained sooner to decrease the risk of pigmentation.  See your doctor for evlaution.


Dr. Margaret Mann

Margaret Mann, MD
Cleveland Dermatologic Surgeon

Lump after sclerotherapy

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

To be on the conservative side.  warm compress with compression stockings should do the trick.  If there is significant pain and/or swelling I would recommend seeing your treating doctor to determine if more invasive treatment is needed.  This can include draining the "trapped" blood in the treated vein.  


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The lump you describe is usually seen when large veins are injected. You can wait to resolve and it will,. Draining it will be difficult and not successfull.

Samir Shureih, MD
Baltimore Plastic Surgeon

Hard lump after sclero

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Sometimes hard tender bruised lumps can be lanced and draied of clotted blood which may decrease the chance of pigmentation. See your doctor for evaluation.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Hard lumps after sclerotherapy should be drained within 1 month for faster resolution.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Trapped blood in the varicose vein can get swollen and hard and is easily removed by your doc.  The sooner the better but 1 month is not too late.  If you do sclero enough, you will get this once in a while. 

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 46 reviews

Lump after sclerotherapy

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is common to get a lumpy feeling in the sclerosed vein following injections.  As long it is not overly painful and you are not experiencing swelling or tenderness in the calf when you flex your foot it is ok to wait until your recheck appointment on the 26th. 

Sometimes we like to drain the sclerosed vein during this period to decrease the possibility of hemociteron staining but your chances of staining does not significantly increase by waiting those few days. 

Lee Robinson, MD - RETIRED
Portland Facial Plastic Surgeon

Complications after sclerotherapy

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Aspiration of a post-sclerotherapy nodule is a very simple process. If the firmness is really bothering you, consider speaking to your physician. Either way, it will resolve with time. 

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.