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
Hard Bruised Lump After Sclerotherapy
Doctor Answers 8
Sclerotherapy follow up
Hard Lump after sclero should be drained
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
Try heat first.
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.
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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.
Hard lump after sclero
Hard lumps after sclerotherapy should be drained within 1 month for faster resolution.
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.
Lump after sclerotherapy
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.
Complications after sclerotherapy
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.