Two rounds of sclerotherapy and the veins are still there. What should I do? (Photo)

Question

I had the second round of ultrasound guided sclerotherapy three weeks ago, and the largest vein which starts mid-thigh and continues down the front of my leg and around my knee is still there. Not sure if the doc didn't get to the feeder vein or what, but it hasn't gone away after three weeks of the strong hose. Is this a sign of a poor job by the doctor? Or a deeper issue such as CVI? I'm also wondering what the next step in getting rid of this would be. Another round of sclero?

Raffy Karamanoukian, MD, FACS · Answer

I would suggest a vein ultrasound followed by another round of sclerotherapy to treat the proximal and distal problematic veins. Best, Dr. KaramanoukianLos Angeles

J. Jason Wendel, MD, FACS · Answer

Thank you for your question in regards to sclerotherapy. A venous doppler should be performed to identify if you have any underlying reflux. If present, only treating what is visible on the surface will reoccur and results will not be achieved. To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Jason Emer, MD · Answer

Often multiple treatments are needed including lasers and sclerotherapy.  I suggest seeing an expert for treatment.  Best, Dr. Emer.

Hratch Karamanoukian, MD, FACS · Answer

Failed sclerotherapy can be addressed in such sizable veins with micophlebectomy.H Karamanoukian MD FACS
certified vein specialist from ABVLM

John Landi, MD · Answer

The posted picture looks like varicose veins around the knee area.  Varicose veins are due to underlying refluxing valves and a venous ultrasound should identify this.  If you have malfunctioning valves these may need to be treated as they are the source of the veins.  Treating just the veins is not treating the cause of the problems so the veins may not respond to sclerotherapy.  See a vein specialist.

Two rounds of sclerotherapy and the veins are still there. What should I do? (Photo)

Answers (6)