Treating Veins With Sclerotherapy

Sclerotherapy treats both varicose veins and spider veins. It can address large insufficient veins beneath the skin using ultrasound guidance, as well as small surface spider veins injected directly with a fine needle. Sclerotherapy is also used to treat related symptoms of chronic venous insufficiency such as leg heaviness, aching, and swelling.

A sclerotherapy session typically takes 10 to 30 minutes, depending on the number and size of veins treated. The procedure is performed in-office and patients can usually return to their normal daily activities afterward.

Sclerotherapy is a nearly painless procedure. Most patients feel only a small pinch when the needle is inserted, and some may experience mild burning or cramping for a few seconds as the sclerosant solution spreads through the vein. No general anesthesia is required.

The number of sessions depends on the extent of your vein disease and the type of veins being treated. Many patients see significant improvement after one or two sessions, while more extensive vein disease may require three or more treatments spaced several weeks apart. Your vein specialist will create a personalized treatment plan after a diagnostic ultrasound evaluation.

There is zero-downtime after sclerotherapy. Most patients resume normal daily activities the same day. You will be asked to wear medical-grade compression stockings for several days and to walk regularly to promote healthy circulation. Strenuous exercise, hot baths, and direct sun exposure on the treated area should be avoided for one to two weeks.

Sclerotherapy is covered by most major medical insurance plans when it is medically necessary — for example, to treat symptomatic varicose veins or chronic venous insufficiency. Purely cosmetic sclerotherapy for spider veins may not be covered. Our verifications team can confirm your coverage before your appointment.