Varicose veins are a very common problem. Both men and women may feel self-conscious about these swollen blood vessels, which can cause pain, discomfort or itching. While older vein stripping methods were invasive and often painful, with long recovery times, today’s treatments are much improved. As technology advances, techniques such as sclerotherapy have become fast, highly effective and much more comfortable.
What Is Sclerotherapy?
About 20% of American adults have varicose veins, and many consider sclerotherapy as a potential solution. During this quick procedure — typically less than an hour — a doctor injects medication directly into the affected vein.
Following the injection, the vein forms scar tissue and collapses. Blood reroutes through healthy veins as the treated one breaks down. Over time, the body will reabsorb it, making it disappear. Some veins may need two or three treatments, but each is minimally invasive.
Advanced Sclerotherapy With Ultrasound-Guided Foam
Sclerotherapy techniques continue to evolve, and some clinics, such as Central Florida Vein and Vascular Center, now offer ultrasound-guided foam sclerotherapy.
With this technique, clinicians use real-time ultrasound to find and inject deep veins, usually in the legs. A foam mixture pushes the blood into healthier vessels so the medication can treat the vein wall more effectively.
Sclerosants, the type of medication used to close veins — are also becoming more advanced. New drugs like Varithena reduce the chances of side effects, such as headaches or visual disturbances.
Is Sclerotherapy Effective And Safe?
As it is a minimally invasive procedure, most people with varicose or spider veins can benefit from sclerotherapy. It has a success rate of between 80% and 90%, making it a highly effective treatment. It is considered a safe procedure for most individuals, although it’s not recommended during pregnancy.
Consulting a specialist is the only sure way to know whether you are a good candidate for sclerotherapy. Typically, you will have a venous reflex test as an initial diagnosis tool. This is a quick and painless ultrasound examination, which will establish the extent of venous insufficiency causing the varicose veins. Your physician will use this to help determine which treatment is best.
What To Expect Before, During And After The Procedure
For two to three days before treatment, avoid ibuprofen or other anti-inflammatory drugs, as well as antibiotics and dietary or herbal supplements. Do not shave or apply lotion to the area in question.
At your treatment appointment, clinicians will disinfect the relevant area of the body, and the physician will inject the solution into the vein. For deeper veins, specialists can use ultrasound to guide them. For surface veins, visual inspection is often adequate. The entire procedure usually takes 30 minutes to one hour. Most patients feel only a mild needle scratch.
Following the procedure, avoid hot baths or showers, vigorous exercise and lotion application for 48 hours. Do not take anti-inflammatory medications during that period. Your physician may recommend compression stockings for a couple of weeks to help prevent swelling.
After the procedure, patients may experience mild pain, itchiness or swelling at the injection site, which usually resolves quickly. There could be some bruising or skin staining, and the latter may persist for some time. Some people experience headaches or visual disturbances. Serious complications are rare, but always seek medical advice if you have concerns.
What Is The Best Treatment For Varicose Veins In Orlando?
Treatment options in Orlando depend on your individual diagnosis and the techniques available at the chosen clinic. As with any medical procedure, the physician’s experience and expertise are important. Check credentials carefully when selecting a venous treatment center.
Dr. Horowitz, the founder of Central Florida Vein and Vascular Center, is one of only a few hundred physicians nationwide to hold Diplomate status with the American Board of Venous and Lymphatic Medicine, marking him as a leading specialist in this field.
This center offers a wide range of treatment options, including:
- Sclerotherapy
- Ultrasound-guided foam sclerotherapy
- Endovenous laser treatment (EVLT)
- Venaseal therapy
- Microphlebectomy
Your physician will determine the best treatment following an initial consultation and diagnostic ultrasound examination.
With four convenient locations and a reputation for outstanding patient care and follow-up, Central Florida Vein and Vascular Center distinguishes itself as a leader in vein care.
Frequently Asked Questions About Sclerotherapy
It’s normal to have lots of questions about any medical procedure. Here are some of the most common questions people ask.
How Many Treatments Will I Need?
This depends on the number and size of the veins being treated. Some may disappear after just one treatment, especially with ultrasound-guided foam sclerotherapy. However, others might require two to three sessions, several weeks apart.
Are the Results of Sclerotherapy Permanent?
The treated vein typically does not return. However, this does not prevent new varicose veins from forming in the future. If signs of venous insufficiency remain, your physician can advise on lifestyle adjustments to minimize the risk of recurrence.
What’s the Difference Between Sclerotherapy and EVLT?
Both treat varicose veins, but in different ways. While sclerotherapy uses a chemical agent to close the vein, EVLT uses laser heat to do so. Specialists like those at Central Florida Vein and Vascular Center often use both, sometimes following EVLT with sclerotherapy to ensure comprehensive treatment.
Is Varicose Vein Treatment Covered by My Insurance?
Insurance coverage varies, so check your plan for specifics. However, venous insufficiency – the primary cause of varicose veins – is a progressive medical condition. The diagnostic test for this is almost always covered by insurance, and following diagnosis, many private health care providers will cover treatment. However, your provider may require you to try conservative treatments first, such as compression stockings.
A Clear Path To Vein Health
Modern treatments for varicose veins have moved far beyond the invasive treatments of the past. Options like sclerotherapy and ultrasound-guided foam sclerotherapy offer minimally invasive, mostly painless treatment with very high success rates. If you would like to seek treatment, the most crucial factor is your choice of a dedicated specialist. Book a consultation with a board-certified physician at a specialized vein center and take the next step toward healthier legs.
