How effective is sclerotherapy for treating varicose veins, and what are the recovery times

Sclerotherapy is a highly effective and minimally invasive treatment for varicose veins and spider veins. It involves injecting a sclerosing solution directly into the affected veins, causing them to collapse, scar, and eventually be reabsorbed by the body. Here's a detailed look at its effectiveness and recovery: Effectiveness of Sclerotherapy Success Rates: Studies show that sclerotherapy has a success rate of 60–80% for smaller varicose veins and spider veins. For larger veins, additional sessions or alternative treatments like endovenous ablation may be required. Cosmetic Results: It significantly improves the appearance of treated veins, often making them less noticeable or invisible. Symptom Relief: Many patients report a reduction in symptoms like leg pain, heaviness, swelling, and fatigue associated with varicose veins. Multiple Sessions: For optimal results, 2–4 treatment sessions may be necessary, especially for extensive varicosities. Permanent Solution: Once treated veins are absorbed, they do not return, but new varicose veins can develop if underlying venous insufficiency persists. Recovery Times Immediate Recovery: Most patients can resume light activities immediately after the procedure. Walking is encouraged to promote circulation and prevent clot formation. Mild Discomfort: You may experience mild itching, swelling, or bruising at the injection sites, which typically resolves within a few days to weeks. Compression Stockings: Wearing compression stockings for 1–2 weeks post-treatment helps improve outcomes by supporting the treated veins and reducing swelling. Visible Results: Spider Veins: May fade within 3–6 weeks. Larger Varicose Veins: Can take 3–4 months to fully resolve. Complete Healing: Most patients return to normal activities within 24–48 hours, but strenuous exercise should be avoided for 1–2 weeks. Follow-Up: Regular follow-ups with your doctor ensure the treated veins are healing properly and monitor for new vein issues. Factors Affecting Effectiveness Severity of Varicose Veins: Larger or more advanced varicose veins may require additional or alternative treatments. Underlying Conditions: Chronic venous insufficiency can lead to the recurrence of varicose veins even after successful sclerotherapy. Lifestyle and Compliance: Maintaining a healthy weight, staying active, and wearing compression stockings as directed can improve results and prevent recurrence. Risks and Considerations Temporary Side Effects: Bruising, redness, or small lumps in the treated area may occur but usually resolve on their own. Rare Complications: Allergic reactions to the sclerosing agent, blood clots, or hyperpigmentation (skin discoloration) at the treatment site. Not Suitable for Everyone: Pregnant individuals and those with certain blood vessel or clotting disorders may not be ideal candidates.