August 21, 2006
 
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sclerotherapy
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Sclerotherapy is a non-surgical procedure commonly performed for the treatment of capillary, spider and varicose veins.
 
How is it done?
It is carried out by injecting a sclerosing solution, usually STD (Sodium Tetradecol), or a strong strength saline (salt solution) into the vein causing it to shut down. The vein then gradually dissolves and disappears.
Compression stocking are used to keep pressure on the area to produce a better result and to increase comfort for the patient. You need to wear these, without removing them, for one to two weeks depending on the size of the veins being treated.
 
Will I need time off work?
You will not need time off work other than for the treatment appointment. You should not have any strenuous exercise or travel for long periods by car or flights for at least the first forty eight hours to prevent blood clots. You are, however, encouraged to walk about freely after the treatment.
 
How many treatments will it take?

The number of treatments required varies from person to person according to the extent of the problem. Usually around four treatments (two on each leg) are needed, but sometimes only one or two treatment sessions are necessary in milder cases.
 
How much does it cost?
The fee for sclerotherapy is per treatment session and this will be discussed with the doctor at the first consultation.
You will also need to purchase the special compression stockings, which is a once only expense.
 
Are there any complications?

Sclerotherapy is very effective and there is a very high satisfaction rate. Treated veins generally do not come back but new veins may develop over time as this is genetically determined and is influenced by factors such as pregnancy and how much you are on your feet each day.
Complications are uncommon, the most common one being some bruising or staining at the injection site. These usually disappear over a number of weeks.
Very uncommonly. Some patients develop a reddish flare of very fine veins as a result of sclerotherapy. This flare will usually fade with time but in a very few cases, it may remain permanently. Often it may be removed by laser treatment.
Also very rarely, a small sore may result at the injection site. This heals without difficulty, but sometimes leaves a small scar which is quite cosmetically quite acceptable.
 

Is it covered by Medicare of Health Funds?
Medicare will pay a small rebate for treatment of varicose veins but not for spider and capillary veins as these are considered to be cosmetic treatment.
Private health funds do not cover these treatments.
 
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