SCLEROTHERAPY FOR VARICOSE VEINS

Sclerotherapy is a group of vein treatment techniques that involve injecting a medical solution (sclerosant) directly into abnormal veins. The sclerosant irritates the vein lining, causing it to collapse, seal shut, and gradually be absorbed by the body. Blood flow is naturally redirected into healthy veins.

Several terms are commonly used to describe different types of sclerotherapy, depending on the vein type and technique used.

COMPRESSION SCLEROTHERAPY

Compression sclerotherapy is used to treat visible surface veins, including:

Spider veins
Telangiectasias
Reticular veins (blue or purple veins approximately 2 mm in diameter)
Small visible varicosities

Treatment may be performed for cosmetic or medical reasons and does not require ultrasound guidance. Compression stockings are an essential part of post-treatment care.

ULTRASOUND-GUIDED SCLEROTHERAPY (ECHO-SCLEROTHERAPY)

Ultrasound-guided sclerotherapy is used to treat varicose veins that are not visible on the skin surface.

Using real-time ultrasound:

The target vein is accessed precisely with a needle
The sclerosant is delivered under direct visualization
The spread of the medication is monitored to reduce risk to deeper veins

This technique allows safe and effective treatment of deeper superficial varicose veins.

ULTRASOUND-GUIDED FOAM AND MICROFOAM SCLEROTHERAPY

Foam sclerotherapy refers to ultrasound-guided sclerotherapy performed using a foamed sclerosant.

Liquid sclerosant (FDA-approved) is most commonly used as an adjunct treatment after Endovenous Laser Ablation (EVLA) to treat residual varicose tributaries. This treatment is often covered by insurance, though limitations may apply.
Proprietary microfoam sclerosant may be used as a first-line treatment for smaller saphenous veins or recommended for select patients with recurrent or tortuous saphenous veins that are not suitable for laser treatment.

WHY PHYSICIAN EXPERIENCE MATTERS

Ultrasound-guided sclerotherapy is a technically demanding procedure. Accurate vein access, precise delivery of sclerosant, and real-time interpretation of ultrasound imaging require advanced training and hands-on experience.

The safety and effectiveness of ultrasound-guided sclerotherapy depend heavily on the skill and judgment of the physician performing the procedure.

At International Vein & Skin Institute:

All venous ultrasound evaluations and all ultrasound-guided sclerotherapy procedures are personally performed by Jozef Tryzno, MD, RVT, DABVLM
Dr. Tryzno has more than 25 years of focused experience in the diagnosis and treatment of chronic venous insufficiency and varicose vein disease
Treatment planning, procedural execution, and follow-up care are fully physician-led, ensuring continuity of care and careful attention to safety

WHAT TO EXPECT AFTER SCLEROTHERAPY

After the procedure:

A graduated compression stocking is placed on the treated leg
Patients are asked to walk for 10–15 minutes immediately afterward
Most patients return to normal daily activities the same day

Patients whose work involves heavy physical strain (such as frequent squatting, climbing ladders, or roofing) may require temporary activity modifications.

COMPRESSION AFTER SCLEROTHERAPY

Post-procedure compression is essential for treatment success. Compression helps keep the sclerosant in contact with the vein wall long enough to achieve effective closure.

Typical compression durations include:

24 hours after cosmetic sclerotherapy
3–5 days after liquid sclerotherapy
10–14 days after foam sclerotherapy

Stopping compression too early increases the risk of treatment reduced effectiveness and vein recanalization.

INDIVIDUALIZED TREATMENT PLANNING

Every patient’s vein condition is different. Treatment recommendations are based on:

Disease severity
Overall health
Insurance requirements
Personal and financial considerations

Your physician may recommend a combination of conservative care and procedural treatment to achieve the safest and most appropriate outcome.

INSURANCE VS. COSMETIC SCLEROTHERAPY

Sclerotherapy may be performed for medical or cosmetic reasons, depending on the type of vein treated and the presence of symptoms.

Insurance-covered sclerotherapy is typically limited to medically necessary treatment of symptomatic varicose veins associated with chronic venous insufficiency and usually requires prior ultrasound evaluation and insurer approval.
Cosmetic sclerotherapy is performed to improve the appearance of spider veins or small surface veins in patients without significant symptoms and is generally not covered by insurance.

Coverage varies by insurance plan and medical criteria. Our office will review your evaluation results and explain which treatment options may qualify for coverage and which are considered self-pay.

SCHEDULE A CONSULTATION

If you are considering sclerotherapy or would like a comprehensive vein evaluation, we invite you to schedule an appointment with Dr. Tryzno.

📞 Call (847) 518-9999 to get started.

Medical Disclosure
The information on this page is for educational purposes only and does not substitute for professional medical advice. Treatment recommendations and results vary based on individual medical evaluation.

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