Often there is a genetic
predisposition to the development of veins. Changes
in hormones at puberty or pregnancy and the use
of the birth control pill or hormonal replacement
may play a role. Occasionally, veins may cause an
aching sensation or pain. Exercise, normal weight
maintenance and support hose may help to minimize
veins. Dr. Gidon treats spider and reticulate veins
with sclerotherapy or laser. Treatment of varicose
veins usually involves a surgical procedure such
as stripping or radio frequency treatment.
What is sclerotherapy?
Sclerotherapy involves
injecting a solution into the vein with a very fine
needle. The solution irritates the lining of the
vein, the walls stick together and blood cannot
enter the vein. Blood is re-routed to the healthy
venous system and the vein is then absorbed over
time. Many veins are injected during a treatment
session but usually many sessions are required,
depending on the size and number of veins. Most
patients have a 50-90% improvement but more veins
can develop with time.
What are the
side effects?
- Patients
may experience pain or a burning sensation during
the injection.
- Bruising
may occur and can last for 10 days.
- Veins
may become darker and then fade in a few weeks.
- Veins
may be tender for 7 days.
- Itching
or a small red bump may develop at the site of
injection and may last 2 days.
- Temporary
brown pigmentation may occur and take weeks to
a year to fade.
- A
small ulceration may occur and heal with a scar.
- Tiny,
new blood vessels may form after injections but
are usually temporary.
- Rarely,
patients may develop phlebitis, an infection or
an allergic reaction.
What
does the patient do before treatment?
- Avoid
anti-inflammatory medication for 1 week before
treatment.
- Do
not shave legs for 2 days prior to treatment.
- Bring
support hose to the office to wear home.
- Wear
slacks or dark hose to hide the cotton balls that
are taped on for a few hours.
What
does the patient do after treatment?
- Walk
for about 20 minutes.
- Maintain
normal, light activity; strenuous activity may
be resumed after 2 days.
- Avoid
hot baths or saunas for 2 weeks after treatment.
- Wear
support hose for at least 2 weeks after treatment.
