We will cleanse your skin and administer the solution with a very fine needle. Usually, the saline solution is in liquid form. For very large veins, we can use a foam solution to cover a larger area. It includes lidocaine to minimize discomfort. After the injections are performed, we will massage the area to disperse the solution correctly. The pressure of the massage helps keep blood from flowing back into the treated vein. If multiple veins need to be treated, we will also apply a compression pad between each one.
There is no set downtime associated with this treatment, and you can resume most of your normal activities right away. Most patients like to have someone drive them home after their injections. Once we finish the treatment, you can get up and walk around immediately. In fact, keeping your legs mobile will help with your circulation. You can ensure the success of your treatment by taking some simple steps to optimize your results after you leave our practice.
Most of the aftercare is aimed at preventing blood from flowing back into the treated veins and displacing the solution before it has a chance to do its job. We will provide you with detailed instructions regarding what you should do. Here are some of the general guidelines:. You should avoid saunas, whirlpools, and very hot showers.
The heat can cause your veins to expand, reducing the effectiveness of the treatment. For two to three days following your treatment, restrain from lifting weights and performing other strenuous exercises completely. After this short period, you can resume jogging and other light forms of activity. You can go back to your normal workout routine after two weeks. Before you leave our office, we will dress your treated veins with special compression pads. They help your body get the full benefits of the treatment.
You should leave them in place for 48 hours, after which you can remove them. One of the most important parts of the aftercare regimen is wearing special compression stockings. They are specifically designed to ensure that you get the best results, and we provide them as part of your treatment.
Compression stockings have been used for a long time to help improve circulation in the legs. After this treatment, they maintain compression on your veins, allowing them to maintain contact with the solution and ultimately recede.
The recommended amount of time varies from person to person. It is usually one to two weeks. We suggest that you use them for a longer period rather than a shorter one to ensure the best results. During this time, be sure to use them throughout the entire day. You should take special care to wear them when you need to stand or sit for a long period.
If you want, you can continue to wear your stockings after the results of your treatment set in. You could even keep them for special situations when you know you will need to spend a lot of time on your feet or in a chair.
By incorporating them into a routine that includes a healthy diet and moderate exercise, you can make a big difference in the appearance of your veins going forward. For the first few days after your treatment, make sure that you wear your stockings at night. After this initial period, you can sleep without them. Just put them on in the morning when you start your day.
Compression bandages become loose with time in a walking patient, losing the benefit of the higher pressure exerted with bandages. In , Scurr 18 patients recommended compression stockings rather than high-compression bandages after sclerotherapy of varicose veins.
Nowadays, there is a broad consensus to recommend, for active ulcers, compression bandages over stockings; however, for varicose veins, stockings are rather prescribed because they are easier to wear, esthetic, and more comfortable during the day. In , Kern 19 96 patients concluded that wearing compression stockings for 3 weeks improves the efficacy of sclerotherapy of leg telangiectasia at the thigh by improving the disappearance of clinical vessels in the photos according to independent experts, but patient satisfaction was similar in both groups.
This is quite strange because, as we have seen previously, the compression of telangiectasia with stockings in the thigh is illusory and requiring patients to wear a compression stockings for 3 weeks is very restrictive for esthetic reasons. In , Hamel Desnos 20 60 patients found no difference in efficacy, adverse effects, satisfaction scores, symptoms, and quality of life between the two groups, with compression during 3 weeks or without after sclerotherapy.
This is the only study of the seven to give us the compliance rate and how to hope for better results with compression when you have the same efficacy without compression. Antiembolism stockings are designed for bedridden patients and do not meet the technical specifications for use by ambulatory patients. A moderate increase in D-dimers at day 1 to day 14 was observed in either the compression group or the no compression group. More recently, in , Cavezzi 23 94 patients concluded that compression for 24 hours per day for 7 days with 35 mm Hg versus 25 mm Hg medical compression stockings provided less adverse postoperative symptoms and better tissue healing.
The evidence for the benefit of compression stockings in these randomized controlled trials is equivocal; further studies are needed to be able to make evidence-based recommendations. The main problem of sclerotherapy is not whether or not to wear compression stockings after treatment, but sclerotherapy itself. The guidelines for sclerotherapy treatment exist and should be well known.
Phlebology is a real culture in France; the French Society of Phlebology has existed since The treatment algorithm is now well established and must be followed according to strict rules to avoid under- or overdose reactions.
According to the type of vein and its diameter, the results of sclerotherapy will depend on the concentration and the volume of the sclerosing agent injected. The benefits of using sclerotherapy in liquid or foam form, with or without ultrasound control, need to be understood.
Minimal training is required. Compression stockings after poorly adapted sclerotherapy treatment will not change the results.
Deep vein thrombosis and compression Severe thromboembolic events proximal DVT, pulmonary embolism occur very rarely after sclerotherapy. The overall frequency of thromboembolic events is 25 in a systematic review of foam sclerotherapy for varicose veins 69 studies , found that the median rates of pulmonary embolism and deep vein thrombosis was 0.
Most of the cases detected by DUS imaging during routine follow up are asymptomatic. Data on patients included in the French registry were reviewed with a maximum follow-up of 60 months, covering patient-years.
In the French study by Guex,26 they have the same rate, and, in France, most phlebologists do not usually prescribe compression treatment after sclerotherapy. Thus, it can be hypothesized that the incidence of DVT is the same with or without compression after sclerotherapy. In contrast, the rate of DVT is more related to the use of larger volumes of sclerosant, especially in the form of foam and a maximum volume of 10 mL per session is recommended.
The absolute rule should be that, as soon as there is leg edema, even moderate edema, compression should be used. Thus, compression is mandatory in the cases of C 3 , C 4 , C 5 , and C 6 active venous ulcer , and compression after sclerotherapy is not due to sclerotherapy, but to the disease.
In the same way, the wearing of compression stockings in C 1 and C 2 patients with edema of the leg should be encouraged, but not because of sclerotherapy.
A systematic review of compression hosiery for uncomplicated varicose veins found that there is no evidence of an advantage of graduated compression stockings in uncomplicated varicose veins. The published literature was often contradictory and had methodological flaws. Thus, less than one-third of French vascular physicians regularly used elastic compression after sclerotherapy. Compression must be a comfort and not a constraint. In view of the innocuous nature of elastic compression and its potentially beneficial effects, elastic compression stockings are routinely prescribed.
However, a systematic prescription, just in case, is not reasonable. Regardless of the compression, the pressure is not enough to narrow superficial veins on the thigh. Thus, compression after sclerotherapy should not be mandatory, but should be recommended in symptomatic patients and strongly recommended to patients in case of edema.
In summary, it is not compression due to sclerotherapy, but due to symptoms. Compression therapy after invasive treatment of superficial veins of the lower extremities. European guidelines for sclerotherapy in chronic venous disorders.
A systematic review of compression hosiery for uncomplicated varicose veins. Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement.
Partsch B, Partsch H. Calf compression pressure required to achieve venous closure from supine to standing positions. The stockings can be dried with a hairdryer on cool settings following the shower. In terms of stocking pressure, a majority of physicians suggest 30 to 40 mmHg millimeters of mercury. In terms of the number of days, many vein care providers advise their patients to wear the compression stockings for a total of three to six weeks.
For the first three to five days, the stockings may be worn for 24 hours a day, and for the remaining duration, the patient may wear them only during daytime, if they are uncomfortable wearing them at night. If the vein problem is confined to the calf area, the treatment provider may recommend knee-length stockings, but a lot of experts would still suggest thigh-high stockings for best outcomes. Compliance with compression stockings can become a challenge, particularly in warm and sultry areas.
Motykie in Beverly Hills Los Angeles and his team please visit:. West Hollywood, CA - Contact Us Location. In case you are wondering how long it takes to see sclerotherapy results and experience full benefits of this intervention, the question cannot be answered with certainty. If your doctor suggests undergoing another session, you will need to wait around six weeks before coming in again.
Following the instructions given by your doctor, both before and after the intervention, should be enough to let you enjoy your vein-free skin soon after the sclerotherapy.
The search for a specialist for your varicose or spider veins ends here, at Beverly Hills Vein Institute, an acclaimed, specialized clinic for professional vein treatment. This is the place to find the most experienced, exceptional staff, led by Dr. If you wish to successfully complete your sclerotherapy rehabilitation process in Beverly Hills, reach out to us and ask us anything you need to know.
We will be happy to assist you in getting back on your feet, enjoying a pleasant walk down the Coldwater Canyon Park with your friends or family. Contact us today, and book your first consultation! Beverly Hills Vein Institute specialists are waiting for your call. Having varicose or spider veins must be the bane of your existence. Even if you feel absolutely no pain or discomfort as a result, one thing is certain: the affected veins are unsightly and you want them gone.
Besides, spider and varicose veins are an
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