- Bring a pair of support hose/stockings with you for after your treatment.
- If you like you may bring an IPOD/MP3 player for distraction during treatment.
- Loose comfortable clothing is recommended, you may bring a pair of shorts to wear during treatment.
- The day of your treatment avoid lotions, self tanners, oils or moisturizers.
- Stop all vitamin E, Aspirin, Ibuprofen (Motrin, Advil) and St. Johns Wart 2 weeks prior to your appointment.
- You are able to drive yourself to and from your appointment.
Side Effects & Risks
Possible side effects of sclerotherapy include:
- Bruising – may occur where injection was made. This will disappear in a few weeks.
- Brown lines or spots – these may develop on the skin. Usually, this will disappear in time. Sometimes (less than five per cent), the brown lines may last up to a year or longer. It is recommended that you not take iron supplements while receiving sclerotherapy, as this could contribute to the problem.
- Lumps or 'Trapped Blood' – may occur in larger injected veins. These are not dangerous and can either be removed a few weeks after the injection or will clear on their own.
- Swelling – may occur in some people who have had large veins treated. Compression stockings are recommended after treatment to prevent swelling.
- Matting – a network of tiny blood vessels can develop after sclerotherapy. This can be caused by a number of reasons including inadequate or no compression, hormonal supplements, vitamin E supplements, use of anti-bruising creams or creams containing vitamin E. Matting can be treated with special injection techniques or it may resolve spontaneously although it can take a year or longer.
- Ulcers – these may form at the site of the injection. They can occur immediately after injection or a few days later. They are rare, but can be quite painful and usually leave scars after they heal.
- Inflammation (phlebitis) and blood clots – phlebitis and blood clotting can affect the treated large veins. It can be caused by a number of factors.
Post Injection Care-Patient Information:
- If using compression stockings place on immediately after your treatment. Continue this daily for 7-10 days. You do not need to wear the compression stockings while sleeping.
- You may resume normal activities after your treatment –Do NOT attempt running, exercising, weight lifting, heavy lifting for at least 3 days. When resuming your exercise regime, continue to wear your stockings for the remainder of the 10 day protocol.
- You are able to have a tepid shower on the day following your treatment. NO bathing for 3 days.
- Do not plan any activities that will expose the treated areas to sunlight or dirty water; i.e., Jacuzzis, spas, rivers, oceans, etc., for 7-10 days. This will prevent infection and discoloration from UV exposure.
- You may shave your legs in 3 days, for waxing wait 10 days.
- Treatments are best performed at intervals of 3-5 weeks.
- Avoid aspirin, other anti-inflammatories, St. John’s Wort, Vitamin E, and alcohol for 2 days.
- Be patient. It may take a few weeks and several treatments before evaluating your final results. Your nurse injector will be happy to evaluate the results with you and discuss future treatment plans to achieve the best possible result.