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Compression sclerotherapy:

veins

The term most of our clients are very familiar with. Sclerotherapy has been around for at least 30 years. Many physicians perform vein injections on a daily basis. The key to successful results is in the thorough primary assessment of the entire venous system before initiating treatment. The "see and inject" approach won't work well if there are deeper varicose diseased veins behind smaller targets. The other important part of sclerotherapy is wearing compression dressing or hosiery after injections. Look at this as at gluing two things together. When you apply glue but do not apply steady pressure onto the pieces – the whole thing will fall apart eventually. The same applies to "gluing the veins" – after the irritant was delivered, the vein needs to be compressed for at least 48 hours to be able to collapse and close with time. If not properly compressed it will just clot and with time, the clot can dissolve reopening the lumen. For symptomatic (not cosmetic) veins, the MSP of British Columbia will cover 3 sclerotherapy treatments per leg per year. Unfortunately, the cost of the sclerosant is not included in this coverage. Usually 3-8 treatments per leg required depending on the severity of each particular case and patient's expectations. Treatments are performed in 3 weeks intervals or so. After 48 hours of non-stop compression, you are required to wear pressure hose during daytime for the next 2 weeks. Since sclerosant can cause skin pigmentations, avoiding direct sunlight before and after treatment is encouraged.