What is sclerotherapy?

Sclerotherapy is a non-surgical procedure that can treat most diseased surface veins.  It is a popular method for eliminating varicose & spider veins, that has been used since the 1920s. It involves injecting a solution into the diseased vein, using a small needle, causing a reaction that destroys the vessel wall.  The medication irritates the vein walls so that they stick together and are gradually reabsorbed by the body.  Sclerosis (hardening) of the vein then results.  Blood can no longer travel through it, and blood is therefore rerouted through healthy veins.  Eventually, the varicose vein disappears.  Varicose veins represent not only an aesthetics issue but also a potential health risk.  Eliminating these diseased veins actually improves the circulation and makes the legs healthier.

What will happen in the first consultation?

You will be asked questions regarding your past health, medication history, and symptoms.  A doppler exam may be performed and the nurse practitioner will examine your legs.  You will have an opportunity to discuss the treatment and ask any questions. If the veins are small, flat “spider veins”, then treatment can often begin on the first day.

How many treatments are required?

Depending on the type and severity of the varicose veins, the average number of treatments is anywhere between 3 and 5, however as many as 10 treatments may be required.  The larger vessels only require a few (3 or 4) well-placed needles with a stronger solution.  They must be treated first through a referral process.  The smaller spider and reticular veins may require many points of injection with a weaker solution. The number of injections is less important than the type of sclerosing agent used, its dosage, the site of the injections, and the skill of the nurse practitioner and her staff.

Why First Impressions Clinic?

D. Hart NP has been trained in reticular, spider and varicose vein treatments, and recognition of advanced varicosities by internationally renowned Dr. Deborah Martin, a recognized physician & international sclerotherapy instructor.  D.Hart NP has been practicing in the healthcare field for more than 20 years, is a licensed professional in the provision of vein treatment, and is dedicated to all her patients and assisting them to achieve their ‘best self’.

Is there Insurance Coverage?

The diagnosis and treatment of significant problems due to large diseased veins are sometimes covered by MSI.  Spider and reticular veins are considered “cosmetic” and therefore do not qualify for most insurance plans. The compression stockings that are recommended are often included in private medical insurance plans.

What are the most common side effects?All medical treatments entail a certain degree of risk. This will be discussed during your first visit and consent to treatment must be signed before the injections are started.  Fortunately, when injections are undertaken by well trained professionals, complications rarely arise.

If you require more information, please feel free to contact us at any time. We have brochures, patient education literature, articles and many other resources we’d be glad to share with you.

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