2012;27(suppl 1):46-51. Eur J Vasc Endovasc Surg. For spider veins liquid is the most preferred option. Guex JJ, Allaert FA, Gillet JL, Chleir F. Immediate and midterm complications of sclerotherapy: report of a prospective multicentre registry of 12,173 sclerotherapy sessions. 2009;24(6):252- 259. This issue may be painful and itchy and cause skin discoloration. Both of these can lead to the hemosiderin deposits. Side effects that can occur where the needle goes into the skin include: These side effects usually go away within days to weeks. Unfortunately, even in the most expert hands, telangiectatic matting occurs in a significant percentage of patients. Bissett DL, Oelrich M, Hannon DP. It is darker red when it carries less. Darkened skin. Systemic anticoagulant agents and systemic steroids may be used when extensive necrosis is anticipated.6, For all causes of ulceration, it must be treated as soon as it occurs. Phlebology. Not all malformed veins require treatment. Most people will notice a significant improvement approximately four weeks after their initial treatment. 2007;58(5):644- 646. 71. Hello, Thank you for your question. The overall frequency of neurological complications of sclerotherapy is around 0% to 2%,<28,29 and they include transient events, such as visual disturbances and migraine, and ischemic events, such as transient ischemic attacks and stroke, which is an event with a lower frequency that can result either from a paradoxical clot or a gas embolism. Extravasation A very tiny needle is inserted into the vein and the drug simply pushed through the syringe in tiny amounts. Telangiectatic matting is the proliferation of new small vessels (<0.2 mm) in the area of a sclerosed vein that typically appears 4 to 6 weeks after sclerotherapy.61 The most common locations are on the inner and outer thighs and near the knees and calves. 20. The thrombus was nonocclusive and asymptomatic.The patient was treated with bemiparine 5000 UI for7 days, and thereafter, bemiparine 3500 UI until the thrombusdisappeared 20 days later, with a weekly duplex follow-up. Angiology. Significant and relatively rare complications include systemic life-threatening reactions and anaphylaxis (very rare), deep venous thrombosis (1% to 3%), stroke (0.01%), tissue necrosis (variable frequency), edema of the injected extremity (0.5%), and nerve damage (0.2%).1-5. Severe deep venous thrombosis, proximal or extensive, is rare. Which conditions does sclerotherapy treat? Removing the trapped blood is the best treatment. 2. At this point, it is appropriate to transfer the patient to the hospital or emergency services. The overall frequency of deep venous thrombosis is <1%.29,47 The incidence is possibly higher as a significant number of procedural deep venous thromboses may be silent; most reports only include symptomatic cases. How to Treat your Veins after Your Procedure The Right Way Rarely, a blood clot can travel to a deeper vein in the leg, a condition known as deep vein thrombosis. Broken Capillaries and Spider Veins Around the Nose. A vigorous massage where extravasation has occurred may decrease tissue damage. Matting after sclerotherapy of reticular veins in themedial lateral thigh that resolved after sclerotherapy ofan unrecognized underlying reflux in a collateral of greatsaphenous vein. Figure 7. Accessed Nov. 11, 2022. Fortunately, most of these adverse events are benign, but physicians must be aware of the potential serious events, and they should be trained to react adequately and immediately. Rarely, an urticarial reaction has been noted when using graduated compression stockings. It can help with varicose veins or spider veins. Intravenous corticosteroid was administeredlater. J Allergy Clin Immunol. Ann Surg. It involves a doctor inject a solution that causes the problematic veins to shrink and collapse. You have a couple of options at this point--1. You do not need anesthesia or sedation for sclerotherapy. To prepare for sclerotherapy, people should follow any instructions from their doctor. From your picture, your problem should resolve with local care and evacuations. 2010;39(4):500- 507. 72. What are the complications or possible side effects of sclerotherapy? The incidence and characterization of deep vein thrombosis following ultrasound-guided foam sclerotherapy in 1000 legs with superficial venous reflux. Don't shave your legs or use lotion on them. The majority of these will dissolve spontaneously over time and could take up to one year. A "mill wheel" murmur may be produced by movement of bubbles in the right ventricle. Sclerotherapy is a procedure in which a solution called "sclerosing agent" is injected into the veins for treatment of small vessel varicose disease (varicose veins). Sclerotherapy treats veins that are twisted and enlarged, known as varicose veins. I have been wearing support knee highs. What happened? Or use sunscreen with at least 30 SPF. It is considered an adverse event if there is an extension beyond the treated area or an excessive inflammatory reaction.4,5 Although venous sclerosis (collagen deposition resulting in scar formation), venous thrombosis (intravascular fibrin clot formation), and venous thrombophlebitis (clot formation accompanied by an inflammatory infiltrate) are histologically separate entities, these conditions cannot always be clinically or sonographically differentiated. Eur J Med Res. After giving birth, people must wait 3 months before having sclerotherapy. 29. When there are no other symptoms, a doctor may simply monitor over time to see if they get worse or start causing symptoms. 2012;38(5):741-747. Sclerotherapy involves an injection of a solution (generally a salt solution) directly into the vein. Postablation superficial thrombus extension into thecommon femoral vein after foam sclerotherapy of the greatsaphenous vein.The thrombus was apparent on ultrasound after 3 days oftreatment. In: Goldman MP, Weiss R, eds. Leg muscle twitching all over are not typical symptoms for tight compression socks or blood clots. Systemic allergic reactions caused by sclerotherapy treatment occur very rarely. J Dermatol Surg Oncol. Treatment of varicose veins and telangiectatic lower-extremity vessels. I had sclerotherapy almost 4 weeks ago. J Allergy Clin Immunol. If sclerotherapy is ineffective or unsuitable, a doctor may try injecting a different sclerosing solution or recommend another approach, such as cutaneous laser therapy. 4. What about medium distance hikes of 5-10 miles that include hills? REFERENCES Accessed July 21, 2017. The way we treat vessels on the face is with laser. 2013;368(12):1092-1100. Sclerotherapy of varicose veins and spider veins. Phlebolology. Polidocanol is a negative inotropic agent and slows cardiac contractility in a dose dependent manner. Treatments for venoarterial reflex vasospasm include topical vasodilators (2% nitroglycerine ointment), which are applied with a vigorous massage, oral antiplatelets, and oral non-steroidal anti-inflammatory drugs (NSAIDS). Intervention is recommended within 2 to 4 weeks after sclerotherapy, while the thrombus is gelatinous and not yet organized (Figure. Dermatol Surg. Rub/massage the area several times a day, or whenever you get a chance. Anticoagulation treatment was used at the beginning, but experience has shown that these thrombi are usually benign, harmless, and asymptomatic; therefore, it seems that no therapy, only observation, is needed in these cases (Figure 4).57. Since this was done for cosmetic reasons, in part, I would think long term appearance does matter. Alternately, the doctor may administer an anesthetic and insert a catheter into the affected blood vessel, then use a solution of 90% alcohol to block the vein. 7. Second symposium on the definition and management of anaphylaxis. Apply heating pad several times a day to the area. Dilution with hyaluronidase in normal saline solution limits the extent of the necrosis and prevents the development cutaneous necrosis when using a 3% solution with sodium tetradecyl sulfate.20 Hyaluronidase should be reconstituted with a 0.9% sodium chloride solution immediately before use (75 U in a volume of 3 mL), and it is recommended to inject the diluted solution into multiple sites around the area where extravasation has occurred within 60 minutes of extravasation.21, Venoarterial reflex vasospasm The are lasers that exist that target only the blood vessels and spares all of the surrounding tissue. 53. 1984;53(10):1478-1480. Doctors typically provide answers within 24 hours. Are spider veins more prevalent during pregnancy? The provider examines your veins and checks for blood vessel disease. They should be drained by your physician with an 18 gauge needle, otherwise you will likely have problems with long term pigmentation in these areas. Transitory general effects are short-lasting disturbances and recovery occurs within minutes. The in-house protocol by Parsi and Hannaford includes a subcutaneous injection of enoxaparin at 1 mg/kg over 12 hours aiming for an anti-factor Xa level in the therapeutic range of 0.5 to 1.2 IU/mL for 1 to 4 weeks depending on the extent of the injury.24 Anticoagulation may be complemented with an antiplatelet therapy of acetylsalicylic acid. White blood cells (or cells from the immune system) begin to break down and absorb the dead vein and any trapped blood after treatment. In: Negus D, Jantet G, Coleridge-Smith PD, eds. Dermatologic Surgery. Extensive sclerotherapy may result in transient lymph stasis in predisposed patients, such as those with latent congenital lymphatic system abnormalities.3, Edema may also be due to deep vein occlusion (thrombosis or sclerosis). Scultetus AH, Villavicencio JL, Kao TC, et al. Tissue necrosis most commonly presents as an ulceration, and it can result in extensive loss of tissue. Middle cerebral air embolism after foam sclerotherapy. Sclerotherapy is a nonsurgical procedure. 6th ed. Mayo Clinic; 2021. J Allergy Clin Immunol. Several thing Sclerotherapy uses chemical burn to cause small veins to thrombose and be absorbed by the body. Would I see the results right away after Sclerotherapy treatment? How to manage complications after sclerotherapy - Servier Simons FE, Ardusso LR, Bil MB, et al. I have bruising from Sclerotherapy injections that I had 8 weeks ago is this normal? 1992;18(1):47-52. How long until all the veins disappear? Phlebology. A systematic review found that visual disturbances may occur in up to 14% of patients undergoing foam sclerotherapy,30 but a recent systematic review found the overall incidence to be 1.4%.29 The clinical presentation of these visual disturbances is similar to the aura of a migraine.30 Transient neurologic events may be observed after any kind of sclerotherapy, although they occur more commonly after foam sclerotherapy and after treatment of reticular and spider veins.1,2,4,5,30 All cases spontaneously regressed without after effects. I recommend waiting 2 weeks after sclerotherapy before flying. Carroll JD, Saver JL, Thaler DE, et al; RESPECT Investigators. Gillet JL, Lausecker M, Sica M, Guedes JM, Allaert FA. Had an ultrasound to confirm it. Dermatol Surg. (like in veins). Brzoza Z, Kasperska-Zajac A, Rogala E, Rogala B. Anaphylactoid reaction after the use of sodium tetradecyl sulphate: a case report. The procedure also can improve symptoms related to varicose veins, including: Experts suggest waiting to have sclerotherapy done after pregnancy or breastfeeding. Dermatol Surg. How long does it take to see spider veins vanish after Sclerotherapy? The Vein Book. Transitory general effects.The patient had painful chest tightness and an exacerbationof an underlying stress-related allergic disease after foamsclerotherapy of reticular veins and telangiectasia. Also, some insurers may require people to try other procedures first, such as cryotherapy to freeze the veins. Aust N Z J Phlebology. Minor complications, such as telangiectatic matting and hyperpigmentation, require time, a side-by-side follow-up by the practitioner, and a careful examination and treatment of residual inadvertent vein reflux that may cause these minor, but worrisome side effects. Much of the treatments were injecting "feeders". I had Sclerotherapy about 5 years ago and have permanent bruising. Can Figure 3. Even though complications can happen even to the most experienced practitioner, it is mandatory to know what they are and how to manage them. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. 2001;27(9):795-798. Additional possible side effects that you might experience after sclerotherapy treatments include: Bruises at the injection site, which normally fade shortly after treatment. This helps to monitor your progress. Several thing. New York, USA: Oxford University Press; 2014:115-126. if any burning check UA otherwise rest for 1 wk. 61. We also use an oral supplement called Scler-X, aka PIH Relief Complex. The retention of coagulum is usually associated with tenderness and may predispose patients to post-treatment hyperpigmentation. Rabe E, Breu FX, Cavezzi A, et al. 6)time and patience, as it usually resolves over time Will the length of time be longer then two weeks? This content does not have an English version. At this size, primary healing usually leaves an acceptable scar. Sclerotherapy generally has few serious complications. Results of sclerotherapy for small varicose veins or spider veins usually show in 3 to 6 weeks. Bunke-Paquette N. Complications of liquid sclerotherapy. 40. 2011;25(8):983-986. 50. 45. Lopez L, Dilley RB, Henriquez JA. (n.d.). Some people feel minor stinging or cramping when the needle goes into the vein. Rarely, patients have no complaints of pain and demonstrate only a mild, sharply demarcated erythema that becomes dusky and cyanotic after a few hours.22, As endothelial damage occurs within the first minutes after injecting the sclerosant, prompt realization of the arterial complication and immediate therapy is essential to reduce the risk of subsequent amputation.22 There are no evidence-based or consensus guidelines on the optimal management of this complication.24 The European guidelines recommend that, if severe pain occurs, to stop the injection immediately, aspirate the sclerosant if possible, use local catheter-directed anticoagulation and thrombolysis if applicable, and possibly follow-up with systemic anticoagulation. 2008;23(4):189-192. Are the green veins that I have throughout my body normal? Time is the first-line intervention. Compared with liquid sclerotherapy, foamed sclerosing agents do not cause many new or different complications, but it does appear to change their relative incidences (Table I),1 for example, neurological complications are more prevalent with foam vs liquid sclerotherapy. The solution is called a sclerosant, and it irritates the targeted vessel, causing it to swell. What can I do about a small clot of trapped blood after sclerotherapy. Goldman MP. Wright D, Morrison N, Recek C, Passariello F. Post ablation superficial thrombus extension (PASTE) into the common femoral vein as a consequence of endovenous ablation of the great saphenous vein. Stroke. Munavalli GS, Weiss RA. The incidence is very rare (0.02%) with paresthesia and dysesthesia as the main presenting complaints.58 Due to their close proximity to the veins, the saphenous and sural nerves may be inadvertently injected during sclerotherapy. 11. 9. Calling for emergency services should be done in parallel with initial patient support (Figure 2).11-16, The recommended treatment is a subcutaneous injection of epinephrine 0.2 to 0.5 mL (1:1000). Methylprednisolone sodium succinate (1 mg/kg) or hydrocortisone (250 mg) is given intravenously and repeated every 6 hours for a total of 4 doses. Post-sclerotherapy, some patients may notice hyperpigmentation occurs especially with large surface leg veins, but sometimes spider veins too. Zimmet SE. This swelling cuts off the flow of blood or lymphatic fluid, and the vessel shrinks. Sclerotherapy - Mayo Clinic Phlebology. Photographs will be taken before treatment is initiated. The addition of corticosteroids is rarely needed, but they may be needed if the reaction does not subside readily.11-15. Complications and side effects: European guidelines for sclerotherapy in chronic venous disorders. The small lumpy and discolored sections that you see are due to trapped blood. The drug has damaging effects on the vein lining. However, having existing medical conditions, not following medical advice, or taking medications that conflict with the treatment may significantly increase the risk of complications. Eur J Vasc Endovasc Surg. It's been over 2 months since my first treatment and my veins look worse. All rights reserved. 2014;29(suppl 1):34-38. 2016;31(4):241-250. 19. I am post Sclerotherapy a little over a month. This treatment can be repeated three or four times at 5- to 15-minute intervals to maintain a systolic blood pressure >90 to 100 mm Hg, and it should be followed by establishing an intravenous line with a 0.9% sodium chloride solution. A complete ophthalmologic and neurologic examination is recommended. Jia X, Mowatt G, Burr JM, Cassar K, Cook J, Fraser C. Systematic review of foam sclerotherapy for varicose veins. Yag is the laser of choice for these sclerotherapy complications because we are ultmately dealing with hemoglobin and iron, which absorb 1064nm lasers the best. People may need to wear compression stockings to help with recovery and prevent further varicose veins from forming. 31. 2005;31(2):123-128. Am J Cardiol. Dermatol Surg. In addition, patients should be evaluated carefully for deep venous thrombosis, a pulmonary embolism, and a right-to-left shunt. Patent foramen ovale and other cardiopulmonar right-to-left shunts are the most consistent risk factors.9 The etiology of neurological symptoms following sclerotherapy is currently unknown. Efficacy of graduated compression stockings for an additional 3 weeks after sclerotherapy treatment of reticular and telangiectatic leg veins. Physicians who perform sclerotherapy should have an emergency plan in the event of neurological deficits, intra-arterial injections, severe systemic adverse reactions, or anaphylaxis, including transport to emergencies services for further evaluation and treatment of vital emergencies. Beasley KL, Weiss RA, Weiss MA, Munavalli G. Treatment of postsclerotherapy hyperpigmentation with a novel Q-switched combination 532/1,064 nm Nd:YAG laser. Sclerotherapy Cost, Recovery, Complications & Side Effects 2006;117(2):391-397. A patent foramen ovale or another right-to-left shunt, which is present in approximately 30% of the general population,31 may be one etiologic factor. It can help with varicose veins or spider veins. 43. International Headache Society. Am J Med. Nootheti PK, Cadag KM, Magpantay A, Goldman MP. 21. National Women's Health Information Center. 3)avoiding sun exposure Foam sclerotherapy of saphenous veinsresults and side effects. Sclerotherapy: Preparation, Recovery, Long-Term Care If your physician doesn't want to do this then topical care with heat and compression stockings may help. Figure 2. Answer: Topical care. There are no evidence-based recommendations. Does this look like "staining" and should I consult my Physician to have the blood removed that is sitting there making the vein more puffy, than it was prior to the injection? Walking and moving helps keep blood clots from forming. Although spontaneous resolution occurs in 70% of cases at 6 months, pigmentation may persist longer than 1 year in up to 10% of patients.2,6,63 Hyperpigmentation is usually due to a combination of both melanin and hemosiderin pigment deposits secondary to either direct hemosiderin deposition, post-inflammatory processes, or a combination of the two. Ultrasound is a painless procedure that uses sound waves to create pictures of structures inside the body. Many use compression hose following scleraotherapy for varying times, and listen to your doctor on his method. World Allergy Organization anaphylaxis guidelines: summary. This includes : 2009;24(3):131- 138. Mayo Clinic does not endorse companies or products. There are only a few published reports of transient ischemic attacks following sclerotherapy.28 All reported cases were associated with a right-to-left shunt, had an immediate onset, and followed the use of air-based foam sclerosants. The physiopathology is not clear. Closure of patent foramen ovale versus medical therapy after cryptogenic stroke. Their current in-house protocol includes an intravenous administration of a systemic steroid for at least 48 hours before switching to oral prednisone at 0.75 to 1 mg/kg/day (maximum dose, 50 mg daily), with a gradual reduction over the course of 12 weeks. What happens if I don't wear compression stockings after sclerotherapy? People should also arrange for transportation home afterward. 5)flushing the area of discoloration by injection of sterile water or saline Information needed about your medical history includes: Aspirin, ibuprofen, naproxen sodium or blood thinners can increase the risk of bleeding. Phlebology. Phlebology. This procedure involves a FDA-approved medical grade sclerosant that is injected into the veins that causes the vein walls to collapse and stick together. Phlebology. The best treatment is prevention. My legs now ache and feel heavy as soon as I get up in the morning. Get answers from our experienced doctors. In rare cases, a blood clot forms in a deep vein due to sclerotherapy. What chemicals are in the saline solution and does it have mercury in it and if not what is in it? Microthrombectomy reduces postsclerotherapy pigmentation: multicentre randomized trial. 3. This content does not have an Arabic version. Anaphylaxis following foam sclerotherapy: a life threatening complication of a non invasive treatment for varicose veins. I never had them until my pregnancy last year. Also, you should return to your treating physician who can evacuate the clotted blood under local anesthesia with a small needle. Included is detail on prevention, potential causes, and when to see a, Vasculitis refers to conditions that cause inflammation of blood vessels. The diagnosis and management of anaphylaxis practice parameter: 2010 update. Asbjornsen CB, Rogers CD, Russell BL. 79. 51. These may include: To treat varicose veins, a doctor may also suggest compression therapy, such as wearing compression stockings, or medications, such as diosmiplex. Thom SR. Hyperbaric oxygen: its mechanisms and efficacy. Advertising revenue supports our not-for-profit mission. http://www.ihs-headache. It is harmless, and sometimes can be diminished with surface laser treatment. Apply 100% oxygen, put the patient in the Trendelenburg position, and evaluate their neurological and cardiovascular state. The number of shots depends on the number of veins being treated. run? MNT is the registered trade mark of Healthline Media. At the 2 week mark or bit less, developed a blood clot an inch away from the feeder vein injection site . Less-common side effects of sclerotherapy that might need treatment include: Blood clot. This might not cause symptoms. Since that time, have noticed an approx. 2013;1(3):231-238. 1992;18(5):417- 422. 2011;26(5):203-208. Answered by Vanish Vein and Laser Center Is it normal to still see all my treated veins after 10 days? Trapped blood Feeling hardened, tender knots in the areas of treatment are also normal, especially after an ambulatory phlebectomy. what are the side effects if any. It has been suggested that rightto- left shunts might be a factor, allowing foam bubbles to pass into the arterial circulation.28,35-37, Stroke is a very rare, but significant, complication of sclerotherapy.38-42 Ma et al reported two cases of stroke following 4059 foam procedures in a 6-year period, yielding an incidence of 0.01%.41 Parsi reviewed 13 cases of stroke occurring after sclerotherapy that were published since 1994.28 Four cases followed liquid sclerotherapy and nine followed foam sclerotherapy; 3 patients had a partial recovery, while the others had a complete recovery. The vast majority of reported deep venous thrombosis cases are localized to the lower legs. A member of your health care team cleans the area to be treated. 63. I have a lot of green veins on my legs, calves, even my arms and other parts of my body. The prevention of cutaneous necrosis following extravasation of hypertonic saline and sodium tetradecyl sulphate. There may be a mild burning sensation or cramping for a few minutes during the treatment of larger varicose veins. 2010;36(suppl 2):993-1003. Trapped blood after sclerotherapy | HealthTap Online Doctor Following sclerotherapy, the treated veins can clot or blood can escape from the treated veins and form around these veins. Is there any hope the veins will disappear after more time has gone by? Sclerotherapy + 3 Months Post-op Q&A - RealSelf.com Hanisch F, Mller T, Krivokuca M, Winterholler M. Stroke following variceal sclerotherapy. McGraw Hill; 2019. https://accessmedicine.mhmedical.com. Typically, veins return blood from the rest of the body to the heart. Pain can happen quickly or progress over several hours. Minor degrees of angioedema can be treated with oral antihistamines. Sclerotherapy involves a doctor injecting a solution into blood vessels or lymph vessels that causes them to shrink. Raymond-Martimbeau P. Transient adverse events positively associated with patent foramen ovale after ultrasoundguided foam sclerotherapy. 12. Outcome of ultrasound-guided sclerotherapy for varicose veins: mediumterm results assessed by ultrasound surveillance. You might need more sessions. Go slowly, and reheat the clip as necessary. Sclerotherapy usually works best on small varicose veins. Dermatology Surgery. Pain might result from the solution leaking from the vein into the tissue around it. 49. Arteries, veins, and capillaries throughout the body may be affected, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. 2002;17(1):13-18. 67. 2004;9(5):282-284. These side effects usually go away within days to weeks. Fortunately, its occurrence is rare and usually of limited sequelae.6 Cutaneous necrosis can occur several weeks after the initial insult, and it can be associated with pain, localized inflammation, and edema. How to prevent complications and side effects from sclerotherapy of the lower limb veins. Sclerotherapy is a Quick TreatmentUnder 15 Minutes Sclerotherapy treatment itself doesn't take very long at all. If performed properly, sclerotherapy is an efficient treatment method with a low incidence of complications, but some can be vital emergencies. In my experience evacuating trapped blood takes on an average of one to three attempts. Treatment of severe post-sclerotherapy hyperpigmentation with Q-switched ruby laser. Answered by Austin Vein Specialists (View Profile) Figure 6. If not, when wil the bruises go away? Parsi K. Venous gas embolism during foam sclerotherapy of saphenous veins despite recommended treatment modifications. 2011;26(7):280-284. https://www.womenshealth.gov/a-z-topics/varicose-veins-and-spider-veins. 2013;28(2):64-73. 30. They are very obvious. If all of this should fail, then there are topical lasers which may help. swelling - may occur in people who have had large veins treated. These sacs of fluid are known as hydroceles. Dermatol Surg. 4)compression stocking use Bush RG, Derrick M, Manjoney D. Major neurological events following foam Sclerotherapy. Raised red areas, called hives. Before the procedure, a health care provider does a physical exam. 41. Scurr JRH, Fisher RK, Wallace SB, Gilling-Smith GL. 2007;15(1):49-52. 2012;43(1):100-105. Investigation is needed to elucidate cause. The weakened valves let blood pool in the veins instead of traveling to the heart. Very rare major complications could benefit from multicenter registers to provide evidence-based treatments. Vascular. Sclerotherapy involves a doctor injecting a solution into blood vessels or lymph vessels that causes them to shrink. Post-Care After Sclerotherapy Treatment | Vein Centers CT Do they go away after delivery? Fegan WG, Pegum JM. Complications and adverse sequelae of sclerotherapy. 1)drainage (although you said your doctors did not advise this) While pregnant with my first child I've developed a large number of spider veins on my legs/thighs. However, what you are seeing should resolve over time, about 6months - 1year. Springer-Verlag; 1995:550-551. 69. It can take a month or more for full results. Kulkarni SR, Messenger DE, Slim FJ, et al. Plast Reconstr Surg. Also, sclerotherapy may not be not suitable for people who are pregnant, breastfeeding, or confined to bedrest. This is known as a pulmonary embolism. Goldman MP. Accessed Nov. 11, 2022.
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