The treatment of choice for most spider veins is sclerotherapy – the injection of small amounts of a special solution directly into unwanted veins. This collapses and shrinks the treated veins which are later reabsorbed by the body’s natural healing response. It is a brief office procedure which requires no anesthesia.
Because we use very small needles, and because the FDA-approved solution we use does not cause intense burning like hypertonic saline, there is only minor discomfort.
In most cases, feeder “reticular” veins are treated simultaneously with the spider veins to prevent recurrence of the same veins. “Reticular” veins are visible as larger, blue-green veins which often follow a zigzag course to reach spider vein patches. Many doctors performing sclerotherapy as a sideline either ignore or avoid treating these feeder leg veins. Dr. Leary prides himself in treating the reticular vein during sclerotherapy to achieve better and longer lasting results.
After sclerotherapy for spider veins, Dr. Leary encourages normal activity, plenty of walking and graded (15/20) compression on the legs for 3 days.