My veins look and feel worse after I had foam Sclerotherapy. I had the procedure 2 months ago and they feel hard, are throbbing and very pigmented.

20 years ago I had liquid Sclerotherapy and was bandaged for one month. The veins weregone when removed.Two months after my foam sclerotherapy my veins are still there. I know brown pigmentation takes a while to fade. The only difference is that this time I was only given compression stockings, not tight, to wear for 1 week. I've been wearing my own (stronger) stocking for 7 weeks, but no improvement. I'm very disappointed. Will the veins ever improve?

Answers from doctors (7)


Vein Center of Westlake Village

Published on Aug 12, 2015

Your complaints are of veins that are hard, throbbing and very pigmented 2 months after foam sclerotherapy. You would probably experience pain if pressure is applied to these veins. The most common and probable cause is trapped blood in those problem veins. This is removed in the office quickly and virtually painlessly.
This is commonly done 1 to 2 weeks after the last treatment and before ending the use of compression stockings.
This would be expected to be done by your treating doctor and at no charge.

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Answered by Vein Center of Westlake Village

Your complaints are of veins that are hard, throbbing and very pigmented 2 months after foam sclerotherapy. You would probably experience pain if pressure is applied to these veins. The most common and probable cause is trapped blood in those problem veins. This is removed in the office quickly and virtually painlessly.
This is commonly done 1 to 2 weeks after the last treatment and before ending the use of compression stockings.
This would be expected to be done by your treating doctor and at no charge.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Aug 11, 2015

The duration of time to wear compression hose varies with each physician. I recommend only 48 hours of compression and this has worked well for me for 20 years. If you have areas of pigmentation or hard areas or throbbing then you should follow up with your treating physician since these areas may need to be drained of the clotted blood.

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Answered by Vanish Vein and Laser Center

The duration of time to wear compression hose varies with each physician. I recommend only 48 hours of compression and this has worked well for me for 20 years. If you have areas of pigmentation or hard areas or throbbing then you should follow up with your treating physician since these areas may need to be drained of the clotted blood.

Published on Jul 11, 2012


Destin Vein Center

Published on Jul 27, 2015

The pain will go away once the liquefied coagulum is evaluated. This is just a small needle stick directly into the tender hard lumps. The dark fading almost always disappears but can take many months and sometimes even years. We have seen faster resolution in many patients using BBL or IPL.

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Answered by Destin Vein Center

The pain will go away once the liquefied coagulum is evaluated. This is just a small needle stick directly into the tender hard lumps. The dark fading almost always disappears but can take many months and sometimes even years. We have seen faster resolution in many patients using BBL or IPL.

Published on Jul 11, 2012


Vascular Center and Vein Clinic of Southern Indiana

Published on Jul 24, 2015

As a general rule of thumb, wearing compression stockings after sclerotherapy is recommended. Hyperpigmentation may occur after sclerotherapy. A persons complexion and vein size sometimes may increase the proclivity for hyperpigmentation.

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Answered by Vascular Center and Vein Clinic of Southern Indiana

As a general rule of thumb, wearing compression stockings after sclerotherapy is recommended. Hyperpigmentation may occur after sclerotherapy. A persons complexion and vein size sometimes may increase the proclivity for hyperpigmentation.

Published on Jul 11, 2012


Georgia Vascular Institute

Published on Jul 24, 2015

The hard, throbbing feeling is likely clotted blood in the vein. You can also develop thrombophlebitis (which is inflammation of the clotted vein). Typically can be treated with warm compresses and anti-inflammatory. if it does not improve you may have to got the clotted blood in the vein removed.

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Answered by Georgia Vascular Institute

The hard, throbbing feeling is likely clotted blood in the vein. You can also develop thrombophlebitis (which is inflammation of the clotted vein). Typically can be treated with warm compresses and anti-inflammatory. if it does not improve you may have to got the clotted blood in the vein removed.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Jul 24, 2015

You most likely developed areas of trapped blood from the treatments. These show as hard and often tender bumps in veins treated and can lead to pigmentation. I encourage my patients to come in if seen so we can drain these areas and avoid the discomfort and pigmentation. However, that said, I normally remove larger bulging varicose veins as it tends to avoid these problems. I reserve foam sclerotherapy for smaller reticular veins and deeper perforator veins. When injecting, we apply a medical grade of at least 20-30 mmHg compression hose for 3 day x 24 hrs day then daily for one week. This seems to help with reducing trapped blood.

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Answered by Vein Specialties of St. Louis

You most likely developed areas of trapped blood from the treatments. These show as hard and often tender bumps in veins treated and can lead to pigmentation. I encourage my patients to come in if seen so we can drain these areas and avoid the discomfort and pigmentation. However, that said, I normally remove larger bulging varicose veins as it tends to avoid these problems. I reserve foam sclerotherapy for smaller reticular veins and deeper perforator veins. When injecting, we apply a medical grade of at least 20-30 mmHg compression hose for 3 day x 24 hrs day then daily for one week. This seems to help with reducing trapped blood.

Published on Jul 11, 2012


Advanced Vein Center

Published on Jul 24, 2015

You probably have some trapped blood. This can be removed in the first 1-2 months and can improve the appearance.

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Answered by Advanced Vein Center

You probably have some trapped blood. This can be removed in the first 1-2 months and can improve the appearance.

Published on Jul 11, 2012


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