Is it normal to develop clotted, lumpy veins after sclerotherapy on the hands? Can the clots be removed or dispersed? How long before they disappear?

I recently had hand sclerotherapy. 4 weeks post-treatment, the treated veins are clotted and lumpy. My doctor drained some veins but said the solid clots will be reabsorbed. A worry is these veins are causing new yellow and green discoloration on the hands and they will continue to do that for as long as they are still there. So, solid clots can't be removed or dispersed in some way? How long can it take for solid clots to disappear? Can they not be evacuated?

Answers from doctors (4)


Vein Specialties of St. Louis

Published on Aug 19, 2016

This is the reason, I as a surgeon, remove these veins (microphlebectomy). One treatment and the larger veins are gone. You describe classic areas of trapped blood, which can lead to pigmentation if not removed early on. I would return to your doctor to have them remove as much as possible. Additionally, all of my patients go home with either Dermaka or arnica cream, which aids in healing and reduces the chance of pigmentation. We reserve sclerotherapy for touch up of smaller veins after the removal of the larger veins.

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Answered by Vein Specialties of St. Louis

This is the reason, I as a surgeon, remove these veins (microphlebectomy). One treatment and the larger veins are gone. You describe classic areas of trapped blood, which can lead to pigmentation if not removed early on. I would return to your doctor to have them remove as much as possible. Additionally, all of my patients go home with either Dermaka or arnica cream, which aids in healing and reduces the chance of pigmentation. We reserve sclerotherapy for touch up of smaller veins after the removal of the larger veins.

Published on Jul 11, 2012


Advanced Vein Center

Published on Aug 19, 2016

The problem can occur, and it often goes away with time. The clots can't be treated now; it's too late for that.

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Answered by Advanced Vein Center

The problem can occur, and it often goes away with time. The clots can't be treated now; it's too late for that.

Published on Jul 11, 2012


The yellow and green discoloration is a temporary phenomenon and will resolve with time. The solid clots can be expressed after sticking the vein with a 18G needle. Sometimes the clots come out easily and sometimes they don't, but it's worth a try.

Answered by Premier Vein and Vascular Center (View Profile)

The yellow and green discoloration is a temporary phenomenon and will resolve with time. The solid clots can be expressed after sticking the vein with a 18G needle. Sometimes the clots come out easily and sometimes they don't, but it's worth a try.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Aug 19, 2016

The development of clots in treated hand veins is very common. I drain these usually 3 weeks after the sclerotherapy, and then about every 3 weeks until they are resolved. Usually most resolve by the 2nd clot evacuation (6 weeks). The body will absorb the remaining clots and the discoloration will improve over time. There are topical agents that will expedite the discoloration.

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Answered by Vanish Vein and Laser Center

The development of clots in treated hand veins is very common. I drain these usually 3 weeks after the sclerotherapy, and then about every 3 weeks until they are resolved. Usually most resolve by the 2nd clot evacuation (6 weeks). The body will absorb the remaining clots and the discoloration will improve over time. There are topical agents that will expedite the discoloration.

Published on Jul 11, 2012


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