Is sclerotherapy the right treatment for buldging veins on the feet, or is there a better procedure?

I have bulging veins on my feet that concern me health-wise. Can they be treated using sclerotherapy? Or, is there a better procedure for this particular area?

Answers from doctors (7)


Vein Treatment Clinic

Published on Jan 16, 2018

There are various options for vein treatment if there are signs and symptoms and if ultrasound confirms that you are presenting venous reflux of the lower extremities. Venous treatment for reflux includes VenaSeal closure system which is a newer treatment option that uses an adhesive to seal the vein and does not require the use of compression stockings after the procedure. Other treatment options are the thermal energy that uses heat to target the veins presenting problems, but does require compression stockings after the procedure like in the case of endovenous laser ablation and/or radiofrequency ablation. Another treatment option is guided sclerotherapy that uses a chemical liquid or foam to treat the vein. This last one can be used in combination to treat veins that still remain or present problem even after reflux has been treated. Another option for this is microphlebectomy. My recommendation is to go one step at a time. First you should go see a board certified vein specialist who you can trust to help you make a decision according to your symptoms and ultrasound results. The vein specialist can help you decide what treatment or combination of treatment is best for your specific case.
All the best and good luck!

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8534_1510077584.jpg
Answered by Vein Treatment Clinic

There are various options for vein treatment if there are signs and symptoms and if ultrasound confirms that you are presenting venous reflux of the lower extremities. Venous treatment for reflux includes VenaSeal closure system which is a newer treatment option that uses an adhesive to seal the vein and does not require the use of compression stockings after the procedure. Other treatment options are the thermal energy that uses heat to target the veins presenting problems, but does require compression stockings after the procedure like in the case of endovenous laser ablation and/or radiofrequency ablation. Another treatment option is guided sclerotherapy that uses a chemical liquid or foam to treat the vein. This last one can be used in combination to treat veins that still remain or present problem even after reflux has been treated. Another option for this is microphlebectomy. My recommendation is to go one step at a time. First you should go see a board certified vein specialist who you can trust to help you make a decision according to your symptoms and ultrasound results. The vein specialist can help you decide what treatment or combination of treatment is best for your specific case.
All the best and good luck!

Published on Jul 11, 2012


Intermountain Vein Center

Published on Jul 19, 2013

I would recommend having an ultrasound done first of your legs to make sure those bulging veins are not being fed by something that you can't see above your ankles. If veins are found diseased in your legs and aren't treated, your body could create more bulging veins that could appear again in your feet. Many times there are veins with reflux found in the superficial system and by treating those veins, it could help the bulging veins in your feet disappear on their own.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1153_1408044089.jpg
Answered by Intermountain Vein Center

I would recommend having an ultrasound done first of your legs to make sure those bulging veins are not being fed by something that you can't see above your ankles. If veins are found diseased in your legs and aren't treated, your body could create more bulging veins that could appear again in your feet. Many times there are veins with reflux found in the superficial system and by treating those veins, it could help the bulging veins in your feet disappear on their own.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Jul 18, 2013

There could be an underlying problem causing the bulging veins on your feet; therefore, it's best that you be evaluated before starting any form of treatment like sclerotherapy.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1172_1408044089.jpg
Answered by Vein Clinic of North Carolina

There could be an underlying problem causing the bulging veins on your feet; therefore, it's best that you be evaluated before starting any form of treatment like sclerotherapy.

Published on Jul 11, 2012


Vein Center of Orange County

Published on Jul 18, 2013

If prominent veins on the feet are simply normal veins, then treatment is unnecessary. If they are dilated due to pressure from varicose veins in the thighs or calves, treating the problematic veins higher in the leg usually helps take pressure off foot veins. Any leftover foot veins may then be safely treated with foam sclerotherapy, unless you wish to have them surgically removed.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1015_1408044084.jpg
Answered by Vein Center of Orange County

If prominent veins on the feet are simply normal veins, then treatment is unnecessary. If they are dilated due to pressure from varicose veins in the thighs or calves, treating the problematic veins higher in the leg usually helps take pressure off foot veins. Any leftover foot veins may then be safely treated with foam sclerotherapy, unless you wish to have them surgically removed.

Published on Jul 11, 2012


More About Doctor Laser Vein Center

Published on Jul 18, 2013

Yes, sclerotherapy is an effective treatment for bulging veins on the feet.

Answered by Laser Vein Center (View Profile)

Yes, sclerotherapy is an effective treatment for bulging veins on the feet.

Published on Jul 11, 2012


VeinSolutions - Edina

Published on Jul 18, 2013

The veins you are describing are probably reticular veins, and certainly sclerotherapy is effective in treating this type of vein. Oftentimes, however, larger reticular veins will best be addressed by microstab phlebectomy.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/861_1409954875.jpg
Answered by VeinSolutions - Edina

The veins you are describing are probably reticular veins, and certainly sclerotherapy is effective in treating this type of vein. Oftentimes, however, larger reticular veins will best be addressed by microstab phlebectomy.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jul 17, 2013

Bulging foot veins can be treated by sclerotherapy or probably, better still, small microphlebectomies through 2 mm micro incisions.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1053_1499982262.jpg
Answered by Vanish Vein and Laser Center

Bulging foot veins can be treated by sclerotherapy or probably, better still, small microphlebectomies through 2 mm micro incisions.

Published on Jul 11, 2012


Related Questions for Foam Sclerotherapy

Foam Sclerotherapy -13 answers
I had EVLT performed on both legs. A week later, I had a foam sclerotherapy treatment. I developed thrombophlebitis following the procedures, and was given ibuprofen 600 for 2 weeks. I am finding that I still have no relief. There is pain behind my knee & inner thigh. What should I do?
See More
Foam Sclerotherapy -5 answers
It has been almost 3 weeks since I had the procedure. Is it OK to go for a full body massage? If not, when will I be able to go?
See More
Foam Sclerotherapy -3 answers
I've had four rounds of sclerotherapy over the course of a year. Now they're much much worse, and there are new clusters of veins around the injection site. Is it possible sclerotherapy just doesn't work for me?
See More
Foam Sclerotherapy -7 answers
Is it bad for your health to have sclerotherapy? It seems dangerous to inject chemicals like that directly into the bloodstream. Couldn't they spread and cause damage to other veins/areas of the body?
See More
Foam Sclerotherapy -2 answers
I have done several procedures Foam Sclerotherapy, injections, etc. This has caused those areas to stain. Also the pain continues especially when I'm on my mentral cycle, which causes it to be even more pruple and almost black in color.
See More
Foam Sclerotherapy -7 answers
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?
See More
Foam Sclerotherapy -2 answers
I hate the big veins on my hands. Is it safe to get rid of them with sclerotherapy?
See More
Foam Sclerotherapy -5 answers
I had the VENUS procedure done 4 weeks ago along with foam sclerotherapy into a perforator vein about 3" above my ankle. Ultrasound shows a thrombosis in this area. It is still hardened, tender, and has not improved. What should I expect my surgeon to do?
See More
Get answers from our experienced doctors.
How it works
Foam Sclerotherapy -4 answers
I had the great and short saphenous veins treated on both legs. I am still wearing compression hose during the day but my legs feel very tender and bruised and it hurts when I walk.
See More
Foam Sclerotherapy -2 answers
My leg aches continually especially in warm weather. Can this be eradicated with more foam to reduce the refluxing veins? What are my chances of getting phlebitis again in this leg and how long should I leave it before having more treatment?
See More
Foam Sclerotherapy -10 answers
My doctor says it's okay but I thought veins had to clot in order for the sclerotheraphy to be successful.
See More
Foam Sclerotherapy -6 answers
I am thinking about having foam sclerotherapy and I was once told by a doctor that the blood will clot from the foam and then the foam shrinks the vein. Can you explain this process? How long does the blood clot stay there? Is it a concern, and is there a risk of developing other problems from this treatment, such as cancer?
See More
Foam Sclerotherapy -3 answers
I have developed protruding blue veins around my ankle (my achilles heel area) and generally on my foot. Would foam sclerotherapy or just sclerotherapy be suitable in treating this? Would it help resolve my ankle aching on hot days?
See More
Foam Sclerotherapy -3 answers
what are the advantages (if any) over Asclera and also, must a compression stocking be worn after the proceedure AND EXACTLY for how long?
See More
Foam Sclerotherapy -2 answers
I had phlebitis which has left my short saphenous vein distended and aching around the foot, ankle, and calf. How is this problem best treated?
See More
Foam Sclerotherapy -4 answers
I have many bulging veins on both feet. Duplex ultrasound showed no reflux or insufficiency and that veins are not varicose. It was recommended that I do nothing since there is no need. If want to fix them for cosmetic reasons, can they be treated? If so, what's the best procedure?
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR