What is the best method of treatment for bulging blue ankle veins?

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?

Answers from doctors (3)


Vein Specialties of St. Louis

Published on Jul 26, 2017

There are several ways to treat foot and ankle veins. Firstly you should be evaluated by a board certified vascular trained surgeon who specializes in treating veins including an ultrasound. With symptoms there may be an underlying vein reflux causing pressure in your ankle. If not present, these can be removed through tiny punctures (microphlebectomy) in the office under local anesthetic or injected. This depends on the size of veins to be treated and may involve both techniques.

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Answered by Vein Specialties of St. Louis

There are several ways to treat foot and ankle veins. Firstly you should be evaluated by a board certified vascular trained surgeon who specializes in treating veins including an ultrasound. With symptoms there may be an underlying vein reflux causing pressure in your ankle. If not present, these can be removed through tiny punctures (microphlebectomy) in the office under local anesthetic or injected. This depends on the size of veins to be treated and may involve both techniques.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on May 12, 2011

Before treating any bulging veins you should have a venous reflux ultrasound to look for greater or lesser saphenous reflux. If reflux is present then this should be treated first. If no reflux, then either liquid or foam sclerotherapy can be used. This should help your ankle symptoms.

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Answered by Vanish Vein and Laser Center

Before treating any bulging veins you should have a venous reflux ultrasound to look for greater or lesser saphenous reflux. If reflux is present then this should be treated first. If no reflux, then either liquid or foam sclerotherapy can be used. This should help your ankle symptoms.

Published on Jul 11, 2012


Nu Vela Vein Center

Published on May 11, 2011

Foam Sclerotherapy would not be generally necessary or advisable. Recommend
liquid sclerotherapy performed by a phlebologist who is experienced in doing
this delicate area. For truly bulging veins, however, The phlebologist may
decide to rule out reflux (back flow from the deep veins into the
superficial veins) with a duplex ultrasound scan, before starting on
sclero treatment.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/992_1499978603.jpg
Answered by Nu Vela Vein Center

Foam Sclerotherapy would not be generally necessary or advisable. Recommend
liquid sclerotherapy performed by a phlebologist who is experienced in doing
this delicate area. For truly bulging veins, however, The phlebologist may
decide to rule out reflux (back flow from the deep veins into the
superficial veins) with a duplex ultrasound scan, before starting on
sclero treatment.

Published on Jul 11, 2012


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