Comprehensive Venous Diagnosis and Treatment
In the past, most sclerotherapy has been performed by injecting a liquid through tiny needles into a small vein or spider vein near the surface of the skin. This technique usually works very well for veins up to about 2 mm in diameter if there is no larger vein deeper under the skin feeding blood under pressure into the spider veins being treated.
We perform visually-guided liquid sclerotherapy with Asclera (polidocanol) and Sotradecol (sodium tetradecyl sulfate) which are the two sclerosants approved by the United States Food and Drug Administration for sclerotherapy.
We do not use hypertonic saline since Asclera and Sotradecol are better options. Most patients experience a minor burning discomfort at the injection sites with a temporary red skin discoloration much like that around an insect sting.