Sclerotherapy Before and After Treatment Instructions

Sclerotherapy Pre Treatment Instructions

COMPRESSION HOSE – Are required to be worn immediately after each injection treatment or if you have had aspiration of trapped blood from an injected vein. Hose can be purchased from our office or you may request a prescription to purchase at a pharmacy or medical supply store. We use hose style with 30 to 40mm Hg compression. You cannot be injected without your compression hose. The hose must be worn continuously 24 hours a day and for 7 days. They may be removed to be laundered, preferably at night while you are inactive. Your doctor may adjust the length of time to wear your hose. The compression hose is critical to the success of the treatment.

LEG PREPARATION – Do not apply oil, lotion or powder to your legs the night before or the day of your injections. Use of these toiletries will not allow the cotton balls and tape (if needed), to adhere to your skin.

CLOTHING – Bring a pair of loose, comfortable shorts to wear during your treatment. Dress in loose clothes and comfortable shoes to accommodate the cotton balls, tape and hose after your treatment.

MEDICATIONS – Discontinue Aspirin and Ibuprofen (Motrin, Advil, Aleve etc.) for 10 days before and after injections to reduce bruising. Acetaminophen (Tylenol) is allowed.

TIME ALLOTTMENT – A sclerotherapy treatment should last approximately 30-60 minutes. You should arrive 10-15 minutes early for your first sclerotherapy treatment to allow time for photographs and to sign your consents. You should then allow an additional 10 minutes to apply your support hose, get dressed and to check out of the office. If you need to cancel or reschedule your sclerotherapy treatment, please give our office at least 72 hours notice.
PHOTOGRAPHS – Photographs will be taken before your first treatment to document progress and/or for the purpose of medical education, research, scientific publication or educational presentations. You will not be identified in your photographs and informed consent will be obtained before you are photographed.

SCLEROTHERAPY POST TREATMENT INSTRUCTIONS: COMPRESSION – Before standing, you will put on your compression hose. Proper compression is very important because it minimizes the blood re-entering the injected vein, decreases the incidence of post sclerotherapy hyper pigmentation and telangiectatic matting and improves venous blood flow. The cotton balls and tape can be very uncomfortable and may even irritate and blister sensitive skin. The hose should be worn for 24 hours a day continuous for 7 days. They may be removed to launder, preferably at night when you are inactive. If larger varicose veins are injected, you may be advised by your doctor to wear them for two to three weeks.

BATHING – A shower is allowed after the first 24 hours. Hot baths, hot tubs and saunas should be avoided for two weeks after sclerotherapy to avoid venous dilatation.

HYPERPIGMENTATION – If you develop hyper pigmentation after sclerotherapy you should apply sun block to those areas when sun exposure is anticipated to avoid increasing the hyper pigmentation. Continue to use sun block until the hyper pigmentation has resolved.

DRIVING – You may drive immediately after your treatment. If your trip home is longer than an hour we recommend you stop hourly to stretch your legs.

ACTIVITY – In most cases, you may return to work and resume normal activity after treatment. Please take a 15-minute walk immediately following your treatment. This will help circulate the solution that was injected. Walking is encouraged; it promotes efficient venous circulation. Avoid sitting and standing for extended periods and elevate your leg(s) above the level of your heart when possible for the next two to three days. If large varicose veins were injected, your clinician may recommend you stay off your feet with your leg(s) elevated for the rest of the day. Avoid high impact aerobics, jogging, running, leg weight lifting and sit-ups for one week after each injection treatment.

MEDICATIONS – Do not use Aspirin or Ibuprofen products for ten days after each treatment to reduce bruising. Acetaminophen (Tylenol) can be used if you experience any discomfort from sclerotherapy. FOLLOW-UP-subsequent treatments are usually every four to six weeks. Your clinical provider will advise you when you should return. If you notice dark knots or cords at your injection sites please call our office; you may need to return sooner to have these areas aspirated.

Remember it is important to call our office if you have any questions or concerns before or after your sclerotherapy treatment. Please keep your follow up appointment after treatment. It is important for the physician to assess the results you achieved from each treatment.

If you need to cancel or reschedule your sclerotherapy treatment or follow up appointment, please give our office at least 72 hours notice.

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