Sclerotherapy is helpful in the treatment of abnormal veins, from the treatment of unsightly spider veins for cosmetic reasons to treatment of abnormal varicose veins. Dr. Long also frequently uses sclerotherapy in conjunction with laser treatment to achieve superior, longer-lasting results for his patients.


Sclerotherapy is a technique in which a solution is injected into a vein to cause an inflammatory response in the vessel wall which then results in closure of the vessel. Many different solutions have been used for sclerotherapy as saline, Sotradecol, Polidocanol, and saline. We use a combination of agents at The Vein Center to help achieve optimal results. All of our sclerotherapy medications have been demonstrated to have exceptionally good long-standing safety profiles and are very effective. We do not use saline at The Vein Center due to its higher risk of ulcer formation.



Sclerotherapy is utilized to treat a variety of vein sizes, from tiny veins (spider veins) to moderately prominent varicosities. Treatment of varicosities with sclerotherapy is usually covered by insurance when treatment of abnormally refluxing vessels is performed at the same time (Laser ablation).


Although most spider veins are asymptomatic, some patients experience pain and a burning sensation over clusters of spider veins. These veins are most appropriately treated with sclerotherapy. Treatment for spider veins is considered a cosmetic procedure by insurance companies and is not covered under the vast majority of policies


The staff at The Vein Center will discuss treatment costs and expectations at the initial consultation. Pretreatment photographs are taken to document the severity and extent of the spider veins or varicose veins and to help assess progress during treatment. Test injection of spider veins may be performed at the initial visit to evaluate the effectiveness of the various solutions.



sclerotherapy-02Notice the bluish veins just above the spider veins in this picture. These reticular veins feed the abnormal spider veins and must be treated at the same time as the spider veins for a more durable result.


sclerotherapy-03Dr. Long uses the Vein-Lite to identify and treat an abnormal reticular vein leading to a cluster of spider veins. The Vein-Lite is also very helpful in the treatment of larger varicosities that should be treated at the same time as laser ablation. Treating the underlying problem (such as this abnormal reticular vein) is fundamental to achieving the best results. We go out of our way to treat the whole problem for our patients, not just the “tip of the iceberg”.