What can I expected after the treatment?

Immediately following the injection, some patients perceive a slight discomfort along the course of the injected vein.  This, however, is very transient and usually disappears within a few minutes.  As the vein closes over the next few weeks, there is bruising and tenderness as a lumpy cord forms.  Your body will reabsorb the cord in about 6-18 months.

You must wear the support hose with the compression bandage for a continuous period of four days and four nights.



Rather than taking baths during this time, we recommend brief showers.  To keep your bandage dry, you may wrap a towel on your thigh (just above your bandage) and then place your leg in a large plastic bag, which you tape tightly.  After four days you can remove the bandage but you must continue to wear the support hose for an additional three and a half weeks during the day only.  Immediately following the procedure, you must return home and lay flat with your leg straight for a period of four hours.  Once every hour during this period, you can get up and walk around for 5-10 minutes.

It is advisable to not travel for two months following the Echosclerotherapy procedure; should you need to travel please discuss this with the doctor at your visit.

Can I exercise following treatment?

Walking is the preferred activity for the next four weeks and it is helpful in obtaining optimal results from the echosclerotherapy.  However, exercise can start only after the 4 hour period of lying flat with a straight leg that is required immediately after the treatment.  As previously mentioned, daily walking is best activity until you have your follow up ultrasound.  Avoid weight lifting, high impact aerobics, cycling or sports for four weeks.

What are the possible complications of Echosclerotherapy?

The most common complication is an inflammation of the injected vein.  It usually appears within the first few weeks after the procedure and consists of a hard, tender, reddened cord along the injected site.  The pain is usually minor and is relieved by the application of ice and the use of support stockings and anti-inflammatory medication.

Despite having preliminary injections, there is always a possibility of developing an allergic reaction to the medication.  This rare complication may range from a slight tingling sensation with red blotches on the skin, to an anaphylactic reaction.

In the bigger varicose veins, blood can be trapped with the treatment.  This trapped blood in the veins can cause increased tenderness and may require draining three weeks after the treatment.

Exceptionally rare cases of deep vein thrombosis and pulmonary embolus have been reported in medical literature.

PDF_icon2 Download Echosclerotherapy before and after treatment.