Treatment of Superficial Leg Veins
Sclerotherapy Consent Form
Spider veins of sunburst vessels in the legs are tiny varicosities. They are caused by decreased venous valve competence and are often exacerbated by pregnancy, prolonged sitting, standing or obesity. Heredity also plays a significant role. If deeper varicosities present, these may need to be treated surgically.
The doctor today has chosen to use:
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These superficial veins are treated by injection of a sclerosing agent. These solutions irritate the vessels and cause them to close off over a period of weeks. Certain vessels are more easily treated than others and usually only 75% of the vessels can be eradicated or lightened. The procedure itself takes 30 to 60 minutes and is typically repeated 2-3 times at 4-8 week intervals. Most people do not find the injections painful. There is however often a burning or stinging sensation which can persist for several minutes. Cramping is also common especially when the veins occur around the ankles or claves.
As with any surgical procedure, complications could occur. Hyperpigmented "brown" spots commonly occur at the injection site. These almost always resolve within three to six months. Thrombosis of the veins may occur and can be painful. Thrombi are treated by removing the clot. Occasionally bruising and swelling may occur. Superficial thrombophlebitis can occur because of the irritation of the vessels and is treated with aspirin and rest. Hives can occur
and are treated with antihistamine.
More rarely, cutaneous ulcerations and scarring could occur, usually at the injection site where the agent has extravasated or leaked into the surrounding skin.
The procedure is somewhat tedious and often involves moving legs into various positions so the vessels may be properly injected. Be prepared to move around. You may even want to wear a pair of shorts. Support stockings are strongly recommended for immediately after the procedure and as much as possible for the following two weeks.
The charge varies depending on the location and size of treatment area. Sclerotherapy is a cosmetic procedure and is not covered by insurance. Payment is due at the time of service.
I have read and understand the preceding information and agree to the use of sclerotherapy. Alternatives and risks have been explained, and all my questions have been answered to my satisfaction.
