SCLEROTHERAPY

Reviewed by Dr. Javier Alvarez-Tostado, MD · Diplomate, American Board of Venous and Lymphatic Medicine (ABVLM) · Vascular Surgeon, Cleveland Clinic 2008–2023

Sclerotherapy is the gold-standard treatment for spider veins, reticular veins, and small varicose veins. At Solon Vein Clinic, every session is performed directly by our board-certified vascular surgeons in our Solon, OH office. No hospital stay, no general anesthesia, and most patients go straight back to their day.

Many patients seek treatment for the look of their legs. Others have real symptoms from venous insufficiency: aching, heaviness, itching, burning, or swelling. Sclerotherapy addresses both by closing the veins causing the problem.

If you're looking for sclerotherapy near Solon or Cleveland, here's what the treatment involves.

Symptoms sclerotherapy treats

Aching, throbbing, or leg pain

Heaviness or fatigue, especially after standing

Itching, burning, or warmth over the veins

Nighttime cramps or restless legs

Swelling around the ankles or calves

For more advanced venous disease, sclerotherapy is often paired with other treatments to address skin changes, discoloration, or slow-healing sores near the ankles. Many patients have none of these symptoms and simply want their legs to look clearer. Both are valid reasons to come in.

FAQ

Does sclerotherapy hurt?

Most patients describe it as very comfortable rather than painful. We use one of the smallest needles available, so the most common sensation is a mild sting or brief warmth as the solution enters the vein. There's no downtime for discomfort afterward, and you can drive yourself home right after your appointment. If pain has been the reason you've put off treatment, come in for a consultation and we'll walk you through exactly what to expect.

How is sclerotherapy performed?

Each session takes 30 to 60 minutes in our Solon office and is performed exclusively by one of our vascular surgeons. Your surgeon reviews your target areas, cleans the skin, and injects a sclerosing solution directly into the vein through a fine needle. The vein wall collapses and closes; your body reroutes blood through nearby healthy veins, and the treated vein is gradually absorbed over the following weeks.

How many sclerotherapy sessions will I need?

It depends on how many veins you're treating and how they respond. Spider veins often clear in one to three sessions, while larger varicose veins may need more. At your first visit, your vascular surgeon assesses your legs and gives you a realistic session count for your specific case rather than a generic estimate.

What is recovery like after sclerotherapy?

Most patients leave the office and return to their normal activities immediately. You'll wear a medical-grade compression stocking or ACE wrap for the first 48 hours, then continue daytime compression for a few weeks so the vein stays closed. Light walking (20 to 30 minutes a day) is encouraged; skip heavy weightlifting, intense exercise, and hot tubs for the first week. We'll schedule your follow-up before you leave.

When will I see results?

Many patients notice less aching or heaviness within the first week, before the veins themselves fade. Spider and reticular veins typically clear in 4 to 6 weeks; larger varicose veins take longer, with final results appearing over 3 to 4 months.

Am I a candidate for sclerotherapy?

During your first visit, your vascular surgeon reviews your history, symptoms, and any conservative treatment you've already tried. If venous insufficiency is suspected, we may run a venous duplex ultrasound to map the blood flow. From there, your surgeon recommends the right approach: standard sclerotherapy for surface veins, ultrasound-guided foam sclerotherapy (Varithena) for deeper veins, or a combined approach for larger vessels.

Does insurance cover sclerotherapy?

It depends on why you're being treated. Sclerotherapy for cosmetic reasons, spider veins with no underlying symptoms, is typically not covered. Treatment for varicose veins causing pain, swelling, or skin changes is often covered once conservative treatment has been tried first. We can walk you through your options at your consultation, and we recommend calling your insurer beforehand to confirm your specific plan.

Do you see patients from Cleveland and surrounding areas?

Yes. We treat patients from Solon, Twinsburg, Chagrin Falls, Independence, Bedford, Beachwood, Hudson, Macedonia, Cleveland, and neighboring Northeast Ohio communities. Our office is at 33290 Bainbridge Rd, Solon, OH 44139, about 20 minutes from downtown Cleveland.

Ready to treat your spider or varicose veins?


Call us at (440) 600-7675 or schedule online. Dr. Alvarez-Tostado and Dr. Moise have spent decades treating vein conditions at the Cleveland Clinic and in private practice, now in a smaller setting with more time for you.

TESTIMONIALS

33290 Bainbridge Rd, Solon, OH 44139, EE. UU.

CONTACT US

440-771-1731

Monday-Friday: 8:30 am - 5:00 pm

Saturday & Sunday: CLOSED 

33290 Bainbridge Rd Solon, OH 44139

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