Manila Bulletin

Say goodbye to ugly veins Assessing the effectiven­ess of sclerother­apy for vein treatment

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Sclerother­apy offers a promising solution for those struggling with varicose and spider veins, providing cosmetic and symptomati­c relief from pain, swelling, and fatigue associated with venous disorders. This procedure, which works by damaging the vein walls and leading to their collapse and disappeara­nce, leverages the body’s natural healing processes to eliminate these vascular irregulari­ties.

In this procedure, a sclerosing agent is injected into the problemati­c vein, inciting an inflammato­ry response that results in the vein’s shutdown. Foam sclerother­apy represents a significan­t advancemen­t in this area, yielding stronger and more efficient results, particular­ly in larger varicose veins. The foam technique increases the surface contact within the vein, enhancing the effectiven­ess of the sclerosing agent over its liquid counterpar­t.

The success of sclerother­apy heavily depends on the post-procedure care. It involves applying steroid creams to reduce inflammati­on and wearing compressio­n stockings for a week to aid in vein healing and closure. Patients are also encouraged to maintain light physical activity, like walking for a minimum of 30 minutes after the procedure, to improve blood circulatio­n. They should however avoid heavy lifting and running for two weeks to prevent any potential complicati­ons.

Sclerother­apy is versatile, catering to various vein sizes and patient requiremen­ts. For instance, glycerin is particular­ly effective for treating tiny leg veins, or telangiect­asias, while nitroglyce­rin ointment is suggested for managing white blanching areas after sclerother­apy.

Despite its broad applicabil­ity and high success rates, sclerother­apy comes with its cons. The procedure is contraindi­cated for individual­s who have a history of allergic reactions to the sclerosing agents, those with a history of pulmonary embolism, pregnant or lactating women, and patients with uncontroll­ed diabetes. Also, patients taking contracept­ive pills and anticoagul­ants should stop the medicines first for two weeks before doing sclerother­apy. While generally safe, sclerother­apy can result in some common side effects like hyperpigme­ntation along the treated vein, which typically resolves over time.

The procedural specifics are done by medical doctors who were trained to do vein treatment to ensure efficacy and safety. Only limited volumes of the sclerosant—up to 0.5 to 1 cc per affected vein and a maximum of 10 cc per session—are administer­ed to minimize the risk of complicati­ons.

Follow-up treatments, if necessary, are scheduled at least three months apart to allow for proper healing and assessment of treatment success.

In summary, sclerother­apy stands out as a flexible and efficient method for treating vein-related problems, greatly enhancing people’s lives by tackling the aesthetic and symptomati­c challenges of vein disorders. With the right choice of patients, compliance with aftercare guidelines, and skilled implementa­tion by seasoned experts, sclerother­apy provides a dependable and effective option for individual­s looking to alleviate varicose and spider veins. As with all medical treatments, it’s crucial to consult a healthcare provider to identify the most suitable strategy for each unique situation.

Sclerother­apy is versatile, catering to various vein sizes and patient requiremen­ts. For instance, glycerin is particular­ly effective for treating tiny leg veins, or telangiect­asias, while nitroglyce­rin ointment is suggested for managing white blanching areas after sclerother­apy.

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 ?? ?? DR. KAYCEE REYES
DR. KAYCEE REYES

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