Sclerotherapy is a technique in which as solution is injected into a vein to trigger an
inflammatory response in the vessel wall which then results in closure of the vessel.  
Many different solutions have been used for sclerotherapy including hypertonic
solutions such as saline, detergents (Sotradecol, Polidocanol) and corrosive agents
(glycerine, alcohols).  We use two agents at The Vein Center-Glycerine and
Sotradecol.  Although of these two only Sotradecol is FDA approved for use in
sclerotherapy, glycerin has been demonstrated to have an exceptionally good
long-standing safety profile as well and is widely used for sclerotherapy internationally
as well as within the United States.  
Sclerotherapy is utilized to treat a variety of vein sizes, from tiny veins (spider veins) to
medium sized varicosities.  Large varicosities are often treated with ambulatory
phlebectomy at The Vein Center as this treatment can result in more rapid and
predictable results for larger varicosities.  Treatment  of small to medium 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 usually 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
(Injection treatment of varicose and spider veins)
Sclerotherapy is a useful technique for a wide variety of venous problems from
treatment of unsightly spider veins for cosmetic reasons to treatment of abnormal small
to medium sized varicose veins.  Dr. Long also frequently uses sclerotherapy in
conjunction with laser treatment in the setting of symptomatic varicose veins and
superficial venous reflux as a helpful adjunct to achieve superior, longer-lasting results
for his patients.
The Vein Center
11219 Financial Centre Parkway
Suite 215
Little Rock, Arkansas  72211
(501) 225-8346  (225-VEIN)
Fax  (501) 217-9819
Typical appearance for small spider-type veins.
Notice 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.
Dr. Long uses the Vein-Lite to identify and treat an abnormal perforating 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".
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