The phlebologist, Sergey Sergeevich Martynenko, conducts an appointment at the Lipetsk regional consultative polyclinic at the address: Lipetsk, Moskovskaya str. 6-a. Reception hours: Monday from 15-00 to 17-00

What is the essence of sclerotherapy?

Sclerotherapy is the removal of superficial vascular formations (vascular asterisks, angiomas, reticular veins) without surgery. During the manipulation, a medicinal substance is injected into the vein, which leads to damage to the venous wall. As a result, the lumen of the vein gradually overgrows, and the vessel itself turns into a fibrous, barely noticeable on the surface of the skin.

Vein sclerotherapy is a minimally invasive method of treating venous pathology, carried out on an outpatient basis, does not require special training of the patient, passes with minimal discomfort and desocialization of the patient (after manipulation, the patient returns to his usual habitual lifestyle).

How is vein sclerotherapy performed?

To begin with, you need to consult a phlebologist (vascular surgeon). The doctor carefully questions, examines the patient, prescribes, if necessary, additional research methods, After that, based on the data obtained, he determines the therapeutic tactics. If there are appropriate indications, and there are no contraindications, then proceed directly to the procedure itself. The doctor injects a sclerosing drug into the patient's vein using a syringe with a thin needle (30G). In one session, usually 2 to 20 injections are made, depending on the severity of the pathological process. The procedure lasts an average of 10 - 20 minutes.

Is it necessary to prepare specially for sclerotherapy?

• The day before, before the sclerotherapy, you should not do hair removal in the area where the injection will be carried out.
• Also, you can not use various therapeutic ointments, creams and lotions. Since after the procedure, the leg will be in an elastic bandage or stocking for some time, it is necessary to wear spacious shoes or clothes.

Indications for sclerotherapy:

Sclerotherapy as a treatment method can only be prescribed by a doctor who conducted an examination and examination of the patient. Indications for sclerotherapy are still a debatable issue to date.

Most researchers agree that sclerotherapy is indicated for the following conditions:

• Vascular meshes, asterisks - treatment at this stage is the most effective.
• Vascular asterisks are vascular formations under the skin when a network in the form of capillaries diverges from the center in the form of star rays. Most often, these formations are the result of hormonal disorders in the body.
• Varicose veins of the lower extremities-sclerotherapy may not be used at all stages of the disease. The final indications for the procedure can only be formed by a doctor.

Contraindications to sclerotherapy:

Despite the fact that vein sclerotherapy is a safe technique, there are still categories of patients to whom it is contraindicated:

• pregnant and breast-feeding women;
• people who have allergic reactions to drugs that are used during
• patients with severe atherosclerotic vascular lesion of the lower extremities;
• patients with thrombophlebitis or thrombosis of the veins of the lower extremities, including transferred;
• infections and inflammatory processes on the skin in the place where the injections are supposed to be made.

How effective is sclerotherapy?

Sclerotherapy is a modern highly effective technique. This is the reason for its high prevalence. Nevertheless, it is able to provide a long-term, but not lifelong effect, since it is not able to eliminate the very cause of varicose veins. After a course of treatment, relapses are possible, especially after 5-10 years. In this case, you need to come to the attending physician for a consultation and another examination. The most reliable way to prevent the recurrence of varicose veins after sclerotherapy is to wear elastic knitwear (1 month -2 compression class, then transition to the 1st compression class).