Echosclerotherapy: Treat Deep Varicose Veins Without Surgery

Echosclerotherapy is a gentle and precise treatment designed to target varicose veins located deeper under the skin, but can still cause symptoms like heaviness, swelling or discomfort. Using real-time ultrasound imaging, your physician can accurately locate the affected vein and inject a special solution that’s been mixed with air to form a fine foam. This foam spreads evenly inside the vein, helping it close completely. Over time, the body naturally reabsorbs the vein, improving both circulation and the appearance of the legs.

Unlike traditional sclerotherapy, which treats visible surface veins, echosclerotherapy uses ultrasound guidance to precisely target deeper, harder-to-reach varicose veins. It may be recommended when veins are twisted or cannot be easily accessed with laser-based treatments. For some patients, it can also be a more cost-effective option than laser-based procedures.

Because treatment typically begins with a lower-concentration solution, several sessions may be needed to achieve the desired improvement. For more advanced or widespread vein conditions, your physician may instead recommend endovenous laser ablation (EVLA/EVLT), which is used to treat larger or more severely affected veins.

Using ultrasound guidance, your physician will accurately inject the sclerosing agent into the hidden abnormal veins. Once injected, the treated vessel collapses and is gradually absorbed by the body, disappearing over time. 

Duration: This treatment is relatively quick, taking up to 45 minutes to complete. We recommend allocating an hour for preparation, ultrasound examination, and discussion. 

Number of Treatments: Depending on the number of varicose veins present, you may require 2-3 sessions, and occasionally more. 

Results: Following the injection, you may experience slight discomfort along the injected vein, which will subside within a few minutes. As the vein closes over the next few weeks, some bruising and tenderness may occur, with the body reabsorbing the vein within approximately 6-18 months. 

For patients dealing with deep or hard-to-reach varicose veins, echosclerotherapy offers a less invasive, highly effective alternative to surgery. It avoids the need for more painful and invasive procedures, such as vein stripping surgery, which may involve longer recovery times, scarring, or complications. Here are the key benefits of echosclerotherapy: 

Minimal discomfort: The procedure is typically painless, with only mild sensations at the injection site.

Permanent results: Once treated, the targeted veins are permanently closed off and absorbed by the body.

Quick treatment: The procedure can be completed in approximately 45 minutes, depending on the extent of the treatment.

Non-invasive: There is no need for incisions, general anesthesia, or hospital admission.

Precise targeting: Ultrasound guidance ensures that even the most hidden veins are treated effectively. 

While Echosclerotherapy is a highly effective treatment for deep varicose veins, it may not be suitable for everyone. It is often NOT recommended for patients who: 

- Have a history of migraine headaches

- Have veins that are excessively twisted

- Suffer from chronic obstructive pulmonary disease (COPD) or asthma

- Are pregnant and/or breastfeeding

- Have a genetic tendency towards blood clotting 

To determine whether echosclerotherapy is right for you, a consultation with a vein specialist is essential. Your physician will assess your veins and recommend the most appropriate treatment based on your individual needs.

If you are considering echosclerotherapy, it’s important to know what to expect during and after the procedure: 

Duration: Treatment sessions typically last around 45 minutes. Depending on the number of veins treated, multiple sessions may be required.

Sensation: A fine needle is used to inject the sclerosing agent, and most patients report only a mild pinprick or burning sensation that fades quickly.

Recovery: Compression stockings are recommended to optimize results, and while patients can walk immediately after the procedure, strenuous activity should be avoided for at least two days. Sun exposure should also be limited to prevent skin hyperpigmentation. 

Preparation is key to ensuring a smooth and successful echosclerotherapy procedure. Here are some top tips for pre- and post-treatment care: 

Wear compression stockings: Have these ready to wear immediately after the procedure. Your physician will help you choose the correct size.

Arrange transportation: It’s a good idea to have someone drive you to and from your appointment.

Shave the treatment area: Ensure the area being treated is free of hair prior to your procedure.

Plan for downtime: While most normal activities can be resumed immediately, vigorous exercise and long-distance travel should be avoided for two weeks.

Avoid blood thinners: Do not take aspirin, ibuprofen, or other anti-inflammatory medications for at least 48 hours before and after your treatment. These can interfere with the effectiveness of the sclerosing agent.

Discuss medications: If you are on prednisone or other medications, consult with your physician about temporarily discontinuing them before the procedure.