Should my legs ache 4 weeks after sclerotherapy?

I had sclerotherapy almost 4 weeks ago. My legs now ache and feel heavy as soon as I get up in the morning. I have been wearing support knee highs. How long should this last? Legs didn't feel this way before sclerotherapy.

The information provided by medical professionals in the Q&A is for informational purposes only, and is not a substitute for individualized medical advice, diagnosis or treatment by a qualified health care provider.


Replied on 7/3/2012

By: Advanced Vein Center  |  Bruce R. Hoyle, M.D.
Orange, CA

The risk of DVT with sclerotherapy of spider veins is exceedingly low. To avoid pigmentation issues I would separate the treatments by at least 2 weeks.

Replied on 7/3/2012

By: Bella MD Laser Vein and Aesthetic Center  |  David A. Engleman MD, FACC
Dallas, TX

You should discuss this with the treating physician.

Replied on 7/3/2012

By: Vein Specialists at Royal Palm Square  |  Joseph G. Magnant, M.D., F.A.C.S.
Fort Myers, FL

You should contact your vein specialist and share these symptoms with them. You might need an ultrasound to exclude a deep vein clot. Also, if you did not have an ultrasound before your sclerotherapy, I would consider obtaining one for venous insufficiency.

Replied on 7/3/2012

By: Heart and Vein Center  |  Rodolfo D. Farhy, MD, FACC, FAHA
Lathrup Village, MI

Often, the treated veins have an inflammatory reaction around 2 weeks post-sclerotherapy that can give pain/aches. Anti-inflammatories and compression stockings would help for the symptoms. Regular daily walking would be helpful as well.

Replied on 7/3/2012

By: General Vascular Surgery Group  |  Michael D. Ingegno, M.D.
Robert O’Neil Gingery, M.D.
Lamont D. Paxton, M.D.

San Ramon, CA

Not usually a symptom post sclerotherapy. See your MD, as something else may be going on.

Replied on 7/3/2012

By: Vein Specialties of St. Louis  |  Norman Bein, M.D.,FACS,RVT
Creve Coeur, MO

This would be highly unusual after sclerotherapy procedures, especially considering you are 4 weeks out. I would ask to see your treating physician for an ultrasound examination.

Replied on 5/30/2012

By: The Vein Treatment Center (Est. 1982) Original Specialized Practice  |  Luis Navarro, M.D., FACS, FACPh.
New York, NY

Usually sclerotherapy is not associated with pain 4 weeks after treatment. You should go back to see your doctor to find out the cause of the discomfort which could also be related to other issuesmuscles, joints, etc.

Replied on 5/15/2012

By: Intermountain Vein Center  |  
Provo, UT

I would follow up with your doctor and have an ultrasound done to make sure that all the veins treated are closed off. There could be other varices that were not treated, giving the feeling of heaviness in your legs.

Replied on 5/8/2012

By: Austin Vein Specialists  |  Joel Gotvald, MD, FACS, RPVI
Austin, TX

I would recommend an evaluation by your physician, including an ultrasound of your veins to evaluate your symptoms further. I would not expect such symptoms 4 weeks after treatment.

Replied on 5/8/2012

By: The Sheen Vein Institute  |  Vidal T. Sheen, M.D., RVT, RPVI
St. Louis , MO

No, your legs should not ache 4 weeks after having sclerotherapy. Vein treatments when done correctly should actually make your legs feel better and lighter since the efficiency of your venous circulation should improve after the treatment. If you are hurting, it usually signifies that something is not right and you should have your legs re-evaluated. It is possible that your treatment was only a partial treatment and you actually have something more than just spider veins. Did you have your legs ultrasounded for internal defects? Another thing is that I do not recommend knee high stocking in most patients since most people have vein disease above their knees as well and wearing knee high compression stockings can constrict your vessels around your knee and cause a build up of pressure in your knee resulting in discomfort.

Replied on 5/2/2012

By: Vanish Vein and Laser Center  |  Dr. John Landi, FACS, RPVI, RPhS
Medical Director, Diplomate Am. Board of Phlebology

Naples, FL

It would be very unusual for your legs to ache this long after sclerotherapy. Most of the time there is NO discomfort following sclerotherapy and patients return to normal activities immediately. I would recommend following up with your treating physician.

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Can a slough appear 1 week after sclerotherapy treatment, or would you see & feel signs of it sooner?

Is it okay if some of the clotted veins are not drained during sclerotherapy? (5 answers)
The doctor drained them, but there is one on my wrist that is hard and goes up my arm. Even though he meant to do just the wrist, this one is hard to see, but I can feel it. Is that okay?

Muscle Pain, Tendernous, and Spasms after Sclerotherapy (5 answers)
I had my right leg treated 4 days ago & since day 1 I have experienced muscle pain & tenderness in my calf. Occasionally, I have muscle spasms & today my ankle hurts as though it is sprained. It has been difficult to walk. Is this normal or serious?

Trapped blood keep coming back in my varicose veins (5 answers)
I had EVLT followed by sclerotherapy for my variocose veins. I developed large amounts of trapped blood in the treated veins. How many times should you have to keep aspirating the blood. It keeps coming back after 4 attempts relieve hard lumps?

Foam sclerotherapy following EVLT (5 answers)
I've had EVLT performed on both GSV's and both LSV's. How do you know if you need sclerotherapy foam on other veins and tributaries. Do these have to be incompetent to have this done? The EVLT was not performed on the lower portion of any of these veins.

Should I avoid taking Adderall prior and after Sclerotherapy? (5 answers)
Should I avoid taking Adderall prior and after Sclerotherapy?

How will I know if the vein will vanish or fade after sclerotherapy? (5 answers)
It's been two weeks and any bruising that I had has faded. My legs look like they did before sclerotherapy. The vein behind my knee still hurts when i stand. i had sclero before and there were more obvious signs of fading. is there still a chance to improve?

Large veins around eyes making it look like a black eye. (5 answers)
My granddaughter has large veins around that sometimes make her look as if she has a black eye. What is some possible treatments?

What are these gray patches all over my legs where I had injections and where I had telangiectatic matting? (5 answers)
They're not purple. They're not red. They're gray. No visible veins, just kind of cooky looking. Will they go away?

Which veins get injected with sclerotherapy? (4 answers)
Which veins get injected with sclerotherapy for varicose veins treatment? Is it the bulging ones or the ones inside the leg that we don't see that are varicose? Thank you!

I had sclerotherapy treatment in Feb 2011. Despite following directions to the letter, my spider veins are back. Why? (4 answers)
I had sclerotherapy treatment in Feb 2011. Despite following directions to the letter, my spider veins are back. Why?

Is new vein development after sclerotherapy preventable? (4 answers)
After sclerotherapy, I always have a burst of new ones develop. Is this preventable? I used to have spider veins only on my thighs but they disappeared after having treatment only to be replaced by new ones on my lower legs (which looks worse).

Sclerotherapy for labia varices? (4 answers)
I had a radiologist do sclerotherapy with x-ray dye for labia varices. Is it normal to feel hard rounded lumps deep into the labia post procedure. I feel the lumps are NOT LOCATED where the vein was.Will this resolve and how long does it take?

How long does it usually take for the spider veins to go away? (4 answers)
I had injections done and it doesn't look like any of the spiders went away. This was a month ago. When can I expect to see a change. Also, is it safe to have this done while on Accutane?

Worried that removing a spider vein will affect other body functions? (4 answers)
I have big spider vein from the legs to breasts including arms and stomach. Doctors say they can be vanished. But, I'm worrying whether or not removing them will affect the other body functions and cause new problems?

Which antibiotics should be avoided when getting Sclerotherapy? (4 answers)
Which antibiotics should be avoided when getting sclerotherapy? And how long before and after the procedure should they be avoided? Are tetracyclines the only ones that cause staining or do others?

Should I be worried about a dark purple vein that's still active? (4 answers)
I received sclerotherapy from a plastic surgeon's office for spider veins. The lady said a very visible dark purple vein behind my knee could not be treated because it is still an active vein. Should I be worried about underlying vascular problems?

Post sclerotherapy, extreme pain, posterior knees (4 answers)
If there was an untreated, localized ameoba infection, at the time of sclerotherapy treatment for spider veins, could this have caused ameoba cysts in knee, thus reason for ongoing pain still felt after almost two years later?

Visible under eye veins (4 answers)
I have veins below my eyes that are very visible through the skin. Is this type of therapy an option? What would the risks be, and if this is not an option, what treatment do you recommend? It is a hereditary condition I have had all my life.

Is vasculitis a possible side effect of sclerotherapy? (3 answers)
Is vasculitis a possible side effect of sclerotherapy?

Medical Data to support repeat ultrasound quided sclerotherapy (3 answers)
My insurance carrier recently changed its policy. It used to grant 3 sclerotherapy sessions, now they state repeat sessions are not medically indicated. However, this is not listed in their policy on varicose veins. I need data to fight this.

Dan sclerotherapy cause numbness in hands? (3 answers)
I had Sclerotherapy done on my hands. The doctor did many viens. My hands look great. But sometimes at night my hands feel numb or during the day one of my fingers feels numb. Is it temporary? Is it okay to have numbness? Thank you!

Can sclerotherapy be used to remove an external hemorrhoid? And can a vein clinic perfom this procedure? (3 answers)
Can sclerotherapy be used to remove an external hemorrhoid? And can a vein clinic perfom this procedure?

Blue visible veins all over my body? (3 answers)
I recently just noticed that all of my veins are visible all over my body, including a few in the chest this normal? I'm currently on Accutane too.

New large veins appeared after sclerotherapy. (3 answers)
I had sclerotherapy a week ago and I noticed that new large veins appeared that weren't there before, and that the treated ones haven't fully disappeared yet. Is it a side effect of sclerotherapy? What seemed to cause the problem? Thanks.

I have lots of veins on my heels and ankles. Are there any treatments that I can do that won't stain brown? (2 answers)
I have thin skin that bruises easily, and I have brown stains from previous sclerotherapy treatments that I did over 7 years ago.

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