What does vein discoloration after sclerotherapy mean?
I had a foam sclerotherapy injection on a varicose vein two weeks ago. The vein is still very discolored, and there are still lumps. Does that mean it did not work?
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: The Vein Clinic | Margaret OByrne, MD
San Diego, CA
Discoloration does not mean the treatment didn't work, it means it is working. The discoloration should resolve in 3-6 months on average.
Replied on 7/3/2012
By: Austin Vein Specialists | Joel Gotvald, MD, FACS, RPVI
No, it does not mean that it did not work. It is common for the veins to become discolored after sclerotherapy for two reasons: 1) When the vein "dies" it begins to change color while it is being absorbed by the body and, 2) there is some old blood "trapped" inside the dying vein, with the trapped blood cells also causing discoloring of the veins. The veins and discoloration will fade over time as the body absorbs the veins and blood.
Replied on 7/3/2012
By: Vein Specialties of St. Louis | Norman Bein, M.D.,FACS,RVT
Creve Coeur, MO
When injecting a larger vein (varicose vein), there can be discoloration of the overlying skin from the blood trapped in that vein (hemosiderin). This can fade with time varying from weeks to many months.
In some cases, it may not fade completely. If there are lumps in the vein, I would schedule a time with your treating physician to release some of this trapped blood. This is done simply by inserting a needle into the vein and pressing gently to extract the blood. It will decrease the amount of discoloration you may develop. Massaging gently with ARNICA cream may help, and sometimes a heating pad on a low setting but applied frequently can help speed up the healing. It is for these reasons that we typically do not inject varicose veins as they are too large. As a surgeon, I would remove these in a cosmetic fashion (microphlebectomy), leaving minimal or no marks on the skin when healed. We reserve foam injections for smaller "feeder" reticular veins and for deeper communicating veins.
Replied on 7/3/2012
Replied on 7/3/2012
Replied on 7/3/2012
Replied on 7/3/2012
By: Advanced Vein Center | Bruce R. Hoyle, M.D.
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: Vein Clinic of North Carolina | Scott W. Baker, MD
The discolored area is called hyper-pigmentation. It is normal for some people. It occurs more with dark skin tones, however, anyone can have it. It usually fades with time. A bleaching cream can also be used if the
discoloration does not go away.
Replied on 7/3/2012
Replied on 7/3/2012
By: Dr. Michael Gioscia, MD, FACS, FACPh |
White Plains, NY
"Vein discoloration" or hyperpigmentation, is common after all types of sclerotherapy, including foam. The "lumps" are actually areas of trapped blood in the treated vein, and may require aspiration or removal depending on the amount. The discoloration should fade over time, but can take several months. Permanent discoloration from sclerotherapy can occur, but is much less likely. Neither of these two signs indicate failed treatment.
Replied on 6/20/2012
Replied on 6/13/2012
By: The Sheen Vein Institute | Vidal T. Sheen, M.D., RVT, RPVI
St. Louis , MO
Based on your description, it sounds like you have something we call trapped blood. As a vein closes down, it can trap blood within the scar tissue. The result is a discolored, lumpy vein. Often tender and occasionally reddish. Draining the blood out of these veins will make the lumps disappear and allow the the discoloration to gradually go away.
Replied on 6/11/2012
By: Intermountain Vein Center |
The discoloration is normal and may persist for a few more months. Sometimes blood can get trapped inside the vein for a short time and cause discoloration. Some of the discoloration is a reaction from the drug breaking down the vein.
Replied on 6/8/2012
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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?
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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 area....is 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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