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pider veins sclerotherapy

What Are Spider Veins?
Spider veins are small, reddish, irregular, purplish or bluish unsightly vessels. Slightly larger and greenish veins, called the feeder veins always feed spider veins. Achieving good results depends on successful treatment of both spider and feeder veins. This simple fact is commonly ignored by less experienced physicians.

What are Varicose Veins?
Large, often bulging veins that have a zigzag pattern. Varicose veins always result from abnormal flow of blood in opposite the normal direction. In such cases, there is an incompetence of the one way barriers (valves) between the deep and superficial leg vein systems, leading to abnormal flow of blood from the larger deep veins into the superficial smaller veins and creation of zigzag dilated varicose veins.

What causes Varicose Veins?
Heredity is the most dominant factor for developing leg varicose veins. Other causes included higher than normal abdominal/pelvic pressure and high progesterone levels, which are both present during pregnancy. Standing for prolonged periods and on regular basis, as seen in many jobs, also aggravates varicose veins by creating stasis of blood in leg veins.

What are the symptoms of varicose veins disease?
In addition to their embarrassing, unsightly appearance, symptoms can include burning, itching, pain, leg fatigue, heaviness, throbbing, ankle swelling, muscle cramps, and even ankle open sores and bleeding. Unfortunately, many physicians do not recognize vein problems as the cause of many of these symptoms.

How is sclerotherapy compared with externally delivered laser, in treatment of superficial reticular and spider veins?
The gold standard and most successful treatment modality is "sclerotherapy", provided it is done properly. Different laser treatment machines have not been able to offer similar results in comparison to properly done sclerotherapy. It is a fact that experience and knowledge are both necessary elements in performing good sclerotherapy. Many physicians who use laser for treatment of varicose and spider veins, may have attempted to use sclerotherapy on limited occasions and found it to be a difficult procedure. The fact is that generally sclerotherapy can deliver much more effective and better results than many laser procedures, provided it is done in the hands of an experienced and knowledgeable phlebology physician. A good treatment plan, must be based on a thorough initial evaluation and mapping of the sources of reflux/feeder veins in each individual case. Each case may have more than one option for getting rid of their varicose veins.

What is Sclerotherapy?
Sclerotherapy is injection of a tiny amount of a sclerosing solution inside the targeted vein, in an attempt to close the abnormal vein. Normal veins will pick up the flow, the pressure in the veins will be reduced and thus leg circulation will improve. Very small spider veins are treated by liquid sclerotherapy, while medium and larger veins can be treated using foam sclerotherapy more effectively.

Dr. Khalil Fattahi

Dr. Khalil Fattahi - Vein Specialist

Khalil Fattahi, M.D., RPhS
Diplomat, American Board of Phlebology
Diplomat, American Board of Internal Medicine
Inventor of Foam-Washout Sclerotherapy for varicose veins
60,000+ sclerotherapy sessions experience



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