Instructions after Sclerotherapy
The treated leg will be wrapped with compression. This should be left in place for 2
days, including wearing them at night. The compression support is important. This
keeps the veins collapsed so there is less of a chance that blood will re-enter the injected
Since taking hot baths, whirlpools or saunas dilates small veins, avoid this for 2 weeks
after sclerotherapy. You should use a sponge bath or cover the dressing while bathing.
Any activity that puts pressure on the abdomen may enlarge the veins by forcing blood
into them. Do not do heavy weight lifting, sit-ups and aerobic exercises, such as
jogging, for 2-3 days.
If a larger vein is used you may be asked to return to the office 1-2 weeks later. Any
blood clots can be taken care of early. The next treatment should not be scheduled
sooner than 3 weeks after the initial injection.
Stay out of the sun for 2-3 weeks after sclerotherapy. The skin may darken at the
Some patients may notice some pain at the injection site. An anti-inflammatory
(Ibuprofen or Tylenol) may be taken for this. Use these instead of Aspirin, which may
cause increased bruising. Severe pain and/or swelling is not normal. You should call the
clinic at (608) 263-8915 if any redness, draining, warmth or more tenderness develops.
Slight tenderness is normal.
After 2 days, you should remove the compression dressing and take a normal shower.
The gauze compression pads are often taped in place using paper tape. The paper tape
may stick to the skin and cause blisters. If the tape is stuck too snugly to the skin, soak it
off in the shower with some gentle soap.
After the shower, apply your prescription compression stockings. It is important to keep
the veins compressed so they don’t try to fill up with blood again. You should wear your
compression stockings every day, except when sleeping, for 2 weeks. After this, wear the
stockings as much as possible, especially when at work or standing for long periods.
Your health care team may have given you this information as part of your care. If so, please use it and call
if you have any questions. If this information was not given to you as part of your care, please check with
your doctor. This is not medical advice. This is not to be used for diagnosis or treatment of any medical
condition. Because each person’s health needs are different, you should talk with your doctor or others on
your health care team when using this information. If you have an emergency, please call 911.
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