Frequently Asked Questions
Sclerotherapy
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Sclerotherapy is a minimally invasive medical treatment used to treat spider veins and certain small varicose veins. A specialized solution is injected directly into the affected vein, causing it to close. Over time, the body naturally absorbs the treated vein, and blood is redirected through healthier veins.
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Sclerotherapy is commonly used to treat:
Spider veins
Small varicose veins
Blue and purple surface veins
Red thread veins
Clusters of visible leg veins
During your consultation, we’ll determine whether sclerotherapy is the most appropriate treatment for your veins.
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Sclerotherapy is effective for many small varicose veins, but larger varicose veins may require a different treatment approach. If larger veins are present, we may recommend additional assessment or referral before cosmetic treatment.
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The injected solution irritates the lining of the vein, causing it to collapse and seal shut. The body gradually breaks down and absorbs the treated vein over the following weeks and months, making it much less noticeable.
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Most patients describe the treatment as very tolerable. You may feel a brief pinching sensation or mild burning when the solution is injected, but discomfort is usually minimal and short-lived.
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Most appointments take 30 to 45 minutes, depending on the number of veins being treated.
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This varies from person to person. Many patients require two to four treatment sessions for optimal cosmetic improvement, especially when treating larger areas or longstanding spider veins.
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Some treated veins begin fading within a few weeks, while others may take several months to improve. Larger veins generally take longer to respond than smaller spider veins.
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The veins treated with sclerotherapy typically do not reopen. However, sclerotherapy does not prevent new spider veins from developing over time. Periodic maintenance treatments may be recommended.
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There is very little downtime. Most patients return to work and normal daily activities immediately after treatment.
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Yes. Compression stockings are an important part of the healing process after sclerotherapy. They help reduce bruising and swelling, support healthy circulation, and improve treatment outcomes.
Kathy RN, will explain how long you should wear them based on your treatment plan.
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Yes. Walking is encouraged after sclerotherapy because it promotes healthy blood flow and supports recovery.
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Light walking is encouraged immediately after treatment. However, strenuous exercise, heavy lifting, running, and high-impact activities should generally be avoided for several days. Kathy RN, will provide personalized recommendations.
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In most cases, yes. Patients are typically able to drive themselves home unless advised otherwise.
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Travel plans should be discussed during your consultation. Depending on the timing of your treatment and the length of your flight, you may be advised to delay air travel or take additional precautions.
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Yes. Showering is generally permitted, but very hot baths, hot tubs, and saunas should be avoided until your injector advises it is safe.
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It’s best to avoid direct sun exposure on treated areas until bruising has resolved, as sun exposure may increase the risk of temporary skin discoloration. Sunscreen and protective clothing are recommended.
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Common temporary side effects include:
Mild bruising
Redness
Tenderness
Swelling
Itching around the injection sites
These effects usually resolve within days to a few weeks.
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As with any medical procedure, sclerotherapy carries potential risks. These will be reviewed during your consultation. Choosing an experienced medical injector and following aftercare instructions help reduce the risk of complications.
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Sclerotherapy may not be recommended if you:
Are pregnant or breastfeeding
Have certain circulation disorders
Have an active skin infection near the treatment area
Have specific medical conditions that make treatment unsuitable
A consultation allows us to determine whether treatment is appropriate for you.
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Not necessarily. Spider veins are often a cosmetic concern and do not always indicate underlying vein disease. However, some people with spider veins may also have venous insufficiency, which is why an assessment is important.
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Spider veins may develop due to several factors, including:
Genetics
Pregnancy
Aging
Hormonal changes
Standing or sitting for long periods
Previous leg injury
Sun exposure
Weight changes
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Coverage depends on the reason for treatment and your insurance provider. Cosmetic sclerotherapy is generally not covered. If treatment is recommended for medical reasons, coverage may differ. We encourage you to check with your insurance provider.
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Patients throughout South Georgian Bay choose Thornbury Leg Vein Clinic because we provide:
Experienced Registered Nurse injectors
Personalized vein assessments
Individualized treatment plans
Professional medical care
Evidence-based treatment recommendations
A patient-focused approach centred on education and natural-looking results
We take the time to answer your questions, explain your options, and develop a treatment plan that is right for you.
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If you’re considering sclerotherapy for spider veins or small varicose veins, we’re here to help.
Book a personalized consultation with Thornbury Leg Vein Clinic to discuss your concerns, learn about your treatment options, and receive a customized care plan designed for your needs.