ULTRASOUND GUIDED SCLEROTHERAPY
Dr. Artwohl observes the injection process on the ultrasound screen. The sclerosant damages the lining of the vein wall. This causes the vein to scar down, and eventually leads to the body reabsorbing the destroyed vein.
Some patients can suffer reflux in the saphenous veins as well as reflux in perforator veins and sometimes a combined treatment approach of endovenous thermal ablation and USGS is needed.
Additionally, other patients have venous problems are caused solely by incompetent perforator veins.
Perforator veins are veins that run in a cross-wise direction in the leg and are supposed to carry blood from the superficial veins to the deep veins. When a patient suffers perforator vein incompetence, the blood runs the wrong way, from the deep to the superficial. This reverse blood flow can cause all the signs of venous reflux disease: varicose veins, leg pain, swelling, pigmentation, and ulceration. These veins can be treated quickly and easily by ultrasound guided sclerotherapy.
After USGS, patients and can return to normal activity that same day. Following treatment, patients will be asked to walk immediately and wear prescription-strength compression stockings for a period of time, as prescribed by the doctor. No pain medication is required after the procedure.