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Getting Sclerotherapy After Your Laser Vein Treatment.

Getting Sclerotherapy After Your Laser Vein Treatment.

Posted on February 6, 2017 by Dr. Stephen Rivard


So, you have had your laser treatment, what’s next? Most patients, about 90% or more, need adjunctive treatment after their laser procedure(s).  Typically, this treatment is Ultrasound Guided Therapeutic Sclerotherapy (USTST). About a month after your laser treatment our ultrasound tech will do a thorough exam, mapping any indwelling veins that are not functioning properly and still remain after the laser procedure. The preferred treatment to eliminate these veins is USTST.

USTST is the injection of a sclerosant into indwelling veins that were not affected by the laser treatment, using ultrasound guidance to see the veins. The sclerosant irritates and inflames the inner lining of the veins causing them to collapse and be absorbed by the body. Much like the laser treatment, the goal is to rid the legs of veins that are not viable to your overall circulation. Although you may not see these veins, they can be contributing to any large surface veins you may see.

Once these veins have been successfully treated and if you still have large ropey surface veins we will begin to treat those with Therapeutic Sclerotherapy (TST). In some cases, the larger veins on the surface may shrink after USTST because their source has been eliminated and the pressure to these veins has subsided.  However, the veins may still be visible and large enough to treat using TST. TST, like USTST, is the injection of a sclerosant into the large surface veins without the use of ultrasound. These treatments are done by certified sclerotherapy nurses using special light sources that enable her to see slightly below the surface.

Both of these adjunctive treatments can be approved by your insurance. Most policies require that the veins be above a certain diameter to get approval. At Illinois Vein Specialists, we will work with your insurance carrier for you to seek pre-approval for treatment. This treatment and insurance approval does not include spider veins, which are usually the last step in treatment.  

Download our FREE Sclerotherapy Guide to Learn More!




At Illinois Vein Specialists, we care just as much about the medicine and the specialized practice of Phlebology as we do our patients. We focus only on treating varicose and spider veins and successfully treated patients from many towns including Buffalo Grove, Cary, Elgin, Algonquin, Palatine, Vernon Hills, Crystal Lake, Hoffman Estates, Lake Zurich, Fox River Grove, Mundelein, Grayslake, Wauconda, Chicago, and all areas of Barrington, Illinois.

We understand that when you choose a doctor you want to go to someone you know, like and trust, and honestly so do we. We know that patients come to us most often from satisfied patient referrals, but we encourage you to do your own research and ask around. In the end no matter where you live or who you decide to have treat your varicose or spider veins find someone who focuses only on diagnosing and treating varicose and spider veins -- find a Board Certified Vein Specialist.

Tagged scelrotherapy, spider veins, vein treatment near lake zurich, vein treatment near buffalo grove, therapeutic sclerotherapy, elgin vein doctors, Ultrasound Guided Therapeutic Sclerotherapy, USTST, TST


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