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Foam Sclerotherapy for Varicose Veins

Also known as: foam injection therapy, foam vein treatment

Foam sclerotherapy is a non-invasive treatment for varicose veins. This procedure involves injecting a foam solution into the veins, which causes them to collapse and eventually be absorbed by the body.

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What is foam sclerotherapy treatment for varicose veins?

Foam sclerotherapy is a viable option for treating varicose veins, particularly smaller ones that don’t require invasive surgeries.

The foam causes inflammation in the lining of the vein wall, leading to its closure. This process seals off the problematic vein, rerouting blood flow through healthier veins. The vein eventually collapses and closes completely.

A key advantage of foam sclerotherapy is its use of local anaesthesia, enabling patients to return home the same day. This convenience, along with its non-invasive nature, allows for a quick return to normal activities, making it an attractive option for many.

The foam’s structure enhances treatment effectiveness by promoting better contact with the vein walls. This can mean fewer treatment sessions compared to liquid sclerotherapy, particularly for larger veins. Overall, foam sclerotherapy provides a less invasive, effective, and convenient solution.

What are varicose veins?

Varicose veins, commonly occurring in the legs, develop when vein valves fail, causing blood to pool and the veins to swell. This condition can lead to discomfort, pain, and severe complications if untreated, making it both a cosmetic and medical issue requiring effective varicose vein treatment.

Varicose veins are a common condition that affects millions of people worldwide. The causes of varicose veins can be attributed to a combination of genetic, lifestyle, and environmental factors. Some of the most common causes of varicose veins include:

  • Genetics: Having a family history of varicose veins greatly raises the chances of developing them. If your parents or grandparents had varicose veins, you are more likely to experience them as well.
  • Age: Varicose veins are more common in older adults, as the veins lose their elasticity and become weaker over time.
  • Obesity: Excess weight can put pressure on the veins, causing them to become swollen and twisted.
  • Prolonged standing or sitting: People who stand or sit for long periods, such as nurses, teachers, or office workers, are more likely to develop varicose veins.
  • Hormonal changes: Hormonal fluctuations during pregnancy, menopause, or puberty can cause varicose veins.

The symptoms of varicose veins can vary from person to person, but common symptoms include:

  • Aching or pain in the legs
  • Swelling or inflammation in the legs
  • Itching or burning sensation in the legs
  • Heavy or tired feeling in the legs
  • Visible twisted or bulging veins

Understanding the causes and symptoms of varicose veins can help you identify the condition early and seek appropriate treatment.

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More about pricing

Before treatment

Before undergoing foam sclerotherapy for varicose veins, patients typically have an initial consultation with a vascular specialist. During this consultation, the doctor reviews the patient’s medical history, performs a physical examination, and may use ultrasound imaging to evaluate the affected veins and determine the extent of venous insufficiency.

Proper preparation is key for a successful foam sclerotherapy procedure. Patients should stop certain medications, such as oestrogen-based contraceptive pills, beforehand. Washing the legs and avoiding shaving on the day of the procedure is also important. Wearing loose, comfortable clothing and soft shoes is recommended.

A light meal is suggested before the procedure, and patients should avoid using lotions or perfumes. Bringing any compression hosiery to the appointment is also encouraged. These steps help ensure a smooth and effective treatment process.

During treatment

The procedure begins with administering a local anaesthetic to reduce discomfort. The leg is elevated to empty surface veins, and the healthcare provider cleans the area to ensure a sterile environment.

Ultrasound guidance locates the vein for injection, especially useful for deep veins. A sclerosing agent mixed with air is injected to create foam, which spreads rapidly along the vein, guided by the ultrasound. A small needle is used for the injection.

After injection, a dressing or pad compresses the treated vein. The area is massaged and pressure applied to spread the foam. The procedure typically takes only a few minutes, allowing patients to go home the same day.

After treatment

Post-treatment care

Proper post-treatment care is crucial. Patients are advised to take a brisk walk for at least 15 minutes after treatment to promote circulation. Compression stockings should be worn for 3-4 weeks to aid recovery and support the treated veins.

Use mild soap and lukewarm water to wash injection sites and monitor for any unusual pain or swelling.

Listening to your body and avoiding overexertion during recovery is important.

Long-term recovery and results

Results for small varicose veins typically appear in 3 to 6 weeks, while larger veins may take 3 to 4 months. Treated varicose veins often shrink and disappear, though some patients may require more than one treatment.

A follow-up appointment with the vascular nurse is recommended 4 to 6 weeks after treatment. New veins may appear, but those that respond well generally do not return.

Lifestyle adjustments after treatment

After foam sclerotherapy, certain lifestyle adjustments can support recovery and maintain vein health. Here are some recommendations:

  • Avoid long periods of standing, kneeling, squatting, or bending for 4-6 weeks.
  • Avoid strenuous exercise for the first two weeks.
  • Limit sun exposure during the initial recovery period.

By following these guidelines, you can help ensure a smoother recovery process.

Swimming is discouraged after foam sclerotherapy to prevent complications. Incorporating regular, moderate exercise supports vein health and improves circulation. These adjustments help ensure a smooth recovery and reduce the likelihood of new varicose veins forming.

Risks and complications

Foam sclerotherapy comes with potential risks and complications. Common side effects include skin discoloration, lumps, and inflammation at the injection site. Bruising usually resolves within two weeks, but some lumpy veins may persist for 3 to 6 months.

Skin discoloration at the injection site may take months to fade. Thrombophlebitis, involving painful lumps, may require clot removal. In rare cases, deep vein thrombosis (DVT) can occur in about 1 in 200 patients. Severe allergic reactions to the foam are exceedingly rare, occurring in approximately 1 in 50,000 patients.

Symptoms of pulmonary embolism, such as trouble breathing, chest pain, dizziness, and coughing up blood, are serious and require immediate medical attention. While rare, awareness and following healthcare provider advice can minimise risks.

Appointment and Treatment Plan

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Appointment

Based on your previous consultation with a doctor, an appointment will be arranged between you and your surgeon.

Treatment plan

During this appointment, you’ll go through your medical history, the surgery, the recovery, and together, you’ll decide whether this is a viable option for you.

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Pre-op assessment

If surgery is an option, then the surgeon and their team will thoroughly assess whether you’re right for the surgery. They’ll consider your current health, any previous issues, and other external matters.

Surgery

Prior to going through the surgery, our team will ensure that you’re prepped once again. If everything is confirmed, you’ll undergo the surgery and then we’ll explain the aftercare instructions. The procedure aims to remove varicose veins effectively and safely.

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Aftercare

If necessary, you’ll stay in a ward for a few hours to ensure that you’re ready to go home after the surgery. However, this may depend on the surgery outcome and whether you need moderate or light assistance.

Follow-Up

You’ll come in a few weeks later and we’ll give you one final check-over to ensure that you’re on track for recovery. During the follow-up, the doctor will check to ensure the varicose veins have been removed successfully.

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We offer 3 ways to pay for your treatment

We exist to take the stress out of private healthcare.

Our payment options are designed to offer you easy access to our treatments and services. You can choose to pay on the day, spread the cost, or use your private medical insurance.

Our patient services team will guide you through the process, providing clear costs and support throughout your course of treatment so you can focus on the thing that matters most – your health.

Whether you pay on the day, spread the cost, or use your private medical insurance, rest assured you will be receiving exceptional care 365 days a year.

Pay in advance

Even if you do not have medical insurance, you can still get quick and comprehensive access to private medical care.

We provide transparent pricing from your initial consultation to the completion of your treatment so you know where your stand, every step of the way.

We accept all major debit and credit cards, as well as Apple Pay for UK residents. Please note that we do not accept cash or cheques.

Pay monthly

Paying for your treatment at OSD Healthcare doesn’t need to mean settling the full cost in one go.

Many of our treatments have a pay monthly option that allows you to spread the cost of your treatment over 12 months with no credit checks required.

A minimum spend of £300 does apply. We’ll take your first payment upfront and then arrange a direct debit for your monthly payments thereafter. It’s that simple.

Pay using PMI

We are recognised by all major health insurance companies and with our extensive range of services, there are lots of benefits to using your insurance with us. Our patient services team is here to answer any questions you may have about using your private health insurance with us.

Please bring along your policy details including your scheme details, membership or policy number, expiry date and confirmation of eligibility to claim (i.e. your authorisation number). If you do not have these details with you, we will require payment from you on the day. Patients are liable for any amounts not settled by their insurer.

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FAQs

You can typically return to normal activities shortly after foam sclerotherapy, often within a day. However, it is advisable to follow any specific recommendations provided by your healthcare professional for optimal recovery.

Common side effects of foam sclerotherapy include skin discoloration, lumps, and inflammation at the injection site. It is important to be aware of these potential reactions.

It is essential to avoid long periods of standing, kneeling, or strenuous exercise for 4-6 weeks after foam sclerotherapy. Incorporating regular, moderate exercise during this recovery period is advisable.