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Sclerotherapy with foam is an alternative to treat varicose veins without surgery

Sclerotherapy with foam is an alternative to treat varicose veins without surgery

Varicose veins affect about 30% of men and 45% of women, according to estimates by the Brazilian Society of Angiology and Vascular Surgery. Besides the aesthetic problem, they cause pain, swelling, cramps, feeling of weight in the legs and burning. Among the treatment options, sclerotherapy with eco-foam, has been gaining more and more supporters because it is a versatile procedure, performed in clinics and clinics, without need for hospitalization, anesthesia, without cuts or scars.

The technique was approved in the beginning of 2017 by the Ministry of Health to be used in the Unified Health System (SUS) for non-aesthetic purposes. Prior to this incorporation, surgery was the only treatment available in the public network for gauze varicose veins requiring hospitalization, removal from work and surgical staff.

Among the advantages of foam sclerotherapy is that a greater number of procedures are performed to treatment of the varicose veins at the same time that it would be spent to perform surgery for this purpose. Thus, a greater number of patients can be treated in the same time interval of a surgery. As there is a high incidence of this disease in the population, there is a waiting list for care and treatment that may be reduced.

How is sclerotherapy done with foam

Sclerotherapy with foam is performed with the aid of ultrasound. A foamy medicine (such as a mousse) is injected into the diseased varicose veins, closing them and resolving the problem.

Sclerotherapy can treat telangiectasias (such as spider webs, very common on the thighs and behind the knees), varicose veins of greater caliber (tortuous and with relief) and even the saphenous vein. In varicose veins of great caliber, we can have a good response with an application. But depending on the size of the vessel and the number of varicose veins, about four applications may be required for a satisfactory result.

The patient returns to his or her usual activities right after the session, without interrupting their routine. Only vigorous exercises are contraindicated in the first month after treatment, in saphenous veins and in very potent vessels. The final result in ultrasound examinations and progressive improvement of symptoms and esthetic part may occur up to one year after treatment.


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