Ultrasound-Guided Sclerotherapy (USGS)
This treatment is used to treat small to medium-sized varicose veins by injecting medication into the vein under ultrasound guidance. The medication causes the vein to spasm and flatten into a fibrous cord, stopping the blood flow through the vein and causing it to dissolve over a period of 3-6 months. This treatment is ideal for varicose veins that are near the surface of the skin and/or veins that are not straight enough to be treated with Endovenous Laser Treatment. EVLT and USGS are often used in conjunction, treating some veins with laser and others with injections.
Visual Sclerotherapy is used for the treatment of spider veins, tiny broken capillaries on the surface of the legs. Since these veins can be seen from the surface of the skin, ultrasound is not necessary to treat these veins. This is purely a cosmetic procedure, and is not covered by insurance. This treatment is ideally performed after any varicose vein treatment that is required, because spider vein treatment will be more effective after any enlarged veins underneath are treated.