Sclerotherapy Q&A with Alison Scheib, PA-C – Part 3

In our two previous posts we spoke with Alison Scheib, PA-C and sclerotherapy specialist at the Vein Healthcare Center, about post-treatment issues with sclerotherapy. In our final installment, we ask her some of the most popular questions that arise about this procedure. 

What are the most common side effects after treatment?

The most common side effects are bruising and tenderness of the treated veins. The bruising is usually fully resolved within two weeks and the tenderness responds well to heat and elevation. I do want to add that patients who follow the post-procedure guidelines for care will help promote the most effective healing. After each sclerotherapy session, compression stockings should be worn for 10 days, in most cases.

How much does sclerotherapy cost and does insurance cover it?

Costs vary, but it’s usually about $300-$500 per session based on how the vein is visualized (light-assisted vs. ultrasound). Insurers describe sclerotherapy as an “adjunct” procedure and will cover it in part or in full if a bigger procedure has been done in the past, such as radiofrequency or laser ablation, or if there is an open ulcer. Patients should work with their treatment provider to understand their health insurance coverage.

What is the one question that patients ask you the most?

“Will it hurt?” Everyone’s experience is different, but most people describe it as very tolerable. It is always possible to stop the procedure or take a break if someone does find it very uncomfortable, but most patients say there is only minor discomfort. The medicine is pH balanced and vein access is with a 27-32g (very small) needle so it’s really just a very small perceivable pinch.

If you have any questions about sclerotherapy, or what to expect before, during or afterwards, feel free to contact us at the Vein Healthcare Center: email connect@veinhealthcare.com, or call (207) 221-7799.