A 62-year-old Registered Nurse with venous stasis ulcer of the right ankle was treated
for 15 months with Unna's Boot compression. The ulcer finally healed, only to re-
appear 3 months later. We treated her varicose veins with ultrasound-guided
sclerotherapy and the ulcer healed within days. There has been no recurrence since
2002.
This very active and athletic woman was developing skin changes and a “blue foot”
(venous cyanosis) along with aching, throbbing and leg restlessness. The
improvement in circulation at 12 months following sclerotherapy is obvious, and all
symptoms have resolved.
This barber, age 59, developed a painful venous ulcer at the left ankle that nearly
cost him his livelihood. Within weeks of his first sclerotherapy treatment, he was
back working full-time. Treated in 1999, he remains clinically well today without
recurrence of leg ulcers
This patient developed a tortuous varicose vein with pregnancy 24-years previously,
but it was pain that finally brought her in for treatment. The great saphenous vein,
found with ultrasound diagnostics, was also varicosed. All varicose veins were
treated and all symptoms cleared. Moderate post-sclerotherapy “staining”, seen in
the “after” photo, is residual to the treatment and will continue to fade.
This 55-year-old woman had painful varicosities of the anterolateral circumflex vein of
the thigh, and many tributaries into the leg. She was successfully treated with
ultrasound-guided foam sclerotherapy.
Even severe varicosities can be successfully treated using ultrasound-guided
sclerotherapy.
65-year-old woman with 8 year history of venous ulcers healed rapidly with ultrasound-
guided sclerotherapy to ablate her varicose veins, the cause of her ulcers.
A 75-year-old woman developed leg rashes that she believed were caused by her
varicose veins. She had undergone stipping surgery years early, but noted the veins had
returned. Sclerotherapy obliterated her varicose veins, and the "rashes" (stasis
dermatitis) cleared.
The photograph, like the physical examination, fails to detect significant varicose veins.
The ultrasound map illustrates the true extent of this patients disease and explains her
symptoms. The map guided us to treatment of her disease. The result was complete
ablation of symptoms.
The photograph, like the physical examination, fails to detect significant varicose
veins.This patient suffered a traumatic injury to his shin. Four months later a cluster of
veins appeared were the injury had been. 18 months later he developed significant
aching and throbbing in the same area. The ultrasound map illustrates that the great
saphenous vein and the anterior arch have become varicose veins, and explain the
severity of his symptoms. Treatment with endovenous laser obliterated the great
saphenous vein. Treatment with ultrasound-guided sclerotherapy obliterated the branch
disease.
