Ultrasound-Guided Sclerotherapy and Phlebectomy

Ultrasound-Guided Sclerotherapy

During your diagnostic ultrasound, if Dr. Steven Tidwell determines that treatment modalities such as the EVLA will not be a fit, ultrasound-guided sclerotherapy may be used. The same medication used in sclerotherapy for spider veins is also used for certain types of varicose veins by turning the sclerosant into a foam. By agitating the medication to create a foam, those small foam bubbles stick to the walls of the varicose veins much easier, allowing those veins to seal.

Treatment Process

Using his ultrasound, Dr. Steven Tidwell guides the medication into the faulty vein and inserts the medication accordingly. The treatment only takes up to an hour, and after the treatment, compression stockings may or may not be needed. If compression is used, it is to make sure those treated varicose veins remain closed. Patients can immediately resume their normal activities, and are encouraged to remain active post-treatment.


Phlebectomy is a minimally-invasive procedure that removes varicose veins at the surface of the skin. It is often recommended for cases in which skin characteristics, size or pressure of the vein make other forms of treatment not possible. With this procedure, the varicose veins are completely removed from the leg. The varicose veins removed are mostly superficial or surface veins that are directly underneath the skin, and does not require extensive surgery.

Treatment Process

This outpatient treatment only requires local anesthetic. The physician will make tiny, one to three millimeter incisions along the bulging vein and carefully remove it in multiple segments using specialized instruments. The area is then bandaged and covered with a compression stocking to prevent excessive swelling or bruising. Patients can expect the procedure to be done in one to two hours or less and can walk immediately following the procedure. In fact, there is no downtime after an ambulatory phlebectomy treatment, which is a significant perk for patients. Plus, the small incisions will heal without the need for sutures.

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