Spider Veins

Sclerotherapy Before and After Sclerotherapy: Spider and Reticular Veins: Safe, Only Minor Discomfort, Very Effective

1. We first carefully examine both legs by ultrasound for small and greater saphenous vein, vein of giacomini and anterior and posterior accessory venous insufficiency. We do his exam to avoid the increased incidence of staining, matting and recurrence that occurs when underlying conditions are ignored. http://www.phlebology.org/patientinfo/treatment.html
2. We perform a halogen light exam for ‘blue’, ‘feeder’ veins associated with clusters of spider veins and inject these veins on the first treatment visit….this very much improves the treatment results and decreases recurrence incidence.
3. We use a gentle solution of 0.125% FDA approved Sotradecol - http://www.sotradecolusa.com/index.html thus avoiding the pain and scarring seen with outdated use of hypertonic saline solutions.
4. We apply a 2% hydrocortisone cream after each treatment to reduce itching discomfort.
5. We apply 20-30mm HG compression hose, a sheer stocking that you can shower with, to use for three days following treatment….this further improves results.
6. We advise patients to avoid sun bathing for two weeks after each treatment.
7. We wait 2-3 months for repeat injections, to give the body time to reabsorb the treated veins and avoid unnecessary treatments.

1. Ultrasound study: $320
2. Spider vein treatment: $200 for each treatment visit. We ask people plan on six treatments (3 treatments each leg) but often we can include both legs in one treatment. Therefore complete treatment will take 4 to 6 treatment visits and cost $800 to $1200. Spider vein treatment is considered ‘cosmetic’ and rarely reimbursed by insurance.
3. Reticular vein (dark purple, larger than spider veins) treatments: Same as spider veins but are usually considered ‘medically necessary’ to prevent recurrent bleeding episodes and are therefore paid by Medicare and reimbursed by most insurances.

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Mountcastle Vein Centers

Toll free 888-875-6941

Daniel J. Mountcastle, MD, FAAEM, Director
Board Certified
Ohio State University College of Medicine,
Class of 1974
Specialty Practice for Leg Veins,
Member of American College of Phlebology