Ultrasound Guided Sclerotherapy Varicose veins are caused by weakened valves in the leg veins that lose their ability to move blood back up toward the heart. As the blood collects in the vessels, they begin to bulge and cause discomfort and pain. Sometimes, however, the swollen vein may not be visible on the surface of the skin. Ultrasound guided sclerotherapy (UGS) can be performed to effectively treat hidden varicose veins with a low risk of complication and minimal downtime. Benefits \tLong-lasting results \tLow risk of scarring \tNo general anesthesia Ideal Candidates Candidates for ultrasound guided sclerotherapy are non-smokers in good general health who have been diagnosed with varicose veins that may not be visible on the surface of the skin. Dr. Afzal will examine you during your consultation to determine if UGS is the appropriate technique for you. The symptoms of varicose veins may include the following: \tPurple or dark blue colored leg veins \tAn aching or heavy feeling in the legs \tAn itching sensation around one or more leg veins \tBurning, throbbing, cramping, or swelling in your lower legs Procedure First, your legs will be given a thorough examination using an ultrasound so that Dr. Afzal can visualize the veins that need to be treated. Ultrasound technology will also be used during the treatment to ensure accuracy. A needle will be used to inject a sclerosant, which is a fluid that irritates the vein and causes it to collapse. A series of injections into each vein is typically required. Once the veins have collapsed, the body will reroute the blood flow to healthy vessels. The UGS procedure can be completed in about one hour. Recovery and Results Immediately after your treatment, your legs will be wrapped in compression stockings. You will be asked to walk for 30 to 40 minutes to help promote circulation. You will experience some discomfort and bruising, but these side effects should resolve in two to three weeks. Patients can return to most of their regular activities immediately. Dr. Afzal will give you detailed aftercare instructions that should be followed carefully for optimal healing. You can expect improved comfort in your legs once you have recovered from your treatment. To help prevent the recurrence of varicose veins, you should walk for about 30 minutes every day and avoid standing for long periods of time.