Spider and thread veins’ treatment
Spider veins and thread veins are terms used by the public for small, unsightly, superficial veins usually found in clusters on the legs. They are a frequent cosmetic cause for concern amongst women and the demand for treatment is rapidly increasing. The prevalence of thread veins and spider veins among adults is over 50%.
Most women are concerned with the cosmetic appearance of their thread veins but they are frequently associated with symptoms of aching, burning, itching, throbbing and cramps2. These symptoms are often worse at certain times of the menstrual cycle. In addition, the presence of thread veins may indicate an abnormality of the venous system which may require further investigation.
Microsclerotherapy is a safe and effective treatment for thread veins and spider veins which has been practised in Europe for many years. With appropriate training, it can be practised by doctors and nurses from a wide range of specialities and backgrounds.
Demand for the treatment is high and is expected to increase. This manual, and the course which accompanies it, provide theoretical and practical training in all aspects of microsclerotherapy to enable the participant to undertake safe, independent practice.
Sclerotherapy is the introduction of a solution into the lumen of a vessel causing thrombosis and subsequent fibrosis. The endothelial cells swell and slough. This then triggers the formation of a thrombus. The thrombus is then lysed and removed and the lumen is fibrosed. This procedure when performed on telangiectasia and venulectasia is called microsclerotherapy.