Is sclerotherapy an efficient and long lasting - problem-free solution for varicose veins?

Not best for VV.: Sclerotherapy is an excellent treatment for spider veins but it does require multiple treatment sessions and it is not permanent. Sclerotherapy will require periodic touch up treatments. Varicose veins are due to refluxing (leaking) valves of the saphenous system and the gold standard treatment for these veins is a duplex reflux ultrasound followed by valve closure and microphlebectomies.

Not a miracle cure: Sclerotherapy can be a very good options for varicose veins but is not the "miracle cure" people would like it to be. There can also be some potential "problems" from sclerotherapy ,including risks of skin pigmentation, trapped blood, or allergic reactions. Recurrence of new veins is always a possibility, so not always "long lasting". You will need ultrasound first. Phlebectomy also good option.