February 25, 2025

Sclerotherapy vs. Endovenous Laser Ablation – Which is Best to Treat Your Varicose Veins?

Sclerotherapy vs. Endovenous Laser Ablation – Which is Best to Treat Your Varicose Veins?

varicose veins

If you suffer from varicose veins, you’ve no doubt heard of the two most common treatments available nationwide – sclerotherapy and endovenous ablation. But which is best for you? If you’re seeking relief, know that there are distinct differences between these two treatment options.

Size of the Vein Issue:

  • Liquid or foam sclerotherapy typically is used to treat spider veins and small varicose veins.
  • If you have mid-sized or large varicose veins, you may need endovenous ablation.

Procedural Differences in Vein Treatments:

The two treatments are administered very differently.

  • Sclerotherapy involves injecting a medication into affected veins, causing the vein wall to shrink, collapse and eventually fade away. Sclerotherapy may use a liquid or foam sclerant.
  • Endovenous ablation uses heat energy delivered via a laser fiber or special catheter inserted into an affected vein. This heat energy also causes the vein to collapse and ultimately disappear.

Cost Differences in Vein Treatments:

Sclerotherapy typically costs less than endovenous ablation.

Several sclerotherapy sessions may be necessary to achieve optimal results. However, there may be larger veins that need treatment with endovenous ablation. These veins are deeper under the skin and need to be evaluated by ultrasound. Many patients need a combination of both therapies for complete and lasting benefit.

The only way to know which treatment option is truly best for your unique case is to visit an experienced vein specialist. Call 904.901.6575 to schedule a consultation with The Vein Institute at Jacksonville today.

Frequently Asked Questions

Sclerotherapy involves injecting a solution (liquid or foam) into small or surface-level veins to collapse and fade them. Endovenous ablation uses heat delivered through a catheter or laser fiber to treat larger, deeper veins by sealing them shut.

Sclerotherapy is typically the best option for treating spider veins and smaller varicose veins close to the surface of the skin.

Endovenous ablation is recommended for mid-sized to large varicose veins that are deeper beneath the skin. These veins often require ultrasound guidance for diagnosis and treatment.

Sclerotherapy is usually less expensive per session compared to endovenous ablation. However, multiple sclerotherapy sessions may be needed, and larger veins may still require ablation for full results.

Both procedures are minimally invasive with little to no pain. Sclerotherapy feels like a small pinprick, while endovenous ablation is typically done under local anesthesia for comfort.

IAC Accredited Vascular Testing

We are proud to be distinguished as an IAC Accredited Vascular Testing Facility. The Vein Institute adheres to the strictest national guidelines for vascular testing, demonstrating a commitment to the highest quality patient care.

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