Ultrasound guided sclerotherapy is a procedure used for lager saphenous veins or branches.


Ultrasound guided sclerotherapy, also known as echosclerotherapy, is used to treat veins that are difficult to see and inject. With the assistance of state-of-the-art ultrasound technology, a needle is precisely and accurately inserted into the underlying vein, and the sclerosing agent is injected into the vein. By using an ultrasound machine, deeper veins are easier to visualize, dramatically lowering the need for surgery. This technique can replace surgery and is especially useful for veins that recur after surgery.

The procedure begins with a leg examination while the patient is standing. Using ultrasound, the physician and ultrasound technician identify the anatomy and competency of the veins. Once the veins are mapped out, the patient reclines comfortably on the examining table. A small amount of local anesthetic is infiltrated under the skin and then a plastic coated needle (catheter) is positioned in the vein. With the catheter in place, a medication (sclerosant), which closes the insufficient vein, will be carefully injected and monitored on the ultrasound screen.

Ultrasound guided sclerotherapy can also be used as an adjunct to Venafit and VenaSeal treatments to treat residual veins.


  • Using advanced technology to precisely treat veins
  • Once underlying varicose veins are treated, the likelihood of developing smaller spider veins near the surface can be reduced
  • This innovative approach to vein removal eliminates the need for extensive vein stripping surgery, significantly reducing downtime and increasing patient comfort
  • With the aid of ultrasound imaging, Dr. Ruz and his medical team can visualize the accuracy and efficacy of the sclerotherapy treatment in real time

Echoendosclerotherapysolution for the following conditions

When you choose Dr. Ricardo Ruz, you are choosing a health care provider, who will ensure the most up to date, highest quality care available using state-of-the-art medical technologies. Whether you are seeking an initial examination or a second opinion for your condition, Dr. Ruz and his staff are available to discuss further options and consult on possible treatments.



Generally, the treatment may take up to 45 minutes. Patients can walk immediately post treatment and resume their daily routines.

The number of sessions depends on the extent of the issue and the applicable treatment. Multiple sessions can sometimes be necessary depending on the burden of veins and expectations of the patient.

The fine needle used for injecting does not cause much pain, only a mild pinprick sensation. Some people may experience a burning sensation after the injection. This disappears after a few seconds.

Post treatment, it is best to apply compression to maximize the effects and minimize potential complications. Compression is usually applied by a compressive bandage (velpo) or compression stockings.

Strenuous exercise is not recommended for a day or two post treatment. Patients should also avoid sun exposure for at least two weeks post treatments to avoid skin hyperpigmentation. Compression stockings should be worn post treatment and the days following to optimize results and recovery.

  • Redness and heat near injection site or along the vein
  • Phlebitis/Thrombophlebitis
  • Hard bumps along the vein
  • Skin hyperpigmentation
  • Dry cough and migraine

The images and/or videos are not presented as a guarantee of result. The results may vary. Patients gave their consent for the publication of images and/or videos.

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If you’re experiencing vascular conditions, Dr. Ricardo Ruz has the expertise and years of experience to treat them with the best possible procedures available in the industry.

Schedule a consultation at our clinic with Dr. Ruz to determine the best treatment for your health or esthetic concerns.