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Temporary bruising or brown pigmentation may occur and usually fades.","sessions_or_stages":{"sessions":{"min":1,"max":4,"unit":"visits","qualifier":"Treatment sessions only; number depends on extent and size of veins, typically spaced several weeks apart."},"stages":[{"code":"initial_session","label":"First sclerotherapy session with compression","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of first session"}},{"code":"repeat_session","label":"Repeat session if residual veins remain","after":{"min":28,"max":90,"unit":"days","qualifier":"Counted from first session, if needed"}}],"qualifier":"Many patients need 1-3 sessions for a given area; extensive disease may need more."},"success":{"metric":"Treated veins occluded or resolved","value":80,"unit":"percent of treated patients","horizon":"3-6 months","population":"Adults with spider, reticular or small-to-medium varicose veins","evidence_status":"limited"},"techniques":[{"name":"Liquid sclerotherapy","suits_whom":"Spider and reticular veins and very small varicose veins","recovery":"Walking immediately; compression for days to 2 weeks."},{"name":"Foam sclerotherapy (often ultrasound-guided)","suits_whom":"Larger varicose veins, tributaries and recurrent veins","recovery":"Walking immediately; compression typically 1-2 weeks; mild bruising."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":1,"unit":"hours","qualifier":"Per single session (15-60 minutes), depending on number of veins injected."},"initial_assessment_documents":["Standing photos of both legs, front and back","Close-up photos of the veins","Lower-limb venous duplex ultrasound report (if available)","List of blood thinners","History of leg blood clots (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Limited disease can be treated in one visit; stay 3-7 days. Repeat sessions at 4-13 weeks can be local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether your veins were assessed with ultrasound before treatment, to see if foam can be used","scope":"procedure","source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/vascular-services/vascular-services-patient-information/treating-varicose-veins-foam-injections","host":"nbt.nhs.uk","quote":"During assessment of the veins we use ultrasound to see if foam can be used to treat.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Talk with your provider about how well sclerotherapy is likely to work for you","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/services/heart/disorders/venous_disorders/sclerotherapy","host":"my.clevelandclinic.org","quote":"It’s a good idea to talk with your provider about how well they think sclerotherapy treatment will work for you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Confirm you can ask the team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Make sure you are clear about how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers, are signs to avoid rather than act on","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don't be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"An advert or information promising complete success is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Whole leg swelling after treatment","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-ultrasoundguided-foam-sclerotherapy--3990","host":"plymouthhospitals.nhs.uk","quote":"If your whole leg swells, or becomes excessively painful, you should contact your GP for advice.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Painful lump along the treated vein","urgency":"contact_clinic","general":false,"source":{"url":"https://gloshospitals.nhs.uk/your-visit/patient-information-leaflets/foam-sclerotherapy-varicose-veins-ghpi0993/","host":"gloshospitals.nhs.uk","quote":"Occasionally, a varicose vein becomes a painful lump following this treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Severe allergic reaction to the foam","urgency":"emergency","general":false,"source":{"url":"https://gloshospitals.nhs.uk/your-visit/patient-information-leaflets/foam-sclerotherapy-varicose-veins-ghpi0993/","host":"gloshospitals.nhs.uk","quote":"Rarely a severe allergic reaction to the foam can happen in about 1 in every 50,000 patients.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Given before you leave; your home doctor needs them to continue aftercare","document":"discharge and aftercare instructions","source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/vascular-services/vascular-services-patient-information/treating-varicose-veins-foam-injections","host":"nbt.nhs.uk","quote":"Before leaving you will be given discharge information and aftercare instructions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for 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