Sclerotherapy

Introduction: Why Chronic Vein Conditions Need a New Approach

Spider veins and varicose veins are more than just a cosmetic issue—they’re signs of underlying vascular imbalance and inflammation. While traditional sclerotherapy can close off unwanted veins, it doesn’t always address why your veins are weakening or inflamed in the first place.

At Patients Medical in New York City, we go beyond injections. We combine cutting-edge sclerotherapy with functional medicine testing and natural therapies to support long-term vein health from the inside out.

We treat circulation, inflammation, and detox pathways—not just the veins you can see.

What Is Sclerotherapy?

Sclerotherapy is a minimally invasive, in-office treatment used to eliminate spider veins and small varicose veins. A specialized solution is injected into the affected veins, causing them to collapse, fade, and be reabsorbed by the body over time.

Sclerotherapy is a safe, proven treatment for:

Unlike conventional treatments that often target symptoms, Ozone IV Therapy works at the root—enhancing how your body detoxifies, regenerates, and defends itself.

  • Spider veins (telangiectasia)
  • Small varicose veins
  • Reticular (blue-green) veins
  • Residual veins after vein surgery
  • Venous insufficiency symptoms like heaviness or itching

 

Common Symptoms That Suggest Sclerotherapy Might Help

Root Causes: Why Do Spider and Varicose Veins Form?

In functional medicine, we ask why your veins are under pressure or losing tone. Vein conditions can reflect deeper systemic imbalances, including:

  • Hormonal shifts (especially estrogen, progesterone, and cortisol)
  • Chronic inflammation and poor lymphatic flow
  • Nutritional deficiencies (vitamin C, rutin, zinc)
  • Liver congestion or toxin overload
  • Sedentary lifestyle or prolonged sitting/standing
  • Blood sugar instability and insulin resistance
  • Gut-liver axis dysfunction impairing detox pathways
  • Family history/genetic vein weakness

Diagnostic Testing We Use

Before or alongside sclerotherapy, we offer a range of functional and vascular tests to support accurate diagnosis and root-cause care:

Duplex ultrasound of veins (if needed)

Inflammatory markers (CRP, homocysteine)

Liver function and toxin load

Hormone panels (estrogen, cortisol, thyroid)

Blood sugar and insulin response

Nutrient testing (vitamin C, bioflavonoids, zinc)

Circulatory support labs (fibrinogen, nitric oxide)

Gut microbiome and detox pathway analysis

Integrative Vein & Sclerotherapy Treatment Options

Precision Sclerotherapy

Our physicians use fine needles and expert technique to inject sclerosing agents safely into problem veins. The treatment:

  • Takes under 30 minutes
  • Requires no downtime
  • Improves appearance and comfort
  • May need multiple sessions for full results

IV Nutrient Support for Vascular Repair

We boost internal healing using IV therapies customized with:

  • Vitamin C for collagen integrity
  • Glutathione to reduce oxidative stress
  • Magnesium for circulation and cramp relief
  • B-complex to support detox and energy

Functional Nutrition for Vascular Health

We use personalized meal plans and supplements to strengthen blood vessels and reduce inflammation, including:

  • Flavonoid-rich foods (berries, leafy greens, citrus)
  • Anti-inflammatory oils (omega-3s)
  • Vein-friendly herbs like horse chestnut and butcher’s broom
  • Elimination diets if food sensitivities worsen inflammation

Herbal & Natural Topical Solutions

We may recommend:

  • Natural creams with witch hazel or arnica
  • Essential oils for lymphatic stimulation
  • Cold compresses with herbal infusions

Hormone & Lifestyle Optimization

Our team supports long-term vein health by balancing:

  • Estrogen and progesterone levels (especially in women)
  • Cortisol and stress responses
  • Daily movement, posture, hydration, and compression if needed

Real Case Study: Restoring Comfort and Confidence

Elaine, 47, came to Patients Medical with painful spider veins on both calves, plus fatigue and hormonal imbalance. Her previous sclerotherapy elsewhere offered only temporary results.

Our testing revealed estrogen dominance, sluggish liver detox, and magnesium deficiency. Her 3-month plan included:

  • Two sessions of sclerotherapy
  • IV vitamin therapy weekly
  • Liver detox nutrition plan
  • Hormone balancing with adaptogenic herbs
  • Topical natural vein creams

Today, her veins have visibly faded, she reports less leg fatigue, and her energy and hormones are in balance.

Anonymized Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Explore Our Blog For More Insights

  • Why Your Spider Veins Keep Coming Back
  • The Role of Hormones in Varicose Vein Formation
  • Top Nutrients for Healthy Veins
  • Natural Remedies for Vein Support
  • Detox Your Way to Better Circulation
  • Compression Stockings – Do They Really Work?
  • Understanding Chronic Venous Insufficiency
  • The Link Between Liver Health and Leg Veins
  • How to Prep for Your Sclerotherapy Session
  • Herbal Creams vs. Injections – What Works Best?

Frequently Asked Questions

 Most patients feel only minor stinging or cramping. The procedure is quick and well-tolerated.

 Most patients need 1–3 sessions per area, spaced weeks apart. Deeper veins may need additional treatments

 Sclerotherapy is best for small varicose or spider veins. For larger veins, we may refer for EVLT or offer supportive therapies.

 If underlying inflammation, hormones, or circulation aren’t addressed, new veins can form. That’s why our integrative care matters.

 No. You may need to wear compression stockings and avoid sun or intense workouts for a few days.

 Yes, our treatments are safe for all skin tones and customized to avoid hyperpigmentation.

 Sometimes. If we suspect deeper vein insufficiency, we’ll refer for an ultrasound before proceeding.

 Natural therapies help prevent new veins and improve circulation, but visible spider veins often require sclerotherapy for full resolution.

 We guide you through lifestyle changes, compression wear, nutrient support, and movement protocols that help prevent recurrence.

 We are out-of-network, but provide superbills for possible reimbursement. Aesthetic sclerotherapy is usually not covered.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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