Q&A: My Ankle is Still Swollen After Injections

Question: I had my injections (Sclerotherapy) done 3 weeks ago (not at Advanced Vein Institute of Arizona). My ankle is still terribly swollen. I’ve been back twice for an ultrasound and no clot. How long does the swelling normally last? 

I walk and did wear my stockings as directed. It is deterring me from continuing treatment as I feel like this hasn’t improved. It looks hideous and I’m embarrassed and mad that I did it.

Answer: Depending on the size of the vein, post injection swelling, pain, and looking “worse” can last several months. Sclerotherapy, when performed correctly, will successfully close the vein, but once closed, it takes the body time to absorb that tissue and carry it away. Depending on the person and the size of vein injected, this process can take 4 weeks to several months. The smaller the vein the more quickly visual improvement is seen. Larger veins can take more time, and things like swelling, bruising, and discomfort at the treatment area are part of the healing process.

About Jilanne Rose, DNP ANP-BC

Jilanne is Phoenix Metros only Doctorate Nurse Practitioner that has been trained extensively by a Cardiothoracic & Vascular Surgeon, an Interventional Radiologist, and an Interventional Cardiologist. Dr. Rose is highly regarded by patients and physicians who seek her out because of her expertise in vein disease, her commitment to compassionate care, and her excellent success rates. As a peripheral vascular specialist that has performed well over 10,000 vascular interventions, Dr. Rose is dedicated to helping patients achieve a pain free, healthy and happy life.