You are a healthcare professional and you want to know how to inject leg spider veins
and blue veins by Microsclerotherapy. You're in the right place.
My name is Dr Haroun Gajraj, Director of The VeinCare Academy helping doctors, nurses and
healthcare professionals by providing online learning courses. If you are new here, make
sure you click that subscribe button and check all the links in the video description box
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So let’s get started. And stay to the end, where I will share my Free Guide: How to Inject
Leg Spider Veins and Blue Veins by Microsclerotherapy: A Step-by-Step Approach to Successful Injection
Technique”
Injection of Telangiectasias also called Spider Veins
Place the skin under tension to provide a flat surface to facilitate needle puncture.
This is accomplished by spreading the fingers and thumb of the non-injecting hand and applying
counter-traction with the little finger and hypothenar eminence of the injecting hand.
Use a 30-gauge 1⁄2 inch needle and inject with the bevel of the needle turned upward
Place the needle flat on the skin
The injection should be performed slowly, and intravenous injection should be confirmed
while the injection is in progress.Only inject when you are watching the needle tip. Successful
intravenous injection results in blanching along the course of the thread vein.
Blanch no more than 2cm x 2cm area of telangiectasias at a time. The solution is most active close
to the site of injection
Let me repeat: The needle tip should be observed at all times. The injection must be stopped
immediately if a bleb appears which indicates extravasation, or if there is blanching of
the skin (in contrast to blanching of the vessels) which indicates veno-arteriolar reflex
venospasm or injection directly into a small arteriole. Injection must be stopped immediately
if the patient experiences pain. Injection of small volumes of low concentration sclerosant
under low pressure minimises the risk of post-sclerotherapy telangiectatic matting
Injection of Reticular Veins also called Blue Veins
Reticular veins lie just deep to the skin at the junction of the dermis so when injecting
blue veins, the needle is not flat on the skin, instead, it is angled by 5-10 degrees.
Blue reticular veins in association with the telangiectasias are treated first. The sclerosant
is injected slowly up to a maximum of 0.5ml for any single injection site. Injection must
be stopped if resistance is felt, the tissue around the injection site becomes raised or
if the skin around the vein blanches. At regular intervals, the patient should be asked to
bend the ankle up and down to promote the flow of blood through the deeper veins to
minimise the risk of gastrocnemius vein thrombosis.
Thank you for staying to the end. As promised you can find the link to My Free Guide: “How
to Inject Leg Spider Veins and Blue Veins by Microsclerotherapy: A Step-by-Step Approach
to Successful Injection Technique” in the description below. It’s a game changer,
it really will take your Microsclerotherapy to the next level. It is free and there is
no catch.
Let me know if you have any tips for Microsclerotherapy in the comments section.
I look forward to seeing you again in my next video.