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resume ordinary work the same or next day; avoid prolonged standing and heavy lifting at first."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any minor effect (pigmentation, matting, trapped blood, thrombophlebitis) within 6 months; serious events under 1%"},"contraindications":["Known allergy to the sclerosant","Active deep vein thrombosis or acute thrombophlebitis","Pregnancy and breastfeeding (usually deferred)","Severe peripheral arterial disease","Active local or systemic infection","Prior history of thromboembolism or thrombophilia (relative; needs assessment)","Symptomatic patent foramen ovale with migraine aura for foam (relative)","Severely limited mobility (relative)","Uncontrolled systemic illness (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Office-based procedure; no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0.5,"max":2,"unit":"weeks","qualifier":"Walking is encouraged immediately; avoid strenuous exercise, heavy lifting, hot baths and saunas for 1-2 weeks."},"final_result_months":{"min":1,"max":6,"unit":"months","qualifier":"Spider and reticular veins fade in about 1-3 months; larger varicose veins may take up to 6."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Walking and compression are needed; longer flights may need a few days' delay, depending on foam volume and clot risk."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Check of treated veins, trapped blood or need for repeat session"}},{"purpose":"result_review","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Final assessment of vein closure and cosmetic result"}}],"indications":["Spider veins (telangiectasias)","Reticular veins","Small to medium varicose veins","Residual or recurrent varicose veins after surgery or ablation","Symptomatic varicosities with aching, heaviness or cosmetic concern","Tributary veins after treatment of truncal reflux"],"main_risks":["Bruising and tenderness along treated veins","Skin hyperpigmentation (brown staining)","Trapped blood and superficial thrombophlebitis","Telangiectatic matting (new tiny vessels)","Injection site pain, cramping or itching","Allergic reaction (rare anaphylaxis)","Skin ulceration or necrosis from extravasation (rare)","Deep vein thrombosis (rare)","Transient visual disturbance, headache or migraine with foam (rare)"],"pain":"Mild: brief stinging or cramping during injection with a very fine needle; mild aching or tenderness for a few days afterwards.","preparation":["Consultation with vein assessment, usually duplex ultrasound for reflux","Review of medical history, allergies and medications","Avoid moisturizer or self-tan on legs that day","Wear or bring shorts and comfortable clothing","Obtain compression stockings beforehand if advised","Avoid sun exposure or tanning of legs before treatment"],"recovery_timeline":[{"phase":"Day 0-1","description":"Compression applied after injections; walking right away; mild bruising and tenderness possible.","restrictions":["Avoid prolonged standing or sitting","Avoid strenuous exercise"]},{"phase":"Week 1-2","description":"Compression stockings worn per instructions; bruising and lumps gradually settle.","restrictions":["Avoid hot baths, saunas and sun exposure of legs","Avoid heavy lifting and intense exercise"]},{"phase":"Weeks 2-6","description":"Treated veins fade; residual pigmentation or trapped blood may be reviewed.","restrictions":[]},{"phase":"Months 2-6","description":"Final cosmetic outcome evident; touch-up session if needed.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":7,"unit":"days","qualifier":"Ordinary functional recovery for one session; no formal rehabilitation needed."},"result_longevity":"Treated veins usually do not reopen, but new varicose or spider veins may develop over time because venous disease is ongoing; periodic touch-ups are common.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Patients needing repeat or touch-up sessions for residual or recurrent veins within 1-2 years"},"scars":"No surgical scars; needle puncture marks are minimal. 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 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