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Clinical studies support sclerotherapy as an effective first-line option for spider veins, with durable improvements when underlying reflux is managed.

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For ankle and foot veins, sclerotherapy requires gentle technique due to thinner skin and higher pressure zones, with compression carefully tailored.

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Mild side effects from sclerotherapy can include temporary redness, itching, bruising, or small lumps near injection sites, which typically resolve naturally as the veins close and heal.