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Now here’s where I disagree, and I say it with hesitation and trepidation, because the authors are international experts:
-1) I think that the evidence that wearing compression stockings after Microsclerotherapy makes a big difference is pretty flimsy and not very compelling.
I've read the references quoted on compression. The studies are of poor quality and involve small numbers. I remain unconvinced. The authors are eminent, but, I've tried Microsclerotherapy with compression and without and I don't see any benefit for telangiectasias.
-2) The use of foam sclerotherapy for spider veins is not licensed in the UK and I continue to advise those on my course to inject liquid sclerosant.
The authors acknowledge that no direct comparison has been made between foam and liquid for leg spider veins, so, if liquid works and its licensed and there's no evidence that foam is better, why use foam?
I suggest that if you are interested in Microsclerotherapy, then this article should be on your reading list.